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Thread: Don't do any kegel exercises

  1. #11
    Top User
    Join Date
    Aug 2016
    Posts
    1,944
    No. It will return naturally, because you use the same muscle to control and assist as you do now. There are a combination of muscles that assist. You lose two of them.

    Exercising does make a difference which you will need the older or less fit you are. The intentinonal use comes into play with stress situations. As you get close to complete recover you will learn what and when they are and consciously use them, but this will even become automatic again with time. Then you will be left with the bladder irritation stressors you can not compensate for such as alcohol, caffeine, and carbonation. If I'm going to embibe I carry a lite pad. Also, as you age you may need to be more conscious of your exercising to maintain muscle tone.

    Nerve regeneration plays a role early on because some temporary numbness in the area makes it difficult to differentiate a fart, from poop, from urinating. Later a full bowel can put pressure on the bladder causing stress incontinence. Keep your bowels moving and soft and empty. You will learn all the nuances as you go. if the cancer is contained or close and surgical margins are within normal ranges everything will be fine and this is only a tempoary inconvenience.

    The kegel is not clenching your anus. If you do you miss the distinction. They are the muscles in the pelvic bed that you can lift and lower. The exercise is more a pat your tummy rub your head exercise. Also, practise lifting them like an elevator stopping and holding going up and down at random points. They are the primary muscles during the ejaculation contractions. Buffing them up does enhance the orgasm experience.
    Last edited by Another; 10-16-2019 at 05:05 PM.
    Born 1953
    family w/PCa; grandfather, 3 brothers
    07-12-04 PSA 1.90
    07-10-06 PSA 2.02
    08-30-07 PSA 3.20
    12-01-11 PSA 5.69 Internist recommends urologist, I say no
    05-16-12 PSA 4.76 manipulate w/diet & supplements
    12-11-12 PSA 5.20, Health system changes to 3 years on testing
    03-07-16 PSA 7.20 Internist adamant on urologist
    DRE smooth, enlarged
    03-14-16 TRUS biopsy-prostatic adenocarcinoma 1%-60% across 8 of 12 samples, Gleason 3+3=6
    03-31-16 MRI pelvis w/o dye
    05-04-16 DaVinci prostatectomy, nerve sparing, Dr. Kent Adkins - recommend
    Final Path; weight 65g, lymph nodes, seminal vesicles, capsule, margin all negative, Gleason 3+4=7, Tumor volume 35%, +pT2c
    Catheter out - 16 days
    Incontinence at 6mos is minimal – no pad
    Cialis 3x/wk & Viagra on occasion
    Begin self-injection needle therapy for erections, stop after 6 due to onset of Peyronie’s
    Erections 100% - 14 months
    12-08-19 PSA <0.02, Zero Club 3.5 years

  2. #12
    Quote Originally Posted by Another View Post
    No. It will return naturally, because you use the same muscle to control and assist as you do now. There are a combination of muscles that assist. You lose two of them.

    Exercising does make a difference which you will need the older or less fit you are. The intentinonal use comes into play with stress situations. As you get close to complete recover you will learn what and when they are and consciously use them, but this will even become automatic again with time. Then you will be left with the bladder irritation stressors you can not compensate for such as alcohol, caffeine, and carbonation. If I'm going to embibe I carry a lite pad. Also, as you age you may need to be more conscious of your exercising to maintain muscle tone.

    Nerve regeneration plays a role early on because some temporary numbness in the area makes it difficult to differentiate a fart, from poop, from urinating. Later a full bowel can put pressure on the bladder causing stress incontinence. Keep your bowels moving and soft and empty. You will learn all the nuances as you go. if the cancer is contained or close and surgical margins are within normal ranges everything will be fine and this is only a tempoary inconvenience.

    The kegel is not clenching your anus. If you do you miss the distinction. They are the muscles in the pelvic bed that you can lift and lower. They are the primary muscles during the ejaculation contractions. Buffing them up does enhance the orgasm experience.
    Thanks for that. Now that I'm getting closer to this I'm having lots of questions that really didn't matter to me previously.

    I still am trying to figure out this string for the pee bag situation. I get the general gist of it but am not sure where / how it would be applicable.

    Right now my clumsy wife--i swear God love her if you out her in an empty 500,000 square foot building with nothing but a brick on the ground in the center, she'd trip over the brick. So I've had significant cringe moments where I recoil at the thought of her getting her feet tangled in the catheter tube and ripping it out.

