Aubergine Physio

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Leaving the house after prostatectomy can feel like a much bigger milestone than anyone warned you about. 💜When you’re l...
19/09/2026

Leaving the house after prostatectomy can feel like a much bigger milestone than anyone warned you about. 💜

When you’re leaking, suddenly a simple trip out can come with a whole new mental checklist:

Where are the toilets?
Will this pad last?
What if I leak through my clothes?
Should I drink less before I go?
Maybe I’ll just stay home…

But rebuilding continence is also about rebuilding confidence.

Start small. A short walk. A coffee. A quick trip to the shops. Then gradually increase the time and distance as your control improves.

Before you leave:

💜 Empty your bladder : but avoid repeatedly going “just in case”
💜 Wear the level of protection you currently need
💜 Carry a spare pad and underwear initially if it gives you confidence
💜 Know where a toilet is likely to be
💜 Keep drinking normally : restricting fluids isn’t the answer
💜 Use your pelvic floor before and during activities that usually trigger leakage
💜 Gradually build your walking and activity levels as your surgical team allows

And notice the wins.

You walked further.
You stayed out longer.
Your pad was lighter.
You didn’t need the toilet you’d planned.
You came home dry.

Those are meaningful markers of recovery.

The goal isn’t to wait at home until you’re perfectly continent.

It’s to rehabilitate your bladder and pelvic floor while gradually getting back to normal life.

One day you’ll leave the house without thinking about your bladder at all.

That’s the goal. 💜

MalePelvicHealth Continence PelvicFloorPhysio MensHealth AuberginePhysio

Erections can change after prostatectomy. But that doesn’t mean your s*x life is over. 💜After radical prostatectomy, ere...
18/09/2026

Erections can change after prostatectomy. But that doesn’t mean your s*x life is over. 💜

After radical prostatectomy, erectile function can be affected even when nerve-sparing surgery is possible.

Why?

The nerves responsible for er****ons run extremely close to the prostate. After surgery they can be temporarily impaired or take time to recover, and during that period reduced spontaneous er****ons can mean less oxygenated blood regularly reaching the erectile tissue.

That’s why we talk about pe**le rehabilitation.

And ideally, the conversation starts before surgery, not months afterwards.

Rehabilitation may include:

💜 Understanding your baseline erectile function before surgery
💜 Early discussion of PDE5 inhibitors such as tadalafil or sildenafil where medically appropriate
💜 Vacuum er****on devices to encourage regular blood flow and maintain tissue health
💜 Pelvic-floor rehabilitation
💜 Cardiovascular and lifestyle optimisation
💜 Sexual stimulation and maintaining intimacy without making pe*******on the immediate goal
💜 Focus shockwave therapy
💜 Further medical options if er****ons aren’t returning as expected

And importantly, nerve recovery takes time. Continence may return relatively quickly, while erectile recovery can continue over many months and sometimes longer.

The goal isn’t simply to wait and see whether er****ons come back.

It’s to protect erectile tissue, support recovery and give yourself the best opportunity for function to return.

If you’re preparing for prostatectomy, pe**le rehabilitation deserves to be part of your recovery plan from the beginning.

Prostate cancer treatment can change er****ons. Rehabilitation exists. 💜

MensHealth MalePelvicHealth PelvicFloorPhysio AuberginePhysio

Pads vs pants after prostatectomy … which should you choose? 💜Firstly: there is absolutely no shame in needing protectio...
17/09/2026

Pads vs pants after prostatectomy … which should you choose? 💜

Firstly: there is absolutely no shame in needing protection while your continence recovers.

After your catheter is removed, leakage can range from the occasional few drops to needing significantly more protection, particularly in those early days.

The right product is simply the one that matches your level of leakage and makes you feel secure enough to get on with your day.

💧 Light leakage: a male continence shield or small pad may be enough.
💧💧 Moderate leakage: a larger absorbent pad, usually worn with supportive close-fitting underwear, can provide more security.
💧💧💧 Heavier leakage: absorbent pants may initially be more practical and give you confidence while you’re out, walking or returning to normal activities.

As your continence improves, you can step down through the levels of protection :

pants → pads → shields → nothing.

And that progression can actually be a useful way of seeing how far you’ve come.

One tip: don’t wear protection that’s much more absorbent than you need simply because it feels safer. Keeping track of how wet your pads are or even weighing them if your physio recommends it, gives us useful information about your recovery.

Your pad is a rehabilitation tool, not a failure.

