FOR UROLOGISTS

Accelerate Recovery.

A targeted perioperative nutritional protocol to bypass postoperative ileus, preserve pelvic floor mass, and support anastomotic healing in urological surgery.

The Clinical Challenge

Major urological surgery, such as radical cystectomy or prostatectomy, induces profound metabolic stress and catabolism. Early enteral feeding is often limited by postoperative ileus and gastrointestinal intolerance.1

50%
reduction in insulin sensitivity occurs following major pelvic/abdominal surgery.2
Zero
digestion required for free-form essential amino acids to absorb.3

This metabolic dysfunction leads to significant lean mass loss, delayed wound healing, and compromised pelvic floor recovery. For the patient, this translates to profound weakness, delayed continence, and a longer hospital stay.4

Bypassing Ileus

Standard whole protein requires extensive gastric digestion, which is compromised post-surgery. Rebound Recover provides free-form Essential Amino Acids (EAAs) that absorb instantly, bypassing the need for gastric digestion and allowing for early anabolic support even during transient ileus.5

The Rebound Protocol

Rebound is a physician-formulated, three-phase perioperative nutrition protocol designed to optimise surgical outcomes and accelerate patient recovery in urology.

Rebound READY (Pre-op)

Delivers targeted carbohydrate loading to preserve hepatic glycogen pre-cystectomy/prostatectomy and attenuate surgical insulin resistance.1,2

Rebound RECOVER (Post-op)

Provides a high-leucine EAA complex that absorbs instantly, supporting mTORC1 signalling to combat catabolism and preserve pelvic floor mass without exacerbating postoperative ileus.3,4

Rebound RESTORE (Healing)

Supplies essential micronutrients (Zinc, Vitamin C) critical for collagen synthesis, supporting robust anastomotic and incisional healing.5

Clinical Integration

Rebound integrates into urological ERAS protocols. The clear-liquid formulation of Ready and Recover supports compliance with early feeding guidelines while minimising gastrointestinal burden.6

By mitigating surgical stress and delivering precise anabolic amino acids, Rebound supports patients to regain strength faster, driving better functional outcomes and shorter stays.

Clinical Evidence

  1. Du G, Zhang Y. The Impact of Nutritional Management on Postoperative Recovery Outcomes in Prostate Cancer Patients Undergoing Radical Prostatectomy: A Retrospective Study. J Multidiscip Healthc. 2025;18:6079-6090. doi:10.2147/JMDH.S549544
  2. Casirati A, Da Prat V, Bettiga A, et al. Immunonutrition in Radical Cystectomy: State of the Art and Perspectives. Cancers. 2023;15(14):3747. doi:10.3390/cancers15143747
  3. Ferrando AA, Wolfe RR, Hirsch KR, et al. International society of sports nutrition position stand: essential amino acid supplementation on skeletal muscle and Performance. J Int Soc Sports Nutr. 2023;20(1):2263409. doi:10.1080/15502783.2023.2263409
  4. Noh KW, Park S. Effects of Amino Acid Supplementation on Muscle protein metabolism and adaptation: a narrative review of effects on muscle mass, strength, and sex differences. Phys Act Nutr. 2025;29(3):53-63. doi:10.20463/pan.2025.0026
  5. Khawaja ZH, Gendia A, Adnan N, Ahmed J. Prevention and Management of Postoperative Ileus: A Review of Current Practice. Cureus. 2022;14(2):e22652. doi:10.7759/cureus.22652
  6. Weimann A, Bezmarevic M, Braga M, et al. ESPEN guideline on clinical nutrition in surgery – Update 2025. Clin Nutr. 2025;53:222-261. doi:10.1016/j.clnu.2025.08.029
READY • RECOVER • RESTORE • THRIVE