Uploaded February 2022 | Updated September 2026, 1 hour ago
Prostatectomy Kegel exercises Physiotherapy routine for fastest recovery after radical prostatectomy and preoperative preparation (pelvic floor muscle strength and bladder leakage).
Research-based radical prostatectomy recovery exercises with Physiotherapist Michelle Kenway prepare you and optimise fastest recovery from urinary incontinence (bladder leakage) after radical prostatectomy. Physical therapy guided exercises suit beginners, intermediate and more advanced kegel exercises for men to optimize prostatectomy recovery.
Timestamps Real Time Kegel Exercises for Prostate Surgery
0:37 Best position for Kegel exercises
0:51 Kegel exercises technique for beginners
1:17 5 Kegel exercises for endurance and strength
4:04 5 Kegel exercises for power
5:05 5 Kegel exercises for endurance and strength
8:06 5 Kegel exercises for power
9:05 When to start Kegel exercises preoperatively
9:11 When to recommence Kegels after prostatectomy
Kegel Exercises Technique for Prostatectomy (Beginners)
The correct Kegels technique to use for pelvic floor muscle strength and endurance for radical prostatectomy:
*Shorten or retract the penis
*Contract and tighten as if stopping the flow of urine
Best Position for Kegel Exercises
The best position for kegel exercises for prostatectomy is standing (1). This position is the most effective position for pelvic floor muscle strengthening because the pelvic floor muscles work hard against the downward force of gravity. Standing is the position where most men experience bladder incontinence after radical prostatectomy. Standing Kegels optimize pelvic floor muscle strengthening and restore bladder control.
Long Kegel Exercises
Long contraction Kegel exercises train the slow twitch (endurance) muscle fibers in the pelvic floor. These long sustained Kegel exercises train the pelvic floor muscles for lasting longer and for bladder control during bladder filling.
Aim to perform 10 long (10 second contractions) 3 times daily.
Short Kegel Exercises
Short fast Kegels train the fast twitch pelvic floor muscle fibers for power for stress incontinence ie incontinence coughing, lifting, sneezing, standing and/or walking.
Aim to perform 10 fast (1 second contractions) 3 times daily.
Preoperative Prostatectomy Kegel Exercises
Kegel exercises start at least 5 weeks prior to radical prostatectomy. Prehab pelvic floor exercises strengthen the pelvic floor muscles so they are working optimally before radical prostatectomy. Postoperatively the pelvic floor muscles have improved strength and endurance.
Postoperative Prostatectomy Kegel Exercises
Kegel exercises are recommenced postop when the catheter is removed, usually 1 week after surgery. The same preoperative Kegel exercise training protocol is resumed. Postoperative Kegels are performed standing upright.
Research: Pelvic floor Muscle Training in Radical Prostatectomy
Milios et al (2019) implemented this high volume pelvic floor training protocol in radical prostatectomy patients. Researchers compared low volume (LV) pelvic floor exercises performed 3 times daily with high volume (HV) pelvic floor exercises performed 6 times daily. The LV group trained lying, sitting and standing, The HV group performed all exercises standing. Both groups commenced pelvic floor muscle training exercises 5 weeks prior to radical prostatectomy and resumed exercises postoperatively following catheter removal. Milios et al (2019) reported faster return to bladder continence and improved pelvic floor muscle function with HV training.
Prostatectomy Kegel exercises Physiotherapy routine for fastest recovery after radical prostatectomy and preoperative preparation facilitates fastest recovery from urinary incontinence after radical prostatectomy.
#kegelexercisesformen #prostatectomy #physicaltherapy
Reference
Milios, J., et al. Pelvic floor muscle training in radical prostatectomy: a randomized controlled trial of the impacts on pelvic floor muscle function and urinary incontinence. BMC Urology. 2019, 19(1), 1-10. PMID 31729959.
Music That Kid Goran licensed user
Disclaimer
The information provided in this video is intended as general information and not a substitute for individual medical advice regarding your medical condition. To the extent permitted by law, neither Healthy Fit Solutions Pty Ltd, as trustee for the P & M Kenway Family Trust (“we”), nor any of our officers, employees, agents or related bodies corporate will be liable in any way (including for negligence) for any loss, damage, costs or expenses suffered by you or claims made against you through your use of, or in connection with, this video or information supplied or offered to be supplied on this video. Although we use our best efforts to provide accurate information and other materials on this video, the video is provided “as-is”. To the extent permitted by law, all warranties, conditions and representations provided about or by this video are excluded.
