Hello John and thank you for your post,

I'm sorry to hear that you need to have a prostatectomy. I can imagine this may feel like a daunting time, and, understandably, you want to do as much as possible to prepare for surgery and your recovery afterwards.

Preparing for treatment in this way is often referred to as prehabilitation. The aim is to help improve your physical and emotional wellbeing before surgery, which may support your recovery afterwards.

As you've been advised, paying attention to your protein intake can be important, as protein helps the body repair and heal following surgery. Pelvic floor exercises are also commonly recommended before a prostatectomy, as strengthening these muscles beforehand may help with bladder control and recovery after the operation.

We have some general information about prehabilitation, which includes nutrition advice, physical activity and preparing emotionally for treatment. Although it isn't specific to prostate cancer, you may still find it helpful.

I also found some information from other organisations that may be useful. The Royal Marsden has produced information on prehabilitation before a prostatectomy and rehabilitation after surgery, including guidance on pelvic floor exercises. Their leaflet can be found by searching online for Royal Marsden Prehab and Rehab- prostatectomy. Prostate Cancer UK also has information about pelvic floor exercises and preparing for surgery.

You may also find it helpful to speak with your Clinical Nurse Specialist (CNS), if you have one, as they may be able to advise on any local support, exercise programmes or resources available through your hospital team.

I hope these resources are helpful. If you'd like to talk things through with one of our nurses, you're very welcome to call our free helpline on 0808 800 4040, Monday to Friday, 9am to 5pm.

Jemma