in surgery, two of the three sets of valves that men use to control urination are removed. We are left with the single large (and in men, usually lazy) sphincter which was below the prostate. It is this set of muscles we need to retrain in order to become continent. If it's any help, women have just this one set of muscles/valves and they do just fine. In male bodies, this sphincter is usually relied upon very little.
And yes, to an extent, the remaining sphincter has been beat up with a catheter stretching it
open for a while. Getting it all to come back fully functioning usually takes some time.
It can be confusing for our body as time goes on. During sexual arousal, this sphincter used to
open wide to allow seminal fluid to pass while the other valves kept urine in check. Now, we have to keep these muscles tight all the time.
Kegels are usually necessary to regain control. They will certainly always be good to do, but I have not done any kegels in about
9 months and am 100% dry. The only thing you have to get used to is at the end of urination you must be patient to let the last bit drip out. If you rush things, you end up with more than just a drop or two down your trousers! But, yes, for the most part, things return as they were before surgery and you will blessedly think very little about
46 at Diagnosis.
Father died of Pca 4/07 at 86.
1/06 PSA 3.15
1/07 PSA 4.6 (Biopsy 3/07 just suspicious)
10/07 PSA 5.06 (Biopsy 11/07 1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC www.roboticoncology.com
Saved both nerve bundles.
Path Report: Stage T2cNxMx
-totally contained to prostate,
-10% involvement in L & R Mid lobes
PSA 0 at nine months.
Pad free on March 14 - (10 weeks.) Never a problem since.
ED - Took 100mg viagra every night. for several months
Totally usable erections at 10 weeks, which disappeared over the course of a month or two.
ED bounce is what they call it. Now, at one year, ED is fine with viagra.