After a prostatectomy: regaining continence and confidence
Pelvic rehabilitation and sexual-health support after prostate surgery. A subject too rarely addressed, explained without taboo.
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Men are prepared for prostate surgery, but they are rarely prepared for the after. Urinary leaks and changes in sexuality are among the frequent after-effects — and often stay unspoken, out of modesty. Yet pelvic rehabilitation and suitable support change a great deal. Let’s talk about it simply.
What happens after the operation
Prostate surgery can temporarily (sometimes lastingly) affect bladder control and erectile function, because structures close to the pelvic floor are involved. Leaks after the catheter is removed are frequent and most often improvable with targeted rehabilitation.
The male pelvic floor exists too — and it can be rehabilitated. Working on it means taking back control of continence.
Pelvic rehabilitation: why and when
Pelvic-floor work, ideally started early (and sometimes even before the operation, as preparation), helps you regain continence faster. As with women, it’s not just about “squeezing”: it’s a question of coordination, release and timing.
And sexual health?
This is often the question men don’t dare ask. Changes in sexuality after a prostatectomy are real and deserve to be addressed without judgment, in a confidential setting. My approach combines the physical dimension (pelvic floor) and the sexological dimension (sexocorporel), to support not only function, but also confidence and the relationship with oneself.
Why a remote setting can help
For many men, raising these topics is easier from home, over video, than in a waiting room. Online consultation offers a discreet space to understand, learn the exercises and move forward at your own pace.
In short
- Leaks and sexual changes after a prostatectomy = frequent, not shameful, often improvable.
- Pelvic rehabilitation (sometimes even before the operation) helps regain continence.
- Sexual health can be worked on too — body and confidence.
- Video offers a suitable, confidential setting.
Frequently asked questions
Do I have to wait long after the operation to start? Often you can start early; the timing is defined together with your urologist.
Can rehabilitation be done over video? A large part of the support, yes — understanding, learning the exercises and ensuring follow-up.
What if the operation was several months ago? It’s still entirely worthwhile to seek support.
This article is for information only and does not replace medical advice. Prostate follow-up is first a matter for your urologist.