Prostate Cancer - No Man is an Island
Prostate cancer is the number 2 cancer killer of males in Australia. With 12,000 males living each year with the diagnosis of prostate cancer, many are or will be living with the post-operative health issues associated with prostate cancer. Blokes being blokes may put issues on the back burner with a 'she'll be right, mate' attitude.
Sure, a lot of things improve with time, but not prostate cancer. A much better approach is to get educated, get involved, and start preparing and planning. Commonly, prostate cancer is diagnosed in later years, and as a result, there can be other related health issues for men when they find out they have prostate cancer. 
We recommend that, as soon as you receive a diagnosis of prostate cancer, you consider getting your physical body into order. Doug can assist you in developing and following an appropriate exercise program, with a specific emphasis on learning how to build your pelvic floor. We offer a pelvic floor imaging service, during which you will learn to turn on and off your pelvic floor correctly. Seeing is believing, and knowing that you are performing correct pelvic floor contractions is vital. One side effect of surgery is urinary incontinence, and research has shown that undertaking a 'pre-operative' program for 8+ weeks significantly strengthens your pelvic floor pre-operation and reduces the time to achieve your goal of being dry again post-operation.
Key factors to consider that are associated with prostate cancer are;
- Overall physical condition (i.e., starting sooner is better)
- Learn relaxation techniques and ensure you are achieving a quality 7-8 hours of sleep a night
- Pelvic floor health and awareness (learn the correct technique using our real-time ultrasound machine)
- Urinary incontinence (i.e., engage with your pelvic floor, build awareness, strength and endurance). The recommendation is to start your guided pelvic floor program 8-12 weeks before your surgery date.
- Erectile dysfunction (i.e., tools need to be used to be useful). If you are having problems achieving a functional erection, a vacuum pump is a great assistant. We supply and can explain the correct use of the Vacurect Erection Enhancement System. Regarding prostate surgery, becoming familiar with the proper use before surgery makes good sense. We will teach you the current recommended training protocol. If you want to 'top up' your erectile firmness, you can use the vacuum pump immediately.
Chronic Pelvic Pain
Chronic Pelvic Pain (or Pudendal Neuralgia) is a very complex and misunderstood condition. Just like the sciatic nerve, which refers pain from the lower back/buttocks and into the legs (with or without pins and needles), the pudendal nerve, when irritated, causes problems in and around the genitalia. Once irritated, the pudendal nerve causes a range of symptoms involving the bladder, bowel, and male genitalia.
- Severe pain in the pelvis, testicles, or rectum
- Overactive or painful bladder symptoms
- Sexual dysfunction (erectile or ejaculatory)
Following a detailed assessment and an understanding of the relevant anatomy, your Physiotherapist can offer a range of treatments that may also include lifestyle solutions.
Additional Resources
Pelvic Floor Training
- Pelvic Floor awareness and training (video)
- Pelvic Floor Muscle Education (video)
Pads & Swimming
Living in Esperance and not being able to swim or attend hydrotherapy doesn't need to be limited if you are experiencing urinary incontinence. Check out these stylish, functional board shorts that will give you peace of mind while enjoying your water activities.
Prostate Cancer Foundation of Australia
- General prostate information booklets. Download or read online.
Erectile Dysfunction
Beyond Blue: Maintaining Your Well-Being
- Information booklet discussing anxiety and depression for men with prostate cancer
Books
Prostate Recovery Plan - M.A.P. - Craig Allingham
Physiotherapist with a strong interest in post-prostate cancer and developing a physical recovery plan for incontinence. Available for purchase at Esperance Physiotherapy.
Conquering Incontinence - Peter Dornan
Peter is a physiotherapist who had one of the earliest radical prostatectomies. He writes about learning how to cure himself and continue achieving his life's goals. A real groundbreaking story.
Facing the Tiger - Suzanne Chambers
Psychologist and nurse writes about the importance of mental preparation for men and their loved ones for the challenges ahead when dealing with prostate cancer.
Redefining Prostate Cancer - Lamm, Lepor & Sperling
Co-authored by a men's health internist, research & clinical urologist, and interventional radiologist, this book explores the research evidence of different treatment options for prostate cancer. Written in an easy-to-read style it ranges from the preventative stage, and treatment pros and cons to life after treatment. It is filled with case studies and patient checklists to assist in discussions with your GP and medical team.