Kegeling after reaching continence.

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Magaboo
Veteran Member


Date Joined Oct 2006
Total Posts : 1211
   Posted 4/6/2011 5:07 PM (GMT -6)   
How Important is it to do kegel exercise after reaching continence? It seems to me that after reaching continence, the muscle that prevents urine from escaping works all day already. Could additionally exercising this muscle tire it unnecessarily?
Any expert opinion on this issue?
Thanks.
Mag

Born 1936
PSA 7.9, Gleason Score 3+4=7, 2 of 8 positive
open RP Nov 06, T3a, Gleasons 3+4=7, Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06, Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05; Sept.=.08; at SRT Start=0.1,
Salvage RT completed (33 days-66Gy) 19 Dec 08
PSA: in Jan 09 =.05, all tests to date (Jan 11) <.04

Post Edited (Magaboo) : 4/6/2011 4:10:29 PM (GMT-6)


Carlos
Regular Member


Date Joined Nov 2009
Total Posts : 486
   Posted 4/6/2011 7:35 PM (GMT -6)   
Mag, the experts at the National Assoc. for Continence say that pelvic floor exercises must become a life long habit.  They say: "After age 40, men and women begin losing muscle at the rate of about half a pound per year, replacing it with fat.  The rate of loss doubles for women after menopause. Unless an effort is made to prevent this loss of lean body mass through exercise, gradual declines take place in muscular strength and endurance throughout the body, including the internal muscles."  Here is a link to one of their articles:  http://www.nafc.org/uploads/pdf/Pelvic_floor.pdf.
 
I started Kegels several years before surgery (thought it might help with ED) and have never stopped.   I have good bladder control and would like to keep it if I can.  Apparently the Mens Depends don't depend on prostate surgery patients for their sales.  Unfortunately Worried Guy's (Jeff) recent return to continence has not had an impact on their sales.
 
Carlos

Dx 2/2008, age 71, PSA 9.1, G8, T1c
daVinci surgery 5/2008, G8(5+3), pT2c
BCR 2 1/2 yrs after surgery
IMRT, 68.4 Gy, 12/2010 - 2/2011
PSA 0.16 six wks after IMRT

Post Edited (Carlos) : 4/6/2011 6:42:21 PM (GMT-6)


biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1464
   Posted 4/6/2011 9:56 PM (GMT -6)   
Hey Mags,

I did kegels for a long time before I got cancer. Doc had me doing them to help overcome ED. I think this probably is why I was dry as soon as they took out the catheter. Now my ED problems have reached a whole new level but I've overcome them with Viiagra (from ADC) and trimix. Sex is different now do to the surgery and better than since I was 21.

So I still do kegels but not as rigorously as before. I don't know about the sphincter muscle itself but don't think I've injured it over the years of kegeling.

Jim
Age 76. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Catheter out on 12/13/06. Dry on 12/14/06.
Pathological stage: T2C N0 MX. Gleason 3+4.
50 mg Viagra + .05 cc Trimix = Excellent Results
PSAs from 1/3/07 - 8/02/2010 zero.
Next PSA - July/2011
Lung cancer dxed 6/08. Surgery followed by chemo. In remission since.

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7269
   Posted 4/6/2011 10:04 PM (GMT -6)   
I did kegels a bit, regained 100% continence by 6 weeks post-op, and stopped doing them.
 
So far, so good.
 
Mel

Magaboo
Veteran Member


Date Joined Oct 2006
Total Posts : 1211
   Posted 4/6/2011 10:09 PM (GMT -6)   
Actually I stopped doing them for about 2 or 3 month now and have not noticed any problem. Perhaps, up on reading the comments of some of the guys, I will do them again, but not as vigorous as I did before.
Thanks for your opinions guys.
Mag

Born 1936
PSA 7.9, Gleason Score 3+4=7, 2 of 8 positive
open RP Nov 06, T3a, Gleasons 3+4=7, Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06, Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05; Sept.=.08; at SRT Start=0.1,
Salvage RT completed (33 days-66Gy) 19 Dec 08
PSA: in Jan 09 =.05, all tests to date (Jan 11) <.04

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7082
   Posted 4/6/2011 11:06 PM (GMT -6)   
At one of my support group meetings a Physical Therapy RN explained that Kegels should be done forever, perhaps backing down the pace a little, but stopping altogether was not a good idea.

dogbot
Regular Member


Date Joined Aug 2009
Total Posts : 147
   Posted 4/7/2011 4:29 AM (GMT -6)   
I started exercising the muscles before surgery, and resumed post catheter. I was more or less leak free at 3 months, but I still do kegals at a reduced amount usually 2 to 3 times weekly. At nearly 2 years post surgery and 99.99% continent I feel that I shall keep up with the exercises indefinately.
 
All the best from England.

Tigerfan53
Veteran Member


Date Joined Jan 2011
Total Posts : 929
   Posted 4/8/2011 1:09 AM (GMT -6)   

I’m reminded of a time 27 years ago when my wife and I were taking a Lamaze class.  The instructor was explaining to the women how to do Kegels.  Then she said to the Dads-to-be, “you should learn these too; you’ll thank me one day.” 

 

Little did I know …


Age 53
Diagnosed Dec 2010
PSA 5.3
Biopsy: 50% in 1 of 12 cores, Gleason 6
PSA 5.6
RRP scheduled for 6/6/2011
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