Incontinence, I'm seeing definite improvements 3 months after RRP

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ronbruce@gmail.com - 15 Jan 2005 06:57 GMT

Just thought I share with you that the past few days the muscles that
stop the dribbles seem to have got the message, yippee!

I was talking to a lady Physiotherapist a week ago socially and she
recommended squeezing REAL hard when doing Kedgels, NOT doing them all
day long, but 10 x 10 seconds four times a day.

I was changing my pad every couple of hours when not siiting around
previously and now one lasts me all day!

So there's some encouragement for guys that are still dribbling, just
keep at it!

The next big thing is the PSA test in a week or two, not had one since
RRP on 13 October 2004.

Otherwise I am feeling great , lots of energy ( for a 65 yo) and when I
tried a viagra just for a joke yesterday I achieved a couple of extra
inches of not totally limp meat. ( My Uro is going to give me a needle
next visit!)

Ronaldo

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Smiley - 15 Jan 2005 15:17 GMT

> [snip]
> I was talking to a lady Physiotherapist a week ago socially and she
> recommended squeezing REAL hard when doing Kedgels, NOT doing them all
> day long, but 10 x 10 seconds four times a day.
> [snip]

Hi,

This is good news! I'm so glad it has helped you.

My husband is also doing them all day long so I read your 'e' to him.

Could you clarify please? Does the above mean
1. do 1 REAL hard squeeze holding it for 10 seconds and then
2. repeat it 10 times for a total of 100 seconds and then
3. repeat that set 4 times a day?

Or does it mean
1. do 1 REAL hard squeeze holding it for 1 second and then
2. repeat it 10 times for a total of 10 seconds and then
3. repeat that set 4 times a day?

And then do you do this at the time you are peeing or just anytime? Sorry!
Seems like a pretty personal question! But it will help him and maybe
others as well.

Thank you. I've learned a lot for my husband on this NG.

Kathy
aka smiley

In God We Trust

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John Loomis - 15 Jan 2005 17:14 GMT

Sounds like you are on the right track......
Good news...
John Loomis

> Just thought I share with you that the past few days the muscles that
> stop the dribbles seem to have got the message, yippee!
[quoted text clipped - 18 lines]
>
> Ronaldo

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ronbruce@gmail.com - 15 Jan 2005 22:13 GMT

Hi Kathy,
What I meant was a HARD squeeze holding for 10 seconds,
release SLOWLY, then wait 10 seconds,
Then do HARD squeeze no.2
etc, up to 10

I do them in bed in the morning lying down with my knees drawn up,
and sitting at my desk.
The physio said try doing them when I go for my 20 min walk in the
afternoon,
but I find that when I release when walking i start to dribble,
and that doesn't happen when sitting or standing
and no, i don't do them at all when peeing, infact the physio
particularly said not to do it them, only do it at first,
to find the correct muscles to squeeze.
Hope that helps.
Ronaldo

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Smiley - 15 Jan 2005 22:34 GMT

Thank you! I'll let you know how they help my husband. He doesn't have a
BIG problem but does have
to wear a pad all day due to some leakage.

Signature

Kathy
aka smiley

In God We Trust

> Hi Kathy,
> What I meant was a HARD squeeze holding for 10 seconds,
[quoted text clipped - 13 lines]
> Hope that helps.
> Ronaldo

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Tdub - 17 Jan 2005 03:58 GMT

I found Kegels to be rather dangerous, they didn't seem to help me for
10 months after RRP, then I became virtually continent (< 1 pad/day)
within a couple days after just sitting in a chair and holding as long
as I could (something I hadn't done B4) concentrating on the PF
muscles. After another 3 months, I tried Kegels again to finish off
residual/minimal leaking and all hell broke loose. It reverted to quite
a bit of leaking and lack of control. I have slowly gotten back to my
former less-than-one-pad-a-day continence by just gently holding and
concentrating on the muscles as much as possible. If I am sitting
around in the evening I will apply and hold a slight/moderate PF muscle
contraction as exercise. This has to be done very gently since the PF
muscle is easily overworked, IMO. This strategy seems to work well. I'm
five days shy of the proverbial 18 months post RRP; I cancelled the
appointment with the sphincter installer twice in the last couple
months because of improvement. So there seems to be two approaches to
gaining continence: 1) Kegels and 2) generally holding back and trying
to pee less often, feeling the natural muscle contraction as the
bladder gets fuller, and "adding to" the natural contraction for
improvement.

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