Pelvis floor muscle relaxation exercises for BPH

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I recently discovered that pelvis floor muscle tightness can cause symptoms similar to that of BPH, namely urinary frequency, urgency, hesitancy, difficulty in starting, stop and go, as well as retention, and even ED. This problem occurs in men as well as women. I can't help but wondering if it's one of the reasons why some people underwent otherwise successful prostate surgery without significant results?

Does anyone out there have experiences with pelvis floor muscle relaxation exercises ? These exercises are sometimes referred as 'reverse kegels', as they are supposed to relax the pelvic floor muscles, to help one peeing better, while kegels will do the opposite, to strengthen the muscles. Kegels are used mainly to control incontinence, and can make peeing more difficult. What exercises did you use ? Any results ? Hank

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  • Posted

    Hank: I can't help but wondering if it's one of the reasons why some people underwent otherwise successful prostate surgery without significant results?

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    Or how many people underwent unnecessary prostate surgery because their doctor's did not do thorough enough work up including urodynamics.

    I would be put kegels more in the category of do-it-yourself-lifestyle techniques/habits such as adequate exercise, diet, not 'holding it in", and being regular -- all of which can impact LUTS and your IPSS score.

    That said, at a certain point, and after a solid workup, it should become apparent to a good clinician where these lifetstyle techniques and habits will not overcome the biggie in the equation which is the prostate/bladder paradyne. This paradyne explains why some men even with obstructive prostates can void well (yours truly here is an example) and why some men with less obstructive prostates can't. But at some point, even a very well functioning bladder may succumb to a very obstructive prostate, or not.

    Going back to kegels, they are frequently recommended for OAB and incontinence but there is less published on benefits for BPH/LUTS and I have read at least one warning against kegels if you have prostatitis. I''m all for experimenting but don't do it blindly. Ideally, work with someone who knows your diagnosis and can work with you. If you are going to do it alone, monitor carefully and accept feedback over wishful thinking.

    Interesting topic.

    Jim

    • Posted

      Hi Jim, I agree that there are many other reasons that successful prostate surgeries failed to improve the situation. I am hoping that this discussion will help some people, in some cases, from unnecessary surgeries or meds. Hank
    • Posted

      Bravo to that! Right now it's too often cut first, diagnose after (it fails). Uro's can take some advice from carpenter's, "measure twice, cut once". And when the uro's don't do the proper "measures" it's up to us, the patients to tell them.

      Jim

    • Posted

      HERE HERE I wish we could something get this started.  But some doctor have there heads you know where.  Take care all  Ken
    • Posted

      Jim, I remember way back when you mentioned that one if the easiest way to pee was into a bottle, sitting on a recliner chair. You never explained how it works, but now I think it is because that position relaxes the PFMs. Hank
    • Posted

      Hank, It is the easiest way to void for ME at times but I attribute that to the anatomy of my prostate where some pressure is taken off the urethra as my prostate shifts a little when I recline. I read for example that some can void easier sitting down but with me it would be standing up, then reclining, and lastly sitting. Different strokes...

      Jim

  • Posted

    Their are many questions that need answering to help find out whats going on here..Have you seen a uro yet? It may be helpful to know if you have an enlarged prostate. If the medium lobe is large then it could be hindering flow.. I always felt that the Only way to get this info is to have a radiologist do a Ultrasound.  Size and configuration will be able to be determined. Could be something in your diet may have to be changed..take a close look at that..HOPEFULLY YOU CAN STEER AWAY FROM THE MEDS. Finally, you may have contracted a UTI and not know it.? Get a 3 day culture test done, don't rely on the test strips.

    • Posted

      Hello there ! This discussion is not about me. I am not in need of any help at the moment. However, I am planning to try out some exercises, to see if I can find any improvements to my current very acceptable position, perhaps to get off or lower meds. Thanks. Hank
    • Posted

      I saw 2 uros one year apart. They both wanted to do surgeries, one TURP, the other Urolift, without any tests whatsoever. All they know before hand was I had urinary retention, and it was not that bad, comparing to others here. Hank
    • Posted

      Yes that does happen.  That is why you have to do your research.  I remember 1 guy had back surgery and when he came out of it he was in retention.  The doctor told him he needed a Turp and told him I can to it the next day and he let him.  That doctor did not let him recover from the one surgery and who know if he would have pee if he would have had a chance.  I know you can have a problem with the anesthesia when you have surgery.  That is most likely what happen to him  Who does that.  I know I only had a problem once when they put in a stent put in .  They gave me a twilight and I could not pee to save my soul.  But who can pee laying down on a bed where you only can move one leg.  They told me that they would have to catheter me in 6 hours because they did not want trouble.  Will I did not pee for 8 hours when they let me out of bed.  We have to get more me to do more research.  And just because a doctor tell you that you need this procedure make sure you have all the test first.  It is your right.  Ken   
    • Posted

      Maybe I am just plain unlucky, but I get practically zero help from my uros. I learnt most what I know from the internet, especially this forum. I am fortunate to be able to manage my problems so far. Hank
    • Posted

      I am sorry about that.  Maybe you need to change.  I love my Urologist I can count on him to explain anything I ask him.  Been with him for 3 years and his staff is wonderful.  I even have his one nurse live in the same park as me  Take care  Ken

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