Post-Prostate Cancer Surgery: Kegel Exercises and Home Care Tips - Urology

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Post-prostate cancer surgery


1.
How long after a Da Vinci surgery can one perform Kegel exercises? What are the potential effects on the wound if done too early?
2.
What home care practices after surgery could potentially lead to a narrowing of the bladder neck? Could you please explain?

Yihuo Zhe, 60~69 year old female. Ask Date: 2021/12/30

Dr. Du Shixi reply Urology


Hello: Although the purpose of the surgery is the same, it is a major operation, and each patient's situation may vary.
It is advisable to discuss this with the surgeon.
Wishing you good health.

Reply Date: 2021/12/30

More Info


After undergoing Da Vinci prostate cancer surgery, it's essential to approach recovery with care and attention to detail. Kegel exercises, which are designed to strengthen the pelvic floor muscles, can be beneficial for men recovering from prostate surgery, particularly in managing urinary incontinence, a common side effect.
1. Timing for Kegel Exercises: Generally, you can begin Kegel exercises about 2 to 4 weeks post-surgery, but this can vary based on individual recovery and the surgeon's recommendations. Starting too early, especially before your body has had time to heal, can potentially lead to complications. Engaging in Kegel exercises too soon may put undue strain on the surgical site, which could lead to discomfort or even affect the healing process. It is crucial to listen to your body and consult with your healthcare provider before starting any exercise regimen. They can provide personalized advice based on your specific situation and recovery progress.

2. Home Care Tips: After prostate surgery, certain behaviors can contribute to complications, including narrowing of the bladder neck (a condition known as bladder neck stenosis). Here are some home care tips to avoid such issues:
- Hydration: Ensure you are drinking plenty of fluids. Staying hydrated helps maintain urine flow and can prevent irritation of the bladder.


- Avoid Straining: Activities that require straining, such as heavy lifting or intense physical exertion, should be avoided during the early stages of recovery. Straining can increase pressure on the pelvic area and potentially lead to complications.


- Monitor Urination: Pay attention to your urination patterns. If you notice any changes, such as difficulty urinating, increased urgency, or pain, contact your healthcare provider.


- Pelvic Floor Exercises: Once cleared by your doctor, gradually incorporate Kegel exercises into your routine. Start with a few repetitions and increase as tolerated. The goal is to strengthen the pelvic floor without causing strain.


- Avoid Constipation: Straining during bowel movements can also affect the pelvic area. Ensure you have a diet rich in fiber and consider stool softeners if necessary to maintain regular bowel movements.


- Follow-Up Appointments: Attend all follow-up appointments with your healthcare provider. These visits are crucial for monitoring your recovery and addressing any concerns that may arise.

In summary, while Kegel exercises can be beneficial post-surgery, timing is critical, and you should always consult your healthcare provider before starting. Home care practices are equally important to ensure a smooth recovery and to prevent complications such as bladder neck stenosis. By following these guidelines, you can support your recovery and improve your overall quality of life after prostate cancer surgery.

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