Kegel Exercises for Men AFTER Prostate Surgery
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- เผยแพร่เมื่อ 10 มิ.ย. 2020
- These Kegel exercises can stop bladder leakage fast after prostate removal surgery. Pelvic Floor Physiotherapist Michelle guides you through Kegels for prostatectomy after catheter removal. Learn the best Kegels positions to start, the correct Kegel exercise technique and how many Kegels you need to do daily to overcome bladder leakage fast after prostatectomy surgery.
#prostateexercises #prostatectomyincontinence
Transcribe this video: th-cam.com/users/timedtext_vide...
This is general information for overcoming bladder incontinence after prostate removal surgery through pelvic floor muscle training. Please follow the guidance of your medical professional after your surgery and consult with a pelvic floor physiotherapist for your post operative management.
This prostatectomy exercises video is an overview for initial pelvic floor training after surgery covering:
*When and best positions to start pelvic floor training
*How to do pelvic floor exercises for bladder control
*How to test your exercises
*How many exercises to do
1. When to Start Exercises and Best Training Positions
Most men start post operative pelvic floor training after their catheter has been removed and with their surgeon's approval. It's beneficial to start pelvic floor training before prostatectomy surgery.
Kegels positions:
*Lying down
*Semireclined
*Standing upright
How to do Pelvic Floor Exercises for Prostatectomy Incontinence
The pelvic floor muscles trained for bladder control sit at the base of the penis (bulbospongiosis) and deeper inside around the urine tube (striated urethral sphincter). There are 2 parts to Kegels after prostatectomy. The correct technique involves shortening the penis (retracting) and contracting as if to stop the flow of urine.
-Start by relaxing your breathing, your buttocks and your belly. Breathe normally and keep your upper belly relaxed
-Relax your pelvic floor muscles to resting after each exercise
Test Your Kegel Exercises
Test whether you're doing your pelvic exercises correctly by:
1. Stopping or slowing the flow of urine - only once a week as a test not an exercise
2. Watching in the mirror to see your penis move slightly inwards towards your body
How Many Exercises to Start With
*Start with 2-3 second exercises
*Repeat these exercises gently 5-10 times
*At first try to do this routine 2-3 times a day.
To Progress your Exercises
Over the next 2-3 weeks progress your exercises by:
*Holding each exercise up to 10 seconds, breathing normally and keeping your upper belly relaxed
*Repeating these exercises gently up to 10 times in a row using correct Kegel technique
Try to do this Kegels routine 3-6 times a day to improve bladder control after prostate surgery.
References
1. Hodges, P., Stafford, R., Hall, L., Neumann, P., Morrison, S., Frawley, H., … Cameron, A. (2019). Reconsideration of pelvic floor muscle training to prevent and treat incontinence after radical prostatectomy. Urologic Oncology. doi.org/10.1016/j.urolonc.201...
2. Stafford RE, Ashton-Millar JA, Constantinou C, Couglin C, Lutton NJ, Hodges P. Pattern of activation of pelvic floor muscles in men differs with verbal instructions. Neuro Urod. 2015. doi.org/10.1002/nau. 22745
3. Milios, J., Ackland, T., & Green, D. (2019). Pelvic floor muscle training in
radical prostatectomy: A randomized controlled trial of the impacts on pelvic floor muscle function and urinary incontinence. BMC Urology, 19(1), 116. doi.org/10.1186/s12894-019-05...
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Disclaimer
The information provided in this video is intended as general information and not a substitute for individual medical advice regarding your medical condition. To the extent permitted by law, neither Healthy Fit Solutions Pty Ltd, as trustee for the P & M Kenway Family Trust (“we”), nor any of our officers, employees, agents or related bodies corporate will be liable in any way (including for negligence) for any loss, damage, costs or expenses suffered by you or claims made against you through your use of, or in connection with, this video or information supplied or offered to be supplied on this video. Although we use our best efforts to provide accurate information and other materials on this video, the video is provided “as-is”. To the extent permitted by law, all warranties, conditions and representations provided about or by this video are excluded.
View all Michelle's Kegels for Men free TH-cam videos (strengthening, ED, prostate surgery, real time workout & more) here th-cam.com/play/PLqo18HBnle8xcwi050hjk3AA98q-dCqFR.html I sincerely hope these videos make your life a better place to be, with regards Michelle
Having recent prostatectomy done within the last few weeks of this post, I am obviously still in the recovery stage. Meaning, no lifting of anything above 10 lbs, no strenuous pulling ect.ect. prior to the surgery, I was doing "brisk walks" on hilly terrain for at least 3 miles a day. Now, I am only walking roughly 1-1/2 miles on mainly flat, or moderate hilly terrain. Will this help to strengthen my pelvic muscles sorta like the kegel exercises?
