Rehabilitation after treatment – male pelvic floor muscles

The pelvic floor consists of several layers of muscle and connective tissue. These layers extend from the buccal bone at the back to the pubic symphysis at the front of the pelvis. The male pelvic floor supports the bladder, intestines and anus. The urethra and rectum pass through the muscles of the pelvic floor, these muscles help control urination and the passing of stool. They are also import ant for sexual functions. It is necessary to keep your pelvic floor muscles in good shape.

Like all exercises, pelvic floor muscle training is the most effective, when it is individually tailored and conducted under the supervision of an experienced physiotherapist. Exercises may not have the anticipated results if they are performed incorrectly or if the training is not adequate for a given individual.

After approximately 4-6 weeks after surgery (after your first doctor checkup) the Patient is advised to start pelvic floor muscle functional training with a physiotherapist.

For this purpose, the EMG Biofeedback technology (with the use of a rectal electrode), Sonofeedback sonography and techniques for improving the lumbar-pelvic-iliac complex and the respiratory diaphragm will be used.

This training aims to reform the patterns of muscle work in everyday life, which will allow for a speedier recovery after the convalescence period.

Physical activity is not forbidden, but the Patient should avoid abdominal muscle exercises on apnea since they apply great pressure to the pelvic floor. You can swim, walk, stretch and practice relaxation techniques.

Before you start training, you must first locate the muscles that you will be exercising.

• Please sit or lay down. Then, please loosen your thigh, buttock and abdomen muscles. It may be beneficial to use a mirror to see how the muscles are pulled in.
• Please tense the ring of muscles around the anus, as if you would do to stop the flow of gas. After that, please relax. Please tense and relax these muscles a few more times to make sure you locate the right muscle group. Please try not to tesnse your buttocks, thighs and abdomen.
• While in a toilet during urinating, try to stop the stream of urine for 2 seconds. This will allow you to locate the muscles responsible for urinating.

IMPORTANT! The last step should be done only once, to locate the muscles, not as an exercise! Frequent interruption of the urine stream may lead to disturbed urine flow in the future.

If you do not feel the tensing and lifting / pulling of the pelvic floor muscles, or if you cannot stop your urine stream (as in the instructions above), please consult a physiotherapist specializing in pelvic floor muscle training. This specialist will help you activate and optimize the functioning of the appropriate muscle groups.

These recommendations were prepared by Mrs Martyna Romanowska-Naimska.

We offer the possibility of individual consultations with our physiotherapist, specializing in the treatment of urological disorders – Mrs. Martyna Romanowska-Naimska.

If you have any questions, we are at your disposal at all times.

We encourage you to contact us by phone: +48 512 077 461 and +48 512 077 460, and e-mail: j.sitnik@hifu.pl or i.homola@hifu.pl

See also