RADICAL PROSTATECTOMY 

Radical prostatectomy is an operation to remove the prostate and the cancer contained inside it. A radical prostatectomy is a major operation. 
 
Keyhole surgery 
Your surgeon makes five or six small cuts in your abdomen (stomach area) and removes the prostate using a thin, lighted tube with a small camera on the tip and special surgical tools. 
 
Open surgery 
Your surgeon makes a single cut in your stomach area to reach the prostate. This is called retropubic prostatectomy. 
 
All of these types of surgery appear to be just as good as each other at treating prostate cancer. 
 

PHYSIOTHERAPY 

Katrina has been working closely with the Colchester Urologists for the past 18 years. They refer their patients to her for pre-operative Physiotherapy assessment and treatment and she reviews them all post-operatively. There may be some bladder issues post-op and this is why the Surgeons recommend that you come and see Katrina before and after your surgery. 
 
Common Post-Op Symptoms: 
Leaking urine when you cough, sneeze or laugh 
Urine loss when moving from sitting to standing, walking or exercising 
Leaking urine on the way to the toilet 
Going to the toilet frequently 
Bladder Urgency 
Erectile Dysfunction 
Weak stomach muscles 
General decrease strength and endurance 
 
Strong pelvic floor muscles will help with these problems. Some men find pelvic floor muscle exercises help with problems getting or keeping an erection after treatment for prostate cancer. Some men also find they help to improve the quality of their erections. The exercises may also help with bowel problems, such as needing to rush to the toilet, leakage (faecal incontinence), or passing a lot of wind. 

Pre-Operative Physiotherapy 

You will see Katrina one to two weeks before your surgery date. At this appointment she will take a full medical history and any information about your current bladder and bowel habits. A full explanation of your surgery and what to expect afterwards will also be covered. Also at this assessment, with your consent, we will assess your pelvic floor strength and control. This is to make sure that you are doing the exercises correctly as the correct technique it really important. 

Post-Operative Physiotherapy 

You will have a catheter in for 7-10 days after your surgery. Katrina will liaiase with your surgeon as to when the cather will be removed and we will make an appointment for her to see you the following day. 
 
What to expect at your follow-up: 
Reassessment of pelvic floor muscle if required. 
Progression of exercises. 
Using PFM during functional activities. 
Lifestyle advice. 
Adjunct therapy if required-real-time ultrasound scanning, biofeedback, 
Discussion and advice regarding Erectile Dysfunction. 
Checking your abdominal scars. 
 
Exercises: 
Pelvic Floor Muscles Exercises. 
Abdominal Core Stability Exercises. 
Gluts strengthening. 
Myofascial release to scar tissue. 
General fitness and flexibility training.