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Post Prostatectomy Incontinence: When can I start bicycling again?
Prostate Cancer | Last Active: Mar 16 2:56pm | Replies (14)Comment receiving replies
Hello fellow riders and PC survivors - hope this thread is still alive (I have read and greatly-appreciate all previous posts!)... 63 years, I am 6 months post N-SRP... (not sure % of nerve-sparing?)... daily mountain bike rider normally... have not been on bike in 6 months... still dealing with some incontinence (improved substantially since catheter removal - but progress is incremental). Want desperately to ride again - but still feel "pain" or "tenderness" along perineum (bike seat area) when pressure applied, and along urethra track after doing 3-4 sets of kegels daily... just bought new ERGON SMC Sport Gel Saddle (specific size and design to remove direct pressure on perineum) but still hesitant to ride due to pain/tenderness. I am remaining active with hiking, stationary recumbent bike, TRX/X-fit workouts - but NEED to bike!
*Any experience/advice from anyone who has been down this path?
*I also just started trying red light therapy (Infrared and near-IR) on perineum area - anyone tried/had success with/ or was cautioned against red light for this area?
Thanks much and best to all!!!
Replies to "Hello fellow riders and PC survivors - hope this thread is still alive (I have read..."
@mtb63, you might also be interested in these related discussions:
- Cycling after radical prostatectomy (RP)? Increase risk of recurrence?
https://connect.mayoclinic.org/discussion/cycling-after-rp/
- Hill-walking/hiking after prostatectomy
https://connect.mayoclinic.org/discussion/hill-walkinghiking-after-prostatectomy/
Keep up the kegels👍 https://connect.mayoclinic.org/group/prostate-cancer/?search=kegel#discussion-listview
Have you talked about the tenderness in the perineum with your surgeon or with a physical therapist?
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I returned to cycling three months after surgery. Mountain, gravel, time trial (triathlons), indoor trainer (Zwift), and standard road biking with long climbs (1-2 hours of climbing). I never had pain in the perineum. I have used saddles with a center cut-out for the past twenty five years. I started with 15 minutes indoors; when that went OK I progressively increased riding time by 15-20 minutes 3 times a week. A professional bike fit to ensure the saddle is not too high is essential IMO. Knees should remained flexed by about 15 degrees with the pedal at its lowest point.