Kegel Exercises for Men– Both Pre- and Post-Surgery

You may think that only women do Kegel exercises once they have had children.  However, men can benefit from Kegel exercises too, both before and after radical prostatectomy (surgical removal of the prostate), to reduce common side effects such as urinary incontinence or loss of  bladder control. 

Kegel exercises work by strengthening the pelvic floor muscles surrounding the urethra. These are the muscles that help you control urination. 

If you can, start Kegel exercises before your surgery. You can start doing them again after the catheter has been removed. Any incontinence should improve after 4-6  weeks of regular Kegel exercises. 

How to do Kegel Exercises

  1. Find the right pelvic floor muscles. To figure out which muscles to contract, stop urination midstream. The muscles that helped you stop urination midstream are the pelvic floor muscles that you will need to strengthen by doing Kegel exercises. 
  2. Tightly contract these muscles for 7-10 seconds without tightening your buttocks, abdomen or thigh muscles.  If you contract your pelvic floor muscles while looking in the mirror, the base of your penis will move closer to your abdomen and your testicles will lift. This should feel like a lifting motion. Then relax for 7-10 seconds. This is one repetition. 
  3. Try to do about 45-60 Kegel repetitions daily. This might sound like a lot, but you can break these up throughout the day, working up to sets of 30- 45 repetitions in a row.   You can do Kegel exercises standing, sitting or lying down and while you’re enjoying other activities, such as watching TV or reading a book.

If you have trouble with the exercises, ask your healthcare team for advice. They may have tips and tricks to help you isolate and strengthen the correct muscles.

For more information about pelvic floor exercises, check out this Expert Angle webinar by physiotherapist Nelly Faghani.

The Benefits of Pelvic Physiotherapy with Nelly Faghani

July 12, 2016

During this webinar Nelly discusses:
• What is pelvic floor physiotherapy?
• The function of the pelvic floor muscles. 
• Benefits of good pelvic floor function.
• What's involved in a pelvic physiotherapy assessment?
• Should everyone be doing pelvic floor excercises (kegels)?

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