Does walking help incontenance?

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BamaCoast
Regular Member


Date Joined Apr 2008
Total Posts : 39
   Posted 11/20/2009 10:42 PM (GMT -6)   
I have been dry since since months after my surgery with the occasion drop. I just started walking on my treadmill and noticed I starting leaking a bit. Has anyone experience this and will it get better as I walk more?
BamaCoast - Kenny & Renae
from the Gulf Coast of Alabama
Age 51
Di Vinci Robotic Surgery March 5th, 2008
by Dr. Scott Tully
PSA 3.5  Gleason 3+4= 7
Confined to Prostate
1st PSA 6-20-08 .004
2nd PSA Nov 08 .004
Dry approximately 6-15-08
 
 


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4829
   Posted 11/21/2009 6:53 AM (GMT -6)   
Do you leak if you just walk around the neghborhood?
Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
11/20/09 - 18 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2691
   Posted 11/21/2009 11:36 AM (GMT -6)   
You wll find men who say walking helped them, but I don't know that i have ever seen a study backing that up.

Of course, learning to squeeze when doing any kind of activity is good. Might need to turn the tread mill down a notch.

Good luck on the road to continence. After 8 months I am starting to venture out padless. Still have a dribble here and there.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injections


TeddyG
Regular Member


Date Joined Apr 2009
Total Posts : 133
   Posted 11/21/2009 9:31 PM (GMT -6)   
Consider getting back in to kegels, especially when walking. It sure can't hurt to tune up the platform.
Ted
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....
 


BamaCoast
Regular Member


Date Joined Apr 2008
Total Posts : 39
   Posted 11/21/2009 10:30 PM (GMT -6)   
I do not leak when walking around and have not leaked in months. I am going to start kegels again to see if if helps. thanks
BamaCoast - Kenny & Renae
from the Gulf Coast of Alabama
Age 51
Di Vinci Robotic Surgery March 5th, 2008
by Dr. Scott Tully
PSA 3.5  Gleason 3+4= 7
Confined to Prostate
1st PSA 6-20-08 .004
2nd PSA Nov 08 .004
Dry approximately 6-15-08
 
 


Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2447
   Posted 11/22/2009 10:13 AM (GMT -6)   
Did a quick search on the aspects of walking and improved incontinence control. Almost every da vinci site I found put walking and kegels hand in hand for control. Way to many sites to put the links here.

Personally I have been pretty dry since the cath was removed. There is not a man among us who hasn't encountered that time when putting it away after a trip to the urinal, found that there is a little drip or two that then comes out. I don't consider this IC. Just a fact of life.

The tie between walking and kegels is to strengthen the pelvic floor. The kegels work the controlling sphincter. The walking strengthens the pelvis floor. Saw a very good graphic depiction on a TV dr. show recently on why women and men leak after certain events. BTW women pretty much laugh at us when they hear us talking about occasional leaks. They have been putting up with this for years. Just check out the isle in the grocery or drug store. There is an absolute plethora of pads for women. Most just consider it a part of life after child birth, or the passing of years.

With women it was mostly associated with child birth. With men (not PCa guys) it was decrease in abdominal and pelvic muscle strength.

If you take the little walnut out, there is a space left that allows the plumbing to sag a little, stretch things and put greater pressure on the remaining sphincter. It has to work a little harder.

Walking builds the floor muscles to eliminate some of the sagging.

You mentioned that you were going to try the kegels again. As a surgery guy, I don't think it is a good idea to ever stop. Maybe not as much as in the beginning. But continued muscle exercise is a good thing.

If it weren't, we would all stop weight lifting once we got where we wanted to be.

Just a few thoughts on the subject,

Sonny
61 years old
PSA 11/07 3.0
PSA 5/09 6.4
Diagnosis confirmed July 9, 2009
12 Needle Biopsy = 9 clear , 3 postive
<5%, 90%, 40%
Gleason Score (3+4) 7 in all positive cores
CT Organ Scan - negative
Nuclear Bone Scan - Negative
da Vinci 9/17/09
Post Surgery Pathology:
Gleason: Changed to (4+3) = 7
Stage: T3a
Tumor Volume 12.5%
NERVES SPARED-positive margin, extra-prostatic extension
30 day PSA 0.4, 50 day psa 0.53, 64 day psa 0.6
IMRT scheduled to begin Nov 30,2009 (74 days post surgery)


BamaCoast
Regular Member


Date Joined Apr 2008
Total Posts : 39
   Posted 11/22/2009 3:56 PM (GMT -6)   
Sonny
I agree with your post. I think walking will help a lot. I was dry 3 months post di vince and it just surprised me that when I started on the tread mill I started leaking a little. It does not continue after I get off of the tread mill. I stopped doing kegels after 10-11 months and it did not seem to affect me. Meaning I was still dry without doing kegels. I am walking on the treadmill to try and drop a few pounds and get some excercise. I think the leaking will stop after I have been steady on the treadmill for a few weeks.

