Looking for exercise suggestions prior to robotic prostatectomy.

Best wishes on your upcoming journey. I would highly recommend Dr. Patrick Walsh's book - Guide to Surviving Prostate Cancer - prior to committing to any one path of treatment. Easy to understand and to the point. You'll find similar recommendations on this site as well.

Kegels are a great idea before surgery. Everything I read stated that if you have belly fat it is a good idea to lose as much as possible to make the surgery easier. I dropped about 15 to 20 lbs before my surgery last August.

I would hope your consult for Gleason 6 recommends active surveillance ( no treatment for now, just keeping an eye on it) however, if you do choose surgery, keigel exercises are a must. I think too many men don't know about them until after surgery. Start them well ahead of surgery and after. Turns out I've been doing them my whole life and didn't even know it. Two years after surgery, I still do them daily. Concerning other exercises, I would work on getting in the best overall possible shape before surgery. Lose all the excess weight (if any ) that .you can. If you've got the big male gut, lose it! I've read very overweight men can't have robotic surgery. It helps the surgeon if the robotic arms don't have to operate through a lot of fat (so I've read.)

I would suggest that you go on Active Surveillance until your Gleason score reaches 7 and it may never reach 7.

3 inches of fat was no issue Just inconvenience Then surgery was stopped as C was to close to the APEX of my bladder and would have made me incontinent and need for another surgery later So waited 3 months and did 40 days oy radiation in 2018
Zolodex and Enzalutamide introduced since plus in 2020 had L2 lumbar radiated as C metastasized

Im 78 and it been 6 years

Prostatectomy is also major surgery. A fit and healthy body helps with the healing.

Southgeorgia: are you considering prostate removal because you were told that was your only choice or are you considering some type of radiation as well?

Ask your doctor for a prescription for PT on Kegel exercises to learn the correct exercises and how to do them properly - start ASAP! Do this at a clinic where there is a Therapist who is trained in this. I did these before and after RALP and had zero incontinence.

Get Dr Patrick Walsh’s book on surviving Prostate Cancer (Amazon) and read the parts applicable to you.

I had PSA of 19.8 and a few 4+3’s and 3+4’s. I chose RALP as my Urologist said that, if there is a recurrence, radiation after surgery will be easier and more beneficial than surgery after radiation.

Now, six months after RALP, my PSA is barely detectable.

I actually have my first consult with Mayo in about a week. This was not my only option, but what I am leaning toward - remove the source… I’m 61, in good health otherwise, and feel like my recovery from surgery would be better now than later.

If you go through with robotic prostatectomy you will have a catheter for 10 days. Get a pair of breakaway pants beforehand, on Amazon , makes living with the catheter much easier.