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How many Pelvic Floor exercises...

Posted 04 Aug 2017 at 18:15


2 years on from a radical prostatectomy I have very good bladder control.

t took a while to get here, steadily increasing the number of pelvic exercises per day.

My question is:

Once one reaches a situation where you have good bladder control, what is the average number of exercises required to maintain it.

I know we are all different, and we may all count them differently, but I count one forward clench for 1 second as ONE,

and a ten second backward hold TEN.

I alternate 10 forwards, with one 10 second backward hold = "20"

I reached 500 per day and have since maintained 400 per day without loss of muscle fitness.

Am I doing too much, am I risking a backward slide?

Or have others found that ever increasing the exercises gives aver increasing benefits?

I havent a clue, have you?

Posted 04 Aug 2017 at 20:09

I did them for about a year , maybe 50 a day only. But I was essentially dry from catheter removal luckily ( and I needed something to be grateful for )
Then I just forgot them altogether. I'm now 2 years on. Sometimes I feel like I've leaked on lifting or straining , but in fact I never have. Funnily I still slip a pad in if I'm going out in light trousers etc , but that's no different from a woman wearing a pant liner I suppose.
It seems you could have the clench of an American Pit Bull Terrier with all that exercise. Ease right off and see what happens ?

If life gives you lemons , then make lemonade

Posted 04 Aug 2017 at 22:12

I, personally, am an obsessive i.e. I will identify the objective and kill it. I am now 6 months post op and I never ever understood what I was 'exercising'? I would very dearly have liked to have known exactly what I needed to do and how to do it but nobody was ever able to clearly define that. After 6 months I have formed the view that exercising anything makes no difference towards the goal of continence. I (personally) had decent control from day one and on a scale of 1 to 10 with 10 being total control on day 1 (first day after catheter withdrawal) I was 6 and now I am 8. So I have formed the view that the muscle that 'controls' will get there (or not) over time (how long?) regardless of 'exercise'.

Posted 05 Aug 2017 at 08:58
Hi Chris,

Thank you for replying.

Just goes to show hp how different everyone is.

I leaked like NI agar a for months after catheter removal so the exercises are not a luxury for me.

Likewise I take precautions, esp for a social event esp x 2 where alcohol is present.

Posted 05 Aug 2017 at 09:01
Thank you both.

What I am really hoping for is to hear from somebody else for who the exercises were essential (ie they had little or no control after catheter removal) and made a difference and what long term regime they found worked.

Posted 05 Aug 2017 at 09:20

Two years post op, your pelvic floor exercises are not essential Ug although it is a good idea to do a few each day just to keep the muscles in trim.

There are 2 types of incontinence after RP - in the days immediately post-op the leaking is because your urethra has been cut and re stitched and the brain needs to relearn how to control the bladder, and second the pelvic muscles have been cut or stretched and may be a bit baggy. Pelvic floor exercises do nothing to help the first problem which is why all the tightening in the world doesn't help a man whose operation went wrong and permanently damaged the urethra or the valves controlling urine flow. John's consultant advised him not to bother with PFEs at all as he felt it was a big myth but John did do them for a few months until he was confident going without pads.

Women that have had babies are encouraged to do PFEs after childbirth to strengthen the muscles, and wise women continue to do a few each day as they get older.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

Posted 05 Aug 2017 at 19:31

Thank you.
My surgeon emphasised the need to do them in quite large numbers, and that exercises would be required for life but I do not recall him saying much about long term numbers.
I may need to get back in touch.
I certainly found that after a period of "laziness" that leakage increased.
Anyone else?

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