How to do Kegel exercises to help with incontinence from UCLA.

[Seasid]

I believe this could be useful very useful:uclahealth.org/cancer/cance...

[Darryl Partner]

you might enjoy watching this

400 Kegals a day

Urinary Control and Prostate Cancer

youtu.be/TKqd80fa6RY(Not working as expected?)

[Seasid in reply to Darryl]

Thanks.

[RMontana]

thanks for posting. This looks very good. I’ll have to read through this. I am one of the supposed 10% of men who remain incontinent after a RP. I have never believe those numbers, but I’m struggling to control my leakage and this may help. Thanks.

[Seasid in reply to RMontana]

I believe you could install an artificial urinary sphincter and it could function well for around 7 years. I am not an expert but I read it here.

[RMontana in reply to Seasid]

…my doctor in fact does not want to consider a AUS for me because he says I’ll live too long and he doesn’t like the fact that it has to be re-inserted. But he’s going to consider me for a sling even though I’ve had radiation. I meet with them next week. I’ll let you know what they say. I can live with this. I just have to keep on top of my pads, but it is a pain in the a## sometimes.

[Seasid in reply to RMontana]

I am really not a doctor and didn't do any research on this subject inserting AUS etc, therefore I don't really know the problems and dangers of reinserting the AUS etc.

But my first reflex is that if I could do it why not do it now and improve the quality of life now? Maybe I am just not well informed? I will ask ChatGPT what he thinks.

[Seasid in reply to Seasid]

What are the dangers and downside of inserting an AUS device in order to manage the inconvenience caused by prostatectomy? Why not do it if it improves the quality of life now?

Inserting an artificial urinary sphincter (AUS) device can indeed improve quality of life for men experiencing urinary incontinence after prostatectomy, but there are some potential downsides and risks to consider:

1. **Surgical Risks**: As with any surgery, inserting an AUS carries risks such as infection, bleeding, and complications from anesthesia.

2. **Device Malfunction**: The AUS device can malfunction over time. This includes issues like erosion, mechanical failure, or improper positioning, which may require additional surgeries.

3. **Erosion and Infection**: The device can erode into the urethra or become infected. Erosion requires removal and often a period of healing before another device can be implanted. Infection might necessitate device removal as well.

4. **Urethral Atrophy**: Over time, the pressure from the cuff of the AUS can cause atrophy of the urethra, leading to recurrent incontinence and necessitating further treatment or adjustments.

5. **Longevity of Device**: The lifespan of the device is typically 7-10 years, after which replacement surgery might be necessary.

6. **Patient Compliance and Management**: Successful management of the AUS requires patient understanding and ability to manipulate the device properly. This might be challenging for some patients, particularly those with dexterity issues.

7. **Cost**: The procedure and the device itself can be expensive, and not all insurance plans may cover the full cost.

Despite these potential downsides, many men find significant improvement in their quality of life with an AUS device. The decision to proceed with the implantation should be made after a thorough discussion with a urologist, considering both the potential benefits and risks.

chatgpt.com/share/e9351854-...

[RMontana in reply to Seasid]

See my research as well. Basically what I read is that for moderate USIwhich I have the AUS may not work. That it’s meant to take men from diapers to pads not pads to dry conditions. I have a good meta study that shows this. So my Dr is reluctant. I am dubious. I have had radiation which changes things as well.

healthunlocked.com/active-s...

healthunlocked.com/advanced...

[Seasid in reply to RMontana]

Thanks

[j-o-h-n]

Kegel is the Latin code word for "a leak" used by plumbers...

Good Luck, Good Health and Good Humor.

j-o-h-n

[markprince]

after prostatectomy I went to incontinence therapy. They would put an ultrasound probe between the scrotum and rectum so I could see the muscles that were contracting when I did Kegals. The most important thang I learned was that when you are doing Kegals you are activating muscles that require conscious/voluntary movement as well as working muscles that activate on subconscious / involuntary movement. That was a turning point for me focusing on the Kegals more. I was completely continent in 12 weeks after surgery (a good surgeon) but then 6 months after salvage radiation I started getting stress incontinence so I got aggressive on Kegals again. Slowly getting back to normal but not sure if it's the Kegals or just healing from radiation damage. Probably a little bit of both.

[Seasid in reply to markprince]

Thanks for letting us know about this.