Your treatment team will usually show you the first exercises that you can perform.

The following exercises will help you get started, however, you should discuss all exercises with your treatment team before beginning training.

Abdominal muscle training

The abdominal muscles are important for supporting the body. Together with the back muscles, they stabilise you and are involved in almost every movement that you make.

Exercise 1: Isometric tension

Isometric exercises do not involve any movement. Just holding a position in place for some time can strengthen your muscles. Lie on your back with your legs bent and raise your pelvis. Pull your tummy in and press your lower back, the lumbar spine, into the support. There should be no space between the lumbar spine and the support. Keep the spine pressed to the floor. Your abdomen will become tense by holding this position. Hold the tension for 20 seconds and repeat ten times.

Exercise 2: Getting out of bed

It is important to avoid stretching the scar after recent surgery. Therefore, when getting out of bed, you should get up from a lying position to a sitting position in a certain way. Lie on your back and bend your legs. Then turn to one side. While doing this, support your scar by applying light pressure with the hand that is furthest from the bed during the rotation. With the elbow you are lying on, push yourself up from the bed into a sitting position and at the same time push both legs out of the bed. Continue to stabilise the wound with the other hand. Finally, place both feet firmly on the floor.

Exercise 3: Stabilising the upper body

Sit upright. Both feet are on the floor. Your knees should be above your feet. Tilt your straight upper body forward, remain in this position for a few seconds and then return to the starting position. Repeat this exercise slowly ten times. Make sure that your back remains straight at all times.

Ask your doctor for a prescription for a physiotherapist. Your physiotherapy team can show you other exercises that will help.

Author: Susanne  Schwengler, B.Sc | Reviewer: Dr. Christian Keinki

Sources:

• Abdominal Exercises to Help You Get Back Into Shape After Surgery. (2022, July 9). Verywell Health. https://www.verywellhealth.com/strengthening-abdominal-muscles-after-surgery-1943056
• McMillan, A. (2022, January 13). 7 Abdominal Surgery Preparation and Recovery Tips. Evansville Surgical Associates. https://www.evansvillesurgical.com/7-abdominal-surgery-preparation-and-recovery-tips/
• Achinger, R & Steenebrügge, A (2002): Kinästhetik in der Pflege: Projekt Präoperative Anleitung. In: Pflegezeitschrift 10/2002. S. 705-708, abgerufen am 10.12.2020 von http://www.kinaesthetics.de/fachartikel/Pr%C3%A4mobilisation%20S.705_708_Achinger1.pd
• 6 Post-Operative Abdominal Rehabilitation Exercises | Performance Health. (2020). Performance Health. https://www.performancehealth.com/articles/6-post-operative-abdominal-rehabilitation-exercises

The following exercises will help you to start your training.

Exercise 1: Getting to know your pelvic floor muscles

To become more familiar with your pelvic floor muscles and what they do, you can try stopping your urine stream for a moment while you’re peeing. But don’t do this repeatedly because it can cause damage if you do it too much.

Another way to become more aware of these muscles is to lie on your back with your legs bent and hip-width apart. Place one hand on your pubic bone and press both feet flat on the floor. Hold this position for 10 seconds while breathing normally. Repeat this exercise 10 times.

Exercise 2: Tense the muscles

Once you know where your pelvic floor muscles are, you can start to tense and relax them. First, locate your ischial tuberosities, which are the bones you sit on. Sit on a stool with your back straight and your hands under your bottom. Then, push these two bones together and imagine holding in your pee as if you have a full bladder. Repeat this exercise 10 times.

Exercise 3: Strengthening the pelvic floor muscles

Lie on your back with your legs bent and hip-width apart. Push your feet into the floor and tighten your pelvic floor muscles. Raise your bottom in the air by lifting the lower part of your spine, all while keeping your pelvic floor muscle tight. Press your arms that are lying next to you, into the floor. Hold this position for a few breaths, then slowly relax by lowering your body from your head to your toes. Repeat this exercise 10 times.

Your physiotherapy team can show you other exercises and treatment methods. You can even ask your doctor for a prescription!

Author: Susanne  Schwengler, B.Sc.| Reviewer: Dr. Christian Keinki

Sources:

• Post Prostatectomy Excercises. (2019, January 25). Urology San Antonio. https://www.urologysanantonio.com/pelvic-floor-physical-therapy/post-prostatectomy
• A pelvic floor exercise program starting before prostate surgery improves the recovery of urinary continence. (2019). PCFA. https://www.prostate.org.au/news-media/news/a-pelvic-floor-exercise-program-starting-before-prostate-surgery-improves-the-recovery-of-urinary-continence/
• Asklepios Klinik Barmbek (o. J.): Beckenbodentraining für Männer, abgerufen am 26.01.2021 von https://www.asklepios.com/dam/jcr:ab7fad0e-af5f-4609-beb3-634e854ac633/physiotherapie-uebungsprogramm-beckenboden-maenner.pdf
• Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen (IQWIG), abgerufen am 26.01.2021 von https://www.gesundheitsinformation.de/wie-funktioniert-ein-beckenbodentraining.html.
• Great Ormond Street Hospital. (2016). Pelvic floor muscle exercises. GOSH Hospital Site. https://www.gosh.nhs.uk/teenagers/tests-and-treatments/pelvic-floor-muscle-exercises/