Textbook of
Robotic Urologic
Surgery.



Release Date:
January, 2007

Michael Esposito,
Vincent Lanteri
&
Jeffrey Stock

ROBOTIC RADICAL PROSTATECTOMY | Erection Rehabilitation | Foley Catheter Instructions | Post-Op Instructions

KEGEL EXERCISES

These exercises are to be done before surgery and after surgery, unless othersise directed by your doctor.

Your doctor is recommending that you do kegel exercises to strengthen your pelvic floor. If your pelvic floor is weak, you may feel pressure from sagging organs, or you may experience certain types of incontinence (inability to control urine flow). Kegels help strengthen the pelvic floor to better hold organs in place and control your urine flow.

The pelvic floor muscles may weaken due to aging, pregnancy and vaginal childbirth, injury, surgery, chronic cough, or a lack of exercise. If the pelvic floor is weak your urethra may open too easily and allow urine to leak out. These exercises will help strengthen your pelvic floor so you can better control urine flow.

HOW KEGEL EXERCISES ARE DONE

Try each of the kegel exercise below. When you're doing them, try not to move your leg, buttock, or stomach muscles.

• While urinating, try to stop the flow of the urine. Start and stop as often as you can.

• Contract as if you were stopping your urine stream, but do it when you're not urinating.

• Tichten your rectum as if trying not to pass gas. Contract your anus, but don't move your buttocks.
   

Try to hold each kegel for a slow count to five. You probably won't be able to hold them for that long at first, but keep practicing.

HELPFUL HINTS

• Do your kegels as often as you can..

• The more you do them, the faster you'll feel the results.

• Tighten your pelvic floor before you sneeze, get up from a chair, cough, laugh, lift, walk up or down stairs, kneel down, bend over, or get in or out of a car.

MY KEGEL SCHEDULE

• Do my kegel exercises at least 4 times a day.

• Do 15 kegels during each set.

DIET

Low fat, low carb, and high protien

YOU MAY EAT THE FOLLOWING:

CEREAL 1/2 BOWL (Cheerios, Special K, Total, Wheaties, Bran Flakes)
made with skim milk and 1 of the following pieces of fruit:

Banana (small), Pear, Apple

EGGS, EGG WHITES, EGG SUBSTITUTE

• Do not make with oil or butter

• Only eat 1 fruit a day

• All eggs can be eaten alone or can be made into an omelet with the following vegetables:
  
  Broccoli
  Cauliflower
  Celery
  Lettuce
  Tomatoes
  Mushrooms
  Cucumbers
  Peppers
  Onions
  Lemons

MAIN COURSE: (Deck of cards approx. 4-5 oz.)

• Beef

• Chicken

• Pork

• Lamb

• Fish

All above portions should be the size of a deck of cards.
The above can be baked, broiled, or grilled.
Use lemon and vinegar for salads.

MISCELLANEOUS FOODS:

LOW CALORIE JELL-0 WITH LITE COOL WHIP

DO NOT EAT THE FOLLOWING:

PASTA
POTATOES
ANY BEANS
CARROTS
BREAD
FRIED FOODS
DESSERTS
CEREALS
OIL

EXERCISE

Walk 1 mile 1 time a day (1/2 mile in each direction) for 3 days. On the 4th day increase to 1 mile 2 times a day for 3 days. Then increase to 2 miles a day.

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