Tip to stop drips after urination

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coxjajb
Regular Member


Date Joined Nov 2008
Total Posts : 184
   Posted 12/4/2008 8:43 PM (GMT -6)   
I ran across an artical that was useful for me to stop the dribbles after I urinate.  Hope some find it helpful as I did.  Read the technique at the bottom of the article.
 
Pre - Op PSA, 4.3
Gleason 3+4=7
Stage T1C
da Vinci Prostatectomy 8/1/08
No issues with incontinence since day 1 after catheter removal
ED, need a little help from Levitra
First post op PSA 11/11/08, 0.00

Post Edited (coxjajb) : 12/4/2008 7:13:21 PM (GMT-7)


jrponalameda
Regular Member


Date Joined Dec 2007
Total Posts : 56
   Posted 12/5/2008 7:50 AM (GMT -6)   
Good find, thanks for posting it. As the first line implies, this issue probably bothers a lot of men.
Diagnosed Sep 2007 Age 54 Gleason 6 (3+3)
DaVinci Surgery 11/8/07 University of Minnesota
2/22/08, 8/15/08 PSA Undetectable


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 12/5/2008 12:42 PM (GMT -6)   
Thanks....wow...I have been trying what was said...man what a difference it makes. All I can say is that I would leak between trips to the bathroom and never could understand why. Now...dry between trips so far...maybe I will be able to beat this incontinence thing soon.
Les
 
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal-Gland 38 cc
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral (Perineural Invasion present at base)
Gleason (3+3) 6  Stage T1C
August 23 - Bone Scan - Hips, Spine and ribs marked uptake - X-Ray showed clear -Hooray
Sept 9 2nd DRE - questionable - TRUS...shadow in base - Gland now 41 cc
Robotic Surgery Sept 18, 2008
Pathology October 1,2008
Gleason 7 (4+3) Staged pT2c NO MX
Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
4 tumors in prostate - largest being 6 cm 
PSA Oct 08 <.05


coxjajb
Regular Member


Date Joined Nov 2008
Total Posts : 184
   Posted 12/5/2008 10:09 PM (GMT -6)   
I'm glad the article was helpful. I never had serious issues with bladder control but just could not stop the dribbling when I urinated. Not matter how much I wiggle and dance, the last few drops go down my pants. This technique made a big difference for me.  yeah
Age 50
Pre - Op PSA, 4.3
Gleason 3+4=7
Stage T1C
da Vinci Prostatectomy 8/1/08
No issues with incontinence since day 1 after catheter removal
ED, need a little help from Levitra
First post op PSA 11/11/08, 0.00


anglophile
Regular Member


Date Joined Apr 2008
Total Posts : 82
   Posted 12/6/2008 10:15 AM (GMT -6)   
I'm not understanding this. Does this mean behind/below the testicles and not between the testicles and the penis?
Age 59 - diagnosed in Jan. 08 after biopsy
da Vinci Robotic Prostatectomy 4/11/08 - both nerves spared
Catheter removed 4/25/08
Prostate Pathology: Gleason Grade 6 (3+3)
5 wks post-op Continence: 1 pad night, 2 during day
7 wks post-op Continence: 2 pads every 24 hours
First post-op PSA at 7 wks: >0.1
14 wks post-op Continence: 1 pad days, no pad nights
Post-Op PSA at 5 months: >0.1
7 months post-op Continence: First pad-free day/night!
7 1/2 months post-op Continence: No more pads!
(ED is a different story)


coxjajb
Regular Member


Date Joined Nov 2008
Total Posts : 184
   Posted 12/6/2008 12:00 PM (GMT -6)   
Press up gently behind the scrotum. I have success if I press about 1 1/2 inch behind the scrotum with three fingers. Hold that for a second, then draw your fingers forward (while keeping the press). I continue forward as far as is comfortable. I use the "hand in the pocket" method.  Sometimes I get a lot of urine sometimes not so much.  Experiment with it and you'll find what works best for you.


Age 50
Pre - Op PSA, 4.3
Gleason 3+4=7
Stage T1C
da Vinci Prostatectomy 8/1/08
No issues with incontinence since day 1 after catheter removal
ED, need a little help from Levitra
First post op PSA 11/11/08, 0.00

Post Edited (coxjajb) : 12/6/2008 10:03:25 AM (GMT-7)


RBinCountry
Regular Member


Date Joined Apr 2008
Total Posts : 270
   Posted 12/6/2008 1:19 PM (GMT -6)   

This is a good explanatory article.  I was already doing this from experience, and what it describes is exactly true.  I know when I relieve myself it is as though I am back on the catheter - it seems at times there is no stopping point once the urine path is opened.  Finding cutoff is tough, and much of my necessity for a continued pad has been related to the after effects of urination.  If that low spot (as described in the article) is not pressed out what remains becomes dribble.  It also seems to me that I have a hard time determining shutoff while all of this is taking place, and the ordeal can make me stand at the urinal much longer than I would like.  This is particularly true if I have a line of men standing behind me waiting for me to move on - I have found myself on such ocassions being more messy than I am comfortable being.  You almost have to have a sense of humor with this stuff!

