Cycling after radical prostatectomy (RP)? Increase risk of recurrence?

Posted by mckboh @mckboh1, Aug 18, 2022

It is now over 4 months since my operation.

Anyone have any guidelines on returning to cycling.

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

Great write up doc, and I may be stealing "the guy who was re-arranging my innards." LOL
I'm about to get back on he road bike myself and this helps me feel better about my decision to do so!

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@mckboh1

The hospital said 3 months but my Urologist says I should gradually build up and use a soft saddle. I do not want to replace my saddle on my racing bike.

Does anyone have a program which they followed where they increased a bit every week.

Just wondering when I can do a 3 or 4 hour cycle again or go on a cycling holiday. It is my main pastime.

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I just bought a Schwinn Prostate saddle for my bike and home Schwinn Aerodyne exercise bike. Takes the pressure off the front end.

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https://www.livestrong.com/article/391418-the-best-bicycle-seat-for-the-prostate/
https://www.bicycleseats.com/prostate-relief-seats.html
https://www.cyclistshub.com/best-bike-saddles-for-prostate/
The ones without the nose do not suit me. I think the reason they are not more successful might be that bike riders (like me) move around on the saddle to vary the pressure on different parts of the pelvic region, as well as lifting on and off it by standing on the pedals sometimes. By eliminating all the possible points of contact but one, the noseless seats (and especially the ones with a slit down the middle?!) force one to spend all the time sitting on exactly the same points at exactly one angle. This is NOT GOOD ;-).
I've tried a variety of seats since my surgery, as well as with and without various levels of padded shorts (including a top of the line pearl izumi pair). The only thing I haven't yet (dared to) try is my favorite seat before the surgery, a very long narrow, slightly cutout specialized road seat. I may try that too one of these days.
So far, the most important thing is less time in the saddle, whether by stopping, by standing on the pedals, or gripping the seat with my thighs while in a modified drop position (on flat bars.) No matter what, I can't go as long as I once did, although others have pointed out that most people my age can't go as long as I now consider a hardship....
A year plus after surgery, I can do about 1 hour, maybe stretched to 1.5 with my various alleviation strategies. My urologist says 5-7% of RALP survivors have ongoing pelvic pain. I hope I'm part of the 93-95%.

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I love riding ,,,,,,did not have the prostate removed just the radiation and commensurate hormones etc. I am still taking them and found seats that just fit well, they are called "Sell' Italian . They are far better than any I have used. Takes a little tweaking to get it right but once you do it is a great relief to ride w/o problems.

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@spino

https://www.livestrong.com/article/391418-the-best-bicycle-seat-for-the-prostate/
https://www.bicycleseats.com/prostate-relief-seats.html
https://www.cyclistshub.com/best-bike-saddles-for-prostate/
The ones without the nose do not suit me. I think the reason they are not more successful might be that bike riders (like me) move around on the saddle to vary the pressure on different parts of the pelvic region, as well as lifting on and off it by standing on the pedals sometimes. By eliminating all the possible points of contact but one, the noseless seats (and especially the ones with a slit down the middle?!) force one to spend all the time sitting on exactly the same points at exactly one angle. This is NOT GOOD ;-).
I've tried a variety of seats since my surgery, as well as with and without various levels of padded shorts (including a top of the line pearl izumi pair). The only thing I haven't yet (dared to) try is my favorite seat before the surgery, a very long narrow, slightly cutout specialized road seat. I may try that too one of these days.
So far, the most important thing is less time in the saddle, whether by stopping, by standing on the pedals, or gripping the seat with my thighs while in a modified drop position (on flat bars.) No matter what, I can't go as long as I once did, although others have pointed out that most people my age can't go as long as I now consider a hardship....
A year plus after surgery, I can do about 1 hour, maybe stretched to 1.5 with my various alleviation strategies. My urologist says 5-7% of RALP survivors have ongoing pelvic pain. I hope I'm part of the 93-95%.

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Maturity teaches quality time not quantity in our senior years.
I use to ride my Arabian Endurance Horse 7 plus hours on weekends. Now I'd be very thankful for a shorter more aggressive ride flying thru the Redwood Trees and up super steep mountains. I can up the Joy and decrease the duration. 🙂
"The Joy of the Lord is my strength"
"I can do all things thru Christ who gives me strength". 🙂

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Sloan always tells me to refrain from biking or sex for ONE week prior to PSA test. I always say the same thing: BUT I DON’T HAVE A PROSTATE!!
In one ear out the other….but when I asked my urologist about it he said “Bullshit! That’s all been disproven!”
In other words, bicycle seats don’t cause cancer -haha!

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