The Macroplastique System to solve stress incontinence

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RFP
Regular Member


Date Joined Mar 2009
Total Posts : 30
   Posted 7/15/2009 1:24 PM (GMT -7)   
I had 2 Urologists recommend this procedure to solve my stress incontinence.  The Urologist that did my surgery and a Urologist from RUSH University Medical Center in Chicago.  As I understand it this is soft tissue bulking agent that adds volume to the tissue surrounding the urethra.  Recently I had a Urologist at the Northwestern Medical Center in Chicago tell me not to do this procedure as it could worsen my condition.  I'm about 24 weeks out from my surgery and I still leak when standing or moving around.  I am able to stop my stream while standing when I urinate and my Urologist said that means the external sphincter is working. " It takes time, be patient." Thats easy for him to say.  I'm just tired of being wet and using 2 or 3 pads a day and up to 4 if I drink a lot.  I'm looking for options on what the next steps would be and I thought this would be a next step before the Male Sling or AUS if things don't heal.  Has this procedure worked for anyone?  Thanks for any help or suggestions you can give me.
RFP
Last PSA prior to biopsy- 5.9
Biopsy - 12/08
Gleason Score - 3+3=6
Staging - T1c
Age at biopsy - 66  good Health (Work of 3-5 times a week at Lifetime Fitness and Bike)
da Vinci RP surgery - 1/20/09 at Sherman Hospital in Elgin IL
Surgeon - Dr. Griffin
Hosp stay - 1 night
Catheter removed - 1/28/09
Post-Op blood test - 2/25/09  PSA 0.04
Scheduled weekly biofeedback sessions with Physical Therapist started 3/2/09
Electrical stimulation started 4/6/09


kw
Veteran Member


Date Joined Nov 2006
Total Posts : 883
   Posted 7/15/2009 7:45 PM (GMT -7)   
  RFP,  I know how you feel but you are only about 6 months out.  It can take up to a year for your body to adjust.  I had a total of 4 collagen injection and never got more than a few days of relief.  But, I was also leaking at a rate of 8 + full pads a day.  If it were me I would look for a physical therapist that does pelvic floor bio-feedback training.  They can make sure you are working the right muscles and tell if you are getting stronger.  If you want any details of what is done during the injections check out the links on my signature.
Good Luck,
KW
    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
     Dec. 2006 – Oct. 2008 Cystoscope, Two Collagen injections,Second Opinion   
    Consultation for Incontinance at OU Medical Center, Bio-Feedback       
    training, Chiropractic, Accupuncture , AdVance Male Sling, Two Collagen injections,
    AUS Installed and Activated (Dr. Morey at UT Southwestern Dallas TX)  All to try to 
    resolve incontinence (using 6-8 Depends Guards a day)

    To Date All PSA's 0.00.

   http://www.healingwell.com/community/default.aspx?f=35&m=721171

    http://www.healingwell.com/community/default.aspx?f=35&m=978691


Overhauled
New Member


Date Joined Jul 2009
Total Posts : 1
   Posted 7/17/2009 7:45 AM (GMT -7)   
I am also dicouraged with leaking. But I am only 6 weeks from surgery and understand I may have a ways to go. My work place gave me 6 weeks FMLA leave so as you could imagine, I've had plenty of time to surf the internet about recovery from this horrific procedure. Have you looked into the penile clamps that are on the market? One link I've found is: http://www.prostate-cancer.com/coping-with-prostate-cancer/incontinence-penile-clamps.html or you can just google penile clamps and see the many different types. Just a suggestion..... This is my first post to this site. Good luck!

RFP
Regular Member


Date Joined Mar 2009
Total Posts : 30
   Posted 7/18/2009 3:54 PM (GMT -7)   
KW and Overhauled, Thanks for your input. Great detail KW. A lot to digest. I did go to a Physical Therapist for biofeedback sessions and I need to keep doing the Kegels. Overhauled (I think your thread name is great) I did try the clamps and they do work, but they did hurt after about 1 hour or so and I was off to the bathroom. I'm really trying to heal more naturally. Thanks again for your input and best of luck "Healing"
RFP
Last PSA prior to biopsy- 5.9
Biopsy - 12/08
Gleason Score - 3+3=6
Staging - T1c
Age at biopsy - 66  good Health (Work of 3-5 times a week at Lifetime Fitness and Bike)
da Vinci RP surgery - 1/20/09 at Sherman Hospital in Elgin IL
Surgeon - Dr. Griffin
Hosp stay - 1 night
Catheter removed - 1/28/09
Post-Op blood test - 2/25/09  PSA 0.04
Scheduled weekly biofeedback sessions with Physical Therapist started 3/2/09
Electrical stimulation started 4/6/09

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