Use what you need. Keep moving. Keep progressing. And remember, for most men, this is a temporary part of prostatectomy recovery. 💜

MalePelvicHealth MalePelvicFloor PelvicFloorPhysio MensHealth AuberginePhysio

Coffee, alcohol, fizzy drinks… do you need to give them all up after prostatectomy? ☕🍺🥤Not necessarily … but while your ...
16/09/2026

Coffee, alcohol, fizzy drinks… do you need to give them all up after prostatectomy? ☕🍺🥤

Not necessarily … but while your bladder is recovering, it’s worth knowing that what you drink can affect urgency, frequency and leakage.

After prostatectomy, your continence system is adapting and your bladder can be more sensitive. Some drinks may make symptoms more noticeable:

☕ Caffeine can increase urine production and bladder urgency.
🍺 Alcohol is a diuretic and can increase urine volume, frequency and urgency.
🥤 Fizzy drinks can aggravate bladder symptoms in some people — including the zero-sugar versions.
🍊 Acidic/citrus drinks may irritate a sensitive bladder for some men.
⚡ Energy drinks can combine caffeine, carbonation and other potential irritants.

But this is important: bladder irritants are individual.

You don’t need to automatically eliminate everything you enjoy.

If you’re experiencing urgency, frequency or increased leakage, try reducing one potential irritant at a time and see whether your symptoms change. A bladder diary can be incredibly useful here.

And don’t compensate by simply drinking less. 💧

Good hydration remains important — concentrated urine itself can irritate the bladder and restricting fluids can contribute to constipation.

The goal after prostatectomy isn’t a permanently restricted bladder. It’s a well-hydrated, gradually recovering one. 💜

MalePelvicFloor UrinaryIncontinence PelvicFloorPhysio MensHealth AuberginePhysio

POV: You thought er3ctile dysfunction meant low testosterone. It doesn’t necessarily. 🍆Testosterone matters for male s*x...
15/09/2026

POV: You thought er3ctile dysfunction meant low testosterone. It doesn’t necessarily. 🍆

Testosterone matters for male s*xual health, particularly libido and s3xual desire … but an er3ction is much more than a testosterone story.

To achieve and maintain a good er3ction you need a whole system working together:

🩸 Healthy blood flow and vascular function
🧠 Appropriate nerve signalling
💪 Good pelvic-floor function
🧬 Adequate hormones
❤️ Good cardiovascular and metabolic health
😴 Sleep and recovery
🧠 Psychological arousal without excessive stress or performance anxiety

So if your testosterone comes back “normal” but your er****ons still aren’t what they used to be, that doesn’t mean there’s nothing wrong.

And equally, finding low testosterone doesn’t automatically mean testosterone replacement is the answer to your ED.

And conversely, ‘normal’ testosterone but at the lower end, along with low testosterone symptoms definitely warrants a conversation with a TRT specialist GP, especially if low libido and er3ctile dysfunction are your two main symptoms..

At Aubergine Physio, we look beyond the er3ction itself.

What has changed? When did it change? Are morning er****ons present? What’s your libido like? Can you get an er****on but not maintain it? What medications are you taking? What are your cardiovascular risk factors?

Because er3ctile dysfunction is a symptom, and understanding the cause determines what we do next.

💜 Don’t just treat the er3ction. Investigate the man.

SexualHealth PelvicHealth EDTreatment AuberginePhysio

Leaking after prostatectomy? Don’t make the mistake of drinking less. 💧It’s completely understandable: “If I drink less,...
14/09/2026

Leaking after prostatectomy? Don’t make the mistake of drinking less. 💧

It’s completely understandable: “If I drink less, there’ll be less urine to leak.”

But restricting fluids can leave your urine more concentrated, which may irritate the bladder, and it can contribute to constipation, neither is helpful when you’re trying to regain good bladder control.

A good general target after prostatectomy is around 1.5–2 litres of fluid across the day, unless your medical team has advised you differently.

And what you drink matters too.

☕ Caffeine can increase urgency and frequency
🥤 Fizzy drinks may irritate a sensitive bladder
🍺 Alcohol can increase urine production
💧 Water should make up a good proportion of your intake.

Try to spread your fluids throughout the day, rather than drinking very little and then consuming large volumes at once. If night-time frequency is a problem, reducing drinks in the couple of hours before bed can help while maintaining adequate daytime hydration.

And avoid repeatedly going to the toilet “just in case.” We want the bladder gradually returning to a normal filling-and-emptying pattern too.

Continence rehabilitation isn’t just pelvic-floor exercises.

