New Member - Catheter just out, now what?

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Doc
New Member


Date Joined Sep 2009
Total Posts : 18
   Posted 9/29/2009 10:52 AM (GMT -6)   
Hello All -
 
I just discovered this forum 2 days ago, while recouperating from daVinci RRP.  Looks like a very informative and supportive group.  My story is as follows:  I am 54 and have had normal PSA's every 3 years since age 40.  Then after a no PSA's for 4 years, I had a 6.7 in 3/09.  Two sets of needle core biopsies were required to establish a diagnosis of 3+3 involving < 5% of 2 cores, among a total of about 30 cores.  With a normal DRE & ultrasound, some would consider "watchful waiting" a viable option but I was uncomfortable with that so I opted to get the sucker out.  My surgery on 9/17/09 went well, my path report confirmed a very small focus of 3+3 with negative margins (pT2a), so I was feeling pretty good until the catheter came out yesterday on post-op day 11.
 
My immediate question is about continence training.  I am doing keegles as prescribed.  I am drinking lots of fluids during the daytime, but find that while up and walking around this just leaks out - my bladder pretty much seems "offline" and unwilling to expand while mobile.  Alternatively, I can rest in a recliner chair, drink lots of fluids and build up some volume, but as soon as I get up it begins flowing.  So... from the collective wisdom of those who have gone before me, is it better at this stage to walk around dripping and hoping my bladder wakes up, or is it better to lie back and give my bladder something to work with before making the mad splash-n-dash to the BR?  I know that this will get better, but want to use my limited recovery time to best advantage as I am due back at work next Monday.
 
Thanks to all
 
Doc

PCa Dx 07/09: 3+3 in 2 cores
Age at Dx 54
daVinci RRP 09/17/09
Final path 3+3, <5%, margins neg, pT2a.
 


MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 9/29/2009 11:02 AM (GMT -6)   
Welcome,

Basically what your body and mind needs to do is relearn when to hold or squeeze the muscle to hold your leakage all over again. Its similar to when you learned to be potty trained. You can help it along by intentionally squeezing ( like you do when doing a Kegel) whenever you get up

As an example When I bent down to pick up something, I would dip, 100% every time, If I squeezed then bent down, I held every time, now that process occurs subconsiously and I never leak bending down to pick something up

Exercise to that area such as walking helps move things along, you may not walk much now as its pretty close post op for you but try to do as much as you can tolerate and build from there

It will take a few months but you will get there
Stats:
Age: 52
PSA (2008)=1.9
Biopsy on Jan 09, 2009
One (1) out of twelve (12) cores was positive, plus external nodule found
Gleason Score = 3+3
Surgery (Da Vinci, robotic prostatectomy): 4/7/09
Removed Catheter: 04/19/09
100% bladder control - Pad free 7/09
PSA 7/09 undetectable, under .0


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 9/29/2009 11:10 AM (GMT -6)   
Hello, and welcome to HW, Doc. You are just days out of surgery, and off your cath. It will take time, some guys its days, others weeks, some months, and a few unfortunates, years. Varies that much from person to person. Hoepfully yours won't linger too long for you.

Don't over kegal, is what my uro/surgeon would say, he says if you do them all the time like some do, you overtire the muscles down there and it ends up being counterproductive. Walking is good therapy. Whatever you do, don't purposely de-hydrate yourself thinking if you intake less you will leak less. That isn't healthy and counterproductice too. And make sure you do get proper rest, another important part of your healing process.

Please keep us posted of your recovery, glad you found us.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20%, Contained in capsule, 1 pos margin
2009 PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/09 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl., agreed to start radiation, mapping on 9/21/9, 9/24 - mtg & procedure? with uro/surg, IMRT starts 10/5/9


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4119
   Posted 9/29/2009 11:12 AM (GMT -6)   
Doc, Walking helped me more than anything else. I also did keegles as I walked to try to get everything tight in that area. I dried up fairly qucik. Good luck on your recovery. I had open surgery and had the cath for 10 days. I was walking up and down my street with my cath.

Glad you found this forum. You will find that you can ask anything concerning your recovery.

Your friend in PC


Jeff T
Cajun Country
Jeff T Age 57
9/08 PSA 5.4, referred to Urologist
9/08 Biopsy: GS 3/4=7
10/08 Nerve sparing open RRP- Path Report: GS 3+3=7 Stg. pT2c, margins clear
3 mts: PSA .05 undetectable
 10th month  PSA <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3742
   Posted 9/29/2009 11:39 AM (GMT -6)   
Doc,
The first two weeks I would lie down on the couch or bed and fill up. Then I'd try to kegel and hold it but found that to be a hopeless cause. I had to dash and splash in the shower or on the pea/pee gravel out back. (Never in/on the toilet due to the mess.)

