Collagen Injections

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lvdgs
Regular Member


Date Joined May 2008
Total Posts : 70
   Posted 5/21/2008 12:52 PM (GMT -7)   
We had our appointment with the robotic surgeon today and we really liked him. He did not push surgery on my husband by saying at his age surgery would be the best option, he was very open and frank about it. However, he did push collagen injections and claims after one or two the incontinance issue should be resolved.  He says it takes about a year to see how well it would clear up on it's own if indeed he became incontinent. Has anyone had any experience regarding this or any comments to add?

Gene214
Regular Member


Date Joined Mar 2007
Total Posts : 422
   Posted 5/21/2008 2:33 PM (GMT -7)   

Most prostate surgeries leave the man incontinent, at least for a time.  Just by reading posts on this forum, it seems men usually regain continence in 15-20 weeks.  After my surgery 15.5 months ago, I remain  totally incontinent.  But according to those who have had the collagen injections, their success is at the least very minimal, and any gain seems to be temporary.  See KW's journey for first hand information from him.  He may respond to your question.  Perhaps your surgeon has had good success with the callagen injections.

Gene


Radical open removal 2-14-07
Removal of stricture 6-07
Bio-feedback (4) 08-07
Scheduled for AUS & implant 05-08
63 years old at time of nerve-sparing surgery


kw
Veteran Member


Date Joined Nov 2006
Total Posts : 883
   Posted 5/21/2008 7:43 PM (GMT -7)   
Lvdgs, Please check our My Journey! I am 19 months post op and was using 6+ pads a day. I had two colligen injections at about 12 months post op. A few months later I had the AdVance Male Sling which gave me no improvement. I just completed two more colligen injections. This time it has worked really well....at least for now. But, it is one week since last injection and I have crept up to 2 pads a day.
Some may question why I would keep trying the colligen when the data shows it does have a slim chance of restoring total continence. At 45 years old my only other option is the AUS (Artifical Urinary Sphincter). At this time I just do not want all the artifical plumbing installed in me. I am willing to try everything I can before I give in to that device.
I do not know your age but I would not fear the incontinence if you decide on surgery. Only a very small percent of us end up with this dreadful side effect. After all is said and done the AUS is a very reliable device that has good rates of providing total continence.
Wish you well,
KW
    43 at Dx and Surgery
    PSA 5.7, Biopsy 3 of 12 positive (up to 75%) all on left side of prostate, Gleason 7
    RRP on Oct. 17, 2006 - Nerves on right side saved. All Lab's clear. 
    Cathiter in for 28 days due to complications in healing. Removed Nov. 9, 2006
    First Post op PSA on Dec. 11, 2006  Undetectable 0.00.
    ED workable and usable with Viagra.
    Feb. 20th, 2007 - Feb. 4th, 2008  Cystoscope, Two Collagen injections,Second Opinion Consultation for Incontinance at OU Medical Center, Bio-Feedback training, Chiropractic, Accupuncture  to try to resolve ongoing incontinance (4-6 pads a day)  All PSA's 0.00.
    Feb. 22nd, 2008 - Surgery to install the AMS AdVance Male Sling.
    March 27th, 2008 - Sling not working, Little or no improvement.
    April 18, 2008 - Collagen injection.  Back to using 4-6 full pads a day within a week.
    May 14, 2008 - Another collagen injection to try to Band-Aid the leaking for our June cruise.  Will start making conusultation appiontments for AUS after we return.
 
     


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 5/21/2008 10:00 PM (GMT -7)   

Some figures I have in a book say that only 10% of prostate surgeries result in incontinence. Of that number, the majority of the incontinence is temporary -- clearing up by itself after a few months or a year or two. As KW said, he is one of the unlucky ones.

Those of use who hang out in this forum, do so because of some concern or problem. As a result you will see a lot more incontinence problems here than in the prostate surgery population generally. I am hanging out here because I have another problem, not incontinence.

So I suspect ...

[Deleted to comply with forum rules]

 


Age 63. Other than cancer, in good health; BMI 20
Pre-op: No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores
7 March 2008, RRP, non nerve sparing
Two nights in hospital; catheter and staples out after 7 days
Continent, no pads needed from the get-go
Post Op: Stage pT2 M- N-; clear margins and lymph nodes; Gleason 4+4=8; prostate weight: 37gm
6-week PSA: 0 

Post Edited (Piano) : 5/29/2008 12:02:23 AM (GMT-6)

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