Grettings, I am brand new and considering sling or cuff implantation.
Yep robot prostatectomy July 2010. Leak forever since.
Heck no, it is NOT stress inconinence as Dr. calls it.
It is PFNFR incontinence. Pee For No F in Reason.
To all: the reason we pee is the surgeons remove your bladder neck sphincter your proximal sphincter. You are left with ONLY the urethral sphincter (distal sphincter) THAT is why they want you to do Kegels etc.
See that balder neck spincter is held always tightly closed by your autonomic nerves you can NOT force it to open ever until your bladder fills enough, then the nerves tell your brain "ok we need to empty" only after that signal happens can you go to a urinal, what a moment then the let-down happens as your BRAIN sends signals to 1) open your bladder neck sphincter and 2) contract your entire bladder muscles so you can pee. Also then to pee YOU Voluntarily relax your secondeary sphincter (the urethral sphincter). That secondary sphincter they leave you with is the one that you can start and stop the urine flow, makes the sausage dance for your wife and is used in sexual activity and orgasm.
Doc never told me I would drip pee all day, 3-4pads a day at least an ounce build unless I play my trumpet thenm, oh my does it fill.
Doc told me I would have "dry orgasms" after prostatectomy.
NOPE he lied again. I shoot pee when I orgasm.
My wife does not like my pee dripping out during attempts at sex, dripping on her, in her in her mouth, on the bed on the floor.
It is worse when I am in any "I am upright position" but still drips out when I am flat on my back and my secondary/urethral sphincter pulses.
(which it is supposed to do when you engage in sexual play)
Well of couse you will, cause your bladder neck sphincter is gone, your entire urethra had pee in it and that secondary sphincter when you pulse it, pee shoots out in little jets.
That's why GOD gave you a bladder neck sphincter in the first palce.
So yes Docs to NOT tell us the truth the whole truth and nothing but the truth.
SOOOOO I am scared of another operation.
Sling, advance or invance? Aus Cuff?
I dont want to do both surgerys.
If I am doing one than it needs to stop my pee and I dont ever wear pads. Cause if you do not have pad or diapers on and then you pee I am kinda screwed. So that means I would need to always wear a pad "just in case". So why bother with all the surgery if we still need to wear a pad for "just in case".
Really looking for insight from all you experienced guys here.
It is so great to hear the truth instead of the BS from surgeons and doctors.
Thanks to all.