It’s pelvic floor + bladder + fluid management + everyday function. 💜

UrinaryIncontinence PelvicFloorPhysio MensHealth AuberginePhysio

Dry at night… but still leaking during the day? 💧That can actually be a really positive sign.After prostatectomy, it’s c...
13/09/2026

Dry at night… but still leaking during the day? 💧

That can actually be a really positive sign.

After prostatectomy, it’s common for continence to return in stages.

At night you’re lying down, your bladder fills more gradually and your pelvic floor isn’t having to constantly respond to gravity, movement and changes in pressure.

Then you get up… and suddenly it has a much bigger job to do.

Walking. Standing. Bending. Coughing. Getting out of a chair. Lifting. Exercising. A fuller bladder.

So if you’re dry overnight but leaking as the day goes on, particularly when you’re tired or more active, don’t assume your recovery has stalled.

Your continence system is working.

Now we need to build its strength, endurance, timing and automatic control for the demands of everyday life.

💜 Dry overnight
💜 Longer dry periods during the day
💜 Fewer pads
💜 Smaller leaks
💜 Staying dry for longer as activity increases

These are all markers of progress.

With good pre-operative pelvic-floor training and appropriate rehabilitation after catheter removal, we ideally want men progressing towards full continence within approximately 6–12 weeks … although every recovery is individual and some men will take longer.

Don’t just count the leaks. Look at what’s changing.

That’s recovery. 💜

UrinaryIncontinence PelvicFloorPhysio MensHealth AuberginePhysio

How quickly can continence return after prostatectomy? ⏱️Potentially much quicker than you might think.At Aubergine Phys...
10/09/2026

How quickly can continence return after prostatectomy? ⏱️

Potentially much quicker than you might think.

At Aubergine Physio, our rehabilitation goal is to have men progressing towards full continence as early as possible … and ideally within around 6–12 weeks following catheter removal.

Some men recover even sooner. Others will take longer. There is no single guaranteed timeline, but good preparation can make a real difference.

💜 Before surgery: pelvic-floor prehab means you already know how to correctly recruit, relax and coordinate the muscles you’ll need afterwards.

💜 After catheter removal: we start progressively rebuilding strength, endurance and — importantly — the ability to activate the pelvic floor automatically during movement, coughing, lifting and everyday life.

💜 Week by week: we’re looking for fewer pads, longer dry periods, being dry overnight, less leakage with activity and ultimately returning to full continence.

Recovery can be affected by your surgery, baseline continence, pelvic-floor function, bladder behaviour and complications such as a UTI, so some men will understandably take longer.

But we don’t simply tell men to “do your Kegels and wait.”

We assess. We measure. We progress. And we rehabilitate the pelvic floor back into real-life function.

Our aim? Get you confidently dry and back to living your life as soon as your individual recovery allows. 💜

UrinaryIncontinence PelvicFloorPhysio MensHealth AuberginePhysio

The first weeks after catheter removal: leakage is common. 💧After a radical prostatectomy, having the catheter removed c...
09/09/2026

The first weeks after catheter removal: leakage is common. 💧

After a radical prostatectomy, having the catheter removed can feel like a huge milestone, but it’s often when the reality of bladder control becomes apparent.

In those early days and weeks, you may experience:

💧 Leakage when standing, walking or changing position
💧 Leakage with coughing, sneezing or lifting
💧 More leakage as the day progresses or when you’re tired
💧 Urgency or difficulty reaching the toilet in time
💧 Very little control initially, sometimes requiring pads or protective underwear
💧 Better control overnight than during the day

This does not mean your pelvic floor rehabilitation isn’t working.

Your continence system has undergone major surgery. Following prostate removal, the remaining continence mechanisms, including the external urethral sphincter and pelvic floor — have a much bigger role to play.

Recovery is progressive, not instant.

Early rehabilitation is about learning to correctly activate the pelvic floor, particularly the anterior pelvic floor, then gradually rebuilding strength, endurance, coordination and its ability to respond automatically during everyday movement.

Look for the small wins: fewer pads, lighter pads, longer dry periods, less leakage when standing, a dry night or making it to the toilet more easily.

These are signs of recovery. 🍆

At Aubergine Physio, we support men before and after prostatectomy with specialist pelvic-floor and prostate cancer rehabilitation.

MalePelvicHealth PelvicFloorPhysio MensHealth ProstateCancerRecovery AuberginePhysio

Address

Aubergine Physio, The Front Basement, 4 Imperial Square
Cheltenham
GL501QB

Telephone

+441242231221

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