Pre-Op Kegles and flomax

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Veteran Member

Date Joined Nov 2009
Total Posts : 7270
   Posted 1/16/2010 12:52 PM (GMT -6)   
I am doing the exercises, but it is difficult to do this forcefully.
One thing I seem to notice is that I try and tighten the muscles, but they sure relax quickly. It is impossible to do a "forceful" tightening, although i certainly tighten them enough to stop any urine flow.
I am also on flomax (I have BPH). I strongly suspect that the tendency of these muscles to relax is due to the flomax.
Can anyone else shed some light on this?
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


Regular Member

Date Joined Nov 2009
Total Posts : 85
   Posted 1/16/2010 1:13 PM (GMT -6)   
hey mel although im much younger than you i found that the kegels were very tiresome and did them for about one day pre op and never did them since on a regular exerise program. it was difficult to keep the muscle tight. even though i was pluged with scar tissue, after the scar tissue was removed i am totally dry. we are all experincing this pc bussiness at different levels. keep up the kegels because they may help at your age. who knows? neil
49 years
da vinci on 9/28/09
gleeson 3+3
psa before surgery 5.1
cather out on oct 5, back in on oct 5
two more trys for cather out, still in .
cather out nov. 13/09
cystocope nov.13/09      

Regular Member

Date Joined Nov 2009
Total Posts : 486
   Posted 1/16/2010 3:38 PM (GMT -6)   
Your experience with Kegels is fairly normal for someone just starting.  I had the same experience when I started and I wasn't using Flomax.  The attached link  takes you the site and an article about Kegels.  Scroll down to the bottom of page 4.  It describes what you are experiencing.  It just takes time.  Good luck to you.

Diagnosed 2/2008 at age 71, PSA 9.1, Gleason 8 (5+3)and stage T1c. 
Robotic surgery 5/2008, nerves spared, All margins, SV and lymph nodes were neg. 
Staged pT2c, Gleason sum 8 (5+3).
Continent at 6 weeks. 
PSA <0.1 at 20 months, Jan. 4. 2010.

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