Exercise after prostatectomy

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lseater
New Member


Date Joined May 2011
Total Posts : 6
   Posted 5/1/2011 8:01 PM (GMT -6)   
Hi,
 
I just found this forum.  I've read through some of the posts and have already found a wealth of helpful information!
 
I just had prostatectomy using the Da Vinci machine almost 2 weeks ago.  I have pretty incomplete instructions on time lines for various activities.  I'm 51 right now and was exercising before the operation.
 
I used to do about situps every morning and then I'd use the exercise bicycle for 30 - 45 minutes.  I read on the forum not to use a bicycle for about 4 weeks so I've just started taking walks several times a day.  How long should I wait to start doing situps again?
 
I have to admit that I'm fairly depressed about the changes that have happened to me at this point.  Exercise always made me feel better and I don't have that to help me right now.
 
Thanks for any help!
 
Biopsy 9 out of 12
Gleason 3+4
Patholgy: 50% margins clear!

tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2816
   Posted 5/1/2011 8:23 PM (GMT -6)   
lseater:
- welcome to this site - it is a great patient to patient resource and support.
- my doc recommended 6 weeks for recovery time - no lifting of any thing heavier than 10# ( the weight of a laptop) - with walking - don't overdo it - a little bit more each day - and no inclines - I would be cautious about the situps -
-sorry about the depression - it affects many of us - for the moment - redirect your exercise routine to just walking for now and build it up back as time progresses.
-and when in doubt - talk to your doctor - there is no such things as a dumb question - just the one not asked...

-wishing you the best,
BRONSON
Age:55 -gay with spouse of 14 years, Steve -Peterborough, Ontario, Canada
PSA:10/06/09 3.86
Biopsy:10/16/09- 2 of 12 cancerous, 5% involvement -Gleason 7 (3+4)
Radical Prostatectomy:11/18/09
Pathology:pT3a -Gleason 7 -extraprostatic extension -perineural invasion -prostate weight -34.1 gm
PSA:04/08/10 -0.05 -Zero Club
PSA:09/23/10 -0.05 -Zero Club
PSA:03/24/11 -0.02 -Zero Club
PSA:03/24/12- TBA

lseater
New Member


Date Joined May 2011
Total Posts : 6
   Posted 5/1/2011 8:33 PM (GMT -6)   
Hi Bronson,
 
Thanks for the welcome and the information!  I'll wait to start exercising and I will call my doctor to find out how long I should wait.  I was still on pain killers when I last talked to him and I really couldn't remember much of what he told me.  confused
 
Thanks,
Larry

tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2816
   Posted 5/1/2011 9:13 PM (GMT -6)   
Larry - another good thing to have around for the next meeting with the doctor - a partner/spouse with a pad and pen to take notes - it is very difficult at times to remember all that is said - let alone what all those new words mean - that's when the links at the top of the main PCa page at HW come in handy.
-all the best
BRONSON
Age:55 -gay with spouse of 14 years, Steve -Peterborough, Ontario, Canada
PSA:10/06/09 3.86
Biopsy:10/16/09- 2 of 12 cancerous, 5% involvement -Gleason 7 (3+4)
Radical Prostatectomy:11/18/09
Pathology:pT3a -Gleason 7 -extraprostatic extension -perineural invasion -prostate weight -34.1 gm
PSA:04/08/10 -0.05 -Zero Club
PSA:09/23/10 -0.05 -Zero Club
PSA:03/24/11 -0.02 -Zero Club
PSA:03/24/12- TBA

logoslidat
Veteran Member


Date Joined Sep 2009
Total Posts : 2676
   Posted 5/1/2011 9:51 PM (GMT -6)   
Iseater, Welcome, there are quite a lot of avid exercisers, Im one of them. Unfortunately situps would be the last exerzise that you would be able to do. The insides there are pretty messed up from surgery. If you go to a gym and you walk, do it on an incline as this will stenthen your core and get your heart rate up. But that is a goal, do not do it now . You really have to go by how you feel. there are guidelines but only you now really where you are at. Do not push it . Just by getting out there, you will get the physcological lift you got pre surgery, regardless of intensity. Its really to some extent as if you were starting over from a long layoff with out surgery, start slow and build up slowly, listen to body. Btw, you will probably get a flatter gut by doing core exercises, than with situps, such as the plank, side plank, google, again with these it will take awhile, be fore you will be able to do them. Yes its a new you, but you are young and I betcha you will be back in all depts sooner than tou think, specially if you don't overdo it, but . length of workout comes first, intensity comes last in time line. the exercize will really help with this change in your life and beyond. Take care
Diagnosed 8/14/09 psa 8.1 66,now 67
2cores 70%, rest 6-7 < 5%
gleason 3+ 3, up to 3+4 @ the dub
RPP U of Wash, Bruce Dalkin,
pathology 4+3, tertiary5, 2 foci
extensive pni, prostate confined,27 nodes removed -, svi - margins -
99%continent@ cath removal. 1% incont@gaspass,sneeze,cough 18 mos, squirt @ running. psa std test reported on paper as 0.0 as of 12/14/10 ed improving

lseater
New Member


Date Joined May 2011
Total Posts : 6
   Posted 5/1/2011 10:05 PM (GMT -6)   
Thanks for the information Logoslidat.

