How can I get in shape?

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Veteran Member

Date Joined Nov 2009
Total Posts : 7270
   Posted 1/4/2010 11:51 AM (GMT -6)   
My surgery is set for 1/25. I hurt my back on 12/13 and I am still having significant problems with that. I teach and I am back at work later today, so at least I'll have a better idea how I'm doing. Due to back problems and even scarier leg pain, I've been doing a lot of resting.
I was in good shape before my back injury (I used to work out at a gym 2-3 times a week), but I know I am now not in the best of shape. Any suggestions?
I'm thinking of maybe getting back on the treadmill, but just at a walking pace, maybe 4 times a week.
63 years old
PSA-- 3/08--2.90;  8/09--4.01; 11/09--4.19 (Free PSA 24%), this after 45 days on cipro! DREs have always been normal.  
History of BPH/prostatitis. PCA-3 test: 75.9 (bad news, guaranteeing I have to do....): Biopsy on 11/30/09. Result of biopsy:

5 out of 12 cores positive. Gleason 4+3. More specifically: 2 cores were 3+3 (one 5% and the other 30%) on one side. On the other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C

REVISED BIOPSY REPORT: The previous was read by Umich. Slides were then sent to Dr. Menon at Ford Hospital. Here is their report (much better) -- changes in bold print below:

5 out of 12 cores positive. Gleason 3+4. More specifically: 2 cores were 3+3 (one 5% and the other 20%) on one side. On the other side, 3 cores were 3+4 (5%, 5%, 20%)

 Latest: Surgery with Dr. Menon at Ford Hospital, set for 1/25/10


Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4849
   Posted 1/4/2010 1:08 PM (GMT -6)   

Don't worry about itidea

I smoked for 30 years and was 20 lbs over weight when I had my surgery....Yes it'd be nice to be in tip top shape but there's not much you can do if your back is killing you.


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.

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4463
   Posted 1/4/2010 1:38 PM (GMT -6)   
Moderate walking will be effective, both before and after surgery, if you are unable to do much more now. If I had to do one thing before surgery to help, it would be to walk as much as possible.
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 110gms.- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
24 mts: PSA's: .04 each test since surgery, ED Continues-Bimix .3ml PRN or Trimix .15ml PRN

Veteran Member

Date Joined Jul 2009
Total Posts : 504
   Posted 1/4/2010 2:46 PM (GMT -6)   
Pick up a Pedometer and try to walk at moderate pace. Add more and more steps each day. Even if it seems like not much they all add up
Age: 52
PSA (2008)=1.9
Biopsy on Jan 09, 2009
One (1) out of twelve (12) cores was positive, plus external nodule found
Gleason Score = 3+3
Surgery (Da Vinci, robotic prostatectomy): 4/7/09
Removed Catheter: 04/19/09
100% bladder control - Pad free 7/09
PSA 7/09 undetectable, under .0

Veteran Member

Date Joined Aug 2009
Total Posts : 2448
   Posted 1/4/2010 3:15 PM (GMT -6)   

I heartedly agree that walking is the best thing right now. You will want to do as much walking as possible after the surgery.

I offered this in the past, but it bears repeating. Take the suggestion nutrition items and after surgery diet that Vattikuti gave you and go on them before the surgery. I did that about 10 days prior to surgery and fully believe that was a main contributor to my having a very uneventful recovery. From what I understand the digestive system issues and all they entail can be some of the worst parts of the recovery. The post surgery diet was put together to help with that so starting it ahead of time only takes you further down the road faster.

Other than that I would add that without hurting your back further, you do everything you can to go into surgery with a completely empty prostate. I am sure you know what I mean about draining it. LLOOLL

Take care of the back and be ready,

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)

Regular Member

Date Joined Dec 2009
Total Posts : 214
   Posted 1/4/2010 3:46 PM (GMT -6)   
At the risk of being repetitive, I can't stress enough how much the walking helped both before and after surgery.
I waited four months between biopsy and surgery so was able to do a lot of walking in that time.  The walking and eating smaller portions at meal time helped me lose 20 lb before surgery which also made a big difference.

Age:  63 
Biopsy: May 09 showed 2 of 12 cores positive for prostate cancer -- 1 at 5% and 1 at 25%.  Cancer indicated as non aggressive.  Gleason Score: 3+3.
RRP on Oct 23/09 in London, Ontario.  Excellent surgeon. 
7 Weeks Post Op -  The fears I had about bad things about the operation and recovery did not materialise except of course ED!!.  Otherwise, everything went very smoothly.  Incontinence not a problem.  Wear a pad when out just in case. Pain was never a problem.
Pathology:  Unremarkable 
First followup PSA and Visit: Feb 07/10.      

Worried Guy
Veteran Member

Date Joined Jul 2009
Total Posts : 3742
   Posted 1/4/2010 3:58 PM (GMT -6)   
I wore 500 gm wrist weights under my clothes at work and just went about my normal business. You will be surprised how much it takes out of you. Your whole body is affected.
As the song goes: " Every step you take, every keystroke you make, every mouthful you intake, you are exercising." See if you can last all day. You will get a full body work out. If your back hurts then forget about it.
Good luck,
DX Age 56. First routine PSA test on April 8th: 17.8. Start 2 weeks of Cipro to rule out protatitis.
May PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, Gleason 6=3+3. Bone scan and C/T scan negative.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7, Tumor size: 2.5 x 1.8 cm, location: both lobes and apex.
Extraprostatic extension present; Perineural invasion: present, extensive.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 12/11 5 months, Still no activity, zip. Using pump daily since 11/11. No effect with 20 mg of Cialis or 100 mg of Viagra. Shots next?
Incontinence - 8/20 4 full pads per day
.. 9/7 3-4 full pads per day (I'm going to try cutting down on fluids. Bad idea. I know.)
. 9/27 2 months: Still 3 pads per day.
11/14 4 months: Still 3 pads per day. 420ml/day, 91 um leak.
12/11 5 months: Still 3 pads per day. 400-450ml/day Experimenting with Nyquil for 10 days: Can sleep through the night but withdrawal is bad. Stopped 12/20.
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04 undetectable.