After I lost the excuse to stay in bed I found I leaked all the time and I believe my bladder shrunk a bit but I have no data.
I am 9 weeks out and still leak like a rusty rowboat. I'm dry at night but the millisecond I stand up, Niagara Falls turns on. If I could hang a water wheel from my weiner I could at least recharge a couple of cell phones batteries. Hey at least it would be good for something besides peeing.
I have been alternating between drinking normally-when I am home and can sit in my undies; and drinking nothing-when I have to go out in public.
My experimentation with the TENS unit exhausts me and initial data looked like it helped but I am not convinced. I'll keep trying.
Good Luck,
Jeff
DX Age 56. First routine PSA test on April 8th: 17.8.
May PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, Gleason 6=3+3. Bone scan and C/T scan negative.
----------------------------------------------
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7 Tumor size: 2.5 x 1.8 cm location: both lobes and apex. No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Extraprostatic extension present; Perineural invasion: present, extensive
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
----------------------------------------------
Post Surgery Status:
Potency - 9/17 2 months, Still no activity
Incontinence - 8/20 4 full pads per day
. 9/7 3-4 full pads per day (I'm going to try cutting down on fluids. Bad idea. I know.)
9/17 2 months: Still 3 pads per day. At this rate I'll be fine in 2011.
Post Surgery PSA - 9/3 6 weeks - 0.05


STW
Regular Member


Date Joined Jun 2009
Total Posts : 292
   Posted 9/29/2009 1:26 PM (GMT -6)   
I was dry at night from the get go. And I too could sit with no problems. However, I think there is a pump lever from the legs to the bladder. Not sure why it isn't in any medical books. I couldn't even feel leaking but my bladder would be empty after every walk around the neighborhood.

I kept walking every day and doing my Kegels and eventually the leaking stopped. I admit that I did wear a second pair of underwear for a week or two after just to be on the safe side. It wasn't much, but an extra layer of cloth between me and public humiliation was considered prudent.

I could say, "this too shall pass," but the expression is just too inappropriate in this instance.
smilewinkgrin
Diagnosed at 54
PSA 8.7
Biopsy 1/7/09
4 of 6 cores positive, one at 90%
Gleason 3+4=7
Neg bone scan 1/15/09
One shot Lupron Depot 1/27/09
Tax Season
RP 4/29/09
Neg lymph nodes, postive seminal vesicle, 1 positive margin
Gleason 3+4=7 with tertiary 5
Catheter out at 2 weeks no nighttime incontinence
Pad free week 5
PSA 6/6/09 <0.1
PSA 9/10/09 <0.1


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4849
   Posted 9/29/2009 1:52 PM (GMT -6)   

Seems like I've been seeing a bunch of "drink till you drop" concepts here latlely.

Doc, hopefully you aren't drinking anymore now then you would before surgery. What goes in must come out....


Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 9/29/2009 3:00 PM (GMT -6)   
Doc,

I am sure you were told that carbonated beverages, coffee ( any kind) and alcohol all work as diuretics and make it harder to control your bladder

If not then you can alter what you drink which will help
Stats:
Age: 52
PSA (2008)=1.9
Biopsy on Jan 09, 2009
One (1) out of twelve (12) cores was positive, plus external nodule found
Gleason Score = 3+3
Surgery (Da Vinci, robotic prostatectomy): 4/7/09
Removed Catheter: 04/19/09
100% bladder control - Pad free 7/09
PSA 7/09 undetectable, under .0


engineer55
Regular Member


Date Joined May 2009
Total Posts : 121
   Posted 9/29/2009 6:43 PM (GMT -6)   
I found that improvement was noticeable daily the first month, first few days were pretty rough but by 2 weeks it was manageable. I did a lot of walking, also try to get off the pads as soon as possible, like when you are around the house. Learn to work the washing machine and buy a bunch of spare BVDs. I would leave a spare change of clothes at work and in my car.

