Question on Kegals

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rcroller
Regular Member


Date Joined May 2011
Total Posts : 327
   Posted 5/27/2011 7:21 AM (GMT -6)   
Got a good night's sleep last night with the help of a sleeping pill and what a difference I feel this morning.  I'll get the catheter out in six more days and probably should be doing more to prepare.  How many sets of Kegals should I be doing each day?  Thanks.
-Bob R.
Age 53-PSA 8/10 3.0 PSA 2/11 3.5
4/15/11 BX
4/21/11 Path Report: 3 of 12 Left side PCa , 3+3, 3+4, 4+4
4/29/11 PCa DX, Gleason-8
5/6/11 BS: Negative
5/18/11 open RP Performed
5/24/11 Post Op Pathology Report: G-7, 4+3 T3A N0M0
6/1/11 Scheduled for JP Drain/Cath removal.

Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4119
   Posted 5/27/2011 7:37 AM (GMT -6)   
I was told no Kegals till the catheter is out. After that I did them mostly when I would think about it. You Dr should give you a sheet with instructions as to what he recommends. IIf I remember correctly he had me doing them before the surgery to get started and learn how to do them.

Roller glad you got some rest last night. Hope you are starting that walking. I can tell you I took my big catheter bag in a shopping bag and walked up and down my small street. I did find that walking made the aches and pains dissipate faster.

Do keep us posted.

Cajun Jeff
9/08 PSA 5.4 referred to Urologist
9/08 Biopsy: GS 3+4=7 1 positive core in 12 1% cancer core
10/08 Nerve-Sparing open radicalSurgery Path Report Downgrade 3+3=6 GS Stage pT2c margins clea
r3 month: PSA <0.1
19th month: PSA <0.1
2 year PSA <0.1
Only issue at this time is ED but getting better

clocknut
Veteran Member


Date Joined Sep 2010
Total Posts : 2680
   Posted 5/27/2011 7:49 AM (GMT -6)   
I agree. I've always been told and have read...no kegels until the catheter is out.
Age 65
Dx in June 2010.
PSA gradually rising for 3 years to 6.2
Biopsy confirmed cancer in 6 of 12 cores, all on left side
Gleason 7 (3 + 4)
Bone scan, CT scan, rib x-rays negative.
DaVinci 8/20/10
Negative margins; negative seminal vesicles
5 brothers, ages 52-67 ; I'm the only one with PCa
Continence OK after 7 weeks. ED continues.
PSA 1/3/10: 0.01

adderboy
Regular Member


Date Joined May 2011
Total Posts : 33
   Posted 5/27/2011 8:18 AM (GMT -6)   
Same here. I was told no Kegels while cath in. You must be getting anxious to get that catheter out. Hang in there.
Age: 55 Ontario, Canada
PSA: 1.2
Dec 2010: Family Dr. found lump on routine physical (not there 1 year prior)
Feb. 6 2011 biopsy: 3 of 11 cores, T2a, Gleason 6 (3,3)
Urologist recommended "watchful waiting" ...back to my family doctor he recommended surgery.
Back to Urologist asked him to refer for third opinion (he did so reluctantly)
3rd opinion: Urologist recommends surgery
April 15: open radical prostatectomy
April 27: catheter removed...absolutely no ED issues and a little incontinence.
May 6 2011: Pathology report excellent, cancer confined to prostate, Gleason score remained at 6!

rcroller
Regular Member


Date Joined May 2011
Total Posts : 327
   Posted 5/27/2011 8:22 AM (GMT -6)   
Good to know, I'll wait on them. Yes, can't wait to get that cath out!  I am walking but it's hot as hell here so mostly early a.m. and after sundown or go to a store and walk in the AC. I've even been doing several laps around the house like a caged animal. lol Thanks guys.

Inspector 13
Regular Member


Date Joined Feb 2011
Total Posts : 181
   Posted 5/27/2011 8:44 AM (GMT -6)   
My surgery was in early January 2010 and here near Chicago outdoor walks in January are challenging so I confined my walks to walking around inside the house or on a treadmill. Walking really did reduce the discomfort I had and I'm sure it helped my spirits and physical recovery.

