Connect
← Return to Stage 4 prostate cancer treatment options
Discussion
Stage 4 prostate cancer treatment options
Prostate Cancer | Last Active: May 4 8:39am | Replies (128)Comment receiving replies
maxvt: Thanks so much for that reply. All of it was really helpful and full of information. I gather the pelvic exercises are what some call Kegel? Is its purpose for greater control of urination and reduction of leaking post op? What was your surgeons name, if that's ok to ask.
Replies to "maxvt: Thanks so much for that reply. All of it was really helpful and full of..."
Part 2:
I did 4 weeks of PT/Kegels.
RALP on 8/23, & started with diapers for almost 3 weeks with only some “spotting.”
Skipped the Guards (Depends) and used the Shields (Depends). No spotting now but wore them for 4 weeks to be safe.
My only 2 “accidents” were due to bladder spasms, while “catheterized” 5 days after surgery, both spasms on same day.
Basically, I was fully continent within three weeks of surgery.
Without the pre-RALP PT, total incontinence could last for several months.
It’s best to strengthen those muscles before someone “messes with” the pipeline down there!
Connect
Yes, kegels are the exercise. Proper PT will have you doing kegels while you are doing many other tasks, towards strengthening your core. The Therapist may also check the Abdominus Rectus muscle (horizontal across the abdomen); this can split if you try to lift a heavy item.
Dr Laviana, at University of Texas Dell Seton Hospital in Austin was by surgeon. He was recommended by my Urologist and was highly regarded by the Radiation Oncologist with whom I spoke.