Incontinence, walking and Kegels

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london2000
Regular Member


Date Joined Jun 2009
Total Posts : 36
   Posted 6/30/2009 4:43 AM (GMT -6)   
Hello again,

I know that a number of participants on the forum recommend walking as a way of overcoming incontinence problems following a prostatectomy. I also see that some suggest doing Kegels while walking.

Personally, I find that tightening my pelvic floor muscles while standing always induces a squirt and, in fact, the instructions I was given by the hospital recommends squeezing the pelvic floor muscles after urinating to ensure you have completely emptied the bladder.

The end result for me is that if I attempt to Kegel while walking then rather than a steady, non-stop drip of urine I get a series of squirts which create an unpleasant sensation and which my pad can't keep up with.

Therefore, in case I'm doing something wrong, I would be interested in hearing from those who walk and Kegel and learning how they do it and what they experience.

Thanks, Roger
Diagnosed with PCa in April 2009, aged 59. PSA 9.5 ng/mL, Gleason 3+3, 3/8 cores positive on biopsy.

Had laparoscopic radical prostatectomy in 21 May 2009. Histopathology raised Gleason score to 3+4 but cancer confined to capsule with surgical margins being negative. Stage T2c.

Catheter removed on 4 June 2009. Currently trying to cope with incontinence issues!


CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 6/30/2009 5:12 AM (GMT -6)   
Greetings, Roger.  I didn't do kegels while walking.  I did walk and that was good for me.  However, I did my kegels by stopping my urine flow and then starting it again several times each time I went.  That seemed to be the most helpful to me.  Trust things will continue to improve and you'll be tossing those pads before long.  Keep in mind you are less than a month from getting your catheter removed - it takes some time so hang in there and continue to make progress.  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
PSA every 90 days - ZERO's everytime!
Great wife and family who take very good care of me


jacketch
Regular Member


Date Joined Apr 2009
Total Posts : 179
   Posted 6/30/2009 8:07 AM (GMT -6)   
Good info here:
 


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
pT2cpN0MX
No incontinence issues, no ED issues.
Back to work (desk job) in 9 days from surgery.
Surgeon: Dr. Gary B. Bokinsky

6-19-09 PSA<0.1

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


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 6/30/2009 8:18 AM (GMT -6)   
The best way to fogiure out what a Kegel feels like is to practice cutting off your stream while urinating.  This is the muscle action that you want to do and that is how it will feel. I suspect if you are losing urine by kegeling during urination, then your are using the wrong muscles for it.  If effective, it should cut off your stream, not force more urine out.  The link jacketch is very helpful in figuring that out.  Good luck
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
21 mts: ED- 50 mg Viagra 3X week, pump daily,Trimix .35ml 2X week continues
PSA's: .04 each 3 months


london2000
Regular Member


Date Joined Jun 2009
Total Posts : 36
   Posted 6/30/2009 9:54 AM (GMT -6)   
Thanks, guys, for the prompt replies. Very helpful, as always.

The article by Bill Landry in the link provided by jacketch is the best description I've read of the physiology that is involved and goes into more depth than other articles in explaining exactly what is the objective of the exercises.

I'm pretty certain that I'm exercising the right muscles in that they are the ones I use to stop urinating mid-stream. I assume that I get a squirt as I tighten the muscles when standing because they push up against the bladder and push a few millilitres out. Perhaps I'm contracting the muscles too quickly so that the pressure created in the bladder for a split second overcomes the retaining effects of the pelvic muscles. (This seems to fit in with the advice I was given about squeezing the muscles after urination to ensure the bladder is empty and to avoid an after-dribble.) I will experiment in trying to tighten the muscles more slowly.

Cheers, Roger
Diagnosed with PCa in April 2009, aged 59. PSA 9.5 ng/mL, Gleason 3+3, 3/8 cores positive on biopsy.

Had laparoscopic radical prostatectomy in 21 May 2009. Histopathology raised Gleason score to 3+4 but cancer confined to capsule with surgical margins being negative. Stage T2c.

Catheter removed on 4 June 2009. Currently trying to cope with incontinence issues!

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