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7082
   Posted 5/27/2011 9:50 AM (GMT -6)   
Bob,
 
If your uro had been really preparing you (and in this case mine was not), you would have been started on Kegels before surgery. Pity I don't hear many that get started early, and I certainly didn't.
 
One of my support group guys started coming to the meetings a couple of months before surgery. We got him started, and although it might have nothing to do with it, he was stone dry from day one. If only I had known...
 
Anyway, NO Kegels with the cath in, according to my surgeon.
 
There are as many ways to do them as pages that mention them on the internet.
 
I use the hold 10 seconds, relax 10 seconds, and do that 10 times for one set method. I do that 3,  sometimes 4 times a day. More than that acutally causes problems for me, as the muscles get overworked, sore, and then leaking returns big time.
 
 
 
 

wifeandmother
Regular Member


Date Joined Feb 2011
Total Posts : 45
   Posted 5/27/2011 10:03 AM (GMT -6)   
Not while its in.
My husband is doing 300 a day at 50 intervals.

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7082
   Posted 5/27/2011 8:20 PM (GMT -6)   
wifeandmother,
 
when I kicked up to 50 (5 sets of 10) per day, it was like taking away all control. I went from about 3 pads a day back to 8. This is a process that should be slow and progressive.
 
I backed off to 3 sets a day, and improved greatly.
 
Not to say what number of sets is ideal (depends), but there is such a thing as too many.

Carlos
Regular Member


Date Joined Nov 2009
Total Posts : 486
   Posted 5/28/2011 6:58 AM (GMT -6)   
Bob,  The National Association for Continence (NAFC) has a very good article on Kegels and pelvic floor exercises.  Try this link: http://www.nafc.org/uploads/pdf/Pelvic_floor.pdf.  I have followed their recommendations for several years and have had very good results.
 
Carlos

Dx 2/2008, at 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 0.07 three months after IMRT

rcroller
Regular Member


Date Joined May 2011
Total Posts : 327
   Posted 5/28/2011 7:33 AM (GMT -6)   
Very good article, Carlos. Thanks for sharing!
Age 53-PSA 8/10 3.0 PSA 2/11 3.5
4/15/11 BX
4/21/11 Path Report: 3 of 12 Left side PCa , 3+3, 3+4, 4+4
4/29/11 PCa DX, Gleason-8
5/6/11 BS: Negative
5/18/11 open RP Performed
5/24/11 Post Op Pathology Report: G-7, 4+3 T3A N0M0
6/1/11 Scheduled for JP Drain/Cath removal.

Todd1963
Veteran Member


Date Joined Oct 2008
Total Posts : 3255
   Posted 5/28/2011 11:49 AM (GMT -6)   
Due to the shrinking of the little guy from the H.T. I have my wife do them 4x to 5x a day 100 reps 3 sets. I don't know if this helps but it strikes me as being funny in a twisted sort of way.
dx:06/03/06
Age at dx: 42 age now 45
Treated for sciatic nerve pain 6 months prior to dx.
Heavy amount of blood in urine Unable to urinate 
Lung x-ray for pnumonia revealed multiple lesions in each lung
P.S.A. at time of dx. 3216.14
Began lupron and casodex
Cat scan showed large mass in the pelvic area affecting the bladder multiple nodules in both lungs and lymph node envolvement.
Bone scan revealed possible bone involvment in the pelvic area
Biopsy 12 of 12 cores positive gleason 3+4=7
P.S.A.s since lupron 2946, 1274, 532, 5.01 1.23, .09
Begining jan 08 psa .o9, .25, .44, .86, .73, 1.34, 1.49. Doubling time is a little over 3 months
Cat Scan 12/12/08 Prostate normal size and shape. No tumors detected. Left lung clear of all nodules right lung showing only benign scar tissue. Lymph nodes normal
Bone Scan 12/24/08. Clean!!! went off casodex January 4 2009
Current psa 2/13/09 .16
Latest P.S.A. 0.05 newest P.S.A. undetectable
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