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Persistent urgency even after urinating, 3 months after prostatectomy
Prostate Cancer | Last Active: Sep 9 9:04am | Replies (27)Comment receiving replies
Rob, Does your therapy consist of pelvic tilts? I’ve read that it’s the ‘best’ type of therapy.
Also, how can you do a kegel wrong? I was told to make believe you don’t want to fart in a crowded elevator - although it makes more sense if there’s only ONE other person in there with you.😆
So am I doing it wrong as well? It’s basically the contraction and relaxation if the external anal sphincter, isn’t it?
Replies to "Rob, Does your therapy consist of pelvic tilts? I’ve read that it’s the ‘best’ type of..."
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Hi Phil. No pelvic tilts. The way, I understand it, there are a bunch of small muscles in the area. The ones that control urine flow are not the same ones that control the anal sphincter but they are in the vicinity. They are the ones that allow you to stop your flow of urine. Those are the ones that have got to be worked on to get the best results and they fatigue easily until they get stronger. My PT also had me learn diaphragmatic breathing and incorporate that into the Kegel. That’s when I got the most benefit when I incorporate diaphragmatic breathing into doing a Keagle. She gave me a set of exercises to do that include long twitch and the short twitch muscles. That has been a game changer. She also gave me strategies to retrain my bladder to overcome emergency. That’s been helpful too.
My PT was able to put her fingers carefully on a couple spots on my perineum an could tell what muscle groups were being activated in a Kegel And guide me towards making certain that I was activating the correct ones.
Good luck on your journey!