Post-recovery Cycling

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TeddyG
Regular Member


Date Joined Apr 2009
Total Posts : 133
   Posted 6/21/2009 8:33 PM (GMT -6)   
Hello Members,
It has been close to 11 weeks since surgery and my recovery is consistant with many of the stories I have heard here. Almost dry (1 mini pad/day) and seemingly getting better. No action in the other plumbing arena yet. Here is my issue: I have been an avid cyclist for many years and also a spinning instructor at our YMCA. Cycling has been my favorite activity for a long time and when I received my Dx, I was ultra concerned that it would mean no more 2-wheeling. Now I am looking forward to the possibility of getting back on the bike and getting back in shape. Query: is there a risk to my nerve bundles recovering from surgery or any other factors that would preclude or prevent me from riding that I should be aware of? I can find a seat and posture to make sure that weight is on my pelvic "sit bones" but I am still concerned about vibration, etc.
Any advice?
TeddyG
 
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....
 


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 6/21/2009 10:08 PM (GMT -6)   
As a 20 year cyclist we have to recognize that our Doctors have very little experience with such a rare group. There are seats available which are wide and put little stress on where the prostate was. But since we have no prostate I think that the issue is, will we impede healing given our new internal configuration. I have decided to wait about 4 months and then start back up on my original equipment. I don't know if I am right, but that is what i want from life.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3 + 4 = 7
CAT scan 1/09 negative, Bone scan 1/09 negative

Robotic surgery 03/03/09 Catheter Removed 03/08/09
Post surgical pathology report. Lymph nodes negative, Seminal vesicles negative
Surgical margins positive, Capsular penetration extensive Gleason 4 + 3 = 7
At 6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.


Gmike
Regular Member


Date Joined Jan 2009
Total Posts : 48
   Posted 6/22/2009 7:18 AM (GMT -6)   
I'm also an avid cyclist. A friend had robotic surgery in February and is back to riding as much as ever. He rides a regular road bike, a tandem road bike, and a mountain bike.

I haven't decided on treatment yet but my secret weapon is my recumbent bicycle. I tell everyone it's like sitting on a lawn chair while cycling.
PSA
2004: 2.0
2006: 4.0 (40% Free)
2007: 3.1
2008: 5.03
2009: 5.2 (21% Free)

Biopsy(s)
August 2008(age 58): 1 core of 12 was "atypical"
May 21, 2009(age 59): 1 core of 12 positive (10%), Gleason 6, Stage T1c, 1 core atypical, prostate 45 grams
June 4th Bone scan (negative)


Family history: Grandfather had PCa, died at 79 of other causes, Father had PCa still living at 80 cancer free (10 years)


Amy41
Regular Member


Date Joined Jan 2009
Total Posts : 30
   Posted 6/22/2009 10:57 AM (GMT -6)   
Specialized even has a program where you measure your sitbones and choose the appropriate saddle that fits just right -

Thudbuster had seat posts that help take out road vibration

Aluminum frame bikes will tend to carry more vibration then ti or steel bikes - that is why many aluminum bikes have carbon fiber inserts and forks.

Remember the weight should be split in a triangle - hands / feet and *** if your hands are sore your bike fit is incorrect - if your *** is sore even though you have been riding lots - too much weight is going there or you need a different saddle - feet same thing.

DoingFine
Regular Member


Date Joined Sep 2008
Total Posts : 46
   Posted 6/22/2009 6:53 PM (GMT -6)   
TeddyG

You will note I also ride quite a lot. I was back on my road bike at 42 days post surgery, no change in bike equipment. Other than the first week (read experience below!), I have had no issues. I've had a several rides of 100+ miles . . . and many times with long back to back rides.

I've noticed no difference sprinting or climbing (in fact, one could argue we are now lighter!), no difference in stamina . . . no difference in anything.

The "only" trouble I had was the first week:

I got on the bike, somewhat tentatively . . . rode a bit, over a few bumps in the road . . . and felt the funniest vibrations, nothing hurt; just funny. This continued every time I encountered a rough section of road. After about one week, the vibrations subsided.

I have concluded that we are a bit like a box of cereal, where "some settling may occur!" Once the organs found their new homes, all was well.

The only advice I have for you, for what it is worth is; get back on your bike, you'll be fine.

