This page includes comprehensive Prostatectomy Preparation and Surgical Recovery Program instructions, a weekly plan, and a list of all program components.
First, ensure you have all the program components before you begin. Next, review the pre and post-surgical schedules so you know when to perform the program each day. After that, set up your Private Gym account and check how to use each program part. Then, follow the steps for at least four weeks to assess how you respond to each part of the program.
After this initial period, you may make adjustments to optimize your program. However, if you adversely react to any part of it, please stop using that component immediately and contact our coaches or your doctor.
(1) PelvicRx Kegel Training Program (can be excluded if previously purchased)
(2) Spartan Medical-Grade Penis Pump (choice of manual or automatic pumps)
(3) AFFIRM Nutritional Supplement for Pelvic Blood Flow
(4) Bathmate Spartan Power Ring
(5) Prostate Cancer 20/20 Book by Dr. Andrew Siegel
The weekly schedule for the pre-surgical portion of the Prostatectomy Program is below.
We recommend that you start the program at least eight weeks before surgery. Begin by reading the included Prostate Cancer 20/20 book and commence your Kegel exercise routine as instructed with the PelvicRx program.
If you cannot start eight weeks before surgery, even only a few weeks in the program before surgery will still be beneficial.
Unbox PelvicRx and register for a Private Gym online account, or load the enclosed DVD into a compatible player if you will not access the training videos online.
Once registered, you will receive an email with instructions to log onto your Private Gym account online.
Watch the Introduction to the Private Gym Program Videos before starting the program.
When you are ready to begin, log into your Private Gym account via the My Account page of the Private Gym website. Next, click the "My Training Videos" button.
Now you are ready to start the Kegel exercise program.
First, begin Basic Training Week 1. Note that you can take longer than a week on each "Week," if necessary.
Only proceed to the next level once you can complete the existing Week comfortably and without excessive strain. Then, the program will guide you through Weeks 2-4 of the training videos when ready.
Keep Week 4 as your ongoing workout once you can comfortably complete all the levels. You may also upgrade to the Complete Training Program to add additional resistance.
Before surgery, you may use the Spartan Power Ring during sexual activity to enhance sensation and sexual performance.
For further instructions, please see the Power Ring product page.
It is crucial to read the Prostate Cancer 20/20 book as soon as possible.
It will help you understand the basics of prostate cancer, the rationale for each treatment option, and the benefits of various rehabilitation therapies.
As a result, you will better navigate the recovery process and achieve better outcomes.
The weekly schedule for the post-surgical portion of the Prostatectomy Program is below. We highly recommend you check this schedule with your urologist since it may need to be modified depending on your circumstances.
This portion of the program includes daily supplements, restarting Kegel exercises, and penile rehabilitation with the Spartan Pump, but using each component does not begin the first day of recovery.
Please refer to these instructions for when to start each component.
You can begin using AFFIRM one week following catheter removal.
At that point, follow the product page instructions and take one tablet in the morning and one in the evening with a meal.
It usually takes 2-4 weeks for effects to show, so please begin as soon as possible. You may increase the dosage to two tablets in the morning and two in the evening (four tablets total) if there is no effect at the initial dosage after several weeks.
Refills are available here.
You may also restart your Kegel exercise program one week after removing your catheter.
Return to performing the same Week that you did before surgery. If you cannot compete that same Week without undue strain, go back one week at a time until you find a level you can complete comfortably. Then work your way back up again, just as you did the pre-surgical portion of the program.
Your videos will still be accessible in the "My Account" portion of the Private Gym site.
You can begin penile rehabilitation with the Spartan pump three weeks following catheter removal.
During this phase, you must use the Spartan pump WITHOUT constriction rings to trigger an erection. Do this for up to 10 minutes per day in three weekly sessions.
This routine can be on the same day as your Kegel exercises or a different day, but always take a day's rest between pumping sessions.
Follow this pumping routine for up to eight months following surgery or until your erectile function is fully restored.
Please wait at least four weeks before attempting sexual activity after catheter removal.
Then, when you are ready, taking the following steps will be helpful.
A short set of Kegel exercises 15-30 minutes before sexual activity will warm up your pelvic floor and improve blood flow and erection quality.
You may adjust this set based on how your body feels.
Perform one set of these three exercises with the same tempo used during the PelvicRx Program:
• 3x Long Hard Flexes
• 20x Rapid Flexes
• 1x Hold (5-10 seconds)
If your doctor prescribes ED medication, using it while rehabilitating your penis and during sexual activity will be helpful.
Prescription ED medication enhances this program and does not adversely affect any part.
The Spartan Pump included with this program can also be used immediately before sexual activity to trigger an erection. When used this way, you must also use a constriction ring, so it must be at least six weeks after catheter removal. Instructions on how to use your Spartan before sexual activity are here.
We also offer a device called the Viberect (sold separately) which uses high-frequency vibrations to trigger an erection. Many of our post-surgical customers use Viberect for this purpose.
Six weeks after catheter removal or when your doctor approves its use, you may use a constriction ring (also called a penis ring) to help maintain your erection.
Constriction rings prevent blood from flowing out of the penis, increasing erection quality and sensation.
The Prostatectomy Program includes four rings: one set of three clear rings with the Spartan Pump and a single black Bathmate Spartan Power Ring.
Note you should not wear a constriction ring for longer than 30 minutes.
We always recommend lubrication during sexual activity, but when overcoming post-surgical challenges, it is even more beneficial.
Our favorite sexual lubrication is Uberlube, but many excellent brands are available today.
• Do not use constriction ring if you have a penile injury.
• If you have diabetes, cardiovascular disease, a blood or nerve disease, consult your doctor before using a constriction ring.
• If you are on blood-thinning medication, consult your doctor before using a constriction ring.
• To prevent falling asleep while wearing a constriction ring, do not use it while taking medication that impacts your awareness or attention.
• If you take large quantities of blood thinners or aspirin, consult your doctor before using a penis pump.
• If you have Sickle Cell Trait, Sickle Cell Disease, prolonged erections, or other diseases associated with changes in blood clotting, do not use a penis pump until consulting a doctor.
• Penis pumps should not be painful or decrease sensation. Discontinue use or release air pressure immediately if this occurs.
• Penis pumps may cause bruising or blood vessels to break below the skin's surface, known as petechia.
• This condition is common and usually heals within a week. Do not be alarmed if this occurs. You may continue to use a penis pump unless the petechia is severe.
• If petechia does not heal within a week or is otherwise severe, please consult your doctor.
• Do not use Uberlube if you are trying to conceive.
• Do not use Uberlube if you or your partner are allergic to silicone.
• Avoid using Uberlube with devices made of silicone, including hard plastic silicone.
• Viberect use by men with spinal cord injuries carries the risk of Autonomic Dysreflexia.
We are here to help you every step of the way! If you need help with the Prostatectomy Program, please send us an email and we we will respond in less than 24 hours.