First of all you will follow the directions given by your physician above all. The following video is a clarification on what to expect in the following weeks post prostate removal. All the information provided in this video is just for education purposes only .
1st week Immediately following the surgery:
Control pain with prescribed medication
Rest and relax and allow time for proper healing
Limit physical activity and Effort
No lifting objects greater than 5-10lbs
Prevent Constipation (see video link below)
2nd to 3rd week
Light walking
Pelvic Bracing (abdominal muscle activation)
Bladder urgency and frequency control
Pelvic Floor muscle activation (Kegels)
Pelvic Floor Physical Therapy (assist in increasing control and improving quality of life sooner)
4th week
Increase activity level
Gentle resistance training
Pelvic PT - Electrical stimulation if voluntary control of pelvic floor muscles is not present
Follow the doctor Protocol on ED medication
5-8th week
Continue increasing exercise level
Increase cardio - help with circulatory system and increase blood flow everywhere including the genital
Follow the doctor Protocol on Ed medication and Vacuum

WHY IS IMPORTANT DO DO PELVIC FLOOR PHYSICAL THERAPY
Because 50-60% of male post-prostatectomy will experience loss of bladder control and decline in sexual function (erectile dysfunction) due to the physiological and anatomical changes that take place after surgery.
Also over 50% of men ages 40-70 experience a decline in sexual function due to erectile dysfunction which has been correlated with the following comorbidities: high BMI, high blood pressure, diabetes, sedentary lifestyle, poor nutrition, stress, medications, enlarged prostate, radiation, and chemotherapy.

Research shows that improving the cardiovascular system helps to increase blood circulation in the body, which decreases blood pressure, manages diabetes and when combined with Pelvic Floor Muscles exercises can improve erection based on IIEF-EF (erection questionnaire)as much as 62%.(Chen et.al.)
Also pelvic floor muscle electrical stimulation can help decrease muscle atrophy, increase blood circulation, prevent loss of penile muscle tone (maintain girth and length). Research shows that scores on IIEF-EF (erection questionnaire) improved as much as 47%( By Van Kampen et. Al.

OVERALL MESSAGE - Receiving an individualized program from a trained Pelvic Floor Physical Therapist can help in decreasing the effects of erectile dysfunction in patient post-prostatectomy as well as in healthy individuals with vascular origin erectile dysfunction.

LINKS to other videos
1. Mind Over Bladder –
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2.Let’s Talk About Poop -
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3. Pilates Exercises
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4. Sitting stretches for Back and Hip pain
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5. Walking and Losing
[ Ссылка ]

Potter Physical Therapy website
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Facebook
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Dr. Adriana Potter, PT DPT – DISCLAIMER

The information on this channel (links, videos, graphics, text, pictures, product, comments) is NOT intended as a substitute for professional medical advice, diagnosis or treatment.
The information in the channel is given to the best knowledge of the Physical Health speakers in order to assist you in making YOUR OWN decisions at YOUR OWN RISK.
Always speak to your own healthcare provider before beginning any exercise programs or making changes in nutrition. Dr. Adriana Potter is not your Physical Therapist and the recommendation from your healthcare provider should take precedence over anything you see and/or hear in the videos.
Should viewers decide to follow any recommendations or perform the exercises, always keep in mind the following: STOP if ever is painful or does not feel right.
All content, including text, graphics, images, information, links or mentioned products contained in this channel is for general information only and should you decide to change your exercise routine or take any supplements you do so at your own risk.
By voluntarily watching the videos or choosing to do any of the exercises or use any of the products you assume all risks and consequences and agree to not hold Physical Health speakers responsible from any loss, injury, or damage.

She owns a private Clinic in Lutz, Florida, check out her website www.PotterPhysicalTherapy.com
PotterPhysical Therapy LLC
5318 Van Dyke Road Lutz, FL - 33558
Office number (813) 265-3033
Fax number (727) 362-7060
potterphysicaltherapy@gmail.com
Remember!!!
The suggestions and advice in this channel are intended to improve your lifestyle and steer you towards a more balanced and manageable situation. And not intended to replace any advice from healthcare providers. Dr. Potter offers viewers a variety of tools to ease their journey towards a healthier lifestyle.

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