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Are Kegels Worthwhile?

Prostate Cancer | Last Active: Sep 28 11:36am | Replies (40)

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@spino

Most of this thread has been how to do pelvic floor exercises [PFE], not about the original question--do they make a difference? The answer to this question is more complicated, based on what I've learned, than we might think.
The word on the street, as reflected in this thread so far, is that PFE helps.
However, it's very hard to prove this is the case. In fact, clearly many people do PFE faithfully, whether "correctly" or not, and still have some (or unremitted) incontinence. This is also reflected in this thread.
And it is also the case that scientifically there is at least some question as to whether too much PFE or PFE done wrong might actually negatively contribute to continence.
So is the surgeon (as originally quoted) right? Perhaps so. Although like many such technical experts, he might not have been politically sensitive to his audience. In the meantime, we as a community should probably take these thoughts in and wonder whether they are right or not, rather than being confident that what we think is true or experience as true is definitely true.
My own experience was that I was remarkably continent, so either the PFE was amazingly effective or, alternatively, the PFE was not in fact the most significant factor for me. Now if only that had worked for erectile function!

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Replies to "Most of this thread has been how to do pelvic floor exercises [PFE], not about the..."

I prefer to think of it as the surgeon is partially right and partially wrong -- fuzzy logic. There are not only two answers to the question. Also an individual doesn't know where on the spectrum of 'PFE benefits' that they lie until, or if, they give PFE a try.

I think that variations in both amount and location of tissue removed during RARP combined with slight anatomical variations in each of us also play a role. An attitude of "let's try it to see if it works for me" may develop if incontinence persists, but like many of us are acutely aware, there's no guarantee of results -- be hopeful yet keep expectations reasonable.

OT: after five years of trying many methods of dealing with ED, I finally chose surgery and am pleased with the results.