I know that big changes have taken place.... it's just hard to accept sometimes. I'm actually feeling much better each day and I'm really looking forward to finding the new "normal".

Just out of curiousity, how long did it take for you to get back to your excercise routine that you had pre-op?

Thanks again,
Larry

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 5863
   Posted 5/1/2011 10:28 PM (GMT -6)   
Larry,
 
My written instructions post-op (DaVinci) were walking ONLY, no upper torso exercises, max lift limit 5 pounds for two months after surgery. Had to sign that I understood them.
 
I wasn't allowed to drive for about four weeks, and wasn't really ready to start when I did.
 
At the two months post-op the limit was raised to 10 pounds.
 
It was about five months before I was told I could do any real exercise.
 
Just the same, Welcome to HW.
DaVinci 10/2009
My adjuvant IGRT journey (2010) -
www.healingwell.com/community/default.aspx?f=35&m=1756808

logoslidat
Veteran Member


Date Joined Sep 2009
Total Posts : 2676
   Posted 5/1/2011 10:31 PM (GMT -6)   
Ok, I was extremely fit prior to surgery, distance runner, runs of 10 to 12 miles at least once a week, with other runs avging 35 a week inclusive of long run, plus strentgh tng. Much more so in my youth but have been doing distance for over 40 years, marathons etc. So with that caveat, I was back preop about 14 weeks post op. Having said that I had lympohceles from surgery around that time. These derived from 29 lymph nodes being removed, {cancer free }, though the stress of tng may have not helped either.{wife thought so,doctor made no comment } Trust me you will be there soon enough. I am increasing workouts at all levels, cause who knows, grab the window of opportunity and be the fittest old man on the island. Those are the positive chances this disease gives you and ther are many as you with a positive attitude will discover. I had bouts of depression, blues etc, still do on occasion, like you if dont work out. but nothing clinical, I tink. Take care.
Diagnosed 8/14/09 psa 8.1 66,now 67
2cores 70%, rest 6-7 < 5%
gleason 3+ 3, up to 3+4 @ the dub
RPP U of Wash, Bruce Dalkin,
pathology 4+3, tertiary5, 2 foci
extensive pni, prostate confined,27 nodes removed -, svi - margins -
99%continent@ cath removal. 1% incont@gaspass,sneeze,cough 18 mos, squirt @ running. psa std test reported on paper as 0.0 as of 12/14/10 ed improving

lseater
New Member


Date Joined May 2011
Total Posts : 6
   Posted 5/1/2011 11:53 PM (GMT -6)   
Thanks 142 and logoslidat!

On one hand I feel liked I've been given a great gift and that I'm extremely lucky that I was able to catch this before it spread. But I have to admit on the other hand I didn't really understand how life changing this operation was going to be. I guess it's one step at a time. Thanks again for the information and the support.

brampy
Regular Member


Date Joined Jan 2011
Total Posts : 42
   Posted 5/2/2011 12:31 AM (GMT -6)   
Minimum 4 weeks, but I took 6 weeks...you can tell by the feeling in the crotch...at least I did. Don't mess up your good doctors handywork. regards, <bobr>
-------------------
Age: 54
Routine Physical on 10-20-2010 DRE Normal
PSA 4.3, up from 0.6 5 years prior
PSA 0.6 on 10-25-2005
PSA 0.4 on 7-30-2004
PSA 0.5 on 5-9-2002
Followup with Urologist on 11/10/2010 after elevated PSA; DRE noted slight bump
November 30th, 2010 had prostate biopsy.
December 9th, 2010, Biopsy results 3 of 12 cores positive.
LLB: Gleason's 4+3=7, 11 MM Tumor Length/15MM Core Length (73%)
LLM: Gleason's 4+4=8, 12 MM Tumor Length/15MM Core Length (75%)
LM: 0.1 MM Tumor Length (1%)0.1 MM Tumor Length
Urologist recommended robotic removal using da Vinci method.
RALP Surgery 12/27/2010 Released: 12/30/2010
Thunderbird Banner Hospital, Glendale, AZ
Post-Surgery Pathology: GS 4+5=9
Pathologic Staging: pT3a, N0, MX; location: Left Side; Volume: 10%
Margins: Left posterior inked margin focally involved
Extraprostatic Extension: Observed
Seminal vesicles: Not observed
Lymphatic/Vascular Invasion: Not observed
Catheter: Removed 15-days after surgery
Post-OP Followup on 1/11/2011; Catheter/Staples removed
Adjuvant IMRT 8 Weeks Post-OP.
No exercise for 4 Weeks Post-OP.
Radiation Oncologist Initial Consultation on 1/18/2011
Calypso Procedure on 2/17/2011; PSA <0.1; Bone Scan Clear
341 Testosterone
CT Simulation on 2/24/2011.
Calypso ART in progress - 40 treatments ending 3/3/2011

