Kegels with catheter in

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alicomp
Regular Member


Date Joined Feb 2010
Total Posts : 40
   Posted 3/11/2010 2:23 PM (GMT -6)   
My husband had daVinci surgery Tuesday and we came home from the hospital today. When the surgeon came to see me after the surgery I am sure he said Harvey should do Kegels with the catheter in. Did I understand correctly? Wouldn't that hurt? Thanks so much.

-----------------------------------
Husband age 60
PSA 4.5
Diagnosed 12/09; 8/12 cores positive 5% to 50%
daVinci surgery performed 3/9/2010 at UNC
Waiting for pathology report

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6949
   Posted 3/11/2010 3:15 PM (GMT -6)   
After my DaVinci surgery (10/2009), I was told explicitly by my uro/surgeon NOT to start Kegels until after the foley catheter was removed. I've seen posts from other members who said they were told to start immediately. Looks like it depends on the doctor.

Also, he wanted me to be sure to start walking on a regular schedule - he implied the regular walking and regular Kegels needed to stay in balance - working the correct muscles.

Forgot to add a "welcome home" -

Post Edited (142) : 3/11/2010 2:18:52 PM (GMT-7)


Sunbird
Regular Member


Date Joined Apr 2008
Total Posts : 140
   Posted 3/11/2010 6:47 PM (GMT -6)   
From www.drcatalona.com ......FAQs...after surgery, and after removal of the catheter, kegels should be done in sets of 10, four times a day...........my surgeon told me to skip the kegels until the catheter was removed too.
1996, Age 48, Stage III Colon Ca, Colon Resection followed by 18 chemo treatments.
 
2000, Colon Ca Metastasis to upper left lung lobe.  Lung lobe surgically removed.  24 chemo treatments scheduled.  Took 1, declined the rest.
 
9/08 PSA is 2.8, 12/08 PSA is 4.56??  Chalk it up to prostatitis due to urinary retention after Nissen Fundo Surgery.  VA docs prescribe 30 days of Septra.  Prostate feels normal.  PSA hovers around 4.1.  VA docs want prostate biopsy but can't seem to get me into the schedule.  Continue through Spring and Fall of 2009 thinking I have prostatitis.  Bacteria cultures are always neg.  PSA drops to 3.1 10/09.
 
12/09 Prostate Biopsy performed
3 of 10 cores positive, 5%, 25%, & 35%, 3 + 3= Gleason Six with perineural invasion.
 
Doc wants CT Scan due to prior Colon Ca. Findings: "The seminal vesicles are irregular & there is nodularity in the periprostatic fat such that local extension cannot be excluded.  Shotty lymph nodes in both groin measuring 2.3 cm."
 
Doc wants Endo-rectal MRI (OUCH!) Findings: Mild central zone BPH, no discrete focus of carcinoma is identified, no evidience of invasion into the periprostatic fat or seminal vesicles.  Normal size iliac chain lymph nodes.
 
2/08/10 Open RP surgery.  Findings: Gleason Six upgraded to Seven.  3 + 4, Stage pT2c, Bilateral w/perineural invasion, No pos lymph nodes,  margins uninvolved, no extraprostatic extension, no seminal vesicle extension,  39 grams, blood loss 1200 ml (didn't want a transfusion & didn't get one) nerve bundles spared bilaterally.  current age-61


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 3/11/2010 7:00 PM (GMT -6)   
I absolutely wouldn't do those with a catheter in place, the tube is going right through the middle of what you are trying to squeeze. If your husband is still with catheter, then it means he is barely out of his surgery, not a good time with all the soreness and initial healing going on in a delicate area.

Of course the correct answer, ask his doctor, but couldn't imagine a doctor saying to do tht with a cath in place.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery, no problem post SRT
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, Caths #13 & #14 same time, 3/6 Cath #13 out - 4 days


tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2842
   Posted 3/11/2010 7:53 PM (GMT -6)   
sorry - I get things backwards at times ... here is a website re kegels and a short quote -

http://www.cancercare.msu.edu/patients-caregivers/prostate-cancer/kegel-exercises.htm
...........
What are Kegel exercises?

Kegel exercises are special exercises designed to help you control urine flow after your surgery. Sometimes after surgery, men have trouble controlling their urine flow and often leak or drip urine. It is normally recommended that men start Kegel exercises as soon as the catheter is removed. They should not be carried out while the catheter is in. Many men find that doing these exercises allows them to reduce urine leakage more quickly after removal of their catheter
..........
.................
Age: 54 - gay - with spouse, Steve - 59
PSA: 04/2007- 1.68 - 08/2009 - 3.46 - 10/2009 - 3.86
Confirmation of Prostate Cancer: October 16, 2009 - 6 of 12 cancerous samples , Gleason 7 (4+3)
Doctor: Dr. Mohamed Elharram -Urologist / Surgeon - Peterborough Regional Health Centre
Radical Prostatectomy Operation: November 18, 2009 , home - November 21, 2009
Post Surgery Biopsy: pT3a- gleason 7 - extraprostatic extension - perineural invasion - prostate weight - 34.1gm -
ED Prescription: Jan 8/2010 - started daily 5mg cialis - girth back to normal -but not much length - will go for trimix in April when I see doc
Incontinence: 3-5 pads/1-2 clothes changes/day- finally seeing improvement - March 3, 2010 - week 14 after surgery -
location: Peteborough, Ontario, Canada
Post Surgery-PSA: to be announced - April 8, 2010
............


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 3/11/2010 8:51 PM (GMT -6)   
I think the absolute rule here is "Ask your doctor."
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads
6 mo. PSA 0.00 -- 1 light pad/day
9 mo. PSA 0.00 -- 1 light pad/day ED remains


rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1131
   Posted 3/12/2010 2:02 PM (GMT -6)   
I agree with Geezer - ask your doctor. My experience was no kegels while catheter was in.
 
Age 49
occupation accountant
PSA increased from 2.6 to 3.5 in one year
biopsy march 2008 - cancer present gleason 7
Robotic Surgery May 9, 2008 - houston, tx
Pathology report -gleason 8, clear margins
20 month  PSA <.04 (low as the machine will go)
continent at 10 weeks (no pads!)
ED is still an issue but getting better

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