Prostatectomy Kegel exercises Physiotherapy routine for fastest recovery after radical prostatectomy and preoperative preparation (pelvic floor muscle strength and bladder leakage).
Research-based radical prostatectomy recovery exercises with Physiotherapist Michelle Kenway prepare you and optimise fastest recovery from urinary incontinence (bladder leakage) after radical prostatectomy. Physical therapy guided exercises suit beginners, intermediate and more advanced kegel exercises for men to optimize prostatectomy recovery.
Timestamps Real Time Kegel Exercises for Prostate Surgery
0:37 Best position for Kegel exercises
0:51 Kegel exercises technique for beginners
1:17 5 Kegel exercises for endurance and strength
4:04 5 Kegel exercises for power
5:05 5 Kegel exercises for endurance and strength
8:06 5 Kegel exercises for power
9:05 When to start Kegel exercises preoperatively
9:11 When to recommence Kegels after prostatectomy
Kegel Exercises Technique for Prostatectomy (Beginners)
The correct Kegels technique to use for pelvic floor muscle strength and endurance for radical prostatectomy:
*Shorten or retract the penis
*Contract and tighten as if stopping the flow of urine
Best Position for Kegel Exercises
The best position for kegel exercises for prostatectomy is standing (1). This position is the most effective position for pelvic floor muscle strengthening because the pelvic floor muscles work hard against the downward force of gravity. Standing is the position where most men experience bladder incontinence after radical prostatectomy. Standing Kegels optimize pelvic floor muscle strengthening and restore bladder control.
Long Kegel Exercises
Long contraction Kegel exercises train the slow twitch (endurance) muscle fibers in the pelvic floor. These long sustained Kegel exercises train the pelvic floor muscles for lasting longer and for bladder control during bladder filling.
Aim to perform 10 long (10 second contractions) 3 times daily.
Short Kegel Exercises
Short fast Kegels train the fast twitch pelvic floor muscle fibers for power for stress incontinence ie incontinence coughing, lifting, sneezing, standing and/or walking.
Aim to perform 10 fast (1 second contractions) 3 times daily.
Preoperative Prostatectomy Kegel Exercises
Kegel exercises start at least 5 weeks prior to radical prostatectomy. Prehab pelvic floor exercises strengthen the pelvic floor muscles so they are working optimally before radical prostatectomy. Postoperatively the pelvic floor muscles have improved strength and endurance.
Postoperative Prostatectomy Kegel Exercises
Kegel exercises are recommenced postop when the catheter is removed, usually 1 week after surgery. The same preoperative Kegel exercise training protocol is resumed. Postoperative Kegels are performed standing upright.
Research: Pelvic floor Muscle Training in Radical Prostatectomy
Milios et al (2019) implemented this high volume pelvic floor training protocol in radical prostatectomy patients. Researchers compared low volume (LV) pelvic floor exercises performed 3 times daily with high volume (HV) pelvic floor exercises performed 6 times daily. The LV group trained lying, sitting and standing, The HV group performed all exercises standing. Both groups commenced pelvic floor muscle training exercises 5 weeks prior to radical prostatectomy and resumed exercises postoperatively following catheter removal. Milios et al (2019) reported faster return to bladder continence and improved pelvic floor muscle function with HV training.
Prostatectomy Kegel exercises Physiotherapy routine for fastest recovery after radical prostatectomy and preoperative preparation facilitates fastest recovery from urinary incontinence after radical prostatectomy.
#kegelexercisesformen #prostatectomy #physicaltherapy
Reference
Milios, J., et al. Pelvic floor muscle training in radical prostatectomy: a randomized controlled trial of the impacts on pelvic floor muscle function and urinary incontinence. BMC Urology. 2019, 19(1), 1-10. PMID 31729959.
Music That Kid Goran licensed user
Disclaimer
The information provided in this video is intended as general information and not a substitute for individual medical advice regarding your medical condition. To the extent permitted by law, neither Healthy Fit Solutions Pty Ltd, as trustee for the P & M Kenway Family Trust (“we”), nor any of our officers, employees, agents or related bodies corporate will be liable in any way (including for negligence) for any loss, damage, costs or expenses suffered by you or claims made against you through your use of, or in connection with, this video or information supplied or offered to be supplied on this video. Although we use our best efforts to provide accurate information and other materials on this video, the video is provided “as-is”. To the extent permitted by law, all warranties, conditions and representations provided about or by this video are excluded.



