a L-O-N-G kegel exercise & up at night

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Regular Member

Date Joined Jun 2010
Total Posts : 76
   Posted 8/10/2010 8:02 AM (GMT -6)   
I saw my Uro yesterday for my 4 week post op checkup. He advised me to continue doing the traditional sets of kegel exercises  but in addition to them I should do two sets a day where I contract and hold the muscles for 5 minutes if possible, relax for a while then hold for another 5 minutes. I tried it yesterday, didn't think I could actually hold it for that long but I did.
Has anyone else tried this type? Has it helped?
I  asked him about a referral to a physical theripist for kegels but he said that I am right on track with IC recovery and don't need it at this time and assurred me that if I keep up with these kegels I will continue to improve right on schedule. I am actually ok with the IC progress right now anyway, seems to be getting better each week. 
 My biggest complaint is still getting up 3-4 times a night to go, cuts into your alertness during the day quite a bit. He assured me that this too will pass in time and it would be best to avoid any medications for it for now.
age 50, diagnosed April 2010
pre-op PSA 3.7
Gleason 6 uppud to 7 post surgery
post op. surgical margins clear
Bone scan clear

Veteran Member

Date Joined Aug 2009
Total Posts : 652
   Posted 8/11/2010 3:21 PM (GMT -6)   
I've never heard of kegel exercises that direct you to hold for that long, but wouldn't want to contradict your doc's advice on the matter. I would suspect that you might see your short-term continence suffer (temporarily), which mine did if I overdid it with the exercises. I know during my recovery that there would be periods of time that I would find myself in the midst of a kegel, holding it for quite awhile, kind of as a reflex to prevent losing urine when I was still not quite continent. I wondered if it would be good (or not) to have sustained exercises for this... Sounds reasonable.

I agree that it sounds like you are doing well. Regarding getting up too many times at night, I'd recommend if you can help it to resist the urge for half those times, because I think that after surgery we have a tendency to go more often that necessary, and we sort of need to train the system to hold it longer (sort of along the lines of the kegels strengthening the muscles). At least that is my take. Don't make yourself uncomfortable or anything, just try and see if you might actually be able to hold it without discomfort. I found that I could go longer periods without "going", but it had to be a bit on the conscious side.
Best regards,
Gleason, 3+4; PSA, 7.9
Robotic Prostatectomy, March 2008 (Age 48 then), nerves both sides spared, post surgery analysis confirmed 3+4 Gleason,
pT2c, prostate 60.2g, margins: negative; perineural invasion: present; lymphatic invasion: present; 3 lymph nodes removed, clear; seminal vesicle invasion: absent; Gleason 4 comprises 5-10% of carcinoma
PSA consistently <0.1 since surgery until Oct 09: 0.1; retested Oct 09, <0.1,
Jan 10, 0.2
retest Feb 1 confirmed 0.2
CT scan, bone scan Feb 10 both clear
PSA after, 2010: March, 0.17; April, 0.17; May, 0.24; June, 0.31; July, 0.29; Aug, 0.41
Started salvage IGRT on August 4, plan 72Gy total, 40 doses

Regular Member

Date Joined Oct 2009
Total Posts : 417
   Posted 8/12/2010 5:46 PM (GMT -6)   
I have been doing the get up 3-4 times a night to go think for two years. Watching the alcohol and caffine helps a bit as does controlling liquids. Another thing that helps me is taking one Advil PM just before bed. If I do this I can go 2-3 hours before getting up and otherwise it is every 1-2 hours. My Doc says this is no problem with the Advil which has the same ingredient and amount as Benadryl. For some reason I like the Advil PM better than Benadryl.
Good luck on your recovery. It sounds like you are headed the right direction. Unfortunately kegals, and all the other stuff had no effect on my incontinence. I was never advised to hold kegals that long. A therpyst did tell me to avoid fatigue of those muscles. Don't give up, most guys eventually dry up. I never die so I now have an AUS and will have it activated in two weeks.
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.
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