Post Prostatectomy Incontinence: When can I start bicycling again?
My first post here.
I am 66 and had my robotic prostatectomy in August 2022. I have experienced progress with my incontinence and am at 2 light shields and one pull up brief (for security) per 24 hour period. I am doing kegals daily and supported by a physical therapist.
Prior to my surgery I was an avid cyclist bicycling each day for transport and/or recreation. I had to stop for the surgery and have not been on the bike since. I realize this is a queston for my urologist but am curious to know if anyone with my history has ridden bicycles following prostate surgery (and subsequent incontinence) and suffered any ill effects. My obvious concern is not doing harm to my "plumbing" which may still be healing and may interupt progress toward reaching continence.
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Hey @bcarr I'm no doc but I'd say wait, at least until you talk to your urologist. Seems rather early to me. I had mine @ 9/21 and I'm just about to get on a bike this spring. I'm used to a road bike with a small hard(ish) saddle. Looking forward to getting back out there myself!
I was in the gym very quickly after surgery and found straddling benches could be a little painful and cause very small amounts of leakage. It took a couple months for that to go away. It also was close to 4-6 mos before I could run without leaking. My point being, healing takes place over a long period of time, particularly nerves. I'd definitely have a convo with the docs before starting something like cycling on a road bike at 6 mos. I don't know what area you're in but how many times have you been out on the road and hit something that jarred you badly? Me, generally once a ride at a minimum. LOL
Maybe a stationary bike at a gym or a friends as an initial test would be a good idea if you have access somewhere? We have road style stationary bikes at the gym I visit and I would get on one once in a while and go a quick few miles, around October I realized I was pretty comfortable with getting back out there.
Unfortunately I live in the mid-atlantic region and not a good cold weather rider, so spring is coming and I'm going to give it a try when it warms up a little.
May your healing continue!
Anecdotally, 2 friends who are very active Pelaton riders were instructed by their Drs to wait 3 – 4 mos before returning to their rides. They were fine, except for some mild urinary leakage.
Hi @bcarr, I agree with you and others members who replied that you'll want to get the a-okay from the surgeon before jumping back on the horse, or rather, bicycle. Please note that I modified the title of this discussion to differentiate to another discussion on a similar topic:
– Cycling after radical prostatectomy (RP)? Increase risk of recurrence? https://connect.mayoclinic.org/discussion/cycling-after-rp/
Bcarr, would you mind returning after you've spoken with your urologist and sharing what you learn? I bet others would like to know.
I am 65 and had a robotic prostatectomy in July 2022. I had only a few issues with incontinence in the first two or three weeks following surgery. My surgeon, also an avid cyclist, gave me the go ahead to ride after 6 weeks and also strongly recommended getting a Specialized Power Saddle (any model). I got the saddle and I got COVID at the end of 6 weeks so it was another few weeks before I attempted a ride. Uncomfortable at first even with the new saddle and only very short rides around the neighborhood. As I got the saddle adjusted (nose slightly down) it became more comfortable and I gradually built up to about 10 miles, 2-3 x a week, before it got too cold to ride. Looking forward to more riding this season and longer distances, but again starting with short rides. Wishing you all the best!
I am 66 and had RALP in February 22. I was previously cycling more than once a week for trips of 2-3 hours and 20-30 miles. I had almost no problems with incontinence after surgery, and began walking immediately, increasing to 8000 steps daily and very occasionally twice that much within 4 months. However, my physical therapist was very reticent about biking. My urologist, at about 6 months, said, "why not try?"
I am now out more than a year, and I still get sore on a bike no matter what I do within the first hour. Even on an e-bike. I have tried standing on the pedals as much as possible, taking breaks, and everything else I can think of. I have also shifted out of clip-in pedals, used bikes with maximum shock absorption, etc. So far I find this disappointing and this is in fact one reason why I started exploring these forums. I am glad others have had more success. I have 8-10 bikes in my garage….
And yes, I know, other people would just like to be able to do a 10 mile bike ride. I'm not asking for sympathy, just acknowledging I find my situation challenging and am hoping for a different year ahead, but resetting my expectations. Right now, I want to learn to just enjoy a 10 mile ride comfortably.
@colleenyoung I would be happy to. The surgeon/urologist who performed my RALP is on maternity leave but returns in early April. I plan to consult with her when she returns and make a decision regarding bicycling – how soon and how much. I let you and others know. Thanks.
Hi, I started riding my road bike six months after I had RALP. I experienced soreness and had to stop. I switched to my city bike, with upright handlebars and a comfortable seat. I was able to rider 15 miles without any discomfort. I’m hopeful I can ride my road bike again, once the roads clear up of ice and snow here in Wyoming.🚴🏼♂️
I had a long recovery from incontinence. It took a year. The good news, I found the end of that road.🙏
Yesterday I got on a peloton at the Y–I think they just got them, and rode on the provided seat for about 30 minutes. I am a little sore today.
Continence is wonderful, isn't it?! Something I didn't think much about for many decades….
I've been tempted to sell the road bike and the gravel bike, but I haven't done it yet. "Sometimes it gives me pleasure just to see it hanging in the garage…." [but not that much.]
Anyone experience neuro-stimulation for OAB …….after chem and radiation for Pros. Ca.?
Here is a thread on this topic from a UK prostate cancer forum. It is (to me) mostly re-assuring. Key points: allow time for the urethra re-attachment to the bladder to heal. Pay attention to any tenderness which results. Use a saddle with a hole or deep depression in the middle, to avoid pressure on the perineum. Ask your surgeon when you can try cycling again and DO WHAT THEY SAY:
community. prostatecanceruk. org/ posts/ t24512-Cycling-after-RARP—surgeon-said-wait-6-weeks
(New to forum, not allowed to post links. Just eliminate the spaces in the above url)