Does walking really help with incontinence?

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Valentine08
Regular Member


Date Joined Mar 2008
Total Posts : 30
   Posted 5/9/2008 9:43 AM (GMT -7)   
My husband doesn't seem real interested in walking.  He's quite capable, but after work and dinner I think he's not feeling too energetic.  He's still struggling with the drip, drip.  If walking really will indeed help, perhaps I could persuade him to make more of an effort.  What is the anecdotal evidence?   Does anyone have thoughts on this? He's pretty mum on the kegel topic too.  I'm not sure what progress he's making.  He says he always has a dry night, and generally dry early mornings, and then later in the morning the leak starts up. Is this pretty standard?  Thanks for any advice. Val's spouse. 
Age 59
PSA ; PSA 9/07=3.4; '06=3.2 DRE Negative; '05=2.4; '04=1.7
Biopsy 11/07 =  Stage T1c, 12 cores, 2 positive
Gleason score= 3+3=6
DaVinci Robotic RP surgery: 2/14/08
Path report: Gleason= 3+4=7; Stage T2c


Magaboo
Veteran Member


Date Joined Oct 2006
Total Posts : 1210
   Posted 5/9/2008 10:34 AM (GMT -7)   
I have done a lot of kegels and walking before and after my surgery and I still do it to this day. I was dry about 2 month after surgery. It is impossible to say whether only the exercise is responsible for my recovery or not, but I'm convinced in my mind that kegels and walking are a big factor in regaining continence. Just my opinion, but here it is for what it is worth.
All the best to you and your husband.
 
Magaboo

Born Sept., 1936
PSA 7.9
Stage T1C
-ve DRE
Gleason's Score 3+4=7
2 of 8 positive
Open RP 28 Nov 06
Post op staging T3
Gleasons still 3+4=7
Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06
Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA test Mar., 08 =.04 
 
 


biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1464
   Posted 5/9/2008 10:38 AM (GMT -7)   
Hey Valentine,

Kegels and walking helped me stay dry. I only wore pads for 1 day after the catheter came out and attribute my good luck to an excellent surgeon and lots of Kegels and walking...

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.
50 mg Viagra + 1000 mg L-Arginine + .03 cc Trimix = Excellent Results
PSAs from  1/3/07 - 1/17/08 0.00. 
Next PSA test on 7/17/08
"Patience is essential, attitude is everything."


KrisP
Regular Member


Date Joined Mar 2008
Total Posts : 162
   Posted 5/9/2008 10:44 AM (GMT -7)   
Hi Valentine,
I really believed that the walking helped me a great deal with leaking. I've done lots of walking prior to and after surgery and haven't really did much of the kegel excerises. I am pretty much dry from day one of the catheter removal.
 
Kris
Biopsy done 3/2008
Pathology report: Gleason 6 (3+3), involving left lobe
DRE=15gm with indurated left base and mid prostate
Cores positive: left base medial, left base lateral, left mid medial and left mid lateral (4 of 12)
Clinical stage t2b.
Prostate Carcinorna 185
DaVinci Surgery on 4/21/2008 in Austin by Dr Randy Fagin.
Pathologist report upgraded to a Gleason 7 (3+4)
Clinical stage upgraded also to a T3a
Margins Clear


DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 5/9/2008 12:51 PM (GMT -7)   

After I got past my hernia surgery (8 weeks after prostate surgery), I found that walking and kegels helped a lot.

However, at first the walking makes things worse.....but as I have stated here before, sometimes things have to get worse before they get better.

This is a gorgeous time of the year and walking is good for everyone, not just PCa patients, so I strongly encourage your husband to get out and walk.


Danman Bob, Born 1951
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14; Biopsy result - 9 of 12 sticks showed cancer
Post-op pathology stated that cancer was confined to the prostate
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of late April 2008)
100 MG Viagra 3 times a week beginning December 2007
Osbon Erec-Aid Esteem manual pump for therapy beginning mid-February 2008
30 MG papaverine/1 MG phentolamine bimix injections beginning late April 2008
Five week post-op PSA 0.2, five month post-op PSA 0.1, next test August 2008


wallypm
Regular Member


Date Joined Apr 2008
Total Posts : 48
   Posted 5/9/2008 1:48 PM (GMT -7)   
How much walking do you think is necessary?. A long walk or several short walks.? I find it difficult to do the walking as I don't feel that great but I can say I generally feel better after walking..
Age 70 -  Diagnosed late March
PSA 5.52 - stage T2b,T2c
Gleason 7 (4+3)
quad heart bipass 4/06
surgery on 4/28/2008, Greensboro NC by David Grapey
path report showed  lymph nodes clear cancer has spread to the margins gleason (4+3)
catheter removed 5/8


DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 5/9/2008 2:14 PM (GMT -7)   
2 or 3 miles a day, IF you feel up to it.
 
If not, then do what you feel you can manage without overexerting yourself.  Several short walks is fine.
 