![Safe Core Exercises After Hysterectomy | Weeks 1–6 Recovery Routine
Safe core exercises after hysterectomy help you regain deep abdominal muscle control during recovery. Guided by Pelvic Health Physiotherapist Michelle Kenway, these gentle core exercises for Weeks 1–6 after abdominal, vaginal, or laparoscopic hysterectomy. Youll learn diaphragmatic breathing exercises and how to activate your deep abdominal muscles. Progressive core abdominal exercises then gently train your deep core muscles helping you regain control of your lower belly.
Timestamps: Safe Core Exercises After Hysterectomy
00:00 Introduction to Safe Core Exercises
00:07 Swelly Belly After a Hysterectomy
00:19 Why Core Recovery Matters for Women
00:46 When to Start Hysterectomy Recovery Exercises
01:59 Exercise 1: Diaphragmatic Breathing After Hysterectomy
04:23 Exercise 2: Deep Abdominal Activation
06:20 How to Find Your Lower Abdominal Muscles
06:58 Side-Lying Core Activation After Hysterectomy
08:00 How the Pelvic Floor and Deep Core Muscles Work Together
09:26 Exercise 3: Butterfly Core Exercise
11:06 Exercise 4: Bent-Knee Fallout for Deep Core Control
13:55 Pelvic Tilts for Relieving Lower Back and Pelvic Stiffness
14:25 Exercise 5: Heel Slides After Hysterectomy
16:33 Exercise 6: Heel Lift or Toe-Tap Progression
18:39 Bed Bridge Exercises to Relieve Lower Back and Buttock Tightness
18:58 Relaxation and Recovery Breathing
19:26 How Often to Do Hysterectomy
Pelvic Health Physiotherapists can provide you with individualized assessment and guidance for your core and pelvic floor exercises during hysterectomy recovery.
Medical References
Drummond, G. B. (2003). The abdominal muscles in anaesthesia and after surgery. British Journal of Anaesthesia, 91(1), 73–80. https://doi.org/10.1093/bja/aeg145
Gille, U. (2007). Transversus abdominis muscle, left [Modified illustration based on Gray’s Anatomy]. Wikimedia Commons. https://commons.wikimedia.org/wiki/File:Transversus_abdominis.png
Hodges, P. W., Sapsford, R., & Pengel, L. H. M. (2007). Postural and respiratory functions of the pelvic floor muscles. Neurourology and Urodynamics, 26(3), 362–371. https://doi.org/10.1002/nau.20232
Kenway, M. D. (2011). Inside out: The essential women’s guide to pelvic floor safe exercise.
Shah, S., Vaishali, K., Prasad, S. S., & Babu, A. S. (2020). Altered patterns of abdominal muscle activation during forced exhalation following elective laparotomy: An experimental research. Annals of Medicine and Surgery, 61, 198–204. https://doi.org/10.1016/j.amsu.2020.11.080
Tazreean, R., Nelson, G., & Twomey, R. (2022). Early mobilization in enhanced recovery after surgery pathways: Current evidence and recent advancements. Journal of Comparative Effectiveness Research, 11(2), 121–129. https://doi.org/10.2217/cer-2021-0258
Wu, A., & Drummond, G. B. (2006). Respiratory muscle activity and respiratory obstruction after abdominal surgery. British Journal of Anaesthesia, 96(4), 510–515. https://doi.org/10.1093/bja/ael035
Yani, M. S., Wesselmann, U., Cottrell, A. M., Baranowski, A. P., & Engeler, D. S. (2022). Impaired ability to relax pelvic floor muscles in men with chronic prostatitis/chronic pelvic pain syndrome. The Journal of Urology, 208(1), 148–156. https://doi.org/10.1097/JU.0000000000002560
Zivkovic, V., Lazovic, M., Vlajkovic, M., Slavkovic, A., Dimitrijevic, L., Stankovic, I., & Vacic, N. (2012). Diaphragmatic breathing exercises and pelvic floor retraining in children with dysfunctional voiding. European Journal of Physical and Rehabilitation Medicine, 48(3), 413–421. PMID: 22669134
Medical Disclaimer
This video is provided for general educational purposes only and is not intended to replace individual assessment, diagnosis, or treatment by a qualified health professional. Please seek individual advice from a qualified pelvic health physiotherapist or your healthcare professional.
#coreexercises #hysterectomyrecovery #pelvicfloorphysiotherapy Safe Core Exercises After Hysterectomy | Weeks 1–6 Recovery Routine](https://i.ytimg.com/vi/6I5doGDX5mA/mqdefault.jpg)






