How many kegels a day?

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DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 3/21/2008 3:52 PM (GMT -7)   
Read a post that mentioned that some believe it possible to do too many kegels.....which I had not seen before.
 
Curious....for those who are now "fully continent"......how long were you incontinent and how many kegels a day, on average, did you do?
Danman Bob
Age 57
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14
Biopsy result - 9 of 12 sticks showed cancer
Despite high Gleason score, cancer was confined to the prostate
Possible post-surgery radiation therapy...decision likely in late April 2008, depending upon PSA at that time
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of March 2008)
Began using Viagra 3 times a week December 2007 to stimulate blood flow
Began using Osbon Erec-Aid Esteem manual pump for therapy mid-February 2008
Will probably begin using bimix injections in addition to Viagra and pump in May 2008


triker
Regular Member


Date Joined Sep 2007
Total Posts : 22
   Posted 3/21/2008 5:46 PM (GMT -7)   
It took me about 10 weeks to become fully continent, and I did it without doing any kegels. I think that my surgeon is the exception in the fact that he specifically told me not to do any kegels. I started seeing significant improvement at about 4 -5 weeks post surgery.

I am definitely not recommending that anyone follow my surgeon's advice. It worked for me (although I had doubts after 3 weeks), but most surgeons seem convinced that gains can be made by doing kegels.
Walter

Age 58
10/06 - 1st PSA ever - 4.6
11/06 - PSA retake - 5.3
12/06 - Biopsy, 12 cores - negative
7/07 - PSA - 9.0
7/07 - PSA 13.8 (after 10 days antibiotics)
8/07 - Biopsy, 12 cores, 1 positive @1%; Gleason 3+3=6
9/17/07 - Bone scan - negative
9/18/07 - CT scan - negative
10/12/07 - John Hopkins recheck of biopsy slides Gleason 3+3=6
11/29/07 Da Vinci surgery performed at Northside Hospital in Atlanta
12/7/07 Catheter out; Post surgery path report: Gleason 3+3=6; Negative margins; T2C
2/1/08 PSA zero
2/5/08 Pad free


DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 3/22/2008 9:17 AM (GMT -7)   
Thanks, Triker.
 
I hope others will share their experience.
Danman Bob
Age 57
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14
Biopsy result - 9 of 12 sticks showed cancer
Despite high Gleason score, cancer was confined to the prostate
Possible post-surgery radiation therapy...decision likely in late April 2008, depending upon PSA at that time
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of March 2008)
Began using Viagra 3 times a week December 2007 to stimulate blood flow
Began using Osbon Erec-Aid Esteem manual pump for therapy mid-February 2008
Will probably begin using bimix injections in addition to Viagra and pump in May 2008


DesertGal
Regular Member


Date Joined Dec 2007
Total Posts : 65
   Posted 3/22/2008 12:33 PM (GMT -7)   

Hi Danmanbob

My husband was told to do 10 per night right before bedtime once the cath was removed.  He began seeing good improvement after about a week and was pad free in less than a month.  He occasionally still has a little leak if he lifts something too heavy.

Marie


Husband 55 years old
No symptoms
PSA taken on routine health exam
06/18/07  PSA 9.2
07/14/07  Put on antibiotics for a month
09/18/07  PSA 8.77
09/18/07  PSA % Free  9.61
10/17/07  Biopsy =  Gleason 3 + 4  (7)
10/17/07  Biopsy 40% Right Side less than 5% Left Side
12/31/07  D Day!  Davinci Surgery Day - Jon Huntsman Cancer Institute
12/31/07  Left side nerves spared, Right side partial, right nodes taken
01/11/08  Cath removed, post-op gleason 3 + 3 = 6, nodes clear
                Margins - capsular invasion but no penetration.  T2C
02/08/08  Dry pad free
02/08/08  Started taking low dosage of Viagra to help blood flow
02/08/08  1st Post-op PSA Undetectable!  0.1


bluebird
Veteran Member


Date Joined May 2006
Total Posts : 2542
   Posted 3/22/2008 1:58 PM (GMT -7)   
tongue    Hey ~ Danman Bob,

We truly feel our recovery has been due to the fact that we took and are taking good care of the sphincter muscle.... and Kegels was and is a part of our healing/recovery even at the 2 year mark!!

Buddy & I invite you to visit our personal thread listed in our signature below... and you’ll also find several threads in the locked thread you recently found J that deals with Kegels… It truly is finding the right recovery for you!!  Pull from all of us ~

Take care and thank you for your staying close and sharing with all of us!

