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lemonlime1
Regular Member


Date Joined Aug 2008
Total Posts : 34
   Posted 8/12/2008 6:27 AM (GMT -6)   
hi all im trying to figyre out if im doing these rite the pamphlet the pa gave me says squeeze your anus as if you were trying to squeeze abowl off dont get it is that rite . i do it that way thank you

Navy corpsman
Regular Member


Date Joined Aug 2008
Total Posts : 61
   Posted 8/12/2008 7:48 AM (GMT -6)   
My doctor told me the best thing to do is while urinating stop the flow of urine completely then begin urinating again.  Do this every single time you urinate.  He said to imagine holding a quarter with your butt cheeks.  It does take some time to retrain your body and every guys time-frame is different.

Age:  44
We have a family history of PCa.  My Dad and uncle died from it at 65 and 53. My PSA velocity increased in the last 2 years and I had to talk my GP into refering me to a urologist.
Biopsy results:  5 of 11 cores positive, all 30%. Gleason 6. T1c. PSA 2.53  Date of biopsy 15MAY08.
Open RRP at Johns Hopkins with Dr. Partin on 09JUL08.
Pathology report:  Gleason 6, pT2, neg. margins, 0 lymph node and seminal vessical, organ confined, I lost 1 nerve bundle and 22 lymph nodes.
As of today, about a month after surgery, I feel at about 80%. Urinary control seems to be improving. Little Elvis has taken a nap and has not awakened yet. I hope when he wakes up he is well rested because he is going to get one heck of a workout.
 
 


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 8/12/2008 9:09 AM (GMT -6)   
Kegel exercises
Kegel exercises are the deliberate tightening or clenching of the pelvic muscles. Performed regularly, they tone and strengthen the external sphincter, the rings of muscles responsible holding in urine.

  • How do I perform a Kegel exercise?
    Whenever you tighten your pelvic muscles to stop the flow of urine or prevent the passing of gas, you are performing a Kegel exercise. Tighten only the pelvic muscles; keep your abdominal, thigh and buttock muscles relaxed. Kegel exercises can be performed while sitting or standing, anywhere and anytime.

  • When can I start practicing Kegel exercises?
    You can start practicing Kegel exercises before a radical prostatectomy to retrain and strengthen the muscles that surgery may weaken. It is important to continue the exercises after surgery when the catheter is removed.

  • How often should I practice Kegel exercises?
    The number of repetitions and sets of exercises vary from doctor to doctor. What is most important is that, as with any exercise, regular and consistent practice of Kegel exercises is necessary to achieve results.

James C.
Co-Moderator- Prostate Cancer Forum

Age 61
4/19/07 PSA 7.6, referred to Urologist, recheck 6.7
7/11/07 Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07 Path report: 3 of 16 PCa, 5% involved, left lobe , GS 3/3:6.
9/24/07 (open) Retropubic Radical Prostatectomy performed
9/26/07 Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
10/15/07 ED- begin 50mg Viagra and Vacurect pump nightly, Fully continent
1/14/08 Caverject started/stopped, aching. 2/24/08 .5ml Bimix started-success
7/31/08 ED- Viagra, pump continues, no response- Trimix .10ml x 2 weekly continues
Post Surgery PSA's:  3 mts-0, 6 mts.-0, 9 mts.-0.


kw
Veteran Member


Date Joined Nov 2006
Total Posts : 883
   Posted 8/12/2008 8:54 PM (GMT -6)   
You may consider finding a physical therapist that uses bio-feedback to help you isolate the muscles.
Hope it all works for you. But if you end up being a "Leaker" your not alone and we will be here for you.

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. 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 14, 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.
    July 14th, 2008 - AUS consultation with Dr. Morey at UT Southwestern (Dallas).
    July 30, PSA 0.00.
    Aug. 22nd, 2008 - AUS Surgery by Dr. Morey
     

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