Kegels Before Surgery?

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Regular Member

Date Joined Sep 2007
Total Posts : 22
   Posted 10/31/2007 10:52 AM (GMT -6)   
My Da Vinci surgery is scheduled for 11/29/07, so I have less than a month to get ready. I have started walking to try to get in a little better shape, but I am wondering what else I should be doing to get ready. When I asked my urologist and my Da Vinci surgeon, I really didn't get much of an answer from either. I left with the impressions that neither had much in the way of recommendations for surgery prep. I would like to hear from others regarding surgery preparation, and specifically about doing kegels prior to surgery.

For those of you that did kegels before surgery, do you think it helped? How long before surgery did you start the kegels?

My surgeon will be Dr. Miller at Northside Hospital in Atlanta. If anyone has any experience with Dr. Miller, I would definitely like to hear from you. I feel very good about him, but it is always helpful to hear from others.

I would also like to say that this is a great forum. I am thankful for having found it, and am also thankful for each of you willing to share your support, knowledge, and experience.
Age 58
10/06 - 1st PSA ever - 4.6
11/06 - PSA retake - 5.3
12/06 - Biopsy, 12 cores - negative
7/07 - PSA - 9.0
7/07 - PSA - 13.8 (after 10 days antibiotics)
8/07 - Biopsy, 12 cores, 1 positive @1%; Gleason 3+3=6
9/17/07 - Bone scan - negative
9/18/07 - CT scan - negative

Regular Member

Date Joined Jul 2007
Total Posts : 242
   Posted 10/31/2007 11:30 AM (GMT -6)   

Walter, I started doing Kegels a month before my surgery and looking back, I feel like it was beneficial to regaining continence quickly. I had been running 20 to 25 miles a week before I was diagnosed, and stepped it up even more before surgery. The combination of getting in the best shape of my life and doing the Kegels was, I feel, extremely helpful in my recovery.

Good luck and please check back in.


Age: 49
Diagnosed: March 25, 2007
PSA: 3.0
Biopsy: Gleason 6. Five of twelve core samples positive with <5% each. No perineural invasion seen.
DaVinci Surgery: May 21, 2007 at Florida Hospital, Orlando, Florida. Surgery took one hour and 45 minutes. According to my surgeon, everything went textbook and the prostate peeled away nicely.
Post-op Pathology Report: Upgraded to Gleason 7 (3+4), negative margins, negative capsular penetration, negative seminal vesicles, lymph nodes left intact, multifocal perinural invasion, 15% of prosate involving cancer in both lobes.
Continence: Out of the pads at five weeks. Still have some very minor stress incontinence at times but it's not an issue. Still Kegel every day and will continue to do so.
Erections: Yes! With the assistance of Cialis.
1st Post-op PSA: <0.1 2nd Post-op PSA: <0.1
Family history: My Father had his prostate removed at age 67 in 1997 and has had a <0.1 PSA for the past 10 years. I was diagnosed at a much earlier age and had a more agressive cancer than my father. Go figure.

Regular Member

Date Joined Oct 2007
Total Posts : 29
   Posted 10/31/2007 1:41 PM (GMT -6)   
My da Vinci is scheduled for 11/28.  Asked the surgeon should I be doing kegels prior to surgery, his response was "definitely".  I'm also picking up my exercise routine as others have suggested on this forum.  Just seems logical that the better physical shape you are in prior to surgery translates to better outcome than would otherwise occur.  Maybe the best byproduct of exercise is that I feel like I'm being proactive in my treatment rather than just waiting for everything to happen.  Whether or not it makes any difference it does make me feel better.

Diagnosed 9/07
Gleason 6  3+3
First PSA 4.1
2nd PSA 3.6
stage T1C
age 46
daVinci sch for 11/28/07
@ Univ of Ala Bham (UAB)

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