Bike riding with AUS?? Need new saddle?

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tallguy
Regular Member


Date Joined Oct 2009
Total Posts : 417
   Posted 8/2/2010 6:23 PM (GMT -6)   
I know there are some avid bike riders on here or at least there used to be. We bought new bikes last year and really enjoyed recreational riding. Then, with sling surgery and now AUS surgery I am wondering if I can "get back in the saddle". My wife taked to the local bike shop and he recommends a "split" saddle called Hobson Easy Seat II. Has separate seat pads for the sit bones and no nose. Supposed to prevent nerve damage.
Anybody have experience with this saddle/seat that also has a sling and/or AUS.
64 year old male in excellent physical condition.

PSA jumped 3 to 8 in one year

pt2b NO Mx with a Gleason score 3+3=6.

DaVinci RP, 7/23/08. Tumor type: Acinar

size 5.5 cm x 5.7 cm weight: 77 gm.

Incontinence & ED. Dry nights , no control during day.

FUDS and cystourethroscopy testing 10/09.

24 hr pad wt. 219gm. AUA sympton index 13/35=moderate

Virtue sling surgery 2/3/10 NYU med center

Appeared to help but gradually returned to pre surgery condition.

Back to 3-4 pads/day.

Latest PSA 4/1/10 negative.

AMS 800 artificial urinary sphincter implanted 7/8/10 at U of MI.

Sunbird
Regular Member


Date Joined Apr 2008
Total Posts : 140
   Posted 8/2/2010 7:40 PM (GMT -6)   
I began riding my road bike six weeks out of open prostatectomy. Shortly after my surgery, I bought one of those dual pad seats on Ebay. I believe I paid about $40 for it. It has thumb screws so you can adjust the width of the pads. The angle of the pads didn't appear right, so I reversed them, but it was still uncomfortable. It is very cheaply made and now resides on a shelf in my garage. I bought a Bell bicycle seat at Wal Mart that has an open slot in the middle of it so it doesn't put pressure on the perineum. Cost was about $25, and I like it. If you do opt for the dual pad seat, you should ask if you can return it if not satisfied......
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

don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 8/3/2010 7:21 AM (GMT -6)   
Hi TG,

I have the same seat as Sunbird. As comfortable as a bike seat gets but does seem to keep the pressure off.

Don
Diagnosed 04/10/08 Age 58 at the time
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear and chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
Started Casodex on May 2 and stopped on June 1, 2008
Two years on Lupron completed 01/2010.
Started IMRT/IGRT on July 10, 2008. 45 treatments scheduled
First 25 were full pelvic for a total dose of 45 Gray to lymph nodes.
Last 20 to prostate only. Total dose to prostate 81 Gray.
Completed IMRT/IGRT 09/11/08.
PSA 02/08 21.5 at diagnosis
PSA 07/08 .82 after 8 wks of hormones
PSA 10/08 .642 one month after completion of IMRT, 6 months hormone
PSA 03/09 .38 six months post radiation and nine months into hormones
PSA 06/09 .36 or .30 depending on who did the test
PSA 09/09 .33 one year after IMRT and 16 months into hormone
PSA 03/10 .32 18 months after IMRT Still on hormones
PSA 05/10 .42 Rising a little as the lupron wears off. Last lupron shot 01/10.
PSA 06/10 .322 Maybe the .42 reported in May was in error?PSA 07/14/2010 0.1

Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4110
   Posted 8/3/2010 7:25 AM (GMT -6)   

I got one of these and it was the most uncomfortable thing I have ever used on my bike.  Took it off after a very short ride.  Did a couple of adjustments still was not acceptable.  I looked at the Bell seat at Wal-Mart yesterday.  I think I am going to give it a try.

Cajun Jeff


9/08 PSA 5.4 referred to Urologist
9/08 Biopsy: GS 3+4=7 1 positive core in 12 1 pre cancer core
10/08 Nerve-Sparing open radical
Surgery Path Report Downgrade 3+3=6 GS Stage pT2c margins clear

3 month: PSA <0.1
6 month: PSA <0.1
10 month:PSA <0.1
1 year: PSA <0.1
16 month:PSA <0.1

ED - Started Cialis at 3 months, tried all 3, 6 months added pump, 9 months Tried MUSE (YUCK) Bad experience.
1 year mark Found new Urologist visit was at 14th month post surgery
Started Injections, Caverject! (Success)
17 month: ED making improvements : Oral Meds gets me 85%

Sancarlos
Regular Member


Date Joined Feb 2010
Total Posts : 242
   Posted 8/3/2010 4:07 PM (GMT -6)   
Hi Tallguy,

In addition to the special seats that are available you can also buy riding shorts that are padded in that area. You might find that with the padded shorts you won't need a special seat at all.

