Starting Gas Walk-Behind Lawn Mower

Posted by mscheib2 @mscheib2, May 4 7:50am

When after radical cystectomy with ileal conduit is it safe to start a gas-powered walk-behind lawn mower with a pull cord? I understand that sudden engagement of the core is the highest risk for a hernia. I'm wondering whether it will ever be safe, or whether I should bite the bullet and buy a push-button electric mower. My current mower is not self-propelled, but I think I could push it okay. Starting it is what concerns me. FWIW, I'm currently six weeks post-surgery and lifting restrictions have been lifted.

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Too early. Mayo advises unrestricted physical activity after 3 months. Up to you. My suggestion would be to pay someone to mow the grass until the 3 months pass. Why risk a severe complication?

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Thanks for the info on the Mayo recommendation. Yes, I'm currently paying someone. I'm wondering, though, whether it will ever be safe to pull the cord to start a traditional mower, or whether it would be wiser to buy a push-button electric that is self-propelled.

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Once you are past 3 months and fully recovered using a traditional mower should be fine. Within reason. But there is also nothing wrong with making it easy for yourself.

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You can train yourself to perform a kegel prior to any exertion like this. I had PT after my RARP and I was taught to kegel prior to a sneeze, cough, laugh, lift, really any exertion. You have to consciously make the effort to kegel for about two weeks. After that it becomes rote. However, I wouldn't try much exertion for 6-8 weeks while you heal. I was given the green light to start riding my bicycle after six weeks and it proved to be too early and I had to wait another 5 weeks. Everyone is different.

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Kegels are for neobladder. Not for urostomy.

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I've had a similar concern about doing crunches and other abdominal exercises after my cystectomy. I used to have great abs and a flat stomach. My surgeon doesn't think there's a time after which we're safe from hernias, and suggested I use a hernia belt, like weightlifters use.
Kegels are helpful if you have pelvic floor issues, regardless of whether you have a urostomy or neobladder. But I don't think they prevent hernias.

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