RB
Age 61 (now 62)
Original data - pre-operation
PSA: 5.1
T1C clinical diagnosis, Needle biopsy - 10 cores, Gleason 7 = 3+4 in 1 core (40%), 7 cores Gleason 6 = 3+3 ranging from 5% to 12%
All scans negative
Lupron administered 4/9/2008 for 4 months (with idea I would undergo external beam radiation followed by seed implants - then I changed my mind).
Robotic DiVinci surgery - Dr. Fagin (Austin) May 19th
Post operative - pathology
pT2c NX MX
Gleason 3+4
Margins - negative
Extraprostatic extension - negative
seminal vesicle invasion - uninvolved
1st Post PSA <.04
2nd Post PSA <.1 10/30/2008

 


coxjajb
Regular Member


Date Joined Nov 2008
Total Posts : 184
   Posted 12/6/2008 3:35 PM (GMT -6)   
RBinCountry, I know what you mean about the line at the urinal. I've gotten to the point that I take care of business and not worry about it. If someone thinks I'm taking too long, I'm not going to worry about it. A sense of humor does help. My wife sometimes asks "what took so long". I reply that I have lost my "stow-N-go" function.  rolleyes


Age 50
Pre - Op PSA, 4.3
Gleason 3+4=7
Stage T1C
da Vinci Prostatectomy 8/1/08
No issues with incontinence since day 1 after catheter removal
ED, need a little help from Levitra
First post op PSA 11/11/08, 0.00


Quincy3
New Member


Date Joined Jun 2008
Total Posts : 19
   Posted 12/6/2008 8:00 PM (GMT -6)   
This is great. I'm peeing right now!!!!
Diagnosis 7/07
open radical 12/07
PSA pre-op 1.4 gleason 3+3 clean margins
First psa post-op 3/08 0.006
Second psa post-op 6/08 >0.01


njiceman
Regular Member


Date Joined Sep 2007
Total Posts : 27
   Posted 12/11/2008 8:48 AM (GMT -6)   
This is a good article. I too have been doing this from experience but after a year I still have this issue as well as random leakage when caughing. My Doc just keeps saying "do more keegles". I've tried & tried & still the pelvic floor muscles don't hold in those few drops. I don't feel that I'm bad enough to warrant surgery and don't feel that the sling would help.

Has anyone tried the electrical stimulation for building the muscles that was in another part of the site information?
http://www.continence-foundation.org.uk/symptoms-and-treatments/pelvic-floor-exercises.php
Age- 59 @ Diagnosis
Diagnosed July 2007
PSA-4.0 (Free psa 11%)
Biopsy August 2007 - 2 of 4 on Right Side with 20%, Stage T1c
Gleason (3+4)
Cat Scan & Bone Scan both Clean
DaVinci Surgery Nov. 26th RWJUH Cancer Center, New brunswick, NJ
11/27/07  Home & on the road to recovery
12/4/2007 Catheter Out!
Pathology Report:  Gleason 3+3=6
                          Stage   T2c
                          Organ contained Negative Margins
1/1/08  Back to Officiating Wrestling
2/27/08 1st Post Op PSA...<0.1 Undetectable
Still using a pad everyday for minor leaks (using Detrol for bladder spasms)
4/1/08 Trying Levitra every other day  very little response :(
5/6/08 Stopped the Detrol....Didn't help anyway.
Response to stimulation getting better for Mr. Happy
5/30/08  PSA...0.1
9/22/08  PSA...0.1  Still minor leakage  ED getting better


Galileo
Veteran Member


Date Joined Nov 2008
Total Posts : 589
   Posted 12/11/2008 1:55 PM (GMT -6)   
Coxjajb,
THANK YOU!
What a timely posting. I told my wife that recently I've had a hard time "turning off the faucet" after urination. I'll definitely try this.
Galileo

Dx Feb 2006, PSA 9 @age 43
RRP Apr 2006 - Gleason 3+4, T3a, N0M0, pos margins
PSA 5/06 <0.1, 8/06 0.2, 12/06 0.6, 1/07 0.7.
Salvage radiation (IMRT) total dose 70.2 Gy, Jan-Mar 2007@ age 44
PSA 6/07 0.1, 9/07 <0.1, 12/07 <0.1, 4/08 <0.1, 11/08 <0.1
http://pcabefore50.blogspot.com


scottytico
New Member


Date Joined Sep 2011
Total Posts : 1
   Posted 9/14/2011 9:27 AM (GMT -6)   
I'm sorry to say the link you provided no longer works. Is there a chance you could explain what the techniques were or point me in the direction to another article / site about it? Thank you!