In New Friendship ~ Lee & Buddy


mama bluebird - Lee & Buddy… from North Carolina

 

v          We invite you to visit our personal thread:  Click Here:  “Our Journey” ~ Sharing is Caring 

April 3, 2006  53 on surgery day

RRP / Radical Retropubic Prostatectomy

PSA 4.6   Gleason  3+3=6    T2a   Confined to Prostate

4th PSA 2-13-2008 (23 months) Less than 0.1 Non-Detectable :)


biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1463
   Posted 3/22/2008 3:54 PM (GMT -7)   
I had done kegels for several years before cancer for ED therapy. I was dry the day after the catheter came out. Maybe this was luck or kegels or and excellent surgeon. Who knows. I still do kegels with my daily exercise routine.

Jim
Age 73. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Catheter out on 12/13/06.  Dry on 12/14/06.
Pathological stage: T2C N0 MX. Gleason 3+4.
PSAs from  1/3/07 - 1/17/08 0.00. 
Next PSA test on 7/17/08
"Patience is essential, attitude is everything."
 


wd40
Regular Member


Date Joined Jan 2008
Total Posts : 218
   Posted 3/22/2008 7:31 PM (GMT -7)   
No kegals very good control by second day. only used pad for sneeze for a few days but didn't really need one. I was one of the lucky ones.
12/06/07 DaVinci and open prostate surgery after difficulties in breathing stopped the davinci.
Walked a lot
90% control the day the catherter removed.
pad only for a sneeze before the week was out
No pads most of the second week.


Paul1959
Veteran Member


Date Joined Nov 2007
Total Posts : 598
   Posted 3/22/2008 7:54 PM (GMT -7)   
i tried to do kegels, but realistically, my self discipline was pretty poor. I would remember at odd times and did them sporadically. I was pad free at 8 weeks. Before surgery, a DR at Sloan Kettering examined me and told me I had a weak abdominal floor. this surprised me since I went to the gym 4-5 days a week, but realized I was not exercising those muscles. Anyway, as you may read here, kegels may help, but each journey is so unique, it's hard to say. I may have been pad free earlier if I had done them more.
Paul
47 at Diagnosis.
Father died of Pca 4/07 at 86.
1/06 PSA 3.15
1/07 PSA 4.6      (Biopsy 3/07 just suspicious)
10/07 PSA 5.06   (Biopsy 11/07  1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC  www.roboticoncology.com
Saved both nerve bundles.
Path Report:  Stage T2cNxMx
-Gleason (3+3)6
-totally contained to prostate,
-10% involvement in L & R Mid lobes
 
 


JCL
Regular Member


Date Joined Jul 2007
Total Posts : 242
   Posted 3/23/2008 8:28 AM (GMT -7)   
I'll never know if Kegels helped me or not, but my surgeon told me to do them, and anyway, I figured by doing them it was good insurance.

My routine was this - A total of 150 a day, splitting them up by morning, noon and night. Each session I did 25 by holding each one for a count of 10 seconds and resting in between for 10 seconds. I would end the session by doing a quick count of 25, not holding them at all, just squeezing. I was out of pads at five weeks although I would still suffer some minor stress incontinence that was very inconsistent and really wasn't an issue. I very rarely suffer any stress incontinence now, and can even sneeze without leaking.

But what I thought was most helpful in building up strength in the pelvic floor area during my recovery was doing a set of 75 flights of steps in my house, or doing 30 minutes on an elliptical machine combined with consistent walking. I'm still Kegeling but only during the week, taking weekends off. However, the elliptical machine is now a part of my exercise routine, and I spend 30 minutes on it three days a week, and run about 24 miles a week. I'm completely continent, and sometimes feel like I have better control now than I did when I had a prostate.

Good luck and let us know how you're doing.
Biopsy: Gleason 6. Five of twelve samples positive with <5% each. No perineural invasion seen.
Post-op Pathology: Upgraded to Gleason 7 (3+4), negative margins, negative capsular penetration, negative seminal vesicles, lymph nodes left intact, multifocal perinural invasion, 15% of prosate involving cancer in both lobes. T2c

<FONT color=#0>Out of pads at five weeks. Ten months post-op I'm fully continent.
Post Surgery PSA: Four tests, all <0.1
<FONT color=red>Family history: Great-great grandfather died from PC. My Father had his prostate removed at age 67 in 1997 and has had an undetectable PSA ever since. I was diagnosed at a much earlier age and had a more agressive cancer than my father. Go figure.

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