There are two main types of prostatectomies:
When only part of the prostate is removed. Simple prostatectomies are typically only done for benign conditions.
Is the removal of the prostate gland, part of the urethra and the seminal vesicles, glands located close by that store semen. For more aggressive cancer, the adjacent lymph glands may also be removed (pelvic lymph node dissection).
In 2015, it is estimated that the risk of a male being diagnosed with prostate cancer by their 85th birthday will be 1 in 7.
Bladder weakness, or urinary incontinence, can be experienced by many men following prostate surgery (prostatectomy).
Patient surveys indicate that as many as 65% of men continue to experience incontinence up to 5 years after surgery.
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.
Pelvic floor muscle exercises
Is an effective treatment for postprostatectomy incontinence.
Post Prostatectomy Urinary Incontinence
Electrical stimulation using an anal probe has been found to help urinary incontinence in men after radical prostatectomy in some trials.
How Electrical stimulation it works:
Men can contract their pelvic floor muscles to reduce or stop these symptoms
Electrical stimulation involves stimulation of these muscles with a painless electric current using a probe placed into the anus.
The aim is to make the pelvic floor muscles contract so that they become stronger to prevent leakage, or to make the muscle
at the base of the bladder
) contract more strongly to stop urine escaping.
Electrical stimulation might also lessen the contractions of the bladder muscle to ease the sense of urgency and allow the bladder to hold more urine.
Pelvic floor Electrical Stimulation of the pudendal nerves, produces a maximal pelvic floor contraction and improves urethral closure pressure as well as reducing detrusor overactivity.
Studies have shown that men with persistent postprostatectomy incontinence were able to reduce their incontinence frequency by more than half.
Studies have found Electrical Stimulation resulted in earlier recovery of continence in patients with urinary incontinence after radical prostatectomy.
Using the TensCare Pelvic Floor Exerciser for Prostatectomy Incontinence
An anal probes can be used to treat bladder leakage in men in a similar way to the vaginal probes
The same programs as for vaginal stimulation are to be used, increasing intensity in Stress, Mixed, or Tone programs to the highest level tolerable.
You should consult your physician before starting treatment.
The anal probe can be purchased as an accessory
JAD will exchange the vaginal probe for the anal probe, providing the probe has not been opened.
Send the probe to
TensCare Service Dept.
JA Davey Pty Ltd
PO Box 84
Port Melbourne Vic 3207
Customer is to provide return address
JA Davey will provide and return
Evidence for the contraindication against use with any history of cancer is weak.
“Caution is advisable in the presence of undiagnosed pain in patients with a history of cancer within the last 5 years.”
Faecal incontinence can be the result of weakened or poorly functioning anal sphincter muscles or damage tour there nerves controlling them. The purpose is to re-educate the anal sphincter and other muscles of the pelvic floor to contract.
The treatments aim to progress towards graduated active exercises, in order to improve pelvic floor muscle strength and endurance to regain function
You may benefit from the TensCare Pelvic Floor Exerciser if you either have no active anal sphincter contraction or have a weak or poorly sustained contraction
Using the TensCare Pelvic Floor Exerciser for Faecal Incontinence in men and women
Strengthening and toning the pelvic floor muscle and sphincter muscles can improve bowel control. An anal probe or electrode pads can be used for both males and females.
Use Stress or Tone programs, increasing intensity to the highest level tolerable. When possible contraction of the muscle at the same time as the Pelvic Floor Exerciser is used. The intensity should be as strong as possible without being painful.