Coughing and incontinence

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DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 5/29/2008 9:51 AM (GMT -6)   
I posted a week or more ago that I had a day without pads, but was concerned about stress incontinence.
 
I am still wearing, other than that one day, very small pads during the day...for those few little leaks.....but yesterday my allergies kicked in and I coughed HARD many times.  As I expected, I also leaked everytime I coughed.
 
Any tips on improving this particular variety of incontinence, other than the usual kegels?
 
Thanks in advance.
Danman Bob, Born 1951
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14; Biopsy result - 9 of 12 sticks showed cancer
Post-op pathology stated that cancer was confined to the prostate
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of late April 2008)
100 MG Viagra 3 times a week beginning December 2007
Osbon Erec-Aid Esteem manual pump for therapy beginning mid-February 2008
30 MG papaverine/1 MG phentolamine bimix injections beginning late April 2008
Five week post-op PSA 0.2, five month post-op PSA 0.1, next test August 2008


Lungman
Regular Member


Date Joined Jan 2008
Total Posts : 276
   Posted 5/29/2008 9:54 AM (GMT -6)   
I have learned to instinctively "squeeze before you sneeze" or cough for that matter. If you can stop and start your stream, you should be able to ward off stress incontinence. Also, if you allow your bladder to overfill, you will find it even harder to avoid these mishaps. Hope this helps.
Randy
46 you when diagnosed, now 47
Pre-Op PSA 9.9
1 of 12 cores positive, Gleason 3+3
DaVinci on 9/5/2007
Post-Op Gleason 3+6, Negative Nodes and Margins
Less than 1% of prostate involved with CA
3 Month PSA 0.01, 6 Month PSA 0.01
Incontinence resolved 9/15/2007, one day after cath removal
ED showing significant improvement.
Cialis 5 mg every night.
Success with BiMix


DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 5/29/2008 12:44 PM (GMT -6)   

Thanks, Randy.

Yes, I can stop my stream...and since reading your post have had SOME success with using that technique with the coughing, although it is still a work in progress.

My coughing is still here today, so looks as if I will get lots of practice.

Thanks again for the advice.  This type of help is what makes this forum a great support group for someone like me.

DanMan


Danman Bob, Born 1951
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14; Biopsy result - 9 of 12 sticks showed cancer
Post-op pathology stated that cancer was confined to the prostate
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of late April 2008)
100 MG Viagra 3 times a week beginning December 2007
Osbon Erec-Aid Esteem manual pump for therapy beginning mid-February 2008
30 MG papaverine/1 MG phentolamine bimix injections beginning late April 2008
Five week post-op PSA 0.2, five month post-op PSA 0.1, next test August 2008


biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1464
   Posted 5/29/2008 1:19 PM (GMT -6)   
Hey DanMan,

It takes practice but eventually I did the sqeeze thing enough times so that now it is automatic. Practice starting and stopping the stream in the bathroom helps a lot. At first I had trouble distinguishing the various signals from down there. I couldn't tell the difference between "bladder getting full" and "get in there right now!"

Our bodies are amazingly adaptable. I guess its muscle memory or something but now it feels just like it did before surgery. Even orgasm with a partially filled bladder is dry. The final exam for continence is when you can walk, cough and pass gas with full bladder without leaking.

You are doing great...

Jim


Age 73. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Catheter out on 12/13/06.  Dry on 12/14/06.
Pathological stage: T2C N0 MX. Gleason 3+4.
50 mg Viagra + 1000 mg L-Arginine + .03 cc Trimix = Excellent Results
PSAs from  1/3/07 - 1/17/08 0.00. 
Next PSA test on 7/17/08
"Patience is essential, attitude is everything."

Post Edited (biker90) : 5/29/2008 12:32:04 PM (GMT-6)


mvesr
Veteran Member


Date Joined Apr 2007
Total Posts : 823
   Posted 5/29/2008 6:02 PM (GMT -6)   
Hey Danman.

I did very well with coughing and sneezing. But, when I had a sinus cold a few weeks ago . I blew my nose and forgot to squeeze. This was a new sensation for me because I had not had to blow my nose since the surgery. Learn something new every day with this.

Mika
age at dx 54 now 56
psa at dx 4.3
got the bad news 1/29/07
open surgery Duke Medical Center 5-29-07
never more than 2 pads
wear one for insurance now
ED still a problem
last PSA undetectable
 


anglophile
Regular Member


Date Joined Apr 2008
Total Posts : 82
   Posted 5/29/2008 7:54 PM (GMT -6)   
Biofeedback physical therapy on identifying the right muscles and tips on coughing, standing up, walking without leaking were very helpful to me. I would recommend it to anyone with a leaking problem.
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)
Apex: neg
Base: positive (tumor present at right and left base)
Peripheral Margins: neg
No extra postatic extension seen
Tumor corresponds to a AJCC/pTMN stage II
High-grade HGPIN present
Continence: 1 pad night, 2 during day


JCL
Regular Member


Date Joined Jul 2007
Total Posts : 242
   Posted 5/30/2008 10:26 AM (GMT -6)   
I've been in the habit for quite some time now of "tightening up" before coughing, sneezing or blowing my nose, and have no problems with leaking. Recently I found out that depending on how full my bladder is, I can be relaxed while sneezeing and not have any leaks. My guess is that the muslces have just gotten stronger over the past year due to Kegeling, running and doing the elliptical.
Biopsy: Diagnosed March 25, 2007. PSA 3.0. Gleason 6. Five of twelve samples positive with <5% each. No perineural invasion seen.
Surgery: May 21, 2007, Florida Hospital, Orlando,FL
Post-op Pathology: Upgraded to Gleason 7 (3+4), negative margins, negative capsular penetration, negative seminal vesicles, lymph nodes left intact, multifocal perinural invasion, 15% of prosate involving cancer in both lobes. T2c
Continence/Erections Out of pads at five weeks. Fully continent and can achieve erections.
Post Surgery PSA: Four tests, all <0.1
Family history: Great-great grandfather died from PC. My Father had his prostate removed at age 67 in 1997 and has had an undetectable PSA ever since. I was diagnosed at a much earlier age and had a more agressive cancer than my father. Go figure.

Post Edited (JCL) : 5/30/2008 9:29:59 AM (GMT-6)

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