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Kegel Exercises: Am I doing them correctly?

Prostate Cancer | Last Active: Nov 2 8:34am | Replies (29)
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@retireddoc

I was told by my Urologist to get a book called "Life after Prostatectomy and other urological surgeries: From Incontinence to Continence in 10 weeks" by Vanita Gaglani. It's available on Amazon. It is written by an experienced pelvic floor physical therapist. She is very detailed giving you a daily program to regain continence. The key is to get your pelvic floor muscles working in concert with the other core muscles (pelvic floor is part of core -didn't know that). The process also gradually weans you off pads because you can become reliant on them. Just very detailed and well written with specific daily instructions. BTW, I used probably all the major brands of pads during the process and the best, IMO, is Tena-also on Amazon. They make different sizes/thicknesses/absorbancies. I now only use the lightest, thinest pad when I go out for the occasional stress incontinence , like wile playing golf. Don't need one around the house or sleeping.
Seemed to work for me. I'm 70 years old and had a RP a little over 2 years ago. Good luck.

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retireddoc | @retireddoc | Jan 19 5:45am

Also, interestingly, most people with incontinence tend to limit fluid intake with the thought "less in, less out". She explains why this is actually opposite of what you should be doing. Limiting fluid intake eventually reduces bladder capacity which means you have to go more frequently because you feel full more quickly and it's harder to hold the urine. Also, limiting fluid intake makes the urine more concentrated which causes more leakage. I got to where I could hold 400-500 cc before I had to go without leakage. I drink a lot of water! She also discusses in detail the various foods and fluids that promote leakage by bladder irritation. Her explanations are sound and scientific which appealed to me.

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