Veteran Member

Date Joined Dec 2008
Total Posts : 673
   Posted 1/4/2010 5:12 PM (GMT -6)   
I would suggest doing as much walking as you can without aggravating your back. I believe your fitness level will help you recover quicker. I would ask your GP for advice.

I did a lot of walking, working out, diet changes after my dx leading up to my surgery. I was pretty fit when I went under. I think it helped my recovery. I had good muscle tone and cardio fitness...not at an athletic level, but good for me and my age.

I was up and back and forth between my bed and chair in my hospital room within a few hours of waking up. I was walking the room and hallways shortly after.
-Nov/Dec 07, March 08 and Dec 08: Severe perineum pain . Septra/Bactrim for 8 months for diagnosed prostatitis.
-PSA start of 2008: 5.3..... PSA June of 2008: 7.3
-14 DRE all benign or nothing felt
-TRUS Biopsy Nov 08: 5 of 8 cores positive GS 3+3 or 6. 30-65%. Perineural invasion.
-General Health: pretty good, 5' 10", 180 lbs, slim.
-Open RP surgery: May 09 both nerve bundles spared. Bilateral lymph node dissection performed. Discharged 48 hours after surgery.
-Post Surgery Pathology: pT3a N0 MX, extraprostatic extension (EPE), stage III prostate cancer, lymph nodes clear, seminal vesicles clear, Gleason upraded to 3+4 GS 7. EPE within surgical margins. Other than prostate and EPE, all tissue removed negative for cancer involvement.
-Bladder control within 48 hours of catheter removal
-ED ongoing but improving significantly with Trimix at 7 months post-op. Oral ED meds didn't do much.

Regular Member

Date Joined Oct 2009
Total Posts : 171
   Posted 1/4/2010 5:30 PM (GMT -6)   

I'm not sure how bad your back is or what is exactly it's problem. But....I do and have done various Yoga exercises for years, and if your doctor doesn't nix the idea, some gentle stretching does wonders. One particular movement, The Cobra, I use everyday to keep my spinal column flexible and limber. Anyway, you can get a book and figure it out yourself or take a class. Gently would be the key as you begin.


Ed C. (Old67)
Veteran Member

Date Joined Jan 2009
Total Posts : 2461
   Posted 1/4/2010 5:46 PM (GMT -6)   
I'm a big believer in walking. I started out walking 1 mile 3 days after my surgery. By the end of the week I increased it to 2 miles. Start walking slowly on flat surface. Once you feel well enough, you can increase the distance. I now walk 4-5 miles 5 times a day. I also believe that walking will help with incontinence.
Age: 67 at Dx on 12/30/08
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09 Dr Fagin, Austin TX
Pathology report:
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Posterior lateral lesions measuring 1.5 x 1.4 x 1.0 cm showing focal capsular penetration over a distance of 3mm.
Prostatic adenocarciroma accounts for approx. 10-20% of the hemisphere.
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx, Negative margins
seminal vesicles clean, lymph nodes: not dissected
continent after 4 months
8 weeks PSA test 4/7/09 result <0.1
5 months PSA test 7/9/09 result <0.1
8 months PSA test 10/9/09 result <0.1

Regular Member

Date Joined Sep 2009
Total Posts : 311
   Posted 1/4/2010 6:53 PM (GMT -6)   
Jarring motion of treadmill might not be the best thing.  I recommend walking every day.  I walked an hour a day most days prior to surgery, also carried hand weights.  Had a quick recovery. Best wishes.
NewsPaper Lover

Age 66

PSA:  6.0  on 07/31/09 having risen from 4.2 on 12/02/08.  Free PSA 23.5%.Other PSA History: 4.3 on 05/01/08; 3.3 on 11/15/07; 3.1 on 05/20/07; 4.0 on 11/30/06; 3.40 on 09/01/05.


Biopsy:  09/04/09  13 snips;  two positive.  Right Mid  4+3 = 7 and 15% of the total volume.   Right Lateral Mid 4+3 = 7 and 20% of the total volume.


DaVinci robotic surgery:  11/05/09.  Post surgery pathology:  margins clean, no invasion of seminal vessels, no upgrade of the Gleason scores, no evidence of cancer outside the prostate capsule.


Cathether removed one week later:  11/12/09.   No incontinence. Stopped using pads after a few days.  No pads or incontinence at night. 


Regular Member

Date Joined Jun 2009
Total Posts : 292
   Posted 1/5/2010 1:14 PM (GMT -6)   
I walked quite a bit after surgery and it helped a lot.
Another exercise to look into is swimming. It is easy on the joints and works a lot of muscles.
I'm swimming more now that the temps are usually below freezing and there is ice everywhere.
Besides my arthritic knee appreciates it more.
Diagnosed at 54
PSA 8.7 Biopsy 1/7/09
4 of 6 cores positive, one at 90%
Gleason 3+4=7 Neg bone scan 1/15/09
One shot Lupron Depot 1/27/09 Tax Season
RP 4/29/09
Neg lymph nodes, postive seminal vesicle, 1 positive margin
Gleason 3+4=7 with tertiary 5
Catheter out at 2 weeks no nighttime incontinence Pad free week 5
PSA 6/6/09 <0.1 PSA 9/10/09 <0.1

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