Are there any videos showing how to do Kegels correctly?

Posted by davidbrandi01 @davidbrandi01, Nov 19, 2024

Are there any videos showing how to do Keggles correctly?

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

3 or 4 seconds. Just long enough so that I can feel the muscles fully unclench and relax.

REPLY
Profile picture for quaddick @quaddick

There are tons of videos on kegels for men. My favorites are by Michelle Kenway. She's very clear and easy to follow. As soon as I decided on surgery(2 months before the deed), I found her on You Tube. Started kegels then and have never stopped. I do 6 sets per day, everyday. A set consists of 5 long holds for 60 seconds, followed by 15 short and quick ones separated by 2 seconds. I'm 6 months from surgery and fully continent for a couple of months now. I asked my doctor at the last appointment about how long I'd have to do them for and he said, for the rest of my life. But, hey, a small price to pay for freedom from pads. Especially in this hot summer weather.

Jump to this post

@quaddick

I really appreciate all the posts about how to do Kegels, the number of sets and holds

However,
There is so much contradictory information it can make my head hurt (one of my sons once told me I was so stupid it made his head hurt)
Some push for multiple sets per day and long holds then I see supposedly 'authoritative information cautioning that even ten second holds for the long ones can be too much. do not strain, go for rest between sets etc. Most tend to recommend a combination of long ( 5-10-15 second holds)and then quick ones ( one or two seconds for five or ten reps) Michelle Kenway is close to this.

I dug into the research on Kegels following prostatectomy. A meta analysis on Pubmed by multiple authors reviewing multiple studies concluded that this was more or less a blind spot in the research. In other words, there does not appear to be a good recommendation/metric other than doing them helps and most tend to recommend two to three sets a day consisting of long and short Kegels
It seems it would really help- going forwards- for some authoritative recommendations

as an aside the mechanical simulators and trainers including the emsella chair- last I looked- do not have supportive research at least for males following prostatecotmy

just my two cents from a hard-headed, stubborn, slow learner older man

REPLY
Profile picture for edinmaryland @edinmaryland

@quaddick

I really appreciate all the posts about how to do Kegels, the number of sets and holds

However,
There is so much contradictory information it can make my head hurt (one of my sons once told me I was so stupid it made his head hurt)
Some push for multiple sets per day and long holds then I see supposedly 'authoritative information cautioning that even ten second holds for the long ones can be too much. do not strain, go for rest between sets etc. Most tend to recommend a combination of long ( 5-10-15 second holds)and then quick ones ( one or two seconds for five or ten reps) Michelle Kenway is close to this.

I dug into the research on Kegels following prostatectomy. A meta analysis on Pubmed by multiple authors reviewing multiple studies concluded that this was more or less a blind spot in the research. In other words, there does not appear to be a good recommendation/metric other than doing them helps and most tend to recommend two to three sets a day consisting of long and short Kegels
It seems it would really help- going forwards- for some authoritative recommendations

as an aside the mechanical simulators and trainers including the emsella chair- last I looked- do not have supportive research at least for males following prostatecotmy

just my two cents from a hard-headed, stubborn, slow learner older man

Jump to this post

@edinmaryland We can sometimes get all up in our head with this stuff. The important thing is to just do Kegels. Long and short ones. Laying down, sitting and standing up even in the grocery store lines.

REPLY
Profile picture for edinmaryland @edinmaryland

@quaddick

I really appreciate all the posts about how to do Kegels, the number of sets and holds

However,
There is so much contradictory information it can make my head hurt (one of my sons once told me I was so stupid it made his head hurt)
Some push for multiple sets per day and long holds then I see supposedly 'authoritative information cautioning that even ten second holds for the long ones can be too much. do not strain, go for rest between sets etc. Most tend to recommend a combination of long ( 5-10-15 second holds)and then quick ones ( one or two seconds for five or ten reps) Michelle Kenway is close to this.

I dug into the research on Kegels following prostatectomy. A meta analysis on Pubmed by multiple authors reviewing multiple studies concluded that this was more or less a blind spot in the research. In other words, there does not appear to be a good recommendation/metric other than doing them helps and most tend to recommend two to three sets a day consisting of long and short Kegels
It seems it would really help- going forwards- for some authoritative recommendations

as an aside the mechanical simulators and trainers including the emsella chair- last I looked- do not have supportive research at least for males following prostatecotmy

just my two cents from a hard-headed, stubborn, slow learner older man

Jump to this post

@edinmaryland
I agree with you. The recommendations are all over the place. Kenway showed me how to do them and a physical therapist that I saw prior to surgery is the one who gave me the specifics on sets and duration. I'm now fully continent six months out. So it worked, and if it ain't broke- don't fix it.