I've done these prior to my prostatectomy 2 weeks ago. Catheter removed a couple days ago, and minimal to no leakage. I'm continuing the kegals. Very happy so far.!
Thank You, I have a prostatectomy several weeks ago and have made a great recovery, it’s changed my life. If I can strengthen my pelvic floor I am going to be the happiest man alive ❤️
I would like to shsre an accidental epiphany that might help other people. Recently I was looking to get my exercise walks in but the weather was bad so I decided to climb the stairs up and down. The effect was nothing less than miraculous. I have much better control than I had. It is not perfect but it is getting much better. I have been doing all the exercises that a physical therapist prescribed with little to no effect. I know walk my stairs 20×3 times a day. I walk the steps slowly so as to work the muscles. I don't know if it will help everyone but it sure has helped me
Thank you so much
Thank you I stumbled on your comment and Im going to try it..
Yes, walking stairs does also flex your pelvic floor. Ideally you'd want stairs that are not too steep. Most stairs don't meet the criteria, and you don't want to over-do it.
What a great virtual work out! Please keep sending me these videos that you produce. You are an awesome therapist
I am new at this routine. I was not aware of this prior to having my prostate surgery so this has been very helpful to learn. I will be doing these steps regularly to help with bladder control
Thanks Michelle this is so well done and so easy to follow. I felt like I was in front of a therapist which I was. Your gentle technique is really amazing and I have seen results even in the first few days
A strong piece of advice for any man doing Kegals before and after a prostectomy, don't overwork those muscles in hoping for quicker results. Overworking them can possibly make the incontinence worse and in some cases, permanently. I found out the hard way.
Thank you so much
Very nicely explained. Thank you!!
Thank you so much Michelle!
Very helpful, thank you.
Interesting, I will keep trying, sounds so simple
Thanks will follow it has been very directive
Thank you 🙏❤️!
If you're having prostate surgery the exercises in this video are the latest (research based) that will help you recover fastest th-cam.com/video/B3APjwkqi3Q/w-d-xo.html all the best!
Ma'am I'm 3 months post op of CES (cuada equina syndrome ) spinal surgery there is a leakage and little hard to urine .. can these exercises help me
All of your videos are very good I specially like the one that you use the timer with now that I’ve started to do the Keagle exercises I’ve noticed that I sleep better and have less leakage.
Thank you!
Thanks.
Excellent
Thankyou....
I had a radical prostatectomy nearly a year ago, and another surgery 12/31/19 to correct blockage in the urethra where it connects to the bladder. Had to be catheterized 4 times during a period of 8 weeks, with catheter in 4 weeks in total but not consecutive weeks. Been doing Kegels since January, but still have stress incontinence 10 months later. I'm dry all night and have been for months. I was not doing the exercises correctly until I found your videos in late April (my surgeon just handed me a thin pamphlet that didn't explain things very well and had no one show me how to do them properly). Have improved since then watching all your videos, albeit VERY slowly. I am very physically active and leak whenever I do yardwork, workout at gym, play sports, etc. Still using 2-3 Depends per day. I am confident that my technique is correct, and my breathing is proper. I currently do alternating sets of 10 fast and 10 long hold (10-seconds) standing, sitting and lying down for a total of 120 Kegels per day. Should I continue the alternating positions, or would doing all standing be better? Or should I locate a pelvic floor physiotherapist and follow an individualized plan? My surgeon wants to refer me to another surgeon in his practice for the bladder sling surgery? Any advice would be greatly appreciated. Thank you!
I had Radical Prostatectomy 2 weeks ago and catheter removed 1 week ago. Was wondering what were some of the signs of your urethral blockage. I'm still having painful,burning urination and the color and consistency is dark and thick.
@@jayellis2939 could be urinary tract infection
Thanks Michelle. It was helpful how you describe the timing of breathing and muscle contractions. The doctor's notes weren't very clear about that so I wasn't sure if I was doing them correctly.
I can feel it. Its working.
Easy to understand and follow. Thanks
@s k my pleasure! Thank you so much for the positive feedback. Hope this helps you & all the best!🙏 ❤️
Thank you Michelle! 💐
My pleasure, glad to help out Kevin 🙏
Thank you very much for the advice
A pleasure, I hope this helps you Anquan
I started mine before the surgery. made all the difference never had any leaks
This is one of the easiest videos to understand for these exercises. They really helped me doing Kegel exercises correctly! Thank you!
@jacques1543 my pleasure! So glad you found the video helpful! It's great to hear that the video has assisted you in performing the exercises accurately. Consistency in doing them correctly will likely yield positive results. Keep up the good work on your exercise routine! 🙏
Hi Michelle, loved you video. I will start these today. i have not yet had surgery but was wondering about your thoughts on cycling and has it have a negative effect on the prostate. best regards.