It can work to your advantage, I got out a bunch of those "Do I really have to go to that " type social engagements
Dx'ed 5/08 one core 2%  out of 12  3+3 gleason
DREs all negative
PSA was in the 3-4 range then jumped to 7
I have the enlarged prostate, on the order of 100cc.  After taking Avodart for 3 months  my
PSA was cut in half.
I did Active S for a year but concluded that I didn't want a life
of biopsies and Uro meetings.
DaVinci on 6/24/09  UCI Med Center  Dr Ahlering, long surgery based on size and location
Final was 5% one side all clear, but had a huge 90 grm prostate
Now we work on pee control, ok at night but sitting is a big problem.


TeddyG
Regular Member


Date Joined Apr 2009
Total Posts : 133
   Posted 9/29/2009 7:02 PM (GMT -6)   
Doc,
One day at a time. You should notice differences on a week by week basis. I went from larger pads 2x day to smaller thin ones and then to 1/2 a thin one and then, eventually none. It took a total of ~ 3 months. It was awkward at work at first because I knew I was leaky, but no one else did. I got used to going to mens room pretty often too. Hang in there.
Ted
Background:
Age 55, two teens, very fit cyclist (avg 2000+ miles per year) and weight, diet, etc. consistent with good habits. Stressful job as attorney; very supporting wife who is helping me through every stage of this war.
Stats:
2006 PSA - 1.5
2007 PSA - 2.3
2008 PSA - 5.3 (18 mos.)
2009 Jan. 20 - Biopsy 12 samples
        Feb 3 Dx 2/12 samples positive, low volume  (5% and 7-10%)
Gleason 3+4, later downgraded by second opinion at Johns-Hopkins to 3+3, but "it's still PCa" as my Doc said.
Laproscopic surgery April 9,  University of KY Medical Center, Lexington, 3 days in hospital, catheter removal April 21.
Pathology: clear margins, no cancer in prostate: told that this is very rare and Doc has only seen it in 3 out of over 1400 cases; I rearched the concept of "vanishing cancer" and found a tumor classification of tP0 and asked Doc if it applied to me. He said that it was unlikely because if a pathologist had done a much more detailed analysis of the tissue, he would likely find more foci somewhere, and biopsy found "needle in the haystack as opposed to the tip of the iceberg"; Nevertheless, it is a blessing;
Regardless of the science, my family says "miracle."
Now working w/ post-surgery issues....
 


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 10/4/2009 12:10 PM (GMT -6)   
Hi Doc, missed this thread first time around. Sorry. But, as you can see, performance varies. The secret to showing up to work tomorrow is a Depends pad in front, one in each of your back pockets, and an emergency cache in a backpack, briefcase, or whatever. I'm 90 days post op now, still having stress issues during the day, but no big deal. Night and day I wear a pad. I could use one for 24 hours easily, but I change it twice a day after showers. I'm so used to it now if I had to be this way for the rest of my life, I'd cope, but that's easy to say as every week is better than the last and I know I'll wind up 100% dry at some point.

However, I remember being at your stage and standing in a store, talking to a nice young sales girl who was ringing up my purchases, and as we chatted Willie was squirting away as if I was in the privacy of my bathroom. I knew the pad would protect me but it wasn't easy looking 'natural.'

Have faith. It will get better. Although for a month or so you'll think it never will. Above all, have a sense of humour about it. After all, in the fun department, it's a pisser!

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9, so far, so good
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
First post op PSA Sept 09  0.02
Oct 1st 09 -- dry at night, during day some stress issues, but better every week.    


MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 10/4/2009 12:43 PM (GMT -6)   
Sleepless09,

Imagine being that "nice young sales girl", imagine what she must be thinking when she noticed the bulge in your pants caused by the pad. Likely not thinking it was your pad, she could only wonder !!
Stats:
Age: 52
PSA (2008)=1.9
Biopsy on Jan 09, 2009
One (1) out of twelve (12) cores was positive, plus external nodule found
Gleason Score = 3+3
Surgery (Da Vinci, robotic prostatectomy): 4/7/09
Removed Catheter: 04/19/09
100% bladder control - Pad free 7/09
PSA 7/09 undetectable, under .0


Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2448
   Posted 10/4/2009 12:55 PM (GMT -6)   
Doc,

As you can see from the replies, everyone single one of us is different to some degree when it comes to continence.

