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Working out after surgery, how long? and blood in urine following orgasms?

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Posted 9/19/2008 7:25 PM (GMT 0)
My husband will be 4 weeks post op on monday. He had Robotic prostatectomy on 8-25. he has had 2 orgasms, one with my help last Sunday and again 3 days ago(alone). After which that day and/or day after, he experienced the blood in his uring, with a clot or 2 coming out both times. I have since read and he has heard form his doc that this is normal, the slight bleeding, but s it related to orgasms?

Also, he wants to know when he can work out, even just long leisurly walks on treadmill. His doc would like him to lose at least 15 lbs. Also, several docs he consulted with, Including Scardino at Sloan, said weight has a direct coralation with cancer. Being overweight even by 20 30 lbs greatly contributes to your chances of getting some sort of illness/cancer, prostate cancer in particualr. Anyone else hear this?

My husband is an ex pro baseball player and has always worked out and taken care of himself, and his docs all say he is in excellent health. This prostate thing runs in his family. One doc also said his sons(we have 3) also have a 100% chance of developing it, but they are hoping for a preventative vaccine in the next 5 years.  Any feedback?

Posted 9/19/2008 7:31 PM (GMT 0)
Generallly speaking - 2 to 3 weeks after the catheter is out -> back to normal routine.
Posted 9/20/2008 3:13 AM (GMT 0)
I would caution that it seems the "Robotic" guys seem to want to rush back into action. You have to remember the only thing "Less Invasive" about the surgery is how they get inside. He still had a Major Surgery with alot of trauma and work being done in there. Take it easy and don't hurt yourself.
KW
Posted 9/20/2008 11:24 AM (GMT 0)

....I think we all started walking the day of surgery and continued at different levels throughout our recovery. Some around the block, treadmills whatever.....depending on what our bodies were telling us. My Doc told me the day he took my cath out I could lift 50lbs.....I hit the gym the next day and found out I was going to have to take it just alittle bit easier even on the low impact machines.....the ole' bod was screaming at me, no, no, no not yet...take it easy. so, I worked out slower and I'm just now starting to get back into my routine.....kw's right, with the robotic we can get up and walk and all that kind of stuff and we look at our body and think gee, I came through this pretty well.....on the inside though, wow, major surgery went on in there :) I remember after one early workout(well two, sometimes I'm kinda' dense!) I knew I didn't have a prostate anymore.........but whew, it felt like I did and the thing was the size of a basketball!!  Thinking about it, it was right around my fourth week too.......anyway, take it easy and echoing kw, don't hurt yourself....

Posted 9/20/2008 9:47 PM (GMT 0)
My doctor said it was OK for me to do whatever I was comfortable with.  He was pleased to hear that by day 5 post-surgery I was walking 4 miles a day.  I continued to do so until day 30, at which time he said it was OK to resume my running routine (4 mile course 3 times a week).  He also said it was fine to resume my lap and ocean swim routines.  Everybody is different, but if your husband is/was an athletic type, he should be able to resume his workout routines (within reason) real soon.  He should have already begun working towards his previous routines.
Posted 9/21/2008 2:43 AM (GMT 0)
As KW said, even robotic surgery is less invasive from a surgical exposure standpoint, the same things are done internally, and even though blood loss is minimized in most cases, significant internal trauma is still there. As to returning to normal routine and activity, I think we all are in some sort of hurry to return life to as normal as possible, I know I was, wanted to go back to work 2 weeks later, doc said no, give yourself time to heal, ended up going back in 4 weeks, I work 12 hr shifts, 7on/7off. At the end of my first week back, wish I had waited, just did not have the stamina I had previously, that truthfully took 3 to 4 months to return. As for as return to physical activity/workouts, his body will let him know, just don't push it, the bleeding is a good indicator, I had that and backed off a bit, problem solved. As to the MD stating your sons had a 100% chance of developing pCa, I would consider to be a bit presumptive, no one can know with certainty that anyone will develop anything, and absolutes should be avoided. Your sons have the benefit of knowing what to look out for, and start PSA testing at an appropriate time, make dietary and lifestyle changes, all geared to prevent the disease, given current medical technology. I certainly would not stake any hope of a vaccine to prevent pCa, hopefully this will come to fruition, but in the meantime, they have opportunity to help themselves. The overweight issue is, IMO, true to some extent, but not the scapegoat that many MD's want it to be. I have seen physically fit people get sick and morbidly obese die of old age, there again, not an absolute, but you have far better chances of preventing things like coronary artery disease, diabetes, HTN, and a myriad of medical maladies by being in good physical condition.
Randy
Posted 9/21/2008 3:00 PM (GMT 0)
Thanks you all for responses. Hubby walked the golf course this morning and is now at health club steaming out. No responses to the blood after orgasm? is this just a coincidense? Some of u said you had it at times from over doing it. Maybe orgasms are overdoing it? We did it again other night, no bleeding next day, even pain after has gone away. Lucky me, therapy is the ticket! haha!
Posted 9/24/2008 1:33 AM (GMT 0)
Oh please.....don't rub it in....and lose the hahas
Posted 9/24/2008 11:52 AM (GMT 0)
Everybody has a different recovery period, but I agree with the listen to your body theory. I started getting into really good shape two months before my surgery. I had DaVinci in July and like many here walked a mile every day with the catheter in. That first walk was a killer the day after surgery. It was about a 40 minute shuffle that transformed to about 25 minutes by the end of the week. After the catheter was removed at the beginning of my second post-op week I went up to 3 miles daily. The Doc told me if there was any blood in the urine from the walking to cut it back. There was not so I continued. Week 3 I started jogging lightly 2 miles three times per week and walking on the off days. Two months out now, I am trail running 15 miles or better per week, hiking a few days and circuit training. My plan is to do my first half-marathon next spring. No blood at orgasm for me. I feel very lucky in that department. Still need Levitra to help, but am getting close to the occasional spontaneous erection. My first post=op PSA is in October.
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