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 5904
   Posted 9/14/2011 10:19 AM (GMT -6)   
It looks like that home page is gone as well. I looked for something with a similar name, but didn't find a match.
Moderator - Prostate Cancer
(Not a medical professional)

DaVinci 10/2009
My adjuvant IGRT journey (2010) -
www.healingwell.com/community/default.aspx?f=35&m=1756808

SHU93
Regular Member


Date Joined Aug 2008
Total Posts : 326
   Posted 9/14/2011 10:48 AM (GMT -6)   
I tried as well and I get a DNS Error page.
Age Dx 37, 7/2008, First PSA : 4.17 5/2008
Second PSA After 2 weeks of antibiotics : 3.9 6/2008
DRE: Negative 5/2008, Biopsy: 6 out 12 Postive all on right side, Gleason 7 (3+4).
Bone Scan/CAT Scan: Clear 7/2008
Da Vinci Surgery 7/2008, PostOp: T2c (On Both sides), margins clear, seminal clear, nodes, clear. Gleason 6(3+3).
8 Post Op PSA’s from 9/2008 to 5/2011: <0.1

English Alf
Veteran Member


Date Joined Oct 2009
Total Posts : 2086
   Posted 9/14/2011 10:49 AM (GMT -6)   
I found this info at a UK cancer charity website, it describes what sounds like it's the same technique:


Losing a few drops of urine after you have finished passing urine is common in men of all ages. Many men find that even after waiting and shaking the penis, a very small amount of urine will leak out afterwards. This may happen if the urethra (the tube which you pass urine through) has not emptied completely and a small pool of urine gets left behind.
After you have finished passing urine try tightening your pelvic floor muscles. This will push the urine out of the urethra and help to stop the dribbling.
Alternatively, after you have finished passing urine, wait a few seconds and then use your fingertips to press gently behind the scrotum. Move your fingers forward toward the base of the penis under the scrotum and keep pressing gently. This should push the urine further along the urethra. You can then shake the last few drops out.
You can read more about this in our urinary problems information.


I'll definitely try it as have been leaking badly today.

This is a link to the actual site:

www.prostate-cancer.org.uk/information/living-with-prostate-cancer/urinary-problems-and-prostate-cancer

Alf
Age dx 48
Apr 09 PSA 8.6, DRE neg, Biop 2/12 pos and 3+3
Jul 09 DaVinci AVL-NKI Amsterdam
6 Aug 09 Cath out
PostOp Gleason 3+4 Bladder neck & Left SVI -T3b. No perin’l No vasc invasion Clear margins
Dry at night
21 Sep 09 No pads daytime
Nov 09 PSA 0.1
Mar 10 PSA 0.4 sent to RT. 13 Apr CT. May to Jun 66Gy SRT
Sep 10 PSA<0.1
Jan 11 PSA<0.1
Apr 11 PSA<0.1
Jul 11 PSA<0.1
Erection OK

coxjajb
Regular Member


Date Joined Nov 2008
Total Posts : 184
   Posted 9/14/2011 10:19 PM (GMT -6)   
I was not able to locate that article again. I'll try to explain the process as described in that article.

After urinating, press up gently behind the scrotum. I have success if I press about 1 1/2 inch behind the scrotum with three fingers. Hold that for a second, then draw your fingers forward (while keeping the press). I continue forward as far as is comfortable. I use the "hand in the pocket" method. Sometimes I get a lot of urine sometimes not so much. Experiment with it and you'll find what works best for you. If you are in a public restroom you can be discreet by placing your hand in your pocket and performing the same technique.