  3. #13
    Top User
    Join Date
    Aug 2016
    Posts
    1,944
    Are catching it on a kitchen lower cabinet knob!
    Born 1953
    family w/PCa; grandfather, 3 brothers
    07-12-04 PSA 1.90
    07-10-06 PSA 2.02
    08-30-07 PSA 3.20
    12-01-11 PSA 5.69 Internist recommends urologist, I say no
    05-16-12 PSA 4.76 manipulate w/diet & supplements
    12-11-12 PSA 5.20, Health system changes to 3 years on testing
    03-07-16 PSA 7.20 Internist adamant on urologist
    DRE smooth, enlarged
    03-14-16 TRUS biopsy-prostatic adenocarcinoma 1%-60% across 8 of 12 samples, Gleason 3+3=6
    03-31-16 MRI pelvis w/o dye
    05-04-16 DaVinci prostatectomy, nerve sparing, Dr. Kent Adkins - recommend
    Final Path; weight 65g, lymph nodes, seminal vesicles, capsule, margin all negative, Gleason 3+4=7, Tumor volume 35%, +pT2c
    Catheter out - 16 days
    Incontinence at 6mos is minimal – no pad
    Cialis 3x/wk & Viagra on occasion
    Begin self-injection needle therapy for erections, stop after 6 due to onset of Peyronie’s
    Erections 100% - 14 months
    12-08-19 PSA <0.02, Zero Club 3.5 years

  4. #14
    Quote Originally Posted by Another View Post
    Are catching it on a kitchen lower cabinet knob!
    I just recoiled.

  5. #15
    Top User
    Join Date
    Aug 2016
    Posts
    1,944
    I just carried mine around with me while at home. The line is cemented to your thigh before it goes up the penis. You will have to pull it off the thigh anchor before it yanks on your thing. I used a smaller leg bag that cuffs loosely around the ankle resting on my foot when I went out, and it was covered by my pants. You do not want to tighten the leg bag cuff to your leg. Keep it loose. It will not come off. It increases the risk of clotting by restricting blood flow in the lower leg. This is an older guy risk post surgery.

    I was back to work within 5 days. Desk job. I was mostly tired and couldn't work a full eight hours for a week or so. So, I napped in my chair at work.

    It's all pretty striaght forward and not much to worry about. I hung a hook made from a coat hanger on the side rail of the bed for hanging it at night. But it can lay on the floor at home. It's all water tight and portable. A small bucket's not a bad idea. The big take away is always keep the bag below the penis so it doesn't have a chance of backing up the line into the bladder. Keep the line cleaned and lubed where it enters the penis. Pull back the penis an inch or two to clean and lube the line. Just body mechanics.

    Don't quite get the string thing myself. Seems an unecessary layer of engineering.
    Born 1953
    family w/PCa; grandfather, 3 brothers
    07-12-04 PSA 1.90
    07-10-06 PSA 2.02
    08-30-07 PSA 3.20
    12-01-11 PSA 5.69 Internist recommends urologist, I say no
    05-16-12 PSA 4.76 manipulate w/diet & supplements
    12-11-12 PSA 5.20, Health system changes to 3 years on testing
    03-07-16 PSA 7.20 Internist adamant on urologist
    DRE smooth, enlarged
    03-14-16 TRUS biopsy-prostatic adenocarcinoma 1%-60% across 8 of 12 samples, Gleason 3+3=6
    03-31-16 MRI pelvis w/o dye
    05-04-16 DaVinci prostatectomy, nerve sparing, Dr. Kent Adkins - recommend
    Final Path; weight 65g, lymph nodes, seminal vesicles, capsule, margin all negative, Gleason 3+4=7, Tumor volume 35%, +pT2c
    Catheter out - 16 days
    Incontinence at 6mos is minimal – no pad
    Cialis 3x/wk & Viagra on occasion
    Begin self-injection needle therapy for erections, stop after 6 due to onset of Peyronie’s
    Erections 100% - 14 months
    12-08-19 PSA <0.02, Zero Club 3.5 years

  6. #16
    Experienced User
    Join Date
    Jul 2016
    Posts
    54
    I did the string thing when I switched from the leg bag to the bigger night bag. I just tied a couple of shoe laces together and hung the bag from it so I could have my hands free to make a snack or do whatever. At night I would put it in a empty waste basket on the side of the bed. After I had breakfast and a shower I would switch to the leg bag and didn’t need the string.
    By the time I got the catheter thing pretty well figured out it was time (thankfully) to get it removed.
    Another is a badass for going back to work after 5 days but I would take as much time as you can get away with. I did about three weeks and I was getting pretty bored at home but getting back to a work routine was still more exhausting than I thought it would be.
    DOB 4/11/1969
    PSA: 5/12: 3.46, 3/13: 2.38, 3/14: 3.49 6/15: 3.10 7/16: 3.19 12/17: 3.5 04/18: 3.8 12/18 4.1 4/19 4.5 6/19 4.8
    Nodule found during DRE 7/2016
    Biopsy: 7/22/2016
    RMB: adenocarcinoma, Gleason score 3+3=6
    Total surface area 5% involved
    perineural invasion present
    Biopsy: 7/19/2017
    Gleason score 3+3=6
    Total surface area 30% involved