Thank you very much, Michelle! You’re the BEST! Take care, Phil -Pittsburgh
@philzeredwards4842 My pleasure Phil, thank you so much for your lovely comment, and lovely to hear from you again. All the best to you! 🙏
Thanks for the clear instructions. Very helpful.
@philremillard2668 you're most welcome! Happy to help' ❤️
I just finished a full prostate removal due to cancer. I have almost no bladder control at this point. Looking forward to these exercises to help regain control. God bless you for making this video to help us in our time of need. You are an angel 😇,
@andrewemery7459 thanks so much for your lovely comment and support. I hope this information helps your recovery, best wishes to you!🙏❤️
Thank you very much for the information, I will start from today,
From Mysore, India
@srinivasam3638 my pleasure! I hope you benefit from this video information 💖 All the best to you! 🙏
Thank you
@Val Rowles You're welcome!❤️
Hi Michel, I've had holep surgery for enlarged prostate early May this year.
I've been trying to do the pelvic floor muscle training for a while now but don't seem to get it right. Do you have training sessions regarding pelvic floor muscles for men at your surgery.
Regards
Joseph Jardine
I am confused about something. After the prostate is removed, do we have to do pelvic floor muscle activation all the time to stop urine leakage? Or does the bladder only push urine occasionally or when full?
I am happy that I found you on TH-cam the doctor did not explain on exercise excuse my language with the doctor said just like holding a fart I have never really tried to do that one question I am having problems I end up holding my breath it then I try to breathe I have to watch your video quite a few times I follow your instructions and then I put it on pause while I do the exercises November I will be 65 all this time I have seen quite a few doctors on my diabetes they never sent me to be checked for cancer recently I got a good doctor that did colonoscopy and prostate thank you very much
@jognharcia1457 I’m really glad to read this information has helped you do your exercises correctly! All the best to you for your future health 🙏
Dear Michelle: getting stronger -- in many dimensions- with your great videos. It's been a harsh ride with prostate cancer and recent prostectomy. #1 Cancer is luckily isolated to my former body part -- Yes cancer screening and early detection are key!!!! #2: Early days on the journey towards bladder control. I have your excellent roadmap to follow. I want to get back to outdoor adventures and I trust this info will be a tool to get me back. Thank you for making a difference by who you are and what you do!
@Bruce Stobie I'm so sorry to hear what you've been through Bruce, all the best for your recovery - I'm so glad to read this helps you on your road to recovery. 🙏 ❤️
Thanks for these pelvic floor exercise videos, Michelle. I first learned of your videos after doing a search on pelvic floor exercises back in October 2021. My question for you is: What should be my pelvic floor routine, relative to your two (2) videos that cover “AFTER Prostate Surgery”, a prostatectomy? I had a HoLEP procedure done on May 24, 2022 for BPH / oversize prostate, which was 70-90cc - xtra large. Cheers!
@Doug Keenan thank you for touching base. The most recent research that we have available for effective pelvic floor training post prostatectomy is in this video th-cam.com/video/B3APjwkqi3Q/w-d-xo.html It's recommended these exercises are started prior to surgery and then recommenced (standing) when the catheter has been removed 6X10 long holds and 6x10 short holds so a total of 120 exercises daily which is quite intensive training but has been shown effective over less intense training regimes. All the best and I hope this info helps you with your ongoing management 🙏
Thank you, I'm having trouble. Hoping your techniques help me.
@johnm7334 My pleasure, I do hope this helps you. Wishing you all the best for your recovery! 🙏
Hello, I’m looking for exercises to help after hemorrhoid surgery, I am a male who likes to weight lift and want to avoid getting them again. Works kegels be ideal?
Can we do physical exercises also while doing the kegel exercises? Will it increase the leak?
Michelle is there an advantage to doing these exercises BEFORE a prostatectomy?
Hi Michelle, in previous videos, you mention that sitting is an option for kegels. Is that not the case for post-surgery?
Hi Michelle. I am scheduled for surgery this month and have been doing the exercises for the past 2 weeks in preparation. Post surgery, will I need to do these exercises for the rest of my life or just whilst the muscles strengthen?
Cooper you should do them ling term. You’ll find it challenging initially post op but stick with it - usually improves markedly in the first 3 months if you can do your exercises daily plus try to increase the number & length of holds up to 45 secs when you can. All the best for your surgery!
mam can kegel cure our PE problems and in how many day or months please tell
I got prostate operation in Dec 22 but still some urine leakage what to do
This vlog should be recomended to patients as it seems as if the Urologist did not say a lot about aftercare universally.
@akbar8477 Thank you for your feedback! I'm glad that you found the video informative and useful for post-prostate surgery aftercare. Thank you for watching and sharing your thoughts! ❤️
I wish I had run across this channel before.