Cheers!
Rich
Age at dx: 51 Age now: 52
Great health: Riding bike 275+ miles weekly; no symptoms
First PSA: 4.7 March 2008 Second PSA: 4.97 June 2008
Biopsy June 2008 Positive 5 of 12 cores T1c, Gleason 3+3, Bone scan: 7 July negative
RRP surgery 3 Sept 2008 at the Mayo Clinic: Rochester, MN, All clear
Catheter out 22 Sept 8:30 AM, catheter back in at 11:30, Catheter out 30 Sept (this time for good!)
Total continence, no erectile difficulties from day one (Cialis 10mg daily)
Back on bike 15 Oct. (42 days . . . with doc's approval)
Dec. 2 2008 psa Undetectable!


pa69
Regular Member


Date Joined Mar 2009
Total Posts : 260
   Posted 6/22/2009 7:26 PM (GMT -6)   
I've been using my road bike on a trainer for about 3 months. So far all feels pretty much ok. I'm taking the bike out to ride with a friend tomorrow afternoon. We are hoping to ride about 50 miles. Needless to say I'm feeling a little apprehensive.

Good luck to all,
Bob
Age 69, First ever PSA 7.8 taken June 2008, Biopsy July 2008, 10 of 12 cores positive, Gleason 3+3=6
da Vinci surgery December 10, 2008, catheter removed December 29 2008
St. Lukes Hospital, Bethlehem, Pa.
Dr. Frank Tamarkin

Prostate weight 73.0 grams, Gleason 3+3=6, stage pT3a
Tumor locations: right anterior apex, right posterior apex to mid
left anterior mid to base, left posterior apex to mid
extensive perineural invasion in right anterior apex, right and left posterior apex to mid
seminal vesicles negative

First post PSA < .1 Jan 16 2009
Second post PSA < .1 Apr 17 2009


TeddyG
Regular Member


Date Joined Apr 2009
Total Posts : 133
   Posted 6/23/2009 7:40 PM (GMT -6)   
Fellow Riders,
Thanks for the input. Did you discuss riding with the docs and have you had any issues related to nerves healing? Delay in ED recovery?
I miss my Specialized Roubaix and don't see the doc until 3 mos. from surgery.
As I tell my riding friends, "I do not want another scalpel any where near the geography that was previously visited again!"
TeddyG
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....
 


DoingFine
Regular Member


Date Joined Sep 2008
Total Posts : 46
   Posted 6/23/2009 8:33 PM (GMT -6)   
Yes, I did speak with my doc before I began to ride. He is the one who told me to wait "42 days."

Now riding about 300+ miles/week with no trouble.

As I mentioned, I changed nothing on the bike, or the way I ride. I think we all just "expect" things to be different, and expect trouble when there simply is none.

I wish you the best . . . Don't be worried . . . don't hesitate.

Cheers,
Rich
Age at dx: 51 Age now: 52
Great health: Riding bike 275+ miles weekly; no symptoms
First PSA: 4.7 March 2008 Second PSA: 4.97 June 2008
Biopsy June 2008 Positive 5 of 12 cores T1c, Gleason 3+3, Bone scan: 7 July negative
RRP surgery 3 Sept 2008 at the Mayo Clinic: Rochester, MN, All clear
Catheter out 22 Sept 8:30 AM, catheter back in at 11:30, Catheter out 30 Sept (this time for good!)
Total continence, no erectile difficulties from day one (Cialis 10mg daily)
Back on bike 15 Oct. (42 days . . . with doc's approval)
Dec. 2 2008 psa Undetectable!


Recovering
New Member


Date Joined Jun 2009
Total Posts : 4
   Posted 6/25/2009 8:02 AM (GMT -6)   
I just got the catheter out yesterday and just found this forum. I really appreciate all the input on this subject which is one that I have been worried about since deciding to have surgery. I am not ready to get on the bike yet but will let you know how it goes. Riding has been a big part of my life and I don't want to lose it.
Age 47
11/08 PSA 4.4, referred to Urologist
1/09 antibiotics 30 days, recheck PSA 4.1
2/09 Biopsy: 1 of 12 PCa, 4% involved, GS 3/3=6, T1c
6/16/09 Extraperitoneal laparoscopic surgery, Johns Hopkins
6/24/09 catheter out, Path Report: GS 3+3=6. T2c, margins clear
6/25 continent with some stress leakage

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