How does a guy do a kegel?

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Landsman
New Member


Date Joined May 2009
Total Posts : 5
   Posted 5/6/2009 4:23 PM (GMT -6)   
Not sure how to do a kegel.  My wife has tried to tell me but not sure if what I'm doing is it.  Would someone describe how to do it and what it should feel like since I'm feeling what works for a woman is probably not the same for a guy.
Thanks for your guidance.

BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 5/6/2009 5:00 PM (GMT -6)   
Hello there landsman,
Welcome to the site. you will find much info here and a great pretty knowledgeable group who are all happy to help . The link below (posted a short time back) is very informative and a good description of the kegel exercises.

 
(Link included here is no longer valid as of 11 Feb 12 - 142)
(Alternate -
www.fpclondon.com/PDF/Pelvic Floor exercises_PatientHandout.pdf )


I hope your treatment went well. Post your details in a signature line (click "control panel" top left of this page, then click "edit profile" and "signature" is at the bottom of that page). That way members are better able to answer any questions you may have.
Bill

Post Edited By Moderator (142) : 2/11/2012 6:20:04 PM (GMT-7)


TeddyG
Regular Member


Date Joined Apr 2009
Total Posts : 133
   Posted 5/6/2009 6:53 PM (GMT -6)   

Thanks for the very informative article. There is no doubt now about proper squeezing.

 


Background:
Age 55, two teens, very fit cyclist (avg 2000+ miles per year) and weight, diet, etc. consistent with good habits. Stressful job as attorney; very supporting wife who is helping me through every stage of this war.
Stats:
2006 PSA - 1.5
2007 PSA - 2.3
2008 PSA - 5.3 (18 mos.)
2009 Jan. 20 - Biopsy 12 samples
        Feb 3 Dx 2/12 samples positive, low volume  (5% and 7-10%)
Gleason 3+4, later downgraded by second opinion at Johns-Hopkins to 3+3, but "it's still PCa" as my Doc said.
Laproscopic surgery April 9,  University of KY Medical Center, Lexington, 3 days in hospital, catheter removal April 21.
Pathology: clear margins, no cancer in prostate: told that this is very rare and Doc has only seen it in 3 out of over 1400 cases; I rearched the concept of "vanishing cancer" and found a tumor classification of tP0 and asked Doc if it applied to me. He said that it was unlikely because if a pathologist had done a much more detailed analysis of the tissue, he would likely find more foci somewhere, and biopsy found "needle in the haystack as opposed to the tip of the iceberg"; Nevertheless, it is a blessing;
Regardless of the science, my family says "miracle."
Now working w/ post-surgery issues....
 


CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 5/6/2009 7:37 PM (GMT -6)   
Hi Landsman.  The way I figured out how to do them was to stop my stream while urinating.  I did that several times each time I urinated prior to surgery and it seemed to work great.  David

Age 55
Diagnosed Dec 2007 during annual routine physical
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 positive with 2 marginal
Gleason 3 + 3 = 6
RRP 4 Feb 08
Both nerves spared
Good pathology - no margins - all encapsulated - Gleason 4 + 3 = 7
Catheter out Feb 13 - wore pad for couple of days - pad free Feb 16
Great wife and family who take very good care of me


Landsman
New Member


Date Joined May 2009
Total Posts : 5
   Posted 5/7/2009 8:07 AM (GMT -6)   
Thanks for the website- the Pelvic Floor Power article is exactly what I needed.
61 years old, in good health, regular exerciser,in a fairly stressful job as adminstrator for a retirement community. 
PSA - 2007 -1.9
PSA - 2009 - 4.2
Biopsy done Apr. 2, 2009
Gleason (3+3)
out of 12 specimens one positive for cancer
Will be candidate for robotic surgery at Foxchase Cancer Center
Finidng out now what to do to get ready for this experience and do what I can to mitigate the many side effects I am reading about in this forum.
Thanks for your openness and willingess to answer questions and share what's working(pardon the pun!).


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 5/7/2009 12:09 PM (GMT -6)   
Hi Landsman...CPA described it the best way. The way I tried didn't work so well...tried drinking all the beer from a keg and holding it. Guess kegal isn't the same as Keg All...

Sorry for the joke...but follow what CPA said to determine which muscles to strengthen. I found that walking was the best source to work using these muscles. For some reason, just sitting around or while urinating and then flexing the muscle didn't have the same effect as when walking. Think maybe gravity was playing in on that part.

Just out of curosity...what percentage of cancer was found in that single core and do you know the size of your prostate? The reason is that you might be a candidate for just monitoring the disease for awhile and not have to jump into surgery right away. Just a thought....
You are beating back cancer, so hold your head up with dignity
 
Les
 
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral w/PNI - Gleason (3+3)6 Stage T1C
Robotic Surgery Sept 18, 2008
Pathology October 1, 2008 - Gleason 7 (3+4) Staged pT2c NO MX - Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
PSA 5 week Oct 2008 <.05
                   3 month Jan 2009 .06
                   6 month April 2009 .06


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 5/7/2009 12:39 PM (GMT -6)   
Fully understand Landsman, didn't mean undermine your particular decision or reasons. I would just hate to see you go through what TeddyG went through (a few posts above).