REPLY

When I went to Pelvic Floor Physical Therapy (PFPT), my PFPT Therapist sent me links to the University of Wisconsin's PFPT exercises website. Sadly, when my therapy ended, my saved website links vanished...not sure how she did that since they were downloaded to my computer. But, the U of W website was excellent. PFPT goes WELL beyond regular Kegel exercises. They involve how you breathe since your entire abdomen below your diaphragm to your crotch is a giant chamber. Your breathing changes the pressure on your bladder with every breath you take. I drove my PFPT Therapist crazy: I would somehow "stop" breathing when I was doing my exercises...I would hold my breath. She started by gently reminding me to "breeeeeeeathe." By the fifth and sixth sessions she was shouting at me: "BREEEEEEEATHE!!!!!" I was so focused on doing the pelvic motion, that I just instinctively held my breath. It drove her crazy. I gave up and never went to my final, eighth session. But...check out what you can find on the U of W website. I am sure that most major medical centers have websites specific for Pelvice Floor Exercises. U of W had "live", real people videos and photos showing you how to follow the written instructions. It was very good. ***If your urologist has not prescribed PFPT for you, have them write your prescription for right now(8) sessions. Your insurance company or Medicare will have to approve it. They will likely only approve "two" sessions, but your PFPT Therapist will write a simple justification for needing a total of eight sessions, and your insurance or Medicare will approve it. Good luck to you.

REPLY
Profile picture for chippydoo @chippydoo

@edinmaryland We can sometimes get all up in our head with this stuff. The important thing is to just do Kegels. Long and short ones. Laying down, sitting and standing up even in the grocery store lines.

Jump to this post

@chippydoo you are right and I appreciate all the post.I'm just now at 1820 months out.Still having trouble with over tired pelvic floor muscles. I can feel them and know that they're sore and strained.So i'm trying to find a new balance between continuing to do them and giving myself a day off here and there of rest

REPLY
Profile picture for rlpostrp @rlpostrp

When I went to Pelvic Floor Physical Therapy (PFPT), my PFPT Therapist sent me links to the University of Wisconsin's PFPT exercises website. Sadly, when my therapy ended, my saved website links vanished...not sure how she did that since they were downloaded to my computer. But, the U of W website was excellent. PFPT goes WELL beyond regular Kegel exercises. They involve how you breathe since your entire abdomen below your diaphragm to your crotch is a giant chamber. Your breathing changes the pressure on your bladder with every breath you take. I drove my PFPT Therapist crazy: I would somehow "stop" breathing when I was doing my exercises...I would hold my breath. She started by gently reminding me to "breeeeeeeathe." By the fifth and sixth sessions she was shouting at me: "BREEEEEEEATHE!!!!!" I was so focused on doing the pelvic motion, that I just instinctively held my breath. It drove her crazy. I gave up and never went to my final, eighth session. But...check out what you can find on the U of W website. I am sure that most major medical centers have websites specific for Pelvice Floor Exercises. U of W had "live", real people videos and photos showing you how to follow the written instructions. It was very good. ***If your urologist has not prescribed PFPT for you, have them write your prescription for right now(8) sessions. Your insurance company or Medicare will have to approve it. They will likely only approve "two" sessions, but your PFPT Therapist will write a simple justification for needing a total of eight sessions, and your insurance or Medicare will approve it. Good luck to you.

Jump to this post

@rlpostrp if you're pelvic , if you're a physical therapist met my physical therapist , they would be just howling for hours because you're exactly like me

REPLY
Profile picture for edinmaryland @edinmaryland

@chippydoo you are right and I appreciate all the post.I'm just now at 1820 months out.Still having trouble with over tired pelvic floor muscles. I can feel them and know that they're sore and strained.So i'm trying to find a new balance between continuing to do them and giving myself a day off here and there of rest

Jump to this post

@edinmaryland Ed, keep going, you'll get there. Mine wasn't perfect after RP but 90-95% success to the point of not needing shield. 15 months after radiation I am wearing a heavier pad due to nerve and muscle damage. I will be attending bowel and bladder PT in Sept. to see if I can get a better outcome.

REPLY
Profile picture for quaddick @quaddick

@edinmaryland
I agree with you. The recommendations are all over the place. Kenway showed me how to do them and a physical therapist that I saw prior to surgery is the one who gave me the specifics on sets and duration. I'm now fully continent six months out. So it worked, and if it ain't broke- don't fix it.

Jump to this post

@quaddick
what was your regular schedule for daily kegels a day
thanks

REPLY
Profile picture for edinmaryland @edinmaryland

@quaddick
what was your regular schedule for daily kegels a day
thanks

Jump to this post

@edinmaryland
I usually do 1 set while still in bed, a couple while walking my dog(1 sitting and 1 standing), 1 before or after lunch, 1 at shower time, and 1 more before settling down for evening relaxation.

REPLY
Please sign in or register to post a reply.