I just had my PSA last week and still holding at .004.
BamaCoast - Kenny & Renae
from the Gulf Coast of Alabama
Age 51
Di Vinci Robotic Surgery March 5th, 2008
by Dr. Scott Tully
PSA 3.5  Gleason 3+4= 7
Confined to Prostate
1st PSA 6-20-08 .004
2nd PSA Nov 08 .004
Dry approximately 6-15-08
 
 

Post Edited (BamaCoast) : 11/22/2009 8:12:57 PM (GMT-7)


O Buddy Boy
Regular Member


Date Joined Oct 2009
Total Posts : 106
   Posted 11/23/2009 11:29 AM (GMT -6)   
I leak a bit after a strenuous walk. I think it is because I wear out the muscles in the floor a bit.

I'm finding that doing a bit of power walking is just as challenging for my cardio system as jogging. I'd been running and running wind sprints prior to davinci surgery and six weeks out I'm limited to walking.

Yet walking 12 minute miles is getting my HR to average 150 bpm and going up hills I have gotten HR to 163.

OBB
55 yo
Dx:9/29/09
DRE: Susp
PSA: 3.5
Gleason: 3+4/7
6/12 Cores Positive; Sextants were 1%, 3%, 8%, 15%, 12%, 0%
RALP: 10/09/09
PATH:
Margins: Clear
Lymph Nodes: Clear
Seminal Vesicles: Clear
Gleason: No increase from biopsy 3+4/7
Some perineural and capsule invasion.
T2c,NO,MX
Incontinence: Minor. 1 light pad a day. Some days don't need it.
ED: Natural with encouragement. 20mg Cialis and pump just makes things more fun.


BamaCoast
Regular Member


Date Joined Apr 2008
Total Posts : 39
   Posted 11/23/2009 1:11 PM (GMT -6)   
I have been using the treadmill for 6 days now and I have not leaked the last two days. I think this proves that walking strengthens the pelvic floor muscle.
BamaCoast - Kenny & Renae
from the Gulf Coast of Alabama

Age 51

Di Vinci Robotic Surgery March 5th, 2008

by Dr. Scott Tully

PSA 3.5 Gleason 3+4= 7

Confined to Prostate

1st PSA 6-20-08 .04

2nd PSA Nov 08 .04

Dry approximately 6-15-08


cocrgolfer
Regular Member


Date Joined Oct 2009
Total Posts : 171
   Posted 11/23/2009 2:04 PM (GMT -6)   
I jogged 3 mi. almost every morning, and then walked 9 or 18 holes almost every afternoon before the robot. I'm back to walking 2 mi. now and I leak every step of the way. Can't hold a drop. You'd think I would have a pelvic floor like hardwood over concrete. This illustrates how capricious this disease is and how there are no hard and fast rules to let us generalize from one patient to another. I will however keep walking.


Good luck to us all,



Steve

BamaCoast
Regular Member


Date Joined Apr 2008
Total Posts : 39
   Posted 11/23/2009 2:46 PM (GMT -6)   
Steve,

Looks like it has only been 1 1/2 months since you had surgery. I think you willl see a lot of improvement soon. When I saw improvement after surgery it was like one day I needed pads and the next day I did not. It was strange. It was not a slow improvement. It happened quickly.
BamaCoast - Kenny & Renae
from the Gulf Coast of Alabama

Age 51

Di Vinci Robotic Surgery March 5th, 2008

by Dr. Scott Tully

PSA 3.5 Gleason 3+4= 7

Confined to Prostate

1st PSA 6-20-08 .04

2nd PSA Nov 08 .04

Dry approximately 6-15-08


cocrgolfer
Regular Member


Date Joined Oct 2009
Total Posts : 171
   Posted 11/23/2009 3:04 PM (GMT -6)   
Thank you Kenny. I surely did need that encouragement today!


Good luck to us all,

Steve

BamaCoast
Regular Member


Date Joined Apr 2008
Total Posts : 39
   Posted 11/23/2009 3:13 PM (GMT -6)   
Your welcome,

You are on the right track. Keep it up and you will see a major difference soon.
BamaCoast - Kenny & Renae
from the Gulf Coast of Alabama

Age 51

Di Vinci Robotic Surgery March 5th, 2008

by Dr. Scott Tully

PSA 3.5 Gleason 3+4= 7

Confined to Prostate

1st PSA 6-20-08 .04

2nd PSA Nov 08 .04

Dry approximately 6-15-08

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