Pelvic Pain:

Research indicates the prevalence of pelvic pain among males reports the 15% fo men have dealt with or are currently dealing with pelvic pain at some point in their lives (Qin Z et al. 2016).

• Chronic prostatitis:  known as chronic abacterial prostatitis, meaning that pain and inflammation of the prostate persist despite absence of infection.  The pain can manifest in the perineum, rectum, prostate, penis, testicles, and abdomen.

Prostatectomy:

Prostate cancer is the most common cancer in Canadian men, with one in seven facing a diagnosis during his lifetime, affecting:

• 1 in 8 men

• 1 in 4 black men

• With increased risk over age 45

• Incidence of SUI following prostatectomy of 87%

• Incidence of erectile dysfunction is 100% at 1/12 post-op

Pre-operative:

• Aim of initial assessment is to obtain a clear baseline of symptoms.

• Baseline symptoms have a clear impact on the prognosis of recovery post surgery.

• Pelvic floor education and rehabilitation in preparation for prostatectomy

Post-operative:

• Post-prostatectomy pelvic floor education and rehabilitation

• Ideally to be seen once catheter removed (at 2 weeks)

What does the Evidence Say?

• Advisable for all men to undergo pre-op PFMT  to maintain normal PF function post-op

• Strengthening the PFMs significantly improves post prostatectomy urinary incontinence

• Strengthening the PFMs significantly improves post prostatectomy urinary incontinence

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Pelvic Plus Physio, providing you with comprehensive Pelvic Health Physiotherapy in Ottawa!

Resources:

Systematic Review of Acupuncture for Chronic Prostatitis/Chronic Pelvic Pain Syndrome.  Qin Z, Wu J, Zhou J, Liu Z. Medicine (Baltimore)> 2016 Mar;95(11):e3095.