Sancarlos
Age 66
PC diagnosed 7/2009
Stage: T2c
Gleason: 9 (4 + 5), 6 of 6 cores positive
Bone, CAT and MIR scans negative

Treatment: brachytherapy (103 palladium), 100 gy, 11.15.2010 + hormone therapy (lupron) + IMRT on Novalis (February-March, 2010), 45 gy.

PSA at time of diagnosis: 11.9
PSA 10/2009, 5.0
PSA 12/2009, 0.56
PSA 5/2010, 0.15

cvc
Regular Member


Date Joined Jun 2008
Total Posts : 440
   Posted 8/3/2010 4:17 PM (GMT -6)   

I have an enlarged prostate and bought a Serfas RX on the recomendation of alot of riders. Its seems very good so far. I did buy a pair of padded bike shorts too, the liner style.

I have been riding about 12 - 20 miles a day for a few weeks now. My sit bones are kinda sore but otherwise seems fine ! They  have a 90 return policy too on the seat


will be 50 years old this year ( 2009 )
 
Uro said enlarged prostate 
 
DRE Negitive
 
Psa  2003- .55
 
     2007 - .99
 
     2008 -  1.01
    
     2009-  1.08
 
     2010-  .99
 
watchfull worrier , lol

kw
Veteran Member


Date Joined Nov 2006
Total Posts : 883
   Posted 8/3/2010 8:25 PM (GMT -6)   
I would talk to your doctor to see what he thinks. I would be afrade of doing damage to the cuff portion of the AUS. I know I can feel mine in the perineal area. It seems to me that is where alot of the pressure is on a standard bike seat. You could look a a recumbant bike where you sit higher up on your butt cheeks and hips.
KW
    43 at Dx and Surgery (RRP)
    PSA 5.7, Biopsy 3 of 12 positive (up to 75%) all on left side of prostate, Gleason 7
    RRP on Oct. 17, 2006 - Nerves on right side saved. All Lab's clear. 
    Cathiter in for 28 days due to complications in healing. Removed Nov. 9, 2006
     Dec. 2006 – Oct. 2008 Cystoscope, Two Collagen injections,Second Opinion   
    Consultation for Incontinance at OU Medical Center, Bio-Feedback       
    training, Chiropractic, Accupuncture , AdVance Male Sling, Two More Collagen 
    injections, AUS Installed and Activated (Dr. Morey at UT Southwestern Dallas TX)
    All to try to resolve incontinence (using 6-8 Depends Guards a day)

    To Date All PSA's 0.00.

   http://www.healingwell.com/community/default.aspx?f=35&m=721171

    http://www.healingwell.com/community/default.aspx?f=35&m=978691


tallguy
Regular Member


Date Joined Oct 2009
Total Posts : 417
   Posted 8/4/2010 6:53 PM (GMT -6)   
Thanks for all the great response. Looks like I just need to try a couple of things and will heed the advice.
KW, good point about the cuff. I will discuss this with my Doc when I go in for activation and find out exactly where that cuff is. I would not want to take any chance of damaging it......after all it took to get it there.
64 year old male in excellent physical condition.

PSA jumped 3 to 8 in one year

pt2b NO Mx with a Gleason score 3+3=6.

DaVinci RP, 7/23/08. Tumor type: Acinar

size 5.5 cm x 5.7 cm weight: 77 gm.

Incontinence & ED. Dry nights , no control during day.

FUDS and cystourethroscopy testing 10/09.

24 hr pad wt. 219gm. AUA sympton index 13/35=moderate

Virtue sling surgery 2/3/10 NYU med center

Appeared to help but gradually returned to pre surgery condition.

Back to 3-4 pads/day.

Latest PSA 4/1/10 negative.

AMS 800 artificial urinary sphincter implanted 7/8/10 at U of MI.

dlhtbiker
New Member


Date Joined Feb 2010
Total Posts : 3
   Posted 8/5/2010 9:44 PM (GMT -6)   
I waited about 6 months after surgery before I got back in the saddle. I did schedule surgery in November so that helped :-) Ask what your doctor recommends as far as timing. Before surgery I started looking at the same seat you did the Hobson and I also looked at recumbent cycles, much more comfortable seats. I have a Brooks Champion Flier, basically a hard leather seat with some springs. I wear padded shorts for rides over 10 miles and I have had no pain in that area. I wish you luck in your search for a comfortable seat, you don't want to have to give up biking.
dx August 2009 age 50 PSA 3.9 Free PSA 9
Biopsy Sept 2009 Gleason (3+4) 7 2 out of 12
RPE November 2009 Contained in Prostate no exterior involvement
6 week PSA < 0.03
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