I’d like to offer a positive account about getting back on my bike after a RP, which might give a small lift for those in a similar place. My bike plays a big part in my life, keeping me fit both mentally and physically, and I knew not being able to ride after surgery would leave a big hole in my life.
My surgeon told me to wait at least 3 months, but offered no info on how to begin riding again. The only instruction I had after surgery was to do the pelvic floor exercises. I absolutely accept the importance of the pelvic floor exercises, but after a few weeks I needed to move other parts of my body as well, so I looked at what else I could do.
Important: I am not a health professional, this is only what worked for me, I am not making myself out to be Barry Big Spuds, but there might be ideas below that will help others.
1. Start the pelvic floor exercises at least a month before surgery. Don’t wait till after surgery. I didn’t (I wasn't told to), and I regret not doing this.
2. I found the app Squeezy Men useful.
3. Listen to your body as you start adding other exercises. Go gently, super gently, but I felt really happy as I allowed my body to begin moving again.
4. 10 days after the RP I started walking on flat ground. Modest distances to begin with, 100yards, leaking an issue, but little by little I built up the distances. After a couple of weeks I was able to do a couple of miles. Leaking always an issue.
5. After a month I started yoga using the internet as my teacher. Gentle stretches that never impacted on where my prostate had been.
6. About 6 weeks after the RP I went back to the gym. Huge psychological boost. Again, absolutely no exercises which impacted on my now 'prostate free zone', focusing on my top half.
7. About 10 weeks after the RP, I just sat on a bike in the gym. Big, soft saddle. Upright bike. Gently rotated pedals. Listened to my body. Cautious
8. I started swimming.
9. I did 1km on the gym bike. Very slowly, very conscious of the area where I had had surgery. Left it a day, then rode another km. Then 2kms a few days later
10. I bought a new 'RP friendly’ saddle, especially designed to take pressure off the perineum. Took a while to get used to it.
11. Started riding 200 yards on my own bike, then 1 mile, then 2, then 5 on very flat, pot hole free bike paths
12. 4 months after surgery I rode 38 gentle miles, with a few small hills thrown in. So happy!
13. Everyone has their own route back to full health, but I firmly believe I have got better faster as I have been exercising the whole of my body.
Cheering all of you who have had, or are about to have, any prostate related procedure.