when to start kiegel and viagra after rlp?

#1 11-09-2006, 03:11 AM

i got different messages from my urologist today than my surgeon.

the surgeon suggested starting kiegel 3 days after catheter removal and
the urologist suggested start the kiegel in 2 or 3 weeks. i currently
have total incontenence, 2 days after catheter removel. the urologist
said that there is too much inflamation and it won't make any
difference if i start it earlier.

the surgeon suggessted starting viagra 2 or 3 days after catheter
removel and the urologist said it could cause trauma due to the
inflamation. i should wait until the inflamation is down.

what do i do? i do not want to miss out on oppertunities to speed my
recovery.

the urologist also said that the muscles would get stronger daily. it
would be strongest in the morning and then fatigues as the day goes on.
after 2 days i notice no difference. the urologist said i should
notice improvement in a few weeks. most of the feedback i got from
others was just a little dribble which went away in a few days. it
seems like i still have the catheter in me but no bag, just a wet soggy
pad.

#2 11-09-2006, 02:02 PM

I started kegels right after cath removal, and was also doing them a
month prior to surgery. I also started Viagra immediately after cath
removal. You should notice great decreases in leakage after a week or
so. I am now 6 weeks beyond cath removal and have been using 1 pad/24
hrs. for the past 3 weeks. It does leak more later in the day. Two
days is too quick to get anxious about. After 3 weeks I could get away
with using a 3 pantie liners side by side, but I decided to just use
up the pads I bought. I am cutting them in half at this point.
Improvement is inconsistent; some days leakage is more than others.
You have to be real patient.

On 8 Nov 2006 19:51:08 -0800, gary.miller12@comcast.net wrote:

>i got different messages from my urologist today than my surgeon.
>
>the surgeon suggested starting kiegel 3 days after catheter removal and
>the urologist suggested start the kiegel in 2 or 3 weeks. i currently
>have total incontenence, 2 days after catheter removel. the urologist
>said that there is too much inflamation and it won't make any
>difference if i start it earlier.
>
>the surgeon suggessted starting viagra 2 or 3 days after catheter
>removel and the urologist said it could cause trauma due to the
>inflamation. i should wait until the inflamation is down.
>
>what do i do? i do not want to miss out on oppertunities to speed my
>recovery.
>
>the urologist also said that the muscles would get stronger daily. it
>would be strongest in the morning and then fatigues as the day goes on.
> after 2 days i notice no difference. the urologist said i should
>notice improvement in a few weeks. most of the feedback i got from
>others was just a little dribble which went away in a few days. it
>seems like i still have the catheter in me but no bag, just a wet soggy
>pad.

#3 11-09-2006, 02:02 PM

<gary.miller12@comcast.net> wrote in message
news:1163044268.000412.286930@h54g2000cwb.googlegr oups.com...
>i got different messages from my urologist today than my surgeon.
>
> the surgeon suggested starting kiegel 3 days after catheter removal and
> the urologist suggested start the kiegel in 2 or 3 weeks. i currently
> have total incontenence, 2 days after catheter removel. the urologist
> said that there is too much inflamation and it won't make any
> difference if i start it earlier.
>
> the surgeon suggessted starting viagra 2 or 3 days after catheter
> removel and the urologist said it could cause trauma due to the
> inflamation. i should wait until the inflamation is down.
>
> what do i do? i do not want to miss out on oppertunities to speed my
> recovery.

Generally, the function should start coming back slowly no matter what you
do. But, I cannot imagine why Kiegel strengthening should not be done now
that the catheter is out.

--
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA .1 .1 .1 .27 .37 .75
EBRT 05-07/2002 @ 47
PSA .34 .22 .15 .21 .32
Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05, 5/05, 10/05,
2/06, 6/06
PSA .07 .05 .06 .09 .08 .132 .145
Casodex added daily 07/06
PSA <0.04
Non Illegitimi Carborundum

#4 11-09-2006, 02:02 PM

My husband started kegel's two weeks prior to surgery and then was told by
his surgeon to start again the day after the catheter came out.

Good luck.

Jean

#5 11-09-2006, 06:26 PM

I was told to start kiegel exercises about a month before my operation . It
worked. I would strongly suggest doing that to anyone going in for the
operation. Most doctors recommend taking vitamin V as soon as you can.
Good Luck!

#6 11-10-2006, 06:10 AM

<gary.miller12@comcast.net> wrote in message
news:1163044268.000412.286930@h54g2000cwb.googlegr oups.com...
>
> the surgeon suggessted starting viagra 2 or 3 days after catheter
> removel and the urologist said it could cause trauma due to the
> inflamation. i should wait until the inflamation is down.
>
> what do i do? i do not want to miss out on oppertunities to speed my
> recovery.
>
>
While researching a different question I came across a February 2006 paper
( http://www.emedicine.com/med/topic3054.htm )which contained the following
quote with respect to Viagra (sidenafil):

"Some suggestions exist that earlier pharmacologic treatment begun after
prostatectomy produces higher chances of ultimate spontaneous return of
potency. Recently, carefully conducted studies have not proven this idea.
Zippe et al (2000) determined that the interval from surgery to the
initiation of sildenafil therapy does not significantly influence the
positive response rate. However, the dose of the drug did influence the
positive response rate, with 71% of the patients requiring a 100-mg dose.
Regarding the timing of pharmacologic therapy, Zagaja et al (2000) reported
that patients who had not yet regained sexual function did not respond to
sildenafil sooner than 9 months after surgery. Considering this latency,
probably due to prolonged neuropraxia, these authors suggest starting the
patient on topical alprostadil or intracavernous injections to stimulate
penile vasculature and prevent loss of elasticity and, ultimately,
cavernosal fibrosis."

#7 11-10-2006, 05:26 PM

Joe Price wrote:
> <> >
> While researching a different question I came across a February 2006 paper
> ( http://www.emedicine.com/med/topic3054.htm )which contained the following
> quote with respect to Viagra (sidenafil):
>
Considering this latency,
> probably due to prolonged neuropraxia,

these authors suggest
starting the patient on topical alprostadil or intracavernous
injections to stimulate
> penile vasculature and prevent loss of elasticity and, ultimately,
> cavernosal fibrosis."

Hallellujah!

spacebarstuck
laptopbroken

viagra
does
not
work
for
restoring
EF.
injections
do.
Better
to
call
it
a
pinprick.

please
believe
meandJoe

isthereanywaytofixastickingkey?

miss
you
all.

Leah

#8 11-11-2006, 08:30 AM

"callalily" <lfcjjk@aol.com> wrote
> viagra does not work for restoring EF. injections do. Better to call it a
> pinprick. please believe me and Joe
>

Whoa!!

Don't include me in that all or nothing statement! I happen to be a big fan
of all 3 of the PDE5 inhibitors. I am not "against" injections and would
use them myself if sildenafil, tadalafil and vardenafil didn't work for me
but they would have to fail before I resorted to alternatives including
injections.

I would paraphrase the study I quoted to say that, while Viagra DOES work,
there is no evidence of any significant benefit in starting to use it until
about 9 months after surgery. It goes on to say that if you want to start
earlier than that, consider applying alprostadil as an ointment or by way of
intracavernous injections.

And rather than calling it a pinprick, can we call it a prickprick? :-)