our expertise:
POST-PROSTATECTOMY MOT

Many men are given exercises to do lying down and never get checked. Some brace too hard or hold their breath. Some clench their buttocks, stomach or thighs. Some cannot relax afterwards. Others do it perfectly lying down, then leak the moment they stand up.

Most leaks happen out in the world: getting out of a chair, walking to the shops, a cough or sneeze, lifting, stairs, golf, the gym, a run, or the end of a tiring day. So that is where we train. Your programme may include:

• Pelvic floor work in standing
• Timing the squeeze with a movement
• The Knack before a cough, sneeze or lift
• Sit-to-stand control and walking strategies
• Activity-specific leakage control
• Gym and sport progressions

Ultrasound lets you watch your pelvic floor on screen as you use it. We can see whether it lifts or you are pushing down, whether you are working too hard, whether you can relax afterwards, and whether your technique changes in different positions.

It also shows whether your current programme suits where you are in your recovery. For many men this is the most reassuring part of the visit.

After surgery it is easy to slip into habits: going just in case, drinking less for fear of leaks, rushing at the first urge, or planning every outing around a toilet. We look at how often you go, what you drink, urgency, nights, and how it affects work, travel and exercise, then help you settle back into a healthier pattern.

Some men stay in pads longer than they need because they feel safer. Others cut down too fast, have a bad day and lose confidence. We look at how many you use, when you leak, how much and what sets it off, and whether the pad is for security or for need. Then we agree a realistic way down.

There is no rush. The aim is fewer pads, less worry and more freedom.

Erectile problems are common after prostate surgery and can hit confidence, relationships and self-image hard. Many men feel they were never given practical guidance. We can cover:

• How vacuum pumps are used after prostatectomy and why regular blood flow may help
• Using the Somaerect safely, how often, and how to build a routine
• Common mistakes with pumps
• How it fits with medication, and when to go back to your urologist or GP

Leaking at arousal or climax (climacturia) is a recognised side effect and can feel embarrassing. Here it is simply another thing we talk through. We can cover emptying your bladder beforehand, timing your pelvic floor, practical tips and talking with your partner, and we will say when further medical advice is sensible.

Everything is handled plainly and respectfully. Many men tell us the relief of finally being able to talk about it was half the battle.

Staying dry is not the whole point. Getting back to what you did before is. We plan your return around your operation, symptoms, fitness and goals:

• Walking, work, travel and lifting
• Gym, running and cycling
• Golf, racket sports and team sports
• Sex, and everyday confidence