What is the definition of 'continence'?

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Regular Member

Date Joined Sep 2008
Total Posts : 42
   Posted 12/3/2008 9:23 AM (GMT -6)   
I'm getting closer to crossing the bridge.  It weighs on my mind.
I wanted to know if continence post-surgery gan be regained to 100%, like now, or should I expect 99.9%, like one post I saw.  99.9% would be occasional stress incontinence, for activities I do now:
-  lifting 40 lbs of firewood
-  sneezing
-  squeezing out a fart
-  drinking a half-bottle of wine
-  bursting into laughter on occasion
-  having an orgasm (many posters here report release of urine during orgasm)
Yes or no for these kinds of activities?  And if yes, what do you do about it?  A light protective pad, or just deal with it?
Thanks HW'ers.
The past is gone, the future yet to come.
This moment, here and now, is nothing less than the totality of existence.
Age 58
Mild DRE finding (hindsight unrelated) > biopsy
3/08 1st biopsy, 18 core. Path 1, HPIN and ASAP, 0.5mm 1 core.  Path 2, carcinoma
7/08 2nd biopsy, 16 core.  Path 1, 1 core carcinoma.  Path 3, 3 cores carcinoma
Urologist retired.  Referred to another Dr. in same practice, not experienced enough.
Robotic da Vinci sched 12/22/08, Univ of Washington Med Center, Dr. Ellis.

Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4848
   Posted 12/3/2008 10:24 AM (GMT -6)   
I get a little "squirt" every now and then from some of the things you listed and consider myself to be 100%....I don't leak any where near enough to warrant a pad.
Age 53   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Gleason - 6
(biopsy done March 4, 2008-> 2 of 12)
06/25/08 - Da Vinci robotic laparoscopy
10/03/08 - 1st Quarter PSA -> less then .01

Surgeon - Keith A. Waguespack, M.D.

Las Colinas and Plano Offices


James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4463
   Posted 12/3/2008 12:06 PM (GMT -6)   
I am 100%. I have a rare drip when bending forward and sideways while sitting in the floor cross legged. I figure if I wear no pads, don't give it any thought or worry about leaks and continue my life as such that I am 100%
James C.
Co-Moderator- Prostate Cancer Forum
Age 61
4/19/07 PSA 7.6, referred to Urologist, recheck 6.7
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 (open) Retropubic Radical Prostatectomy performed
9/26/07 Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
Present- 1 year: ED- Viagra, pump continues, no response- Trimix .10ml x 2 weekly continues
Post Surgery PSA's: 3 mts-.04, 6 mts.-.04, 9 mts.-.04, 1 Year-.02.

Veteran Member

Date Joined Apr 2008
Total Posts : 847
   Posted 12/3/2008 9:34 PM (GMT -6)   
I also am 100%. Occasionally I may leak a drop or two during orgasm -- but if I pull a big Kegel not even that. Only noticeable during musterbation -- my wife has not noticed any during intercourse, even though I have asked her explicitly.
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 and 7-month PSAs: 0
Bimix injections working well 

Veteran Member

Date Joined Nov 2006
Total Posts : 883
   Posted 12/4/2008 12:27 AM (GMT -6)   
Comming from a Heavy Leaker that never dried up on my own. I would define continent as when you return to a normal life and do not have to worry about pads, leaking, extra cloths, constantly looking for "facilities". I had the AUS and still wear a light women liner to catch some drips and dribbles. But I would say I'm Artificially Continenent!!!!!!!
Good Luck,
    43 at Dx and Surgery (RRP)
    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.
    July 14th, 2008 - AUS consultation with Dr. Morey at UT Southwestern (Dallas).
    July 30, PSA 0.00.
    Aug. 22nd, 2008 - AUS Surgery by Dr. Morey
    Oct. 6th, 2008 - AUS Activation by Dr. Morey

Regular Member

Date Joined Dec 2007
Total Posts : 56
   Posted 12/4/2008 8:47 AM (GMT -6)   
I'm also to that point of generally full continence with occasional stress issues. I do feel I am continuing to learn how to control the stress incontinence. For example, while sneezes used to cause leakage for me, now when I feel them coming I can control by bearing down a bit. I'm still getting better at anticipating what might cause the stress incontinence, and thus continue having gradual improvement. Close enough to call it 100%, to me anyway :-)
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

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