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Any good videos on Kegal bladder exercises?

Prostate Cancer | Last Active: Aug 16 9:39am | Replies (9)

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Ask your physician for a referral for "Pelvic Floor Physical Therapy" (PFPT). This is a subspecialty of Physical Therapy, mostly used by new postpartum mothers to regain any degree of lost urinary continence; however, a very large percentage of men use this as well. In fact, while I await my appointment, there is often a man who has just ended his session with my therapist, before I start my session. And I am often leaving, and her next patient is a man. What I am leading to, is that I belong to a large, well known health system for my Medicare Advantage HMO plan. My particular PFPT therapist sends me various videos that visually show, and with commentary, guide you how to do the various exercises. They come through an e-mail link to a website called "MedBridge". I simply login and watch the videos and keep them running as I do the exercise. I can tell you that the "basic" Kegel exercises that your Urologist might give you on a 1-2 page handout only scratch the surface of what a PFPT therapist does for you. There is an amazing array of Kegel-type exercises that your therapist will teach you to do, and with good explanation as to how that exercise really helps. There is a strong connection to your pelvic floor muscles and your diaphragm, and therefore your breathing. Half of my challenges were that I was holding my breath as I did certain exercises...it seemed to be the natural, unconscious/automatci thing to do, but my therapist said the opposite: I had to learn to continue to breathe while doing the exercises to move the diaphragm. When the diaphragm moves "downward, so too does your pelvic floor. When your diaphragm moves upward, so too does your pelvic floor. The rate or speed at which you inhale and exhale during Kegel's is very important. It has been a large learning curve for me...my therapist had to modify several exercises for me because the breathing part - all subconscious - made no sense for what I consciously needed to do while working/lifting my pelvic floor muscles during the exercises. It's all kind of odd, unnatural stuff that I equate to when every kid learns that little game of patting your head while rubbing your stomach round and round. It takes conscious coordinated action to do the exercises correctly, but once you "get it", then you're good to go. So, ask your Urologist for an order for PFPT. It might even be good to start before surgery to gain some extra strength in your pelvic floor. Good luck.

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Replies to "Ask your physician for a referral for "Pelvic Floor Physical Therapy" (PFPT). This is a subspecialty..."

I had pelvic physical therapy after RP surgery, but I did not see a therapist in person. I'm in Phoenix and my therapist was on Zoom from Chicago. My incontinence improved, but I'm not sure how much the therapist helped. I had a drug (Gemtesa at first, then some generic version). The exercises might have been just as effective without the therapist. Half the time the therapist had me on one screen and another patient on another screen. The exercises appear to have been helpful but I can't say I credit the therapist.