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Common Problems for Men1 Continence management following prostate surgery Pelvic floor muscle exercises for men
After-dribbleWhat is after-dribble?
After-dribble refers to the loss of a small amount of urine after emptying the bladder. It can be annoying and embarrassing and occurs when the urethra (the tube which carries urine from the bladder to the penis) is not completely emptied. This occurs when the muscles surrounding the urethra do not contract properly, which in turn prevents the bladder from fully emptying. What can I do?
There are a number of different things you can try to minimise after-dribble:
Anion Pads are designed to absorb any moisture. They also contain an Anion strip, which keeps bacteria at bay so no odours can develop. It kills bacteria within 60 seconds.
If you experience after-dribble alongside any of the following symptoms it is important that you seek professional help:
Speak to your GP or contact the National Continence Helpline 1800 33 00 66 to speak to a friendly continence nurse. Continence management following prostate surgeryBladder weakness, or urinary incontinence, is experienced by many men following prostate surgery (prostatectomy or TURP). This is a common problem and often men find this the biggest challenge they have to cope with during the recovery process. Most men regain their bladder control over time and are fully recovered within 6 to 12 months. However, it is important to get professional advice to help cope with bladder weakness during this time. Why does it happen?
The prostate gland is a male reproductive organ. It is about the size of a walnut and sits at the base of the bladder. The thin tube (urethra) that carries urine and semen out of the penis runs through the centre of the prostate gland. At the point where the bladder and urethra join, there is a ring of muscles known as the bladder neck sphincter, which opens and closes like a camera-shutter. The bladder neck sphincter is closed most of the time to prevent urine leaking out but when it gets permission from the brain, it opens to allow urine to be passed. Another (external) sphincter is part of another set of muscles below the prostate called the pelvic floor. These muscles are also involved in bladder control. If the bladder neck sphincter is damaged during prostate cancer surgery, this can lead to urinary incontinence. Anion Pads are designed to absorb any moisture. They also contain an Anion strip, which keeps bacteria at bay so no odours can develop. It kills bacteria within 60 seconds. What are the symptoms?
Urinary incontinence usually occurs when you undertake activities that increase the pressure inside the abdomen, and push down on the bladder. If the pelvic floor muscles (external sphincter) are not working well, urine will leak out. This is known as 'stress incontinence'. Typical activities that can cause leakage are coughing, sneezing, shouting, laughing, lifting, walking, bending, pushing, pulling and moving from lying to sitting or sitting to standing positions. Will it go away by itself?
Incontinence will usually improve with time but by learning how to control the pelvic floor muscles, you can speed up the recovery process and reduce the leakage. If you don't strengthen these muscles, the leakage may persist. For more information about the pelvic floor muscles and how you can regain control visit the pelvic floor section below. Where can I get help?
There are a number of health professionals who can help you with incontinence following prostate surgery. Continence nurse advisors or urology nurses can give you advice about diet, exercise (including pelvic floor muscle exercises) and products. Continence physiotherapists specialise in pelvic floor muscle exercises and can develop an individual program to suit your needs. If your incontinence persists beyond 12 months, talk to your urologist as there are a range of surgical alternatives to help you achieve dryness. Remember, incontinence can be treated, managed and in many cases cured. If you are unsure who you need to see, contact the National Continence Helpline on freecall 1800 33 00 66. For more information about prostate cancer or to find your local support group visit the Prostate Cancer Foundation of Australia. Pelvic floor muscle exercises for menHow can I find my pelvic floor muscles?
The first step in performing pelvic floor muscle exercises is to identify the correct muscles. There are several ways to identify them. Method 1 - Stopping the flow
When you go to the toilet, try to stop or slow the flow of urine midway through emptying your bladder. If you are able to do this you are squeezing the correct muscles. Do not do this repetitively. This is not an exercise, but a way to identify the correct muscles. Method 2 - Visualisation
Stand in front of the mirror (with no clothes on) and tighten your pelvic floor muscles. If you are tightening the right muscles, you should see the base of the penis draw in and scrotum lift up. The back passage will tighten too but it is not the focus of the exercise. When you relax your muscles you should feel a sensation of ‘letting go'. Anion Pads are designed to absorb any moisture. They also contain an Anion strip, which keeps bacteria at bay so no odours can develop. It kills bacteria within 60 seconds. Getting the technique right
Correct technique is very important when doing pelvic floor muscle exercises. You should feel a ‘lift and a squeeze' inside your pelvis. The lower abdomen may flatten slightly, but try to keep everything above the belly button relaxed, and breathe normally. A continence physiotherapist, continence nurse advisor or urology nurse can help if you have trouble identifying your pelvic floor muscles. Exercising your pelvic floor muscles
Once you master the art of contracting your pelvic floor muscles, try holding the inward squeeze for longer (up to 10 seconds) before relaxing. If you feel comfortable doing this, repeat it up to 10 times. This can be done three times a day. Make sure you continue to breathe normally while you squeeze in. You can do the exercise lying down, sitting or standing with your legs apart, but make sure your thighs, bottom and stomach muscles are relaxed. Many men find it difficult to remember to do their pelvic floor exercises. Linking the exercises to a regular activity such as meal times or brushing your teeth is a good way to incorporate them into your daily routine. Important information for men who have undergone prostate surgery
Performing pelvic floor muscle exercises after prostate surgery is vital to your recovery as it is these muscles that help you control your bladder. Doing pelvic floor muscle exercises after surgery (whilst a urinary catheter is in place) can irritate the bladder and cause discomfort. It is therefore recommended that you do not do any exercises during this time. However, once the catheter is removed you may start the pelvic floor exercises straight away. For more information on this topic you can order a copy of Continence and prostate: a guide for men undergoing prostate surgery from the Continence Foundation of Australia. When to seek professional help
Seek professional help when you have bladder or bowel control problems with symptoms such as:
These problems may not necessarily be linked to weak pelvic floor muscles and should be properly assessed. Like all exercises, pelvic floor exercises are most effective when individually tailored and monitored. The exercises described are only a guide and may not help if done incorrectly or if the training is inappropriate. Incontinence can have many causes and should be individually assessed before starting a pelvic floor muscle training program. Tightening or strengthening pelvic floor muscles may not be the most appropriate treatment so speak to a health professional if you have persistent problems with your bladder or bowel. Health professionals
Continence or pelvic floor physiotherapists specialise in pelvic floor muscle exercises. They can assess your pelvic floor function and tailor an exercise program to meet your specific needs. They can also prescribe other treatment options such as biofeedback and discuss relevant lifestyle factors with you. For a list of continence or pelvic floor physiotherapists, visit the Australian Physiotherapy Association or call the National Continence Helpline on 1800 33 00 66. 1. http://www.continence.org.au/pages/common-problems-for-men.html Anion Liners contain an anion strip. This strip can emit 6070 anions per cm when in contact with moisture or friction, releasing ionised oxygen. |