To Pee or not to Pee

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Hawkflyer
New Member


Date Joined Jun 2008
Total Posts : 9
   Posted 7/2/2008 7:57 PM (GMT -6)   

Okay, it’s not “to pee or not to pee.” It’s to stop in midstream or not too. The subject line just sounded to good to pass up. While researching information on the web regarding Kegel exercises I have read several recommendations on stopping urine stream in midstream. Some say do it and some say don’t do it. This is not very consistent information to say the least. Even my doctor was wishy washy about the question when I asked him. He said that it wouldn’t hurt but that he wouldn’t make a habit or use it as an exercise. I have been trying this experimentally and I personally feel that it improves my control and continence levels. One site stated that this was a good exercise if performed correctly and that the control to stop the flow should be taken from the buttocks area and not the front abdominal area to stop the urine stream. I would like to get some feedback from this wonderful knowledge base before I do something wrong or incorrectly.

 

Thank you all.

 

Mike

47 Years Young.

PSA 5.4 - Discovered during Annual Physical with Family Practice Doctor.

First time I ever had a PSA drawn. I believe that my Doctor saved my life.

DRE negative.

3 of 10 cores positive, in left lobe only.

Pre Op Gleason score 4 + 3 = 7.

Biopsy pre-op - rated T2a.

Da Vinci Robotic RP surgery on June 4, 2008 – Both side of the nerves saved.

Biopsy post-op - rated T2c – both sides had cancer as noted in pathology.

Post-Op Gleason score 4 + 3 = 7.

All margins clear - no cancer outside prostate as noted in pathology.

Post-Op PSA not yet completed.


rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1131
   Posted 7/2/2008 8:12 PM (GMT -6)   
i had an appoinment with a group to teach me to do the kegels. they said do not stop in midstream. they indicated it could lead to urinary tract infections. after i stopped in midstream once or twice to see which muscle i needed to strengthen, i haven't stopped in midstream. i am about 90% dry. i went completely padless last friday. however, monday night i woke up in a pool of pee so decided to start wearing pads again at night time. i have been dry since. i have been told i am backwards in that most say the continence issues are during the day time but my issues are at night. i do 2 sets of kegels a day, 20 reps each holding the muscle for 5 seconds and relaxing for 10 seconds. i have done them since the day the catheter was removed.

they say the kegels help on the ed issue as well. i have been on viagra for about 2 weeks and still don't have a good erection. before surgery i lost it (doctor said it was stress and psychological). i'm hoping i get it back but have been mainly interested on the "peeing" side of things post surgery. continence like ed takes a lot of patience.
 
Age 48
occupation accountant
PSA increased from 2.6 to 3.5 in one year
biopsy march 2008 - cancer present gleason 7
decision - surgery (robotic)
surgery may 9, 2008 - houston, tx
pathology report -gleason 8
margins clear
4 week and 6 week PSA .04 (undetectible)
continence ok during day - 1 pad
night time different story
kegel's twice a day 20 reps


dkob131
Regular Member


Date Joined Apr 2008
Total Posts : 364
   Posted 7/3/2008 9:24 AM (GMT -6)   

Mike:  I have always understood that the idea behind stopping in mid stream was to learn how to locate the muscles to work on when doing the Kegel exercises, after you located the correct muscles you shouldn't do the stopping in mid stream thing.  I obvoiusly may have misunderstood the reasoning.

I've been very lucky so far with my continence, very little leakage but I'm continuing my exercises, not wanting to lose what I have gained.

David


 54 y.o.
 Diagnosed 4/10/08
 DRE Normal
 PSA-4.1
 Biopsy- 12 cores, 4 positive highest 4+4=8
 Bone scan, CT scan and Chest X-ray clear 4/16/08
 Urologist suggested surgery 4/16/08
 MRI on 4/24/08 clear no suggestion of lymph node   involvement.
 4/24/08 -Started on Lupron and Casodex preparing for HBRT and IMRT in late July.  This treatment will not preclude me from surgery if I change my mind.
Decide to have DaVinci surgery after another consult with surgeon.
6/19/08- DaVinci surgery at University of Washington.
Waiting for pathology report results.
 


kcragman
Regular Member


Date Joined May 2008
Total Posts : 240
   Posted 7/3/2008 1:30 PM (GMT -6)   
Yeah, I heard the "don't do it" thing also. I stop my stream about once a week just to see where I am - and I can stop it like turning off a faucet. However, I still dribble like crazy all-the-time when I am standing. It drives me crazy. I cannot maintain a kegel clentch and walk at the same time. Maybe you are not supposed to, but whenever I relax I dribble.

The kegel muscle is in the same muscle group as your rectum, so when you kegel you are also squeezing your rectum. I think this is where all the talk about the rear end is coming from. People say "squeeze your buttocks" but that has nothing to do with it. It is your rectucm. Those of us who have fought constipation all their lives probably know the muscles down there a little better than most. My doctor said if you can make your penis jump (it is a tiny jump) then you are doing it correctly.

kcragman
Age: 52
March 2006: PSA 2.5
Dec 2007:   PSA taken for insurance application. I did not see the results until late Jan '08 - after I was rejected. Their lab said PSA 4.5. PSA again in Feb '08: 3.7.
March 2008: Biopsy. Gleason 7 (4+3) 12 cores taken. 5 on the left side were cancerous and the 6th did not look good.
May 5, 2008: Da Vinci robotic laparoscopy at GW Hospital, Washington DC.
Post op: Gleason 9 (4+5). 15% of prostate involved. Negative margins. Lymph nodes and associated glands all appear to be cancer free.


anglophile
Regular Member


Date Joined Apr 2008
Total Posts : 82
   Posted 7/3/2008 5:36 PM (GMT -6)   
I echo dkob131's reply: only do it to identify the muscles you need. It can also tell you how strong your muscles are to begin with (if, say, you can't completely stop the stream). My bio-feedback coach told me not to continue doing it. Here's the regime she put me on:

Once you identify the correct muscles to flex by stopping in mid-stream, you do squeezing exercizes: squeeze for 10 seconds 10 times. Do this 5 to 10 times a day. Don't do more than 10 at one time because you'll tire out your pelvic floor muscles. As you get better at it, increase the 10 second time to 15 seconds, and so on.
Age 59 - diagnosed in Jan. 08 after biopsy
da Vinci Robotic Prostatectomy 4/11/08 - both nerves spared
Catheter removed 4/25/08
Prostate Pathology:
Gleason Grade 6 (3+3)
Tumor corresponds to a AJCC/pTMN stage II
5 wks post-op Continence: 1 pad night, 2 during day
7 wks post-op Continence: 2 pads every 24 hours
First post-op PSA at 7 wks: 0.1
10 wks post-op Continence: 1 pad every 18 hours
11 wks post-op Continence: 1 pad every 24 hours


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 7/3/2008 8:06 PM (GMT -6)   
Well I am confused. I fail to see how stopping your urine mid stream and then restarting is going to give you a urinary tract infection. Urine is sterile and stopping mid stream should be no different internally to your plumbing than finishing urinating at one hit. You are able to stop the flow by contracting frontal muscles (feels like you are drawing your penis and testicles up), but you can also stop the flow by squeezing and drawing up the rear internal muscles in the region of your rectum. I did read somewhere or other that the rear muscle exercise develops support for the bladder while the frontal squeeze develops the sphincter muscle controlling the bladder opening and closing.
Bill
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07----4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.1 undetectable

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