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Program · For Men

The Prostatectomy Rebuild

Pelvic floor weakness after prostate surgery is common — but it isn’t something you have to just live with. A 10-treatment core-to-floor plan, built around your surgery date, with urologist oversight from the Barrie Urology Group to help you rebuild continence and confidence.

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10 sessions

2 pre-op · 8 post-op

28 min

Per B-Pulse session

Fully clothed

No needles, no gown

Urology-led

Inside Barrie Urology Clinic
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Different to wellness-only clinics.

Core to Floor is a urologist-founded clinic operating inside Barrie Urology Clinic. Every protocol is shaped, reviewed, and supervised by the Barrie Urology Group, so your care is led by medical specialists from the first phone call.

What Recovery Feels Like

The hidden toll of prostatectomy recovery

Most men are prepared for the surgery. Far fewer are prepared for what the months afterwards ask of them.

Urinary leakage

Involuntary loss of bladder control with exertion, coughing, lifting — or simply at the end of a long day.

Pad dependency & broken sleep

Reliance on pads or protective underwear, night-time waking, and quietly avoiding social or physical activity.

Intimacy & sexual function

Loss of pelvic floor tone contributes to erectile difficulty and reduced sexual confidence during recovery.

Core To Floor

Why surgery changes bladder control

Removing the prostate changes the mechanics of the pelvis. Understanding those three parts explains why strengthening works.

The prostate bed

After removal, the bladder loses part of its structural support, placing new strain on the sphincter and surrounding pelvic muscles.

The levator ani

The main pelvic floor muscle. When strong, it forms a shelf that holds up against abdominal pressure from coughing or lifting.

Core integration

The pelvic floor is the base of core stability, and supports bladder function, bowel control and pelvic blood circulation.

The 10-Treatment Protocol

Built around your surgery date

Phase 1 · Before surgery

Pre-operative optimization

Timing: 2 to 8 weeks before your procedure.

  • 2 × 28-minute B-Pulse sessions
  • Strengthen the pelvic floor before surgery, not after
  • Goal: a higher baseline of muscle tone going in

Phase 2 · After surgery

Post-operative rebuild

Timing: starting 4+ weeks post-surgery, with urologist clearance.

  • 8 × 28-minute B-Pulse sessions, weekly or bi-weekly
  • Re-educate muscles affected by surgery
  • Goal: shorten the road back to full continence
The healing window between phases is at least four weeks and always requires urologist clearance — we coordinate with your surgeon rather than guess. Treatment isn’t suitable with pacemakers, metal or electronic implants.
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Passive Power

You sit. The muscles do the work.

High-intensity focused electromagnetic (HIFEM) energy reaches deep into the pelvis and triggers the motor nerves directly, producing contractions at a depth and speed you can’t achieve voluntarily.
  • Fully clothed, seated treatment — no needles, surgery or downtime
  • Thousands of deep contractions in a single 28-minute session
  • Health Canada approved device, used under clinical oversight
  • Nothing to practise at home between sessions
Read the full explanation of PEMF

Your Options

Comparing the paths to continence

Pads & protective wear Manual Kegels B-Pulse HIFEM therapy
Muscle
recruitment 		None — the muscle is bypassed entirely Shallow and inconsistent Deep, supramaximal activation
Effort required Ongoing daily management High — daily, precise focus Passive; you sit fully clothed
Timeline No recovery, only masking Months, sometimes longer Many men notice change within the first weeks
Confidence Low — cost, odour, anxiety Variable — hard to isolate the right muscles Aimed at a faster return to normal life

Clinical Evidence

Why add electromagnetic stimulation

In a 2022 randomised trial, adding PEMF to pelvic floor training produced greater strength gains and lower symptom severity than training alone.

Pelvic floor muscle strength

Measured by perineometer (cmH₂O). Women who added PEMF to pelvic floor training gained noticeably more strength than those doing the training alone.

PEMF + pelvic floor training

Before

35.65

After 8 weeks

46.85

Pelvic floor training alone

Before

32.35

After 8 weeks

36.45

Higher is better

Severity of leakage symptoms

Measured by the Incontinence Symptom Severity Index (ISSI). Symptom scores fell in both groups, but fell furthest in the PEMF group.

PEMF + pelvic floor training

Before

4.65

After 8 weeks

1.6

Pelvic floor training alone

Before

4.85

After 8 weeks

3.25

Lower is better

Source: Elhosary EA, Fergany LA, Mohamed MA. Impact of pulsed electromagnetic field on mixed incontinence in parous women: a prospective randomized study. Clin Exp Obstet Gynecol. 2022;49(4):91. Read the study. Results describe this randomised trial (40 women, mixed incontinence) and are not a promise of individual outcomes.

These are published trial results, not a promise of individual outcomes. We’ll talk honestly with you about what to expect.

Beyond The Leak

Total pelvic restoration

Rebuilding the pelvic floor tends to improve more than bladder control alone.

Bladder control

  • Reduce or eliminate reliance on pads
  • Cough, laugh and lift with less anxiety

Prostate & sexual health

  • Improved pelvic blood circulation supporting erectile function
  • Better pelvic tone and tissue vascularity through recovery

Restorative rest

  • Fewer night-time trips to the bathroom
  • Longer, less interrupted sleep

Next Steps

Begin your rebuild

Step 1

Free, confidential consultation

A conversation about your surgery timeline and symptoms — and a chance to try the chair yourself.

Step 2

Core-to-floor assessment

We review your history and coordinate with your urologist where clearance is needed.

Step 3

Book pre-op or post-op sessions

Fully clothed 28-minute B-Pulse sessions, delivered inside Barrie Urology Clinic.
Book your free demo