The article described the urethra as having a "trap". Imagine the drain in your kitchen sink. Pressing up behind the scrotum has the effect of forcing urine out of that trap.

coxjajb
Regular Member


Date Joined Nov 2008
Total Posts : 184
   Posted 9/14/2011 10:26 PM (GMT -6)   
After posting above, I found this related article. It describes the same process but does not include a diagram like the original article did.

www.continence.org.au/pages/after-dribble.html
Age 51 @ DX
Pre - Op PSA, 4.3
Gleason 3+4=7
Stage T1C
da Vinci Prostatectomy 8/1/08
No issues with incontinence since day 1 after catheter removal
Mild ED for about 10 months. Levitra worked well for me. No ED at one year.
PSA 0.00 at 36 months post op

fulltlt
Regular Member


Date Joined Nov 2010
Total Posts : 190
   Posted 9/20/2011 4:44 PM (GMT -6)   
Should this technique be abstained from for 3 days prior to having a PSA test done?
location: Batavia, IL
dx age 57 2/2010 PSA 8.2
biopsy 2/2010 - 2 of 8 left & 2 of 8 right positive, Gleason 3+4=7
attended support group - advised to get a second opinion
second opinion from Johns Hopkins 4+4=8
PSA 15 4/2010
5 weeks IMRT 4/2010-6/2010 at Copley Hospital in Aurora, IL
91 palladium 103 seeds 7/2010 at Chicago Prostate Center, Westmont, IL
PSA
Oct 3.97
Dec 2.78
Mar 2.42
Jun 1.77

tallguy
Regular Member


Date Joined Oct 2009
Total Posts : 398
   Posted 9/27/2011 7:05 PM (GMT -6)   
I can't believe how much difference this suggestion has made for me in just two days. I have had my AUS/AMS 800 for over a year. I still have a small amount residual leakage part of which is because I don't have the patience to wait after peeing for the AUS to close completely.
After seeing this thread two days ago I tried it. I was surprised to see a little squirt come out when I pushed up behind the scrotum just after finishing. It has made a big difference in how dry I am with almost no dampness at all in the light pad I wear. I am now going to try going padless but will wait until the weekend.
Thanks thanks, thanks for this thread. I would strongly recommend this for all AUS/AMS 800 guys. Master the one hand technique and you are "really normal" and can pee at the urinal with the best of them.
 
Here is the key phrase:
after you have finished passing urine, wait a few seconds and then use your fingertips to press gently behind the scrotum. Move your fingers forward toward the base of the penis under the scrotum and keep pressing gently. This should push the urine further along the urethra. You can then shake the last few drops out.
66 year old male
PSA jumped 3 to 8 Jan 2008
pt2b NO Mx with a Gleason score 3+3=6.
DaVinci RP, 7/23/08. Tumor type: Acinar
size 5.5 cm x 5.7 cm weight: 77 gm.
Incontinence & ED. Dry nights , no control during day.
FUDS and cystourethroscopy testing 10/09.
24 hr pad wt. 219gm. AUA sympton index 13/35=moderate
Virtue sling surgery 2/3/10 NYU med center
Appeared to help but gradually returned to pre surgery condition.
Back to 3-4 pads/day.
Latest PSA 4/1/10 negative.
AMS 800 artificial urinary sphincter implanted 7/8/10 at U of MI.
AMS 800 activated 8/25/10 Dry for first time in 2 years.
Links to my journey posts:
http://www.healingwell.com/community/default.aspx?f=35&m=1847812
http://www.healingwell.com/community/default.aspx?f=35&m=1710681
http://www.healingwell.com/community/default.aspx?f=35&m=1948599

tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2818
   Posted 9/28/2011 7:28 AM (GMT -6)   
fulltlt - this technique is for men who no longer have prostates ( had surgery - leaking post-op so had a sling installed) so it would not affect their PSA testing.

Post Edited (tatt2man) : 9/28/2011 6:32:59 AM (GMT-6)


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3246
   Posted 9/28/2011 9:17 AM (GMT -6)   
I use this technique for at least 20 seconds after I finish up. I need to do it from both the front and back to get maximum effectiveness.
Yet another reason I go into a stall when using public restroom.
Jeff
Age: 58, Mar 35 yrs, 56 dx, PSA: 4/09 17.8 6/09 23.2
Biopsy: 6/09 7 of 12 Pos, 20-70%, Gleason 4+3 Bone, CT Neg
DaVinci RP: 7/09, U of Roch Med Ctr
Path Rpt: Glsn 3+4, pT3aNOMx, 56g, Tumor 2.5x1.8 cm both lobes and apex
EPE present, PNI extensive, Sem Ves, Vas def clear, Lymph 0/13
Incont: 200ml/day ED: Trimix
Post Surg PSA: 10/09 .04, 4/10 .04, 7/10 <0.01, 12/10 <0.01
AdVance Sling 1/10/11 Dry
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