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Updated: Aug 24, 2025

12:10
Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
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[Pelvic floor rehabilitation before prostatectomy: An update]
E Cerutti1, F Kleinclauss2, A Frontczak3
1Department of urology, andrology and renal transplantation, university hospital of Besançon, 3, boulevard Fleming, 25000 Besançon, France.
Summary
Preoperative pelvic floor physiotherapy, crucial for managing post-prostatectomy incontinence, involves more than just muscle strengthening. It requires comprehensive patient education and holistic care for optimal preparation.
Area of Science:
- Urology
- Pelvic Floor Therapy
- Post-Prostatectomy Rehabilitation
Background:
- Post-prostatectomy stress urinary incontinence (SUI) is a common complication.
- Preoperative pelvic floor physiotherapy (PFP) is frequently recommended to mitigate SUI.
- Various approaches to PFP exist, necessitating a clear understanding of their objectives and techniques.
Approach:
- A narrative review of existing literature was conducted.
- The review incorporated the authors' clinical experience.
- The methodology was a non-systematic literature review.
Key Points:
- PFP aims to prepare patients for surgery and manage potential SUI.
- Techniques vary, and understanding objectives is key.
- Patient education and holistic care are integral components of PFP.
Conclusions:
- Preoperative pelvic floor therapy is vital for patient support and follow-up.
- Effective PFP extends beyond pelvic floor muscle strengthening.
- Comprehensive information delivery and holistic care are essential for optimal pre-surgical patient preparation.
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