Should Kegel Exercise be Painful?

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masterguns
New Member


Date Joined Nov 2008
Total Posts : 16
   Posted 11/26/2008 9:56 PM (GMT -6)   
Just joined this site today and already I am posting again.  Hope nobody gets tired of my questions.
 
I has been one complete week since having my catheter removed and 15 days post robotic prostate removal.  As instructed by my doc,  I have been performing my Kegel exercises three to four sessions each day.  For the last couple of days I have started getting pain just behind my scrotom when I contract my pelvic floor muscles.  If I hold the contraction the pain seems to diminish. Is this pain abnormal?  According to my doctor's nurse, Kegel exercises should be pain free no matter what.  She said that if I have experiencing any pain, I am performing the exercise incorrectly.  I don't think that is the case. 
 
Any thoughts, advise, or instructions for a new guy.  And does this exercise help one's return of bladder control?
 
Best Regards,
AGE: 59 DIAGNOSES: 5/27/08
PSA ONE WEEK PRIOR TO DAVINCI ROBOTIC: .84
ROBOTIC ASSISTED LAPAROSCOPIC PROSTATECTOMY):11/11/08 
TOTAL GLEASON SCORE: 7
PRIMARY PATTERN:   GRADE 3
SECONDARY PATTERN: GRADE 4
CONFINED TO PROSTATE:  BILATERAL INVOLVEMENT OF PROSTATE - pT2c
REGIONAL LYMPH NODE STATUS:  CANNOT BE ASSESSED - pNX
MARGINS UNINVOLVED BY INVASIVE CARCINOMA, THE TUMOR IS <1.0 MM.TO RIGHT
ANTERIOR LATERAL MARGIN.
EXTRAPROSTATIC EXTENSION:  ABSENT
SEMINAL VESICLE INVASION:  ABSENT
DISTANT METASTASIS:  CANNOT BE ASSESSED - pMX
PERINEURAL INVASION: NOT IDENTIFIED
HIGH-GRADE PROSTATIC INTRAEPITHELIAL NEOPLASIA (PIN):  NOT IDENTIFIED
PROPORTION (PERCENT) OF PROSTATIC TISSUE INVOLVED BY TUMOR: APPROXIMATELY 8%
ADDITIONAL PATHOLOGIC FINDINGS:
-NON-NEOPLASTIC PROSTATE WITH GLANDULAR AND STROMAL HYPERPLASIA.
-CALCIFIC ATHEROSCLEROSIS


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 11/26/2008 10:56 PM (GMT -6)   
masterguns
15 days post surgery means the internal wounds are still healing. open or robotic the internal surgery is much the same. If you had cut your leg or arm fairly badly it would not be surprising if you experienced some pain and discomfort when clenching the muscles near the wound. That is why it surprises me that the nurse feels that you should be completely pain free (meaning pain caused by stressing the area) at two weeks post surgery..............it stands to reason that there must be tenderness. Think about giving the exercises a break for a couple of days...........you may be overdoing it.
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 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 11/27/2008 2:59 AM (GMT -6)   
Opinions are mixed about the value of Kegels for incontinence, so if you ease off them for a few days, it probably won't make much difference. I found some discomfort holding the pull, but that has now long gone.

If you ease off, substitute extra walking, which is good for other reasons too.

However, if you can keep the pain below your pain threshold, I suggest keep doing the Kegels-- they supposedly help with ED too.
Age 63. Other than cancer, in good health; BMI 20
Pre-op: No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores
7 March 2008, RRP, non nerve sparing
Two nights in hospital; catheter and staples out after 7 days
Continent, no pads needed from the get-go
Post Op: Stage pT2 M- N-; clear margins and lymph nodes; Gleason 4+4=8; prostate weight: 37gm
6-week and 7-month PSAs: 0
Bimix injections working well 

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