PreOp Instructions/Exercises
MAINTAIN NORMAL ACTIVITY, DIET, AND PERSONAL/INTIMATE RELATIONS
MAINTAIN NORMAL ACTIVITY, DIET, AND PERSONAL/INTIMATE RELATIONS
MAINTAIN NORMAL ACTIVITY, DIET, AND PERSONAL/INTIMATE RELATIONS
Prior to surgery, you should maintain your normal activity, diet, hobbies, sports, and relations/sexual activity. It is natural to be concerned about your cancer and the surgery, but it is important to continue with your normal activity. Return of erections will be aided by the less time off of getting erections. After surgery, we'll
Prior to surgery, you should maintain your normal activity, diet, hobbies, sports, and relations/sexual activity. It is natural to be concerned about your cancer and the surgery, but it is important to continue with your normal activity. Return of erections will be aided by the less time off of getting erections. After surgery, we'll get started on encouraging blood flow to the penis as soon as possible.
The old saying of “the longer the car sits in the garage, the harder it is to get started again” can be applied to recovery of erections after surgery…so, take the car out for a spin, the more the better, in prep for surgery!
A balanced diet is usually best. Avoid any dramatic changes in your diet as this may alter your immune system. Avoiding stress and getting rest is important in prepping for surgery and keeping your immune system functioning.
Preop Bowel Prep and Alcohol preop
MAINTAIN NORMAL ACTIVITY, DIET, AND PERSONAL/INTIMATE RELATIONS
MAINTAIN NORMAL ACTIVITY, DIET, AND PERSONAL/INTIMATE RELATIONS
Please contact our office for your recommended prep. For most patients, the following schedule is recommended:
-No solid food after 1201pm the day before surgery (ok to drink any fluids you can see through (clears)
-No food or drinks starting at 1201 am (at midnight before your surgery)
-You may take a sip of water in the morning to assis
Please contact our office for your recommended prep. For most patients, the following schedule is recommended:
-No solid food after 1201pm the day before surgery (ok to drink any fluids you can see through (clears)
-No food or drinks starting at 1201 am (at midnight before your surgery)
-You may take a sip of water in the morning to assist in any medications you are instructed to take
-Nothing to drink or eat otherwise on the day of surgery (unless discussed with your doctor)
-Most patients will take Magnesium Citrate the day before the surgery (in the afternoon) to help clear out the intestines.
-If you drink alcohol daily, make sure you let your doctor know and s(he) will help you plan preop management (warning: patients that consume alcohol daily, if stopped 1-2 days before surgery, can withdraw after surgery and this can complicate recovery, especially if your physician is not aware of the degree and frequency of alcohol consumption.
Kegel Exercises:
Physical Therapy: Pre-Op Is Key!
Physical Therapy: Pre-Op Is Key!
For all your life, the prostate gland has assisted your sphincter in preventing the urine from leaking out of your bladder. After the surgery, your sphincter will need to do all the work of keep the urine from leaking out- and this will take some time to build up the muscle and the endurance.
Prior to surgery, you can try stopping the
For all your life, the prostate gland has assisted your sphincter in preventing the urine from leaking out of your bladder. After the surgery, your sphincter will need to do all the work of keep the urine from leaking out- and this will take some time to build up the muscle and the endurance.
Prior to surgery, you can try stopping the flow of urine midstream. This will help you begin to recognize the muscles involved in controlling leakage. You can stop the flow, hold a few seconds, and then continue with emptying your bladder. It is very important that you DO NOT STOP THE FLOW OF URINE MIDSTREAM AFTER SURGERY. This may interfere with the healing process.
Prior to surgery, you should begin your Kegel exercises.
Dr. Johnston encourages all his patients to complete physical therapy for pelvic floor muscle training BEFORE SURGERY- there is no better time to start strengthening your muscles to help regain continence than before surgery.
PELVIC FLOOR MUSCLE EXERCISES
Pelvic floor muscle exercises (sometimes called “Kegels”) work in mild cases of stress incontinence associated with weak pelvic floor muscles. Since these muscles are under our voluntary control, exercise can build up their strength and bulk, like a bodybuilder builds up outer muscles. Pelvic floor muscle exercises may also help restore control in some cases of urge incontinence.
How Kegels Help
The pelvic floor muscles act as a sling to keep the bladder and bladder neck lifted. They also form the external sphincter. Sometimes these muscles weaken, allowing pelvic organs to drop down. By doing specific exercises regularly, over time, you can tighten up and strengthen the pelvic floor.
How to Do Them
1. Tighten the pelvic muscles that are used to stop and start your urinary stream. Do not perform with urination.
1. Repeat several times, until you are sure of the action and sensation of consciously contracting these muscles. Do not tighten your abdominal, leg, or buttock muscles.
When to Do Them
For stress incontinence, repeat the exercise (10-20) times, holding each contraction for a count of 5 seconds relaxing for 10 seconds. Do this every hour, whether at your desk, driving, reading, or watching TV. They must be performed daily for at least 2-3 months to be effective.
Bladder Retraining
For urge incontinence, pelvic floor muscle exercise can be used to “retrain” your bladder. When the external sphincter contracts, it signals the bladder to relax, so the urge to urinate eventually subsides. Every time you feel urinary urgency, try to stop the feeling by contracting the floor muscles. Try to hold your urine a little longer each time, gradually increasing the time between urinating to 1,2, or 3-4 hours. You should start to see improvement in 2-3 weeks.
Any questions or concerns call our office anytime at 248-426-1300.
To speak to a nurse, call the same number between 8:30am and 5:00pm Monday through Friday.
Physical Therapy: Pre-Op Is Key!
Physical Therapy: Pre-Op Is Key!
Physical Therapy: Pre-Op Is Key!
The majority of my patients from the western suburbs of Detroit are seen at Neil King Physical Therapy
(248-513-3730)
They are located near 10 mile/Novi Road.
You can also visit a local physical therapist to perform your pre-op pelvic floor rehab and teachings.
If there's one thing that i hear more about my patients post-op, it's how muc
The majority of my patients from the western suburbs of Detroit are seen at Neil King Physical Therapy
(248-513-3730)
They are located near 10 mile/Novi Road.
You can also visit a local physical therapist to perform your pre-op pelvic floor rehab and teachings.
If there's one thing that i hear more about my patients post-op, it's how much they liked getting started with PT prior to surgery!
So, just like preparing for a sporting event requires practice, so does preparing your body and bladder for recovery with pre-op work-outs!!
Please contact Dr. Johnston with any questions.