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Medical Forum / Diseases and Disorders / Prostate Cancer / October 2006Kegels Revisited
I know that this topic has been kicked around quite a lot in this group, without much consensus. What Kegels regimen works for you? I've read everything from don't bother with Kegels, to only contract while urinating all the way to do 10 to 20 sets an hour. I was doing 4 sets per day, holding for as long as 30 seconds, doing as many as 30 reps per set. I began to think that I might be overdoing it and have now dropped back to 4 sets/day, 10 second hold , 15 reps per set. I'm 6 weeks post robotic surgery going through 4 pads per day, which is probably par for the course. I'm getting up 4 times a night, which seems too often. I'm trying Detrol at night, but doesn't seem to make much of a difference. Anyway, what has worked for you? Ed >I know that this topic has been kicked around quite a lot in this > group, without much consensus. [quoted text clipped - 12 lines] > Anyway, what has worked for you? > Ed I vote for stopping the stream while urinating being all that's needed.  SignatureJK Sinrod www.SinrodStudios.com www.MyConeyIslandMemories.com This is my first post but will chime in on my husband's kegel routine. He is three weeks post-robotic surgery and is doing two sets of 20 kegel's daily; one set upon waking and the other set at bedtime. (As per his surgeon.) He has not had any urine leakage at all. Not one drop. He started wearing a pad when the catheter was removed at 9 days post-op but discovered quickly that he didn't need them. Also, he was told to start doing the kegel's two weeks prior to surgery, which he did. Not sure if that made any difference or not. He also went through the kegel instruction with an anal probe to learn how to do them correctly, which I'm sure has helped. Thanks, Jean > This is my first post but will chime in on my husband's kegel routine. > [quoted text clipped - 12 lines] > > Jean Jean, Dry at three weeks. He is very fortunate! How old is your husband? How long does he hold each rep. Ed Hi Ed, Hubby is 59 years old. He holds the kegel's for 5 seconds each and relaxes for 10 seconds between each one. This is the way the kegel instructor taught him to do it. He does them laying on his side in bed. We realize that he is extremely fortunate that there has been no leakage, as that's almost unheard of. Jean >> This is my first post but will chime in on my husband's kegel routine. >> [quoted text clipped - 17 lines] > How long does he hold each rep. > Ed Welcome Jean!! SignaturePSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins PSA .1 .1 .1 .27 .37 .75 EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05, 5/05, 10/05, 2/06, 6/06 PSA .07 .05 .06 .09 .08 .132 .145 Casodex added daily 07/06 Non Illegitimi Carborundum > This is my first post but will chime in on my husband's kegel routine. > [quoted text clipped - 12 lines] > > Jean > what has worked for you? I've had little luck developing a Kegel habit, but two years past my RP, I'm driest when my bladder is fairly full, I presume because that sends a good clinch signal wherever it needs to go. Empty, I dribble like a puppy because I can't sense it until it passes into my pad. I.P. >> what has worked for you? I am 2 weeks post catheter removal after robotic, age 54. I started kegels 4 weeks pre-op, and was doing 2 sets of 25 daily, 10 sec. each. Now I am doing 3 sets of 10 daily, 10 seconds. I was at about 4-5 pads/24 hrs. for a week, now at 2-3/24 hrs. Never had any leakage during the night, but still getting up at least twice, just like when I had BPH. I have started to cut the pads in half, and just use the upper half, which is wider. Walmart has their own brand (Assurance) for under $10 for 52, and they are almost as good as Depends for men. i am due for surgery on oct 31st and have been told not to bother with kegels until after surgery. i also was also told that since i appear to generally have good muscle tone overall that i may not even have to do kegels since it is just another muscle that gets worked out with the rest in the gym. is there any truth to that ? gary > >> what has worked for you? > [quoted text clipped - 6 lines] > upper half, which is wider. Walmart has their own brand (Assurance) > for under $10 for 52, and they are almost as good as Depends for men. >i am due for surgery on oct 31st and have been told not to bother with > kegels until after surgery. That is also what I was told. It's been a long, long time (at least it seems so), but I believe the advice my doctor gave was to wait because I could not possibly isolate the right muscle until after the surgery and after I started urinating on my own. Makes sense considering that tissue and nerves are cut, things are reattached and now only one muscle stands between your bladder and dry shorts. > i also was also told that since i appear to generally have good muscle > tone overall that i may not even have to do kegels since it is just > another muscle that gets worked out with the rest in the gym. is there > any truth to that ? I'm assuming that was not your doctor speaking. It is also illogical. I used to work out. At one time, I could lift the back end of a Volkswagon (sans engine), Chevette, Barbie pick up truck, or 17' fiberglass runabout. But, I still had to do some special exercises with my wrists in order to better participate in softball, golf and competitive pistolcraft. I'm sure that if you work out a lot, you know the difference between working the major muscle groups as opposed to isolating the bicepts, tricepts, etc. I imagine kegels to be much more specialized than those. SignaturePSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins PSA .1 .1 .1 .27 .37 .75 EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05, 5/05, 10/05, 2/06, 6/06 PSA .07 .05 .06 .09 .08 .132 .145 Casodex added daily 07/06 Non Illegitimi Carborundum > i am due for surgery on oct 31st and have been told not to bother with > kegels until after surgery. > i also was also told that since i appear to generally have good muscle > tone overall that i may not even have to do kegels since it is just > another muscle that gets worked out with the rest in the gym. is there > any truth to that ? Not in my case, but that's just one case. I could stop and start my strong stream instantly, at will, the day I removed my catheter two years ago, but I'm still wearing pads, and not because I like them. I.P. The bottomline on Kegels is that there's no way to figure out if they work at all, or are great! Why not do them anyway. What's to lose? SignatureJK Sinrod www.SinrodStudios.com www.MyConeyIslandMemories.com |
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