My question is , does it get better, will I ever be able to run without leaking, and is there anything I can do tom improve my chances?
Short answers: yes, and yes. You are off to a great start, already, and it's only been a month. You are already ahead of the curve, so to speak, with regard to urinary continence recovery.
My experience was this: Eleven days after my surgery, with my surgeon's permission, I went to the Y and ran on the elliptical trainer (I have re-constructed knees and can't take the pounding of the road). Similar to you, I went a 2 slow miles on that first day. Different from you, I had the minimally invasive surgery which has small incisions, so my physical recover would naturally be faster than yours after your open surgery. Either way, we both had major surgery, and it takes a while to recover energy levels and appetites.
The general rule of thumb after minimally invasive prostatectomy (and the specific instructions of my surgeon) were to avoid abdominal exercises until 6-weeks. With his approval, I started doing core exercises at the 6-week point, and I hired a personal trainer for 30-minute sessions starting week-7. Generally, the recovery period is longer for open prostatectomy...please do consult your doctor on his specific restrictions for you.
Kegel exercises, as you may know, do accelerate one's time to full continence recovery. What I did with the trainer was to work Kegels into my core workout routine. As a generalized example, I would "clinch" the Kegel, do a "crunch & return", release the Kegel, then repeat. Once I started doing this, I moved to full continence fairly quickly (I can't remember, but I think it was about 4 or 5 weeks later).
You should be ready to run Chicago on Oct 9, 2011. My wife ran it in 2009 with a grapefruit-sized tumor (unbeknownst to her) in her belly.
Post Edited (Casey59) : 1/7/2011 12:15:06 PM (GMT-7)