You and I share the same surgery date, (9/17/09) but different paths on IC. I have been 99% dry from the day the cath came out. I put on a guard that day and continue to wear them until I am supremely comfortable that I don't need them. My 1% non-dry occurred just the other night. I got a little frisky and decided to sleep without the guard. Now, I have been getting up once or twice a nite to go, so I figured no problem. I should mention that I take a sleep aid for insomnia put it hasn't been a problem. This one nite I figure I was just a little more tired than usual and didn't awaken soon enough. I can live with that. But I will wear the guard at nite for a while longer.

about Kegels and sphincters. I was talking with my dr's follow up nurse a couple of days ago about when I should resume Kegel training. She told me that it had been long enough and I should continue.

Then she added something I had not heard or understood.

Prior to surgery we have 2 sphincters, on is involuntary and the other is voluntary. The involuntary is the one contained within the prostate. It is this one that keeps urine from flowing out with ejaculate, thus killing sperm. And the one that men know about that makes it difficult to go when you have an erection. The other is the voluntary, the one we control. This is the one that we use to keep from going until we make it to the john. The one we use to squirt those last few drips out when we are done. This is the one that we have left. By exercising it and making it stronger (but not overdoing it to the point of weakness) we train it to stay in a more flexed and controlled position. Thus stopping flow when we don't want it to. By having it flexed and shutting off, when we want to go we voluntarily tell it to relax and let it fly.

This made a world of sense to me. Now it may have been her way of telling me it is a mind over matter thing. But it just makes too much sense. We go through life with our body telling us things but a lot of the time we just don't listen. It just comes natural.

I mean, how many of us actually knew that we had two sphincters to control urine flow in the first place? I'll raise my hand, I certainly did not. Just knew there was something that I could do to start and stop some things and other times when it just stopped on it's own.

Don't know if this helps, but just thought I would contribute it.

Good luck and God Bless,

Sonny
61 years old
PSA 11/07 3.0
PSA 5/09 6.4
Diagnosis confirmed July 9, 2009
12 Needle Biopsy = 9 clear , 3 postive
<5%, 90%, 40%
Gleason Score (3+4) 7 in all positive cores
CT Organ Scan - negative
Nuclear Bone Scan - Negative

da Vinci 9/17/09 Dr. Mani Menon Henry Ford Medical Institute

Post Surgery Pathology:
Gleason: Changed to (4+3) = 7
Stage: T3a
Tumor Volume 12.5%
ALL NERVES SPARED
Margins: focally positive right posterior mid level
Perineural Invasion: present
Seminal Invasion: absent
Venous Invasion: absent
Angiolymphatic Invasion: absent
Left Internal iliac lymph node: reveals zero
Right Internal lymph node: reveals zero


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3742
   Posted 10/4/2009 1:33 PM (GMT -6)   
Doc,
Since my last post I've found that I can control the flow if I limit intake. I was at a business meeting Friday and had <500 ml to drink the previous day. Friday morning I had <100ml. I declined the offered coffee and doughnut at 9:00 and managed to make it throughout the day quite nicely. I still wore a Depend diaper and guard just in case.
I wish you well tomorrow.
Jeff
DX Age 56. First routine PSA test on April 8th: 17.8.
May PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, Gleason 6=3+3. Bone scan and C/T scan negative.
----------------------------------------------
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7 Tumor size: 2.5 x 1.8 cm location: both lobes and apex. No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Extraprostatic extension present; Perineural invasion: present, extensive
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
----------------------------------------------
Post Surgery Status:
Potency - 9/17 2 months, Still no activity
Incontinence - 8/20 4 full pads per day
. 9/7 3-4 full pads per day (I'm going to try cutting down on fluids. Bad idea. I know.)
9/17 2 months: Still 3 pads per day. At this rate I'll be fine in 2011.
Post Surgery PSA - 9/3 6 weeks - 0.05


Opa N
Regular Member


Date Joined Sep 2009
Total Posts : 150
   Posted 10/4/2009 2:21 PM (GMT -6)   
To Sonny's post response, I'd like to say that this should be required reading for every guy pre-op. I had read somewhere that there are two sphincters, but couldn't figure out exactly where they were. Good going Sonny!

All the best.
Roger

 Age 67 at diagnosis. Treated for coronary artery disease (CAD) since 1998, and under control with medications.

2/6/09              Routine physical, with DRE and PSA Test. PSA 4.02.   Referred to Urologist.

4/20/09            TRUS  w/needle biopsy

4/23/09            Diagnosis PCa with Gleason 4+3 in 2/2 cores, Gleason 3+3 in 5/10 cores.

                        CT scan and Bone Scan both negative. Stage T2C.

8/27/09            DaVinci RP at WakeMed Cary NC with Dr. Tortora. Discharged 8/28.