Outstanding and cute too.
When had my catheter out yesterday they told me to do these constantly. Surely as a muscle one can over do it am I right or wrong please
just had my prostate removed, I hope that your advise will help me. At 77 it's hit me hard. Thanks
Catheter removed 4 days ago. I am 60 and have been hit hard as well. Hoping to stop leaking. Good luck.
1st and 2nd day after removing my catheter and I have zero control. I didnt think it would be this bad. But for some reason when I am sleeping or lying flat I have control and I can wake up and pee normally? I am working on my exercises now.
That's how it is for me too. I also did not think it would be this bad. I would not say I am peeing normally but better when I wake up in the morning. Four days out from Catheter removal. I have improved but still dealing with Incontinence.
I have undergone prostatectomy in November 21. Now I have been tested PSA as 0.44 ng/ml . Is it OK or should be minimal. What exercise can I do to recover fully. Pl suggest.
@Mukesh Kapoor I think it’s very important that you discuss all your PSA results with your doctor. Exercises unfortunately can’t fix PSA however I always recommend that everyone perform appropriate general strength & fitness exercises for optimal wellbeing, all the best!🙏
I would like to receive material please
I go to physical therapy for neuropathy in my legs does core exercise help those muscles I noticed on TH-cam they have some exercises do those exercises they show help your prostate muscles thank you let me know
@johngarcia1457 Hello, thank you for your question. kegel exercises can help with management of some of the problems caused by enlarged prostate such as frequent bladder emptying and bladder urgency. They can only be of benefit if you use the correct exercise technique shown here in this video th-cam.com/video/AvOReBnZ3eM/w-d-xo.html All the best to you!🙏 💖
Recently had my prostate removed in a Major well know Hospital and i was given a pamphlet for Female kegel exercises and was sent on my way.
SO Thank you very much !
It have been 4yr since my surgery I'm still leaking
Mamacita💞🌹
I am not post surgery but have trouble holding back when I need to pee. I get strong urge and can't hold it back. Very frustrating. Will these exercises work for me as well, or what can you recommend?
@Creative Warriors Journey thanks for your question, very timely indeed. Here’s your answer in today’s video release, hope this helps you out th-cam.com/video/N6DG3ZzVmWs/w-d-xo.html 🙏
Thank you just removed yesterday your instructions help greatly over written ones doctor gave me,
Thank you Michelle. This is an amazing video. Being a beginner 3 times a week is less to get the best results. Can I increase the number ? And when is the best time to do these exercises.
Hi Shabiir try to do the exercises every day and at least 3 times daily if you can - usually when your muscles are rested for exa,maple when you wake up and more towards the start of the day rather than the evening. All the best I hope this helps
what surgery you had? @Shabir Ahmad
Please provide animation mam??
Hi it’s only in sit to stand ther is dribbling of urine rest all no problem
I guess I haven't been doing them right I try it will slow down and that's all it won't stop
IM trying to be adult and professional but the turtle image was too funny but helpful
More peines exercises
I love your video style and content. And I think I isolated the muscle that controls the "turtle movement". But it is confusing what muscle "stops the urine flow" . Is it the same one as the muscle thats "stops passing gas" ? Is it the same one I feel around my anus or to "hold my bowel movement" ?
Same pelvic floor muscles. But stopping uring flow is for the anterior/front portion of pfm, whilst stopping gas is for the rear/anus portion of pfm
Mam I was doing kegel exercise from last one week.suddenly I was not able to contract my pelvic muscles...is doing too many kegels reason behind it?
Michelle is it OK to have the Botox muscles contract while pelvic floor muscles are being contracted? Next question he’s non alcohol beer a bladder irritant?
Hi Dennis all carbonated drinks are potential bladder irritants but non alcohol probably less of an irritant. Not quite sure what you're asking in relation to Botox muscles, can you reword?
I have undergone HOLEP for prostrate 2.75 years ago.right after my catheter removal i am dripping.I am advised to do keigel exercise and doing it 3times each 50 counts.very slow improvement.still dripping.night times I have control day when iam active it is not in control.stand up iam finished.now started using penis clamp(3 days gone i feel better now. I want to know is there any permanent solution.
Show me bay picture
Do u mean hold the bowel movement and reliese
I did that and shit 💩 my pants 👖
It’s been 3 months and he hasn’t moved even taking teldalifil 5 mg. I’ve had no erectioms or movement since the surgery. I got sick for a couple weeks after starting the Kegel. I have anxiety on top of having a new girlfriend. Can you have an erection if you are leaking or does it have to stop. I’ve tried masturbating but it doesn’t seem to do anything. I’m worried I can’t have sex again and I’m so ready???
Michelle a cutie tho 🥵😋
Thank you very much for the advice
You are very welcome, hope this helps