Continence training

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wd40
Regular Member


Date Joined Jan 2008
Total Posts : 218
   Posted 1/14/2008 10:59 AM (GMT -7)   
Sitting here feeling the need to pee has suggested to me a question I wonder if can be answered.

After prostrate surgery, to improved continence, is better to make yourself wait as long as you can before you have to go to the bathroom or go as soon as you feel the first urge?
12/06/07 DaVinci and LRP


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4461
   Posted 1/14/2008 11:42 AM (GMT -7)   
I think it depends on the man and the goal.  If you are fairly continent now, then waiting will probably be good, as it helps restretch your bladder and give the remaining muscle something to work against, providing feedback to you and your brain.  If you leak then going as soon as the urge hits is probably best.  Just my opinion, though.  Personally, I try to wait as long as possible during the day, but go at night each time I waken from sleep, just to be safe.
James C. 
 
Help support the forums so they can support you:  http://www.healingwell.com/donate 
 
Age 60 
4/19/07   PSA 7.6, referred to Urologist, recheck 6.7 06/05/07
7/11/07   Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07   Path report:  3 of 16 PCa, 5% involved, left lobe , GS 3/3:6. 
9/24/07   Retropubic Radical Prostatectomy performed 
9/26/07   Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
10/15/07  ED- 25mg Viagra nightly-no joy 
10/19/07  Dry 24 hrs, pad at night just in case
11/15/07  ED-continue 25mg Viagra, no response, begin Vacurect pump-
11/15/07  1st PSA-0.01, fully continent- no pads
12/17/07  ED- 3 mts.-continue Viagra and pump-no change-no response
01/01/08  First use of Caverject 2.5mcg, successful, erections at last


IdahoSurvivor
Veteran Member


Date Joined Aug 2007
Total Posts : 1015
   Posted 1/14/2008 11:52 AM (GMT -7)   
Hi wd40,
 
After I got the cath out, the advice I got here was to go every 1 1/2 hours whether I needed to or not for awhile.  That kept me pretty dry.  In addition, my surgeon told me to "sit down" when I needed to go, and relax as well (most men don't do that).  Both pieces of advice really worked well for me.   I was a "happier camper."
 
All the best,
 
Barry

"Idaho" ~ Barry

 

Da Vinci Surgery July 31, 2007… 54 on surgery day
PSA 4.3  Gleason 3+3=6  T2a  Confined to Prostate

1st PSA  9/11/2007   <0.04 (undetectable)

2nd PSA 12/10/2007  <0.04

My web site: http://pca-info.blogspot.com


wd40
Regular Member


Date Joined Jan 2008
Total Posts : 218
   Posted 1/14/2008 11:53 AM (GMT -7)   
James I was kind of thinking the same thing. Thanks for the feedback.

Randy
12/06/07 DaVinci and LRP


Cedar Chopper
Regular Member


Date Joined Mar 2007
Total Posts : 432
   Posted 1/14/2008 12:04 PM (GMT -7)   
WD40,

With a Radical Prostatectomy, the bladder is stretched a bit from the shortened & re-sutured urethra.
Letting the bladder fill to capacity will typically slowly bring you back to close to your pre-surgery capacity.  It takes a little more control with a little more capacity.....
While pad-free since week 14, it has taken me almost a year to get to that combination of control AND capcity.  Being very active, I often drink over a quart of liquid (e.g., water, low-fat buttermilk, or tea & lemon) in a short period of time and just recently have found my trips to the restroom less frequent -simliar to pre-surgery days.

A full bladder is also good practice for your recruitment pattern of your pelvic floor muscles.
You might also try to "hold it" while you cough with a full bladder while standing over the toilette just before you go.  
Until week 20 or so I would exercise walking up and down the stairs nude from the waist down with a styrofoam cup with a full bladdder and coughing. 
It is a humbling experience! 
But then just being continent with an empty bladder is not good enough!
And who knows when you will cough or sneeze or lift something while turning, etc.


Barry's surgeon's point about going frequently is helpful while the area is still most traumatized.  You are coming up on 7 weeks and it is your call.
I agree with James about emptying the bladder before retiring.
Still, most often it was when I awoke that I had the best practice coughing with the most-full bladder.

Sincerely,

CCedar
ICTHUS



2 Years of PSA between 4 and 5.5  + Biopsy 23DEC06 
Only 5 percent cancer in one of 8 samples.  +  Gleeson 3+3=6
Radical Prostatectomy 16FEB07 at age 54.
1+" tumor - touching inside edge of gland.  + Confined:)
Pad Free @ 14 weeks.  Six Month PSA <.003  :)
Nine month PSA <.008
:)
At 9 months, ED treated with Pump Exercises & 100mg Viagra Daily
Texas Hill Country FRESH Produce Department Manager
Have you had your 5 colors today?

Post Edited (Cedar Chopper) : 1/14/2008 12:07:54 PM (GMT-7)


wd40
Regular Member


Date Joined Jan 2008
Total Posts : 218
   Posted 1/14/2008 2:40 PM (GMT -7)   
I was one of the lucky ones that had pretty good control right away but as you noted the bladder size had me going every hour and a half, That is what got me thinking about trying to hold it longer.

Great advice from all.
12/06/07 DaVinci and LRP

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