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Medical Forum / Diseases and Disorders / Prostate Cancer / March 2005Kegel exercises
Since I am having surgery in about a month, my uro suggested I begin doing Kegel's every day beforehand. I've been trying to interrupt my urine flow each time I go just to get used to which muscle I need to use. My question is can doing Kegels cause a prostatitis-like feeling of pressure between your testicles and your anus? I don't have any of the other symptoms such as urgency to urinate or burning when urinating. Even when having ejaculations there is no discomfort. I also have hemorroids so thought this might be the problem. Should not cause any problem. A kegel exersize is like bending your thumb back and forth. If it causes any pain you are trying too hard. Just relax...Stop and start anytime. It works... Yes it is helpful prior to surgery. When my catheter was removed, I brought depends.... I was dry.....I did have a few minor issues but overall, I was not peeing my pants. Keep practicing, prior and after. Walking is better....... Walk like you have a purpose, and walk far. It helps your body, mind, and pelvic issues. So I suggest walk first, practice kegels second. What do I know. RP 99 @ age 49 Loss of one set of nerves....hum..still get normal activity although it took 2 years to regain. Good wishes, and do walk. John Loomis > Since I am having surgery in about a month, my uro suggested I begin doing > Kegel's every day beforehand. I've been trying to interrupt my urine flow [quoted text clipped - 5 lines] > ejaculations there is no discomfort. I also have hemorroids so thought > this might be the problem. Thanks for the reply John. I've been trying to walk 1-2 miles everyday now. My doctor says he will want me to walk 3 miles a day once my surgery is over. I have led a somewhat sedentary lifestyle so I know I need to get in shape. I keep seeing on the posts a constant theme for good recovery: walk, walk, walk. P.S., you probably know a lot more than you think. I STILL don't understand how Kegels of Steel help when we're exerting while distracted, as in sports, physical labor, etc. What good's a Kegel than can stop an overstuffed bladder cold at midstream if we're not focused on contracting it every upright instant? I just installed a short rain gutter system on my garage, and my fresh diaper is drooping almost to my knees because I was concentrating on my work and safety rather than on my pelvic floor. Spring's a couple of weeks away, and not too long after that the wet sweat pants go away and the shorts and swim trunks come out. I hope people aren't grossed out by the trail I leave, 'cause I ain't letting this crap . . . er, pee . . . interfere with my lifestyle. Four months now, and still I.P. Freely And they insist I start jury duty next week? Hope they don't object when I raise my hand and walk out of the courtroom! > Keep practicing, prior and after. > Walking is better....... > Walk like you have a purpose, and walk far. > It helps your body, mind, and pelvic issues. > So I suggest walk first, practice kegels second. I think they still have a lot to learn about the sphincter and how it works. Based on what I have read here in the last couple years there are no factors that accurately predict who will experience incontinence and who will not. Hell, the Universities cannot even agree on the definition of incontinence (1 pad a day is not incontinent at Hopkins; 1 pad a day is still incontinent at Harvard). My surgery was in August of 2003 and I still need pads. I certainly do not leak as much as in the first few months, but I do leak. Sometimes I am aware of it, sometimes not. When I feel it the feeling is in the penis, i.e., the urine is already beyond the sphincter, so it is too late. I agree with you, there is more to this than what we are told. I will not knock Kegels, meaning if it does help somebody then I would be the last to say to not do them, but I think you have a point about the relationship of the exercises to the condition of the sphincter and leaking. I can "hold it" when I have to go, so I do have control, but that does not have anything to do with the leaking, at least in my mind. Thanks all. Have a good day. Rain here (but at least it is not snow). David S. P.S. I would think this would be a valid reason to be excused from jury duty. If your concentration is interrupted due to the incontinence, how can you give proper attention to the trial? > I STILL don't understand how Kegels of Steel help when we're exerting while > distracted, as in sports, physical labor, etc. What good's a Kegel than can > stop an overstuffed bladder cold at midstream if we're not focused on > contracting it every upright instant? I just installed a short rain gutter <snip> > Four months now, and still I.P. Freely > And they insist I start jury duty next week? Hope they don't object when I > raise my hand and walk out of the courtroom! Distraction is not a big issue when I can't hear the proceedings anyway. ;-) I lost one inner ear to Meniere's disease years ago, and although I hear one speaker fine in quiet environments, the slightest second sound blocks my hearing. Somebody rustling papers wipes out a speaker; other viewers' popcorn scrunching blocks out any movie soundtrack. "What'desay, judge? A chair squeaked. Was that "Guilty" or "Not Guilty"?." I.P. > P.S. I would think this would be a valid reason to be excused from jury > duty. If your concentration is interrupted due to the incontinence, how > can > you give proper attention to the trial? Hmmm. Next time I get called for jury duty I may try that..."can you please speak louder your honor, I can't quite make out what you just said...." :)) But on the serious side, I am sorry that you suffered the hearing loss. My father worked at Central Institute for the Deaf in St. Louis, MO, so I do not take that impairment lightly. > Distraction is not a big issue when I can't hear the proceedings anyway. ;-) > I lost one inner ear to Meniere's disease years ago, and although I hear one [quoted text clipped - 9 lines] > > can > > you give proper attention to the trial? I am a big advocate of the walking also. My recovery from surgery went much better than what I expected, and I am sure that the time I spent walking, my only exercise, helped a lot. Good luck. <snip> > Walking is better....... > Walk like you have a purpose, and walk far. > It helps your body, mind, and pelvic issues. > So I suggest walk first, practice kegels second. I went to a physical therapist before my surgery. She told me "not" to interupt my urine flow. It could cause you not to fully empty your bladder. You might need to have a therapist explain to you how it feels. I think the feeling between your scrotum and anus is normal. Don't forget what they did to you and where they did it. Mine is starting to feel back to normal at five weeks after surgery. Good Luck. A colleague and I are a year apart in age, and we were diagnosed with PCa within six months of each other. His urologist, at UCLA Hospital, recommended heavy-duty Kegels for a month before his surgery, and less heavy-duty post-op Kegels. He was horseback-riding two months after surgery, and had no incontinence. On the other hand, my urologist, at Cedars-Sinai Hospital, never mentioned Kegels to me, and I knew nothing about it until a month after surgery, during a phone call with my colleague. After that, I did Kegels four or five times a day, and I feel it made a huge difference in recovery. |
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