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The latest Journal of Urology reports on a single-center prevalence study of urinary incontinence during sexual activity that occurred in men following prostate cancer surgery. 

 

Nearly 1500 men were surveyed to determine the post-operative prevalence of urinary incontinence (UI) with sexual activity and stress UI in the absence of sexual activity. The participants completed the UCLA-PCI pre-operatively and again at 3, 6, 12 and 24 months following surgery. All men had been treated by the same surgeon. 12.1% of men reported major bother from urinary incontinence with sexual activity at 24 months post-operatively. Of these men, more than half of them also experienced significant bother from stress urinary incontinence. Interestingly, more than 10% of men who did not report stress incontinence did report leakage with sexual activity. The take home point: men can have leakage during sexual activity even if coughing, laughing, golfing, transitional movements are leak-free.

 

The study concludes that treatment of the problem requires further research. While that is true, you can find some wonderful patient education materials related to post-prostatectomy pelvic muscle awareness and strengthening on physiotherapist Grace Dorey's website. One such resource is "Living and Loving After Prostate Surgery." It is so helpful to be able to direct patients to such resources that speak candidly about issues of urinary and sexual function for men. 

 

Another terrific resource for the pelvic rehab therapist is Grace Dorey's textbook, Pelvic Dysfunction in Men: Diagnosis and Treatment of Male Incontinence and Erectile Dysfunction. You can also attend the Pelvic Rehab Institute's next Male Course, in which topics of male sexual health, pelvic pain, and urinary dysfunctions are discussed. Check out the course listing for upcoming dates.

 

 


Upcoming Continuing Education Courses

Pelvic Floor Level 1 - Seattle, WA (SOLD OUT!)
Apr 03, 2015 - Apr 05, 2015
Location: Swedish Medical Center Seattle - Ballard Campus

Myofascial Release for Pelvic Dysfunction - Tampa, FL
Apr 10, 2015 - Apr 12, 2015
Location: Florida Hospital - Wesley Chapel

Lymphatic Drainage for Pelvic Pain - Scottsdale, AZ
Apr 11, 2015 - Apr 12, 2015
Location: Evolution Physical Therapy

Assessing and Treating Vulvodynia - Minneapolis, MN
Apr 11, 2015 - Apr 12, 2015
Location: Park Nicollet Clinic--St. Louis Park

Pelvic Floor Level 2B - Columbus, OH (SOLD OUT)
Apr 17, 2015 - Apr 19, 2015
Location: Ohio Health

Athlete and the Pelvic Floor - New York City, NY
Apr 18, 2015 - Apr 19, 2015
Location: Kima - Center for Physiotherapy & Wellness

Pudendal Neuralgia Assessment and Treatment - Salt Lake City, UT
Apr 18, 2015 - Apr 19, 2015
Location: University of Utah Orthopedic Center

Finding the Driver in Pelvic Pain - Milwaukee, WI
Apr 23, 2015 - Apr 25, 2015
Location: Marquette University

Pelvic Floor Level 1 - Durham, NC (SOLD OUT!)
Apr 24, 2015 - Apr 26, 2015
Location: Duke University Medical Center

Sexual Medicine for Men and Women - Fairlawn, NJ
Apr 24, 2015 - Apr 26, 2015
Location: Bella Physical Therapy

Bowel Pathology and Function - Kansas City, MO
Apr 25, 2015 - Apr 26, 2015
Location: Saint Luke\'s Health System

Pelvic Floor Level 1 - Los Angeles, CA (SOLD OUT)
May 01, 2015 - May 03, 2015
Location: Mount Saint Mary’s University

Pelvic Floor Level 2A - Seattle, WA (Sold Out!)
May 01, 2015 - May 03, 2015
Location: Swedish Medical Center Seattle - Ballard Campus

Oncology and the Female Pelvic Floor - Torrance, CA
May 02, 2015 - May 03, 2015
Location: HealthCare Partners - Torrance

Care of the Postpartum Patient - Boston, MA
May 02, 2015 - May 03, 2015
Location: Marathon Physical Therapy