    RALP 8/15/2019 United Hospital, Dr Sershon
    Path report: gleason 3+3, grade group 1 of 2, pT2 (organ confined), margins: positive (limited, left apical), prostate weight: 53 grams.

  7. #17
    Quote Originally Posted by wbigs View Post
    I did the string thing when I switched from the leg bag to the bigger night bag. I just tied a couple of shoe laces together and hung the bag from it so I could have my hands free to make a snack or do whatever. At night I would put it in a empty waste basket on the side of the bed. After I had breakfast and a shower I would switch to the leg bag and didn’t need the string.
    By the time I got the catheter thing pretty well figured out it was time (thankfully) to get it removed.
    Another is a badass for going back to work after 5 days but I would take as much time as you can get away with. I did about three weeks and I was getting pretty bored at home but getting back to a work routine was still more exhausting than I thought it would be.
    I'm taking 3 weeks off just to get away from work.

    Then I'm going to milk it working at home for another 3-4 just to avoid Traffic and ensure I'm mostly continent before going back to work on site.

    Sadly I'm looking forward to the day just to get a break. I'm exhausted.

  8. #18
    If you decide on kegels, dont overwork it... Muscles need time to recover. I found alternating "heavy" kegel exercises with light ones worked best for me

  9. #19
    Senior User
    Join Date
    Feb 2019
    Posts
    300
    I kinda do the kegels, and kinda don't ... guess I was not that disciplined about doing them. Probably the reason why is I tend to do them without thinking especially when I really need to go and am in a position that have to hold it until I can. This month I had four 300 mile drives and two 9+ hour flights and did just fine ... though wore the pads as backups, not to mention a few tours that were all day long. Gotta agree that it is a good idea to kinda do them and as others have said not to over do it. But this is me, and may not be the same for others.
    Last edited by Trex Dino; 11-07-2019 at 07:18 PM.

  10. #20
    Regular User
    Join Date
    May 2019
    Posts
    18
    For what it's worth, I was discussing a possible prostatectomy with Dr. Raymond Rosenbaum, a urologist and surgeon at Kaiser Permanente here in the SF Bay Area, and I remembered this thread so I asked him whether it was advisable to start kegel exercises before surgery. He said "Yes", to do kegel exercises before and after surgery.

    There may well be exceptions to the rule depending on the circumstances, of course, but doing kegels both before and after surgery seems to be the current standard.
    Age 59, PSA: 5.5 (3/2019), 4.7 (12/ 2018 ), 2.8 (5/2012), 1.1 (1/2009)
    Biopsy: Gleason 6, six of fourteen cores positive. Prostate volume of 41 cc.
    - - - - -
    A) PROSTATE, RIGHT APEX,
    - BENIGN

    B) PROSTATE, RIGHT MID,
    - PROSTATIC ADENOCARCINOMA, GLEASON SCORE 3 + 3 = 6 (GRADE GROUP
    1), INVOLVING 2 OF MULTIPLE FRAGMENTED CORES (TUMOR MEASURES 1.5 MM
    TUMOR MEASURES 1MM; 15% AGGREGATE INVOLVEMENT

    C) PROSTATE, RIGHT BASE,
    - BENIGN

    D) PROSTATE, LEFT APEX,
    - BENIGN

    E) PROSTATE, LEFT MID,
    - PROSTATIC ADENOCARCINOMA, GLEASON SCORE 3 + 3 = 6 (GRADE GROUP
    1), INVOLVING 2 OF 3 CORES (TUMOR MEASURES 1 MM, 10 % OF CORE;
    TUMOR MEASURES 2 MM, 33% OF CORE)

    F) PROSTATE, LEFT BASE, PROSTATIC ADENOCARCINOMA,
    GLEASON SCORE 3 + 3 = 6 (GRADE GROUP 1), INVOLVING 2 OF 3 CORES
    (TUMOR MEASURES 2 MM , 50 % OF CORE; TUMOR MEASURES 2 MM , 40 % OF
    CORE)

 

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