A prostatectomy is a major step in treating prostate cancer, and the recovery that follows is just as important as the surgery itself. Many men are surprised to learn how much specialist physiotherapy can do to support continence, comfort and confidence both before and after the procedure.
At The Pelvic Health Studio in Marylebone, we provide structured pre- and post-prostatectomy rehabilitation designed around your individual needs. Our focus is on preparing your pelvic floor before surgery and guiding your recovery afterwards, helping you regain control and return to everyday life with confidence.
Recovery looks different for everyone, but with the right preparation and guidance, many men see meaningful improvement in bladder control and overall wellbeing.
Prostatectomy rehabilitation is a programme of specialist physiotherapy that supports the muscles, nerves and tissues involved in bladder, bowel and sexual function. “Prehabilitation” begins before surgery, focusing on building awareness and strength in the pelvic floor so you go into the procedure as well prepared as possible. Post-operative rehabilitation then supports your recovery, helping to restore continence and function in the weeks and months that follow.
This programme is suitable for any man who is scheduled to undergo, or has already had, a radical prostatectomy or similar prostate surgery. It is particularly valuable for those who want to take an active role in their recovery, who are concerned about urinary leakage after surgery, or who have been advised to strengthen their pelvic floor by their surgeon or consultant.
After a prostatectomy, men commonly experience urinary leakage, urgency and difficulty controlling the bladder, particularly during movement, coughing or lifting. Some also notice changes in bowel habits, pelvic discomfort, or concerns relating to sexual function and erectile difficulties. These experiences are very common in the early stages of recovery, and many improve significantly with appropriate support.
Your first appointment begins with a detailed conversation about your medical history, your surgery (planned or completed) and your personal goals. With your consent, we carry out a careful assessment of your pelvic floor function so we can understand exactly how the muscles are working. From there, we create a personalised programme of exercises and guidance tailored to your stage of recovery, and we review and adapt this with you over time.
Specialist rehabilitation can help improve bladder control and reduce urinary leakage, often speeding up the return to continence after surgery. It supports a stronger, more coordinated pelvic floor, helps you manage discomfort, and gives you the knowledge and confidence to take an active role in your own recovery. Just as importantly, it offers reassurance and clear guidance at what can be a worrying time.
With more than thirty years of pioneering experience in pelvic health, our team understands the physical and emotional aspects of recovery after prostate surgery. We provide a discreet, respectful and supportive environment in our Marylebone clinic, and we work closely alongside your wider medical team to ensure your rehabilitation complements your overall care.
Recovery after a prostatectomy is gradual, and progress is often measured over weeks and months rather than days. Many men find that beginning rehabilitation before surgery, and continuing it consistently afterwards, supports a faster and more confident return to continence and daily activities. We will guide you at every stage and adjust your programme as your recovery progresses.
Where possible, yes. Starting pelvic floor work before surgery helps you build awareness and strength in advance, which can support a smoother recovery afterwards. Even a few sessions of preparation can make a meaningful difference.
This depends on your individual circumstances and your surgeon’s advice. We will always work within the guidance given by your medical team and tailor the timing and intensity of your programme to your stage of recovery.
For most men, leakage improves over time, particularly with structured pelvic floor rehabilitation. While everyone’s recovery is different, the majority experience significant improvement in bladder control.
An internal assessment can provide valuable information about how your pelvic floor is functioning, but it is always optional. We will explain everything fully and only proceed with your consent and comfort.
Whether you are preparing for prostate surgery or recovering afterwards, specialist physiotherapy can help you regain control and confidence.
At The Pelvic Health Studio in Marylebone, we provide personalised, supportive care at every stage of your prostatectomy journey.
Book your appointment today and take the first step towards a confident recovery.
