11 Nov Myths Post Robotic Prostate Surgery
Demystifying Recovery from Robotic Prostate Surgery: Insights from a Pelvic Floor Physiotherapist
Facing robotic prostate surgery raises understandable concerns about potential challenges like incontinence and erectile dysfunction. As a pelvic floor physiotherapist, I’m here to debunk common myths, present the latest evidence, and underscore the critical role of pre-habilitation and ongoing rehabilitation in achieving optimal recovery.
Myth 1: Incontinence Is Inevitable and Permanent
Reality: While incontinence is common immediately after surgery (affecting up to 90% of men), significant improvements are typically seen over time. By one year post-surgery, around 20% of men may still experience some degree of urinary leakage.
Physiotherapist’s Perspective: Engaging in pelvic floor exercises before surgery (known as pre-habilitation) has been shown to expedite continence recovery. Studies indicate that men who participate in pre-habilitation programs experience shorter durations of post-operative incontinence and quicker improvements in bladder control. Knowing how to correctly activate and keep it activated in transfers and weight bearing is the key even before the surgery.
Myth 2: Erectile Dysfunction Cannot Be Overcome
Reality: Erectile dysfunction (ED) is another common concern post-prostatectomy, but it is not inevitable. Factors such as age, pre-surgery erectile function, and the extent of nerve-sparing during surgery significantly influence the likelihood of recovery. Approximately 50% of men regain erectile function within two years post-surgery, particularly those who undergo nerve-sparing procedures .
Physiotherapist’s Insight: Pelvic floor exercises and penile rehabilitation are pivotal in enhancing erectile function post-surgery. These interventions improve blood circulation and strengthen the muscles involved in maintaining erections. Evidence suggests that men who engage in comprehensive penile rehabilitation programs have significantly higher rates of successful recovery. Use of vaccupumps and other devices can be your aid for recovery. Have frank and honest conversations with your surgeon for optimal penile health recovery.
Myth 3: Pre-habilitation Isn’t Necessary
Reality: Pre-habilitation, which involves preparing the pelvic floor muscles before surgery, is increasingly recognized for its benefits. Research indicates that pre-habilitation not only reduces the severity and duration of postoperative incontinence but also supports quicker recovery of erectile function.
Evidence-Based Data: Studies have demonstrated that pre-habilitation participants are more likely to achieve continence earlier and report higher satisfaction with their sexual function in the months following surgery.
Myth 4: Rehabilitation Stops Once Initial Recovery Occurs
Reality: Continued rehabilitation is crucial for sustaining long-term improvements in urinary continence and erectile function. Consistent adherence to prescribed exercises and rehabilitation strategies supports ongoing recovery and overall pelvic health.
Advice from the Physiotherapist: Maintain regular pelvic floor exercises and follow-up appointments with your healthcare team. These practices contribute to sustained improvements in bladder control and sexual function over time. As a matter of fact, abdominal exercises and focusing on cardiovascular health with aerobic exercises are the perfect recipe for recovery.
Practical Tips for Recovery
- Early Start: Begin pelvic floor exercises as soon as your healthcare provider recommends, ideally before surgery.
- Consistency Matters: Continue with prescribed exercises and rehabilitation techniques diligently post-surgery.
- Seek Expert Guidance: Collaborate with a pelvic floor physiotherapist for personalized assessment and guidance throughout your recovery journey.
- Utilise Supportive Tools: Consider incorporating penile rehabilitation devices and medications as part of your treatment plan under medical supervision.
Conclusion
Navigating recovery from robotic prostate surgery involves understanding the realities versus misconceptions surrounding incontinence and erectile dysfunction. By embracing evidence-based practices such as pre-habilitation and ongoing rehabilitation, men can enhance their post-surgery outcomes significantly. Remember, each person’s journey is unique, and personalised support from healthcare professionals plays a crucial role in achieving optimal recovery and quality of life.
To discuss robotic prostate surgery and work with an experienced physiotherapist to devise a recovery plan, please don’t hesitate to contact the clinic or call us on (03) 8001 2044.
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Understanding these myths and the importance of prehab and continued rehab empowers individuals and their caregivers to navigate the recovery journey with confidence and informed decision-making. For personalized advice and support, consult with your healthcare provider or pelvic floor physiotherapist.
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