Biofeedback - Please Read if Kegel-ing

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IdahoSurvivor
Veteran Member


Date Joined Aug 2007
Total Posts : 1015
   Posted 7/20/2008 9:42 PM (GMT -6)   
Hi Gang,
 
I am on the tail-end of the incontinence battle now as I come up to my one-year anniversary date of surgery, which will be July 31, 2008. 
 
Unlike many of our good friends here, I have only a few very minor "accidents" per week.
 
My surgeon asked if I would consider biofeedback training to try to clear up the remaining issues and to gain more progress against ED.  I said I would be happy to.
 
Next week will be my second week in physical therapy and biofeedback.  I was surprised to find that my pelvic floor muscles are still very irritated and out-of-tone, even nearly a year after surgery!  My in-between exercises,  like walking and climbing stairs, did not help as much as I expected.  The readings on the therapist's computer told the true story in black and white (well really in green, red, and yellow).
 
Anyway... the big message here is that I found that I did my early Kegles incorrectly soon after surgery.  The Kegel method employed by trained physical therapists is very different.  Their procedure is to bring up the strength of the pelvic floor, not only more more gradually that is posted on many web sites, but in a way tailored to a person's individual progress as they work to strengthen the pelvic floor.  This progress is measured and compared session to session by the computer.
 
I know biofeedback is not for everyone and sometimes pelvic floor training does not help folks.  
 
For people like me with only a few problems to resolve, perhaps even 1-2 pads per day, it might be something to consider.
 
I'll let you know how it goes.
 
Kind regards, 

Barry ~ (a.k.a. "Idaho") - Prostate Cancer Forum Co-Moderator

 

Da Vinci Surgery July 31, 2007… 54 on surgery day
PSA 4.3  Gleason 3+3=6  T2a  Confined to Prostate

1st PSA  09/11/2007  <0.04 (undetectable)

2nd PSA 12/10/2007  <0.04

3rd PSA  03/17/2008  <0.04

4th PSA  06/17/2008  <0.04

My web site: http://pca-info.blogspot.com


Tim G
Veteran Member


Date Joined Jul 2006
Total Posts : 2300
   Posted 7/21/2008 2:26 PM (GMT -6)   

I think this is important to mention, Barry. Doing something the wrong way can be more harmful than not doing it at all.  This is the first I have heard this about Kegel exercises, but it makes a lot of sense.  Thankfully, my incontinence was quickly resolved. 

I am interested in any follow-up information you may post about biofeedback for ED. 

 


Age 59  PSA quadrupled in 1 yr (0.6 to 2.5) 
DRE neg  1 of 12 biopsies pos (< 5%) 
Open surgery June 2006 
Organ confined pT2a  Gleason 5   
Cancer-free for 2 years  PSA's undetectable 


anglophile
Regular Member


Date Joined Apr 2008
Total Posts : 82
   Posted 7/21/2008 6:21 PM (GMT -6)   
Bio-feedback early on was a great help for me. In addition to the feedback my coach had suggestions and ideas that I hadn't considered.

For example, I was going to the bathroom every time I felt the urge. My coach told me my bladder was like a crying baby. If you attend to it every time it cries, you let it control you. You need to let it "cry" and go on your schedule... trying to lengthen the amount of time you hold urine from 90 mins to 2 hours...also drink water as normal -- don't hold back.

That's just a little of what I learned, in addition to seeing on the computer if I was using the correct muscles.
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: Back to 1 every 12 for hygienic reasons


IdahoSurvivor
Veteran Member


Date Joined Aug 2007
Total Posts : 1015
   Posted 7/21/2008 7:22 PM (GMT -6)   
Hi TimG and anglophile,
 
Thanks for the response.  I'll let you know how things turn out.
 
Kind regards,
 
Barry
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