Pelvic floor conversations are almost always framed around women — pregnancy, childbirth, postpartum recovery. What gets left out of that conversation is that men have pelvic floors too, and a very common, very treatable issue affects many men after prostate surgery: urinary leakage.

Why it happens

The muscles supporting bladder control sit close to the prostate, and surgery in that area can affect their function — leading to urinary incontinence that ranges from occasional leaking to a more significant, persistent issue. This is one of the most common reasons men are referred for pelvic floor rehabilitation, and structured training is a standard, expected part of recovery, not a sign that something went wrong with the surgery.

Why men don't talk about it

There's a particular kind of silence around this topic — men who would readily discuss a knee replacement or a shoulder injury often say very little about bladder control, even to close family. That silence doesn't make the problem smaller; it just means many men manage it quietly, alone, for far longer than necessary.

What treatment actually involves

Pelvic floor rehabilitation for men typically combines correct pelvic floor muscle training — many men, like many women, activate the wrong muscles when attempting this on their own — with core rehabilitation and bladder habit guidance. For suitable patients, Kegel Throne therapy is also an option: a fully clothed, non-invasive treatment that produces far more pelvic floor contractions per session than voluntary exercise alone.

Timing after surgery

The right time to start depends on the specific surgery and the surgeon's advice — contacting the clinic with surgical details allows an appropriate starting point to be coordinated directly with the treating surgical team, rather than guessing at a generic timeline.

It genuinely gets better

This is one of the more reassuring corners of pelvic health — post-prostatectomy incontinence responds well to structured rehabilitation for most men, and the earlier it's addressed, the shorter the road tends to be. There's no reason to manage it quietly when a straightforward, private assessment can start real progress.