9/8/09              Catheder removed. Path post-surgery confirms PCa, with Gleason 3+3 with scattering of 4. Positive margins in L & R posterior, R and L seminal vesicles, with perineural invasion.  Stage T3b.

9/30/09            PSA Post-Op <0.01. Met w/Uro/Surgeon to review surgery and path report. Referred to Prostate Oncologist and Radiation Oncologist. Appointments set for 10/8.

 

Initial incontinence pretty bad, starting w/6 Depends pants/day. Gradually getting better, with dramatic reduction in leakage around 9/20. Currently on 1 pad during the day and one at night (for security). Actually totally dry at night. (Pressure off the bladder neck?)

 

“I’d rather die while I’m living, than live while I’m dead.” (Jimmy Buffett. Changes in Latitude, Changes in Attitude.)

  


Doc
New Member


Date Joined Sep 2009
Total Posts : 18
   Posted 10/4/2009 8:13 PM (GMT -6)   
Thanks for the follow-up encouragement, guys. I had planned to follow Sheldon's advice regarding packing LOTS of pads around the office. Since my original post I have seen quite a variation in pads-per-day, depending on activity. I find that when I walk a lot (several miles a day), I leak all the while I am moving and never develop a full bladder. These are 11-14 pad days. On the other hand, I can now drink lots of fluid while reclining in a chair, feel the need, and very very gradually make it up off the chair and walk around a bit. I can voluntarily hold back the flow now for 10 minutes or so and then manage a controlled void in the BR. Those days I average only 5-6 pads/day. I don't undestand why walking or lots of up-and-down activity prevents me from retaining anything at all, but tomorrow I am supposed to start taking imipramine to help with that. Anybody else use this? And also, sounds like many of you had been kegel-training pre-op. I was not encouraged to do this until after surgery, and then only 3 reps of 5 "clinches" per day for the first week. So I probably have some catch-up to do.

Doc
PCa Dx 07/09: 3+3 in 2 cores
Age at Dx 54
daVinci RRP 09/17/09
Final path 3+3, <5%, margins neg, pT2a.
 


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 10/4/2009 10:45 PM (GMT -6)   
Hi again Doc. I think the bottom line is that you're doing just fine. As hard as it might be I think you just need to cross this one off your list. Sometime you're going to be dry as a bone --- unless, perhaps, you play tennis and lunge for the ball, but you'll learn, and it won't be a big deal. If you really work hard at it, you'll be dry in less than a year. If you just take it easy, don't worry, and let nature take its course, you'll be dry in less than 12 months. That's your choice: less than a year, or less than 12 months.

I don't mean to take this lightly. I remember going through as many pads in a day as you are and buying something like eight packages of 50 at the store, and then thinking I should go back for another 10. They were on sale and I was convinced I was going to need them for the rest of my life. Now, I could sometimes go for days on the same pad. Not that I'd want to, but I could.

Hang in there Doc. You're going to be fine.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9, so far, so good
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
First post op PSA Sept 09  0.02
Oct 1st 09 -- dry at night, during day some stress issues, but better every week.    


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3742
   Posted 10/5/2009 2:56 PM (GMT -6)   
Well Doc,
I'm 8 weeks out and leak when I move too. Sit in the chair, I'm fine. But get up and its all over. I am dry at night thankfully.
I thought I would be clever today at another meeting so I wore a Depend Guard pad and a smaller Women's Poise pad in series so I could rip it out and throw it away quickly. Unfortunately The poise pad filed as soon as I stood up and leaked around the outside of the guard ont0 my crotch. Good thing I wore black. So... my suggestion is: Don't try the double stack unless you make sure the sizes are radically different.
Oh, and practice changing a pad at home before you need to do it at the office.
Good luck,
Jeff
DX Age 56. First routine PSA test on April 8th: 17.8.
May PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, Gleason 6=3+3. Bone scan and C/T scan negative.
----------------------------------------------
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7 Tumor size: 2.5 x 1.8 cm location: both lobes and apex. No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Extraprostatic extension present; Perineural invasion: present, extensive
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
----------------------------------------------
Post Surgery Status:
Potency - 9/17 2 months, Still no activity
Incontinence - 8/20 4 full pads per day
. 9/7 3-4 full pads per day (I'm going to try cutting down on fluids. Bad idea. I know.)
9/17 2 months: Still 3 pads per day. At this rate I'll be fine in 2011.
Post Surgery PSA - 9/3 6 weeks - 0.05

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