What does an incontinence "setback" after over-exercising really mean?

naimnut

Regular Member

Joined : Jan 2007

Posts : 93

Posted 6/15/2007 1:34 PM (GMT -7)

I guess I overdid it yesterday. My surgeon wanted me to do 100 kegels/day starting two days after the catheter was out. I never got that high, count-wise, in the first week after the cath was out. Usually somewhere around 60-80.

Yesterday I hit the kegels hard with about 4 solid sets of 25 kegels.

Today I feel "tired" down there and am leaking a lot. My wife has been concerned that I was overdoing it. And so I probably did yesterday.

But what, really, is happening, physiologically? What does a setback really mean? Muscles are tired? Actual loss of tone? Damage? I guess I have trouble visualizing all of this. I mean, if I had been doing pushups I suppose I could have reached a point where I could not do another pushup, and then the next day my arm muscles would have been tired...hmmm. That fatigue could even last into a second day, I guess.

So, should I be doing any kegels today? Or just lay off totally?

Age, 53

PSA 3.76, Gleason 6, T1c, scans negative

psa doubling time 35 months

Da vinci robotic surgery May 31, 2007,

Nerves spared

Clear margins, clean pathology report

Catheter out at 4 days.

Dribbling like a basketball star

At 10 days out, dry all night, most of the morning.

Walking 2-5 miles per day.

Down to about 4 pads/ day.

lifeguyd

Veteran Member

Joined : Jul 2006

Posts : 691

Posted 6/15/2007 2:46 PM (GMT -7)

Don't worry. You are just tired. It is unlikely that you did anything to damage anything.

some early posts suggested just a few series of 10 or so clinches each day, otherwise you tend to tire the muscles out. I concentrated on trying to visualize how i felt and how much control i had. Fortunatly continence was not a major problem with me, but six months later i am still aware and have an occasional spurt or squirt.

A set back usually means very little. You just need to rest up and come back after a good nights sleep. I remember that I just kept a "certain" tension clinching those muscles during the day. When i felt tired I rested, a good nap was (is) my favorite.

Biopsy 10/16/06

T2A, PSA 4.7

Gleason 4+4=8 right side

adrenocarcinoma of prostate

DaVinci Surgery 01/16/07

Post op report,confirms Gleason4+4=8

no extra extension/invasion identified

age 65

Back on the golf course...

90 day PSA less than 0.01 (undetectable)

naimnut

Regular Member

Joined : Jan 2007

Posts : 93

Posted 6/15/2007 2:49 PM (GMT -7)

lifguyd,

thanks for the encouragement.

If I were to compare where I am today to where I've been, I'd say I'm back to where I was about a week ago. I had been doing pretty good. Hopefully, like you said, tomorrow I'll be much better off.

Age, 53

PSA 3.76, Gleason 6, T1c, scans negative

psa doubling time 35 months

Da vinci robotic surgery May 31, 2007,

Nerves spared

Clear margins, clean pathology report

Catheter out at 4 days.

Dribbling like a basketball star

At 10 days out, dry all night, most of the morning.

Walking 2-5 miles per day.

Down to about 4 pads/ day.

bluebird

Veteran Member

Joined : May 2006

Posts : 2542

Posted 6/15/2007 3:08 PM (GMT -7)

Hi ~ Markus, Yep ~ the little guy "sphincter muscle" is plum tuckered out “in our opinion”… I’m going to add the links below and I think you’ll see some good information. Along with the reply posts you’ll receive here…. (Direct Link ~ just click on the title below and a new window will open! Reminder … click on the REFRESH icon once you get there) Kegel Help? KW Kegels - to pee or not to pee? pianoman Take a little time to rest up ~ and you'll be back on track soon. Listen to your body... and read the links because I think there will be something there to help you!!! Take care and continue moving forward knowing we are all here for you! In Friendship ~ Lee & Buddy mama bluebird - Lee & Buddy… from North Carolina J We invite you to visit our personal thread: Click Here: “Our Journey” ~ Sharing is Caring April 3, 2006 53 on surgery day RRP / Radical Retropubic Prostatectomy with "wide excision" PSA 4.6 Gleason 3+3=6 T2a Confined to Prostate 2nd PSA 02-06-2007 Less than 0.1 Non-Detectable :) Moderator for Prostate Cancer Forum https://www.healingwell.com/donate

Izzyblizzy

Regular Member

Joined : Oct 2006

Posts : 411

Posted 6/15/2007 4:39 PM (GMT -7)

Markus,

Our doctor said to do a lot too after surgery. I immediately said "that seems like a LOT from what I have read on forum." Ken was "weaker" after doing too many at first (the recommended 20-25 per set) Then he took it down to 3-4 sets of 10-12, with one or two sets done on stairs throughout the day. And varied with some "quick squeezes" with longer holding.

He had a steady improvement, and was pretty much dry 6-7 weeks. I would work up to your doctor's recommendation. Even though Ken had done Kegals prior to surgery, the recommended set of 3-4 sets of 20-25 were just way too much at first. He is still keeping his routine up of about 3-4 sets, and is doing about 15 contractions, so even though dry is not doing 20-25 at a time.

Good luck, and everyone is different, but backing off a little might work more surely and slowly!

Tanya (and Ken)

Age: 63
Diagnosed: 10/30/06
PSA: 3.7 (2005: 3.4, 2004: 4.0)
Biopsy: 1/10 cancerous, 5% of one core, right apex.
Gleason: 3+3=6
Da Vinci: April 10, 2007, Denver CO
Path results: 1% of prostate involved. Very small tumors on both right and left apex. Negative margins, negative seminal vessicles, lymph nodes left intact. Gleason upgraded 3+4=7.

1st PSA Results: May 11, 2007 <.01

Post Edited (Izzyblizzy) : 6/16/2007 8:01:59 AM (GMT-6)

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