Can't do keagles they are to weak

Had Prostate Removed by Robotic surgery on 11-10-25

Oh yeah. Flashbacks. Been there.
They usually say wait until at least 12 months before considering further surgery.
Mine was so bad, I had surgery 9 months later.

Sometimes it resolves itself.
I know it really sucks, but it's early days yet.

I'm sorry to hear you're having a rough time, @jtsim89

This might be too tough to try to figure out on your own. There are many physiotherapists who specialise in pelvic exercises like kegels, because so many women experience issues after pregnancy or menopause, and they have special training to help you get started. If you're able to see one, it might make a big difference (obviously, check with your doctor first).

Best of luck, and Merry Christmas

I had incontinence right from the start. I had been doing kegels. It took me about 6 months to start feeling like I could stop it from leaking. I had no feeling before that it just ran out. I did not have the surgery at Mayo but all my followup has been. I waited 5 years and then went to Mayo for PT. It has not helped. I can hold it but as soon as I unclinch it runs out. Urologist has run the testing but does not believe I will be able to control on my own. Thinking of the AUS device. I use a condom catheter and the clip. But I think yours needs more time. The nerves need time to heal.

I just posted this on another thread yesterday:

"I really wish more urologists would advise patients about this
The American Urological Association published guidelines for urologists ( just updated in 2024) regarding just this: incontinence following protatectomy.
,Guideline six states 'Clinicians should inform patients undergoing radical prostatectomy or transurethral resection of the prostate after radiation therapy of the high rate of urinary incontinence following these procedures. (Moderate Recommendation; Evidence Level: Grade C)

a peer reviewed article (see below) the majority of patients recover continence over a period that is variable, and can range from 6 months to 12 months in most cases,

in the research I have encountered the vast majority of men experience incontinence. the majority get better but close to 49-55 months ( so figure around a year, if you beat it great.

Of course there are men that have no incontinence, and some get better within weeks. I am so very happy for them
I am close to a year and am better than I was in the spring and summer. It has been a very long and unpleasant road.
I would do it all over again as my PSA is now very low so the bigger issue cancer and life expectancy are not so imminent. I just wish I had been given a heads up about the very probable likelihood of long term incontinence

The research also supports pelvic muscle training and bladder re-programming ( this is Kegels++

I wish you good luck

For any urologists reading this, please check out the American Urological Association regulations which include patient education- telling patients upfront about these expectations
https://www.auanet.org/guidelines-and-quality/guidelines/incontinence-after-prostate-treatment "

You are likely new to the game
try to consider this
1. you had an important organ removed and likely some adjoining tissue, muscle and nerves , This causes trauma to the area and can tale a while to heal.
2. There is now a void, some extra space around your bladder neck that will need to get filled. Building up muscle mass is part of the rehab.
3. For MALES, the prostrate can be the main ( first team main player) in urine control. Fortunately, we can bring in the second team off the bench. This is relatively good news but there can be a definite learning curve
4 the Kegels will help,. So will other training. the research supports this
5 However, the research and field has not yet developed standards for how many and what kind of Kegels are best. There is a definite risk of doing too many and also not allowing muscle time to rest and repair ( essentially strength building involves building muscles, breaking muscles and restoring muscles, Resting is part of the cycle as is not doing too many too much
as important as it can be for rehab to train and do Kegels, it is also important to be smart about it and learn about muscle rehab.
If you can find a specialist PT in your area- someone who has specifically worked with MALES following prostratectomy, this can be helpful. I found someone , however, my insurance would not cover her and Medicare pays pennies on the dollar. However, I spent the money and do not regret.
hang in there. Do not give up on the Kegels

My situation is NS RP about 2.5 years ago. Incontinence in the beginning was horrid. Pad upon pads a day. Did what I thought were kegels.

Found a DPT who treated people (women) for UI. She was pleasant, supportive and somewhat helpful but the problem persisted. She had no experience with men recovering from a RP. I found a book that started my improvement - Life After Prostate Cancer and Other Urological Surgeries: A Step-by-Step Guide to Stop Urinary Leakage in Ten Weeks), written by Vanita Gaglani. Then I found a DPT who treat men for pelvic floor issues. Both of these helped me get to near dryness. Now I leak a bit in the gym or running but wear a small pad and that's fine. Again look for a DPT who treat men for pelvic floor, and of those most have experience with men who have had an RP. Good luck my friend.

Have you tried pelvic PT yet? It is a thing.

I had similar problems and was fortunate enough to find a PT who specializes in pelvic floor. It took a while for me to regain continence, but I now have nearly perfect control. What kegels won’t do is rebalance the muscles of the pelvis, and it’s important that we get them to work together rather than being one-side dominant. Classic Medicare covered the cost entirely. If you can’t find a PT who does pelvic floor for men (or even if you can), I recommend you check out the website of Judy Hume, https://www.phoenixcore.com/, she offers several free publications and videos on pelvic floor. _Beyond Kegels_ is a good place to start. _Men after 50_ is also helpful on a broader range of issues.