Working out after surgery, how long? and blood in urine following orgasms?

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Regular Member

Date Joined Sep 2008
Total Posts : 20
   Posted 9/19/2008 2:25 PM (GMT -6)   
My husband will be 4 weeks post op on monday. He had Robotic prostatectomy on 8-25. he has had 2 orgasms, one with my help last Sunday and again 3 days ago(alone). After which that day and/or day after, he experienced the blood in his uring, with a clot or 2 coming out both times. I have since read and he has heard form his doc that this is normal, the slight bleeding, but s it related to orgasms?
Also, he wants to know when he can work out, even just long leisurly walks on treadmill. His doc would like him to lose at least 15 lbs. Also, several docs he consulted with, Including Scardino at Sloan, said weight has a direct coralation with cancer. Being overweight even by 20 30 lbs greatly contributes to your chances of getting some sort of illness/cancer, prostate cancer in particualr. Anyone else hear this?
My husband is an ex pro baseball player and has always worked out and taken care of himself, and his docs all say he is in excellent health. This prostate thing runs in his family. One doc also said his sons(we have 3) also have a 100% chance of developing it, but they are hoping for a preventative vaccine in the next 5 years.  Any feedback?

Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4840
   Posted 9/19/2008 2:31 PM (GMT -6)   
Generallly speaking - 2 to 3 weeks after the catheter is out -> back to normal routine.
Age 53   - 5'11'   205lbs
Overall Heath Condition - Good
PSA - July 07 & Jan 08 -> 1.3
Gleason - 6
(biopsy done March 4, 2008-> 2 of 12)
06/25/08 - Da Vinci robotic laparoscopy

Veteran Member

Date Joined Nov 2006
Total Posts : 883
   Posted 9/19/2008 10:13 PM (GMT -6)   
I would caution that it seems the "Robotic" guys seem to want to rush back into action. You have to remember the only thing "Less Invasive" about the surgery is how they get inside. He still had a Major Surgery with alot of trauma and work being done in there. Take it easy and don't hurt yourself.
    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
    Oct. 6th, 2008 - AUS Activation by Dr. Morey

Regular Member

Date Joined May 2008
Total Posts : 260
   Posted 9/20/2008 6:24 AM (GMT -6)   


....I think we all started walking the day of surgery and continued at different levels throughout our recovery. Some around the block, treadmills whatever.....depending on what our bodies were telling us. My Doc told me the day he took my cath out I could lift 50lbs.....I hit the gym the next day and found out I was going to have to take it just alittle bit easier even on the low impact machines.....the ole' bod was screaming at me, no, no, no not yet...take it easy. so, I worked out slower and I'm just now starting to get back into my's right, with the robotic we can get up and walk and all that kind of stuff and we look at our body and think gee, I came through this pretty well.....on the inside though, wow, major surgery went on in there :) I remember after one early workout(well two, sometimes I'm kinda' dense!) I knew I didn't have a prostate anymore.........but whew, it felt like I did and the thing was the size of a basketball!!  Thinking about it, it was right around my fourth week too.......anyway, take it easy and echoing kw, don't hurt yourself....

   age: 53
   Pre-0p PSA  Feb. 08, 5.0
      4.22.08, 4.1
      PSA  spiked once about 8yrs ago to 5.0 three months later
      back to 2.9...then into the 1.2 range until my re-scheduled 
      "missed" appointment this past Feb.
      Biopsy 5.1.08 
      5 of 15 cores positive
      Da Vinci I read somewhere on this 
      site....."the first show of the day"
       DaVinci completed 7.29.08, Bladder Sling installed, hernia repair 
       completed during surgery.    
        Sent home 30hrs,  JP drain in place 7days,
       Path report "cancer fully contained"....Margins clear
        Cath removed 8.8.08(ten days) lightly used pad 24 hours
        ED therapy begins 8.9.08. 100mg viagra three times a week,
        pump everyday and hold for ten minutes.
        8.16.08 switched to Levitra 20mg.......whahoo, got lucky...
        immediate results..... 
        9.15.08 pad free at night, one thin (light) pad during the daytime
        hours. Just because I'm chicken..!
         9.18.08 1st post-0p-PSA-Undetectable...Zero's!  Yes!
           ..."just tryin' to reason with hurricane season"..

New Member

Date Joined Mar 2008
Total Posts : 19
   Posted 9/20/2008 4:47 PM (GMT -6)   
My doctor said it was OK for me to do whatever I was comfortable with.  He was pleased to hear that by day 5 post-surgery I was walking 4 miles a day.  I continued to do so until day 30, at which time he said it was OK to resume my running routine (4 mile course 3 times a week).  He also said it was fine to resume my lap and ocean swim routines.  Everybody is different, but if your husband is/was an athletic type, he should be able to resume his workout routines (within reason) real soon.  He should have already begun working towards his previous routines.

