Objective: This study aimed to evaluate the effects of DSSA-based pelvic rehabilitation combined with manual therapy and rectal-probe electrostimulation on muscle strength, continence, and quality of life in men after prostate surgery.
Methods: Three male patients (aged 67–73) who underwent prostate surgery were treated at Fizyomen Physiotherapy, İzmir, between 2024–2025. Each patient received 8–16 sessions including internal–external manual therapy (myofascial release and pelvic alignment), rectal-probe assisted electrostimulation for pelvic floor activation, DSSA-based postural stabilization, and diaphragmatic–pelvic breathing exercises. Home exercises were prescribed focusing on relaxation, functional control, and awareness. Outcomes were assessed using VAS, ICIQ-UI SF, IIQ-7, PFDI-20, Wexner score, Oxford scale, and clinical observation.
Results: All patients showed notable improvement in urinary control, muscle strength (Oxford 2→4), and quality of life (ICIQ-UI SF 17→7). Pain levels decreased (VAS 6→2) and pad use reduced from 3 to 1 daily. No complications were observed.
Conclusion: DSSA combined with manual therapy and rectal-probe electrostimulation effectively supports pelvic floor recovery, continence, and postural stability in men after prostate surgery, offering a practical and patient-centered rehabilitation strategy.

Eren Uyar is a physiotherapist and founder of Fizyomen Physiotherapy & Rehabilitation Center (İzmir, Turkey). He specializes in men’s pelvic health, postoperative rehabilitation, DSSA, and manual therapy. Eren has completed professional training through the Turkish Football Federation’s Sports Physiotherapy Program and continues postgraduate studies in Physiotherapy & Rehabilitation at İzmir Katip Çelebi University. His clinical focus integrates manual therapy, neuromuscular activation, and functional recovery strategies in men’s health