Best of luck and hopefully get this all behind you soon.
You are beating back cancer, so hold your head up with dignity
 
Les
 
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral w/PNI - Gleason (3+3)6 Stage T1C
Robotic Surgery Sept 18, 2008
Pathology October 1, 2008 - Gleason 7 (3+4) Staged pT2c NO MX - Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
PSA 5 week Oct 2008 <.05
                   3 month Jan 2009 .06
                   6 month April 2009 .06


Landsman
New Member


Date Joined May 2009
Total Posts : 5
   Posted 5/7/2009 12:47 PM (GMT -6)   

LV-TX

Appreciate your sensitivity and thought giving some detail would help clarify my decision.  Will keep my progress updated as I go through the next stages of my battle.


61 years old, in good health, regular exerciser,in a fairly stressful job as adminstrator for a retirement community. 
PSA - 2007 -1.9
PSA - 2009 - 4.2
Biopsy done Apr. 2, 2009
Prostate was 43 cm.
Gleason (3+3)
out of 12 specimens one positive for cancer
center left quadrant with no margin involvement
Will be candidate for robotic surgery at Foxchase Cancer Center
Finding out now what to do to get ready for this experience and do what I can to mitigate the many side effects I am reading about in this forum.
Thanks for your openness and willingess to answer questions and share what's working(pardon the pun!).


jacketch
Regular Member


Date Joined Apr 2009
Total Posts : 179
   Posted 5/30/2009 9:02 AM (GMT -6)   
Bump because the info in the link above was a great help.
Age 62, Sex Male
PSA - 3-20-08 2.7; 4-17-08 3.1; 9-18-08 3.6; 1-22-09 3.8
DRE negative
Ultrasound/biopsy 2-12-09, 50cc
4 of 12 samples positive 3+3=6, Right mid-medial <5%, Right mid-lateral 10-20%, Right base medial 10%, Right base lateral 10% adenocarcinoma

open RRP completed 5-5-09
Post surgical pathology report:
Gleason 3+3=6
Lobes involved - left and right
Extraprostatic extension - none
Surgical margins - very small area of margin involvement in right lobe
Seminal vesicles - Free of neoplasm
Vascular/Lymphatic invasion - none
J-P drain, staples and catheter removed on 5-13-09
T2cpN0MX
No incontinence issues, no ED issues.
Surgeon: Dr. Gary B. Bokinsky

Remember, don't let the bastages get you down !!!


55 and healthy in NJ
Regular Member


Date Joined Apr 2009
Total Posts : 58
   Posted 5/30/2009 1:02 PM (GMT -6)   
Jacketch,
 
Thanks for the bump.  It's four days since my catheter removal, so the document at the link is definitely timely, plus it helps tie together and clarify information I've read from other sources.
 
Greg

Age 55
10/15/2004 PSA 2.9
12/14/2005 PSA 3.7
11/20/2007 PSA 2.79
01/22/2009 Physical exam:
   blood pressure 130/85
   EKG good
   basically all-around healthy
01/23/2009 PSA 4.54
02/05/2009 PSA 4.9
02/19/2009 Urologist DRE observed slightly hardened left lobe
02/23/2009 Chest X-ray normal
03/03/2009 Biopsy:
    PCa present in all sextants, <5% to 50%
    Prostate gland 37 grams
    Gleason score 7 (in two sextants, 6 elsewhere)
03/30/2009 Surgery consult (see below)
04/08/2009 Radiation consult (see below)
04/16/2009 Decision made - surgery course selected
05/08/2009 Cystoscopy, showed clear
05/08/2009 MRI, "No findings are present to suggest extracapsular tumor."
05/13/2009 pre-op EKG good
05/18/2009 Robot-assisted (daVinci) laparoscopic radical prostatectomy by Michael Esposito, M.D. and Vincent Lanteri, M.D. - both nerve bundles spared
05/19/2009 Surgical Pathology:
    Prostate gland 51.8 grams
    Gleason score 3+3=6
    Pathologic stage T2c, N0, Mx
    Left/Right Pelvic lymph nodes clear (no tumor present)
    No presence of extra-capsular invasion
    No margin involvement
05/26/2009 Catheter and incision staples removed
 
 
Research:
Surgery (daVinci robotic) consult with Michael Esposito, M.D., http://www.roboticurology.com/ (03/30/2009)
Radiation oncology (Varian IMRT/IGRT RapidArc) consult with Mark Macher, M.D., http://www.njneuro.org/fp/gammateam.asp (04/08/2009)
Other resources: Dr. Peter Scardino's Prostate Book (Peter Scardino (Sloan-Kettering), 2005); Urologic Robotic Surgery (Michael Esposito, Vincent Lanteri & Jeffrey Stock, 2007)

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