Men often seek perineal rehabilitation after having undergone prostate cancer surgery, a prostatectomy. Most of these men can experience, after surgery, urinary incontinence (loss of pee) and erectile dysfunction (erectile problems).
Prostatectomy is not the only cause of these conditions, they can also happen because of aging or other conditions such as diabetes.
Men can also seek urogynecological physiotherapy through perineal rehabilitation for the treatment, treatment, and prevention of perineal dysfunctions: urinary incontinence, urinary retention (difficulty in peeing), fecal incontinence (loss of gas or feces), constipation (difficulty evacuation), pelvic pain (pain in the pelvis region) and sexual dysfunction (pain during sexual intercourse, decreased pleasure, difficulty in having an erection, premature ejaculation, among others).
Here they will find innovative treatments, made with modern technology, obtaining quick and lasting results.
Physical therapy should start as soon as possible to improve quality of life, well-being, and sexuality.
The Sooner You Start The Treatment Better Results You Will Get
In men, urinary incontinence (loss of pee) is more common after prostate cancer surgery, prostatectomy. In these cases, it starts with a very significant loss of urine, making it essential to use diapers in the postoperative period. Treatment can start about 30 to 45 days after surgery.
Men can also suffer from urinary stress incontinence, due to weakness in the muscles of the PERINEUM. In these cases, they complain of losing a few drops of urine when they cough or sneeze; or when they make some sort of effort such as lifting weight, jumping, running, etc.
In some cases, men lose urine for no apparent reason, they sense a urinary urgency, a sudden need to urine; generally, when they are arriving at home, near the bathroom, or hearing the sound of water. This is urinary urge incontinence.
Urinary retention is the difficulty of totally eliminating urine (peeing), giving the feeling of always having a full bladder, increasing urinary frequency.
Among its causes are anatomical changes, benign prostatic hyperplasia (when it is not cancer), neurological disorders, complications from some surgeries.
Fecal incontinence is the difficulty or inability, to hold flatus (gas) or feces in a liquid, paste, or solid-state.
The main causes of this pathology are the weakness of the PERINEUM muscles, aging, some neurological disorders, and surgeries that can lead to damage to the anal sphincter or pudendal nerve.
Intestinal constipation is the difficulty in eliminating the feces, being considered pathological when one spends 3 days or more without being able to evacuate.
One of its causes may be the difficulty in relaxing the PERINEUM
Pelvic pain is characterized by persistent and recurrent pain in the pelvis region causing a very negative impact on the quality of life and sexuality of these men.
Among its main causes are changes of gastrointestinal, urological, or musculoskeletal changes.
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Perineal rehabilitation increases blood flow in this region, improving erection, being a treatment for erectile dysfunction.
Patients who have undergone prostatectomy may also benefit from these treatments for erectile dysfunction because perineal rehabilitation rehabilitates the pudendal nerve, which is one of the causes of erectile dysfunction after this surgery.
Controlling the muscles of the perineum helps men to have greater control over their orgasms, and perineal rehabilitation is an indicated treatment for premature ejaculation.
- Disorders of desire: decreased or absent sexual desire, sexual fantasy, or sexual thoughts
- Aversion: anxiety or repudiation of the sexual act
- Disorders of arousal: reduction or absence of psychological or physiological responses that prepare the body for sexual intercourse
- Persistent Excitation: unwanted genital response in the absence of desire
- Erectile Dysfunction: consistent or recurrent inability to maintain an erection sufficient for sexual intercourse that lasts for more than 3 months
- Premature ejaculation: ejaculation occurs always, or almost always, sooner than desired, before or soon after penetration. Inability to delay ejaculation causing frustration and so that there is an aversion to sexual intercourse
- Non- ejaculation: absence of ejaculation during orgasm
- Orgasm dysfunction: diminution or absence of orgasm, decreased the intensity of orgasms, difficulty reaching orgasm
- Dyspareunia : Pain during intercourse