Also, walking slowly is fine.....just do it to the degree you are comfortable.
Danman Bob, Born 1951
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14; Biopsy result - 9 of 12 sticks showed cancer
Post-op pathology stated that cancer was confined to the prostate
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of late April 2008)
100 MG Viagra 3 times a week beginning December 2007
Osbon Erec-Aid Esteem manual pump for therapy beginning mid-February 2008
30 MG papaverine/1 MG phentolamine bimix injections beginning late April 2008
Five week post-op PSA 0.2, five month post-op PSA 0.1, next test August 2008


Paul1959
Veteran Member


Date Joined Nov 2007
Total Posts : 598
   Posted 5/9/2008 2:18 PM (GMT -7)   
I was terrible at doing Kegels after surgery. I remembered to do them maybe 4-5 times a week. I was dry at 9-10 weeks.

I walked, certainly, but just walked around, not like miles a day.

I think all these things certainly will help, but the normal progression is dry at night, the dry in the morning, then the afternoon. Then, the last to disappear is the leaking in the evenings.

My nurse acknowledged that the Kegels might help, but there is no proof. She also thought it was good to give the patient something to work on to give them a sense of control and purpose and a sense of having some role in the recovery - whether it does or not, it will help mentally, emotionally, and physically to walk.

Paul

Oh, - suppose I should mention that I do much more than walking. I go to my gym several days a week and do cardio and weight machines - high reps, moderate weights. EVer since back surgeries, I've had to keep good muscle tone.


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
PSA 0 at six weeks
Pad free on March 14 - (10 weeks.)
ED - Take 100mg viagra every night.
Totally usable erections at 10 weeks.
 
 

Post Edited (Paul1959) : 5/10/2008 6:32:54 AM (GMT-6)


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 5/9/2008 4:45 PM (GMT -7)   

I think walking does help. I walked a moderate amount for years before surgery (about an hour or so each day) up and down hills. I figure the bouncing is equivalent to many variations of Kegels. I think that at least partly as a result of that, I was dry from the day the catheter came out.

Obviously, the amount of walking you do is limited by your state of health and your joints. So Val, if your hubby can walk and manage the leaking, encourage him as much as you can. As other posters have indicated, build up gradually without overdoing it. 


Age 63. Other than cancer, in good health
Left hemi-colectomy April 2006 (colon cancer)
PSA 5.7, Gleason 4+5=9
RRP 7 March 2008, non nerve sparing
Histology showed clear margins and lymph nodes
Two nights in hospital
Catheter and staples out after 7 days
Continent, no pads needed from the get-go
No erections (of course!)
Experimenting with VED and Bimix
 


kw
Veteran Member


Date Joined Nov 2006
Total Posts : 883
   Posted 5/9/2008 9:16 PM (GMT -7)   
    Well, You all know I have to put my two cents in here!  For the last 16 years I have had jobs that required me to stand and walk all day.  I push mow my yard.  I try to walk when playing golf.  Even if I ride I still get plenty of walking.  All of this before surgery.  After.  I was walking at the mall for two hours a day almost every day.  I did my kegeals.  But, nothing has worked for me.  Just one of the unlucky few.  I personally believe you body will adjust how ever it is going too.  That is if there is no obvious damage to the sphincter muscle.  I too have been dry when sitting and sleeping for over a year now.  I just leak when I get up and start moving around.  If anyone could ever predict and cure the continence by any other means than "artificial plumbing" they would make Bill Gates look like he makes chump change!
 
    Wishing you Luck,
    KW
    43 at Dx and Surgery
    PSA 5.7, Biopsy 3 of 12 positive (up to 75%) all on left side of prostate, Gleason 7
    RRP on Oct. 17, 2006 - Nerves on right side saved. All Lab's clear. 
    Cathiter in for 28 days due to complications in healing. Removed Nov. 9, 2006
    First Post op PSA on Dec. 11, 2006  Undetectable 0.00.
    ED workable and usable with Viagra.
    Feb. 20th, 2007 - Feb. 4th, 2008  Cystoscope, Two Collagen injections,Second Opinion Consultation for Incontinance at OU Medical Center, Bio-Feedback training, Chiropractic, Accupuncture  to try to resolve ongoing incontinance (4-6 pads a day)  All PSA's 0.00.
    Feb. 4th, 2008 - Appointment with Original Dr. to discuss options and recomendation for surgical fix for incontinance.
    Feb. 22nd, 2008 - Surgery to install the AMS AdVance Male Sling.
    March 27th, 2008 - Sling not working, Little or no improvement.
    April 18, 2008 - Collagen injection.  Back to using 4-6 full pads a day within a week.
    May 15, 2008 - Another collagen injection to try to Band-Aid the leaking for our June cruise.  Will start making conusultation appiontments for AUS after we return.
 
     


Gary H
Regular Member


Date Joined May 2008
Total Posts : 34
   Posted 5/10/2008 5:25 AM (GMT -7)   
Hey Valentine I am one month longerpost surgery and am having the same results you discribe about your husband, I see some days better some worse, like the old saying 2 step forward 1 step back. He will dry up soon. My Dr said the healing takes at least up to 18 months. The first 6 are the most noticeable.
Keep up the positive addittude.
Gary
 Age 48
 PSA 46 Oct (07)
 Gleason 3+4=7
 Biopsi 11 of 12 pos.
 DaVinci Jan 08 Dr W. Johnston
 Evanston Northwestern Illinois
 Post Op  PSA .7
 Started Lupron April 1st
 Radiation June (08)?????

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