Age 55
PSA 6.7
Needle biopsy: T1c Gleason 3+4=7...2 of 10 cores
Non-Robotic laparoscopic RP on 3/4/2008
Specimen pathology: T2C organ confined with clear margins. GS lowered to 6!
100% urinary continence since cath removal on 3/11/2008
ED resolved with Levitra within 3 weeks
4/18/2008  1st PSA undetectable
7/25/2008  2nd PSA undetectable

Post Edited (elofdahl) : 9/20/2008 11:31:52 PM (GMT-6)

Regular Member

Date Joined Jan 2008
Total Posts : 276
   Posted 9/20/2008 9:43 PM (GMT -6)   
As KW said, even robotic surgery is less invasive from a surgical exposure standpoint, the same things are done internally, and even though blood loss is minimized in most cases, significant internal trauma is still there. As to returning to normal routine and activity, I think we all are in some sort of hurry to return life to as normal as possible, I know I was, wanted to go back to work 2 weeks later, doc said no, give yourself time to heal, ended up going back in 4 weeks, I work 12 hr shifts, 7on/7off. At the end of my first week back, wish I had waited, just did not have the stamina I had previously, that truthfully took 3 to 4 months to return. As for as return to physical activity/workouts, his body will let him know, just don't push it, the bleeding is a good indicator, I had that and backed off a bit, problem solved. As to the MD stating your sons had a 100% chance of developing pCa, I would consider to be a bit presumptive, no one can know with certainty that anyone will develop anything, and absolutes should be avoided. Your sons have the benefit of knowing what to look out for, and start PSA testing at an appropriate time, make dietary and lifestyle changes, all geared to prevent the disease, given current medical technology. I certainly would not stake any hope of a vaccine to prevent pCa, hopefully this will come to fruition, but in the meantime, they have opportunity to help themselves. The overweight issue is, IMO, true to some extent, but not the scapegoat that many MD's want it to be. I have seen physically fit people get sick and morbidly obese die of old age, there again, not an absolute, but you have far better chances of preventing things like coronary artery disease, diabetes, HTN, and a myriad of medical maladies by being in good physical condition.
46 you when diagnosed, now 47
Pre-Op PSA 9.9
1 of 12 cores positive, Gleason 3+3
DaVinci on 9/5/2007
Post-Op Gleason 3+6, Negative Nodes and Margins
Less than 1% of prostate involved with CA
3 Month PSA 0.01, 6 Month PSA 0.01, 9 Month PSA 0.01
Incontinence resolved 9/15/2007, one day after cath removal
ED showing significant improvement.
Cialis 5 mg every night.
Success with BiMix

Regular Member

Date Joined Sep 2008
Total Posts : 20
   Posted 9/21/2008 10:00 AM (GMT -6)   
Thanks you all for responses. Hubby walked the golf course this morning and is now at health club steaming out. No responses to the blood after orgasm? is this just a coincidense? Some of u said you had it at times from over doing it. Maybe orgasms are overdoing it? We did it again other night, no bleeding next day, even pain after has gone away. Lucky me, therapy is the ticket! haha!

Veteran Member

Date Joined Jul 2008
Total Posts : 637
   Posted 9/23/2008 8:33 PM (GMT -6)   
Oh please.....don't rub it in....and lose the hahas
Husband Pete
dx Jan 2001 age 67 gleason 4 + 3 PSA 16.5
seed implant and conformal radiation Lupron from Jan 2001 to Jan2002
2005 Dec PSA began to rise from .5 to 8 within 6 months
Salvage surgery at MSK 9/06
Fistula operation 2/07 MSK
Many cystoscopies and ER visits with strictures
catheter for one year....Catheter taken out Sept 07..
Total Incontinence since then....
PSA .52 3/07
AUS Operation at MSK Sept 8. Dr. Sandhu
Waiting for activation October 21 2008

Regular Member

Date Joined Aug 2008
Total Posts : 31
   Posted 9/24/2008 6:52 AM (GMT -6)   
Everybody has a different recovery period, but I agree with the listen to your body theory. I started getting into really good shape two months before my surgery. I had DaVinci in July and like many here walked a mile every day with the catheter in. That first walk was a killer the day after surgery. It was about a 40 minute shuffle that transformed to about 25 minutes by the end of the week. After the catheter was removed at the beginning of my second post-op week I went up to 3 miles daily. The Doc told me if there was any blood in the urine from the walking to cut it back. There was not so I continued. Week 3 I started jogging lightly 2 miles three times per week and walking on the off days. Two months out now, I am trail running 15 miles or better per week, hiking a few days and circuit training. My plan is to do my first half-marathon next spring. No blood at orgasm for me. I feel very lucky in that department. Still need Levitra to help, but am getting close to the occasional spontaneous erection. My first post=op PSA is in October.
Age 51
March 08 PSA prior to biopsy 6.65
PSA caught in life insurance exam.
Completely asymptomatic.
April 08 Biopsy: Gleason Grade 3+4=7
Tumor in 5 of 13 cores
July 22, 08 Radical Robotic Prostatectomy
All nerves spared
Pathology: Margins clean, Seminal Vesicles negative for tumor
Gleason Grade 3+4=7 Percent Gleason Grade 4-20% no Gleason grade 5.
First post-op PSA scheduled for 10/08
Very minor incontinence since catheter removal on 7/29
ED assisted by low dose of Levitra. So far so good.
I feel very, very lucky.

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