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Incontinence Improvement with Pelvic PT?

Prostate Cancer | Last Active: 14 hours ago | Replies (53)
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@survivor5280

I'm the "Kegel guy" of late because this was a focal point for me for four months prior to RARP. I've often mentioned not doing too many, doing them correctly, etc.

I'm surprised you did them so soon after your surgery, I didn't resume doing them for a couple of weeks because that's a lot of stress to put on your internals and I was told to avoid them for at least two weeks and likely more a month. I did them lightly as a test after a couple and could feel discomfort and stopped.

Now I didn't have any issue I was trying to resolve, but continue to do them as a safety net because I came out of the procedure with no issues and I can't say they were due to kegels or not but I'm not risking it 😉.

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rich24 | @rich24 | Mar 25 1:27pm

Thanks for this, @survivor5280

You wrote, "I'm surprised you did them so soon after your surgery". That was what my urology/oncology team told me to do! The PA in charge of post-op care told me that they ask all patients to start (or restart) kegels *the day after the catheter comes out* - which was six days after surgery (i.e., quickly, which was my surgeon's preference). Lacking any other advice, I did as I was told. Now, I have definitely felt improvement in the two weeks since I re-started kegels, and have had no complications that I can tell from starting them so soon after surgery (and have had no blood in my urine since two weeks post-op/one week post-catheter). So I feel pretty good about the process so far, except maybe for the fact that I am among the unlucky number who come out of surgery with more or less rampant stress incontinence (though also with decent bladder control, for which I am thankful - and my surgery was nerve-sparing).

The difference in your experience and mine seems like a good example of how different the advice we get from our teams and experts can be!

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