Ausboy
Regular Member


Date Joined Mar 2011
Total Posts : 92
   Posted 5/2/2011 4:28 AM (GMT -6)   
Hi Iseater,
welcome to this forum, an absolute wealth of information, support and great honest from the heart advice.
As for excercise, I agree with others, don't over do it to early, just because it doesn't look like much has happened you have had major surgery with lots of internal work going on.

I was two weeks post op feeling petty good and thought I would fix a seat in my old ute, drilled a hole with a blunt drill, had to push pretty hard. Well did I pay for it! spent two days in bed with severe back pain, passed blood for a day and felt a real idiot for jeopardizing my recovery. Anyway lesson learnt, went back to work at week 4 on light duties office type work. Week 7 now and feeling about 90%, almost dry 1 pad a day very slight drip every now and then nothing at night.

all the best with your recovery
age 49, dx 21-01-2011 PSA 5.6
12 cores all positive >80% in some, Gleason 3+3=6, T2B
RALP 10-03-2011, post OP pathology, Gleason 4+3=7 and 1% 5+4=9
Prostate 50g, 48mmx40mmx40mm, largest tumor 48mmx34mmx24mm, extensive PIN also present, EPE left apex .2mm, perineural invasion, clear margins closest was .7mm, lymph nodes not checked.
path stage pT3A Nx Mx R0
post OP PSA ? 11/5/2011

No longer fearful
New Member


Date Joined Apr 2011
Total Posts : 3
   Posted 5/2/2011 9:00 AM (GMT -6)   
Welcome,

I would not recommend the exercise bike at all. I tried it about 4 months after my surgery and I was really suffering. You really need time to heal. Just because you weren't cut open doesn't mean it's any easier. I exercise 3 times a week cardio and weights. Sit ups and any weights on an incline board will cause discomfort. Let your body tell you what to do. I just turned 58 when I had my surgery. Make sure you continue to do the kegel exercises, really important. The other thing to be careful of is that strenuous exercise may cause a hernia which you do not want. I'm recovering from a double one scrotal and one in my abdomen. I'd rather have the prostate surgery a whole lot less pain. I'm back to doing heavy leg exercises and squats (prior to surgery) with no problems. Use a core ball and do planks, stretching, and yoga. Good luck. Slow and steady you'll get back there.

DaSlink
Veteran Member


Date Joined Feb 2011
Total Posts : 667
   Posted 5/2/2011 9:35 AM (GMT -6)   
Larry welcome and good luck. I was told no heavy lifting,over 15 lbs for 6 weeks. Then was released at 6 weeks.The heaviest thing I've lifted was 65lb bags of concrete and so far so good. But that is not regular exercise,just stupid lifting. I have not returned to work yet because construction is slow,and I will be curious to see how it works out when I do.
Every minute you fish or ride,adds an hour to your life!

Age 52 Dx age 53 daVinci surgery
prostate volume 32 grams
Biopsy 12 cores with 7 positive
Gleason score of 7
1st PSA 38.7 10/05/2010
2nd PSA 49.9 11/23/2010
CT neg.
BS Negative
RRP on 01/25/2011
PT3a -40% involved
margin involved-Left anterior
lymph nodes -clear
1st post op PSA-0.26-03/16/11

lseater
New Member


Date Joined May 2011
Total Posts : 6
   Posted 5/2/2011 5:34 PM (GMT -6)   
Thanks everyone for the information and welcomes!
 
Larry

Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2347
   Posted 5/2/2011 7:30 PM (GMT -6)   
lseater,
I started walking short distances 1 week after surgery. I increased the distance and the pace every week after that. By the 4th week I was walking 4 miles. I started working with light weight after 5 weeks and played golf after 8 weeks. My doctor cautioned me about not lifting heavy weights for 2 months but encouraged me to walk as much as I could.
Age: 67 at Dx on 12/30/08 PSA 3.8
2 cores out of 12 were positive Gleason (4+4)
Davinci surgery 2/9/09 Gleason 4+4 EPE,
Margins clear, nerve bundles removed
Prostate weighed 57 grams 10-20% involved
all PSA tests since (2, 5, 8, 11, 15, 18, 21, 2 years <.008? ) undetectable
27 months: .005

Steve326
New Member


Date Joined May 2011
Total Posts : 13
   Posted 5/3/2011 4:30 PM (GMT -6)   
I did weights pre-op and gave it 6 weeks post-RRP before I hit the weights again.  I started doing situps then too.  Try walking for now.
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