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Thread: Kegel Exercises Ineffective So Far

  1. #1
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    Kegel Exercises Ineffective So Far

    I am at two months post RRP. I've been doing the kegel exercises as recommended. So far, little impact as I am still getting up 4to 5 times a night after bed time, going to the restroom on a regular basis during the day. And, I am using 8 or 9 pad per day. Should I be concerned that I am not receiving the benefits of the kegel exercises to this point?
    Last edited by quickstep; 10-09-2011 at 04:04 PM.

  2. #2
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    The Kegel exercises increase your voluntary control of the pelvic musculature. Voluntary is the key word. So, they may make your muscles stronger overall, but unless you are constantly contracting those pelvic muscles, your bladder control won't be much better. Think of it this way: you decide to make your biceps stronger, so you do a couple hundred 30 pound biceps curls a day. After 6 weeks, your biceps have doubled in size, but when you're asleep, they produce no more force than they did before you started working out. If you could increase the resting tone of your muscle, i.e., the RATE that your nerve triggers muscle contraction, you would have more clamping force at rest. But, muscle tone is set by the central nervous system and is not under voluntary control.

    I'm a physical therapist and have done thousands of Kegel exercises. My surgery was 3 years ago and I still leak daily. Not at your rate, but, enough to be very aggravating. I suspect your control will get better with time, will be worse with the intake of caffeine, and you may or may not regain full control. Try to be patient. It's difficult.

    mkane09
    PSA 6.48, biopsy Gleason 3+4, robotic prostatectomy 9/17/08, pathology Gleason 4+5, pathologic stage T2c, positive margins, SRT completed May 22, 2009. 1st post-radiation PSA, 8-4-09, <0.06. 2nd post-radiation PSA 12-22-09 <0.06. PSA, July 23, 2010: <0.06. PSA, January 10, 2012: 13.90. Re-test, February 6, 2012: 16.47. April 6, 2012: 25.6. PSA, May 2, 2012: 37.74. PSA, May 27, 2012: 37.4. PSA, June 17, 2012: 51. PSA, Sept 27, 2012: 110.24. PSA, January 28, 155. May, 2013, Well, you get the idea...

  3. #3
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    I had my surgery about 2 years ago and i still leak daily, about 2 to 3 pads a day, more if I exercise specialy running, as far as kegals go my opinion is that they are not worth the trouble. It will get better as time goes on so hang in there
    Quote Originally Posted by quickstep View Post
    I am at two months post RRP. I've been doing the kegel exercises as recommended. So far, little impact as I am still getting up 4to 5 times a night after bed time, going to the restroom on a regular basis during the day. And, I am using 8 or 9 pad per day. Should I be concerned that I am not receiving the benefits of the kegel exercises to this point?

  4. #4
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    Thank you gentlemen for your commentary. I've never been a big water drinker except after exercising. My Primary Care Physician directed that I consummed the recommended 8 glasses a day as I was having dehydration issues before surgery. So, a cup of coffee in the morning, maybe two cans of Diet Pepsi during the day, one can see the problem. The plus is I am retired and making it to the bathroom isn't a problem because I am usually around or near the house. It's only be two months. I am hoping for better days. Thanks.
    Age @ DX - 61
    3-2011 - PSA 4.2
    5-2011 - DX - Gleason 6, T1c, 2 positive cores
    8-2011 RRP - pathology report confirmed Gleason 6, no positive margins
    9-2011 First post op PSA @ less than 0.1

  5. #5
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    quickstep
    If its only been 2 months since RRP, it is too early to worry too much about incontinence. Your body underwent major trauma internally and it takes a while to heal. You should definitely continue the kegels. Make sure you are exercising the correct muscles and not over doing them. It will take a little time, but you should notice some improvement within the next month. Some men will never be completely dry, but the greater percentage will. I wasn't dry until about 4 months after the radiation treatments were complete. Just think positive and Kegel.
    PSA at Dx 105 at age 68, 4/04. ADT, RRP, 5/04. 66 grms, GS 4+5=9, SVI, Staged pT3b N0 MX, 3D rad, 40 treatments, 8/04. PSA 1/05 <0.01. ADT (Lupron) till 7/07. PSA 0.03 12/08, 0.07 4/09, 0.13 8/09, 0.19 12/09, 0.30 4/10, 0.41 8/10, 0.47 12/10, 0.60 4/11, 0.64 8/11, 1.10 12/11, 1.03 1/12, 0.95 2/12, 0.92 4/12, 0.86 8/12, 0.757 11/12, 0.92 3/13, 0.93 7/13, 0.861 11/13. Will start ADT3 after PSA reaches 1.2.

 

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