After pads... then what?

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Dandapani
Regular Member


Date Joined Jan 2009
Total Posts : 62
   Posted 10/10/2009 8:16 PM (GMT -6)   
I've been on pads since my surgery, using less and less and smaller and smaller. I migrated down from Depends undergarment, to Depends Male Guards and then to the lightest woman's pad cut in half. I consider myself continent but do suffer from a bit of "stress incontinence" and will drip a drop now and then so I can't do without some kind of barrier. However, I've pretty much reached the end of my dignity dealing with pads, cutting, installing, changing, throwing them away, making sure to "align" with the pad and so on...

I found a better way, a more dignified way, of dealing with this small amount of drippage.

Standard looking men's briefs with a built in pad! I ordered 1 pair as an experiment, ordered to my size, but it turned out a bit smaller than what I expected. So I ended up ordering 9 of the next size up and am using these now. Love them. Pricey, but I feel 100% better about the whole drip thing. YMMV.

http://www.metromedicalonline.com/m100wereg.html

This is a reputable outlet. They are a bit slow. The manufacturer is running full tilt and can't keep up with demand, but they will arrive after ordered.
Dan

PC diagnosis @ 53 YO
PSA: 3.4 - 3.7 for preceeding 10 years, new GP advised Urologist visit

09/18/08 12 plug biopsy
09/29/08 PC diagnosis, 1 of 12 plugs, 5% cancer, Gleason 3+3 (6), left side plug w/cancer
12/17/08 da Vinci robotic radical prostatectomy, lab confirmed biopsy, 5%, PIN rest of prostrate, negative margins
12/29/08 catheter removed

03/24/09 1st PSA blood draw, < 0.1% "undetectable"
07/07/09 2nd PSA blood draw, < 0.1% "undetectable"

current status: 1 extra light pad/day, dry overnight; essentially ED, no luck with oral drugs


pa69
Regular Member


Date Joined Mar 2009
Total Posts : 260
   Posted 10/10/2009 10:01 PM (GMT -6)   
Hi Dan,

Thanks for the tip. In the beginning I used more than 12 super absorbent pads per day, then on to the Afex incontinence system. I'm presently like you where I need less than a pad per day. I often can go all day without protection but if I get involved in a lot of activity I just can't quite make it.

I'll definitely check this out.


Thanks,
Bob
Age 70, First ever PSA 7.8 taken June 2008, Biopsy July 2008, 10 of 12 cores positive, Gleason 3+3=6
da Vinci surgery December 10, 2008, catheter removed December 29 2008
St. Lukes Hospital, Bethlehem, Pa.
Dr. Frank Tamarkin
Prostate weight 73.0 grams, Gleason 3+3=6, stage pT3a
Tumor locations: right anterior apex, right posterior apex to mid
left anterior mid to base, left posterior apex to mid
extensive perineural invasion in right anterior apex, right and left posterior apex to mid
seminal vesicles negative
Three PSA tests undetectable, latest July 18


Dandapani
Regular Member


Date Joined Jan 2009
Total Posts : 62
   Posted 10/11/2009 6:22 AM (GMT -6)   
Bob, I had a recent "pad" experience. I was working outside with my B-I-L helping to build a deck. Lot of moving and lifting and drinking water. We had to run to the H/W store to pick up some more lag bolts. On the way back in the car, I looked down and had a 2" wet spot on my shorts. I wasn't "aligned" with the pad and had a small leak. Never felt it. With these new briefs it would have never happened.
Dan

PC diagnosis @ 53 YO
PSA: 3.4 - 3.7 for preceeding 10 years, new GP advised Urologist visit

09/18/08 12 plug biopsy
09/29/08 PC diagnosis, 1 of 12 plugs, 5% cancer, Gleason 3+3 (6), left side plug w/cancer
12/17/08 da Vinci robotic radical prostatectomy, lab confirmed biopsy, 5%, PIN rest of prostrate, negative margins
12/29/08 catheter removed

03/24/09 1st PSA blood draw, < 0.1% "undetectable"
07/07/09 2nd PSA blood draw, < 0.1% "undetectable"
10/06/09 3rd PSA blood draw, (waiting results)

current status: continent with some stress incontinence; essentially ED, no luck with oral drugs, but doing therapeutic vacuum pump.


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3739
   Posted 10/11/2009 7:18 AM (GMT -6)   
Hey Dan,

OK You got my attention with this one. I'm an engineer and need the data. This is from an earlier post. Can you give me an estimate of where they fit the attached Pee scale?

"Here are some real numbers measured on a Mettler Laboratory balance. These are more useful than the unscientific labels stuck on the packages.
I'll give you two numbers. The first is the maximum safe value, the second is when leakage starts. Your mileage my vary.
* Depend Underwear for Men Super Plus, Size S/M: 450 ml.....600 ml
* Depend Boost insert:... 200 ml (must be worn with above)
* Depend Men's Guard:.. 150 ml.... 175 ml
* Tena pads for men:..... 140 ml.... 150 ml
* CVS Protect. pad Max:. 160 ml.... 175 ml
* Options by Assurance:.. 90 ml..... x
* Carefree mini pads:...... 15 ml.... 20 ml
I ran experiments with pads inside diapers so I could see when they leaked without messing my pants. You can't run it to the limit if you are wearing them just inside your regular underwear."

The specs provided by many of the products are often misleading. They put the pad flat on a table and soak it evenly. That is not how it is used. I placed the pad in my underwear so that my "outlet" was about 1/4 -1/3 of the way down from the top. Leakage occurred mostly at the bottom. Some pads were dry on the top but soaked at the bottom - clearly not enough capillary action.

I like the concept of an integrated unit. Thanks for pointing it out.
(Edit: Can you tell me where they are made? I found Prime Life Fibers in Durham NC but see that they import a lot of stuff from China.)

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 - 10/05 10 weeks, 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.
10/5 10 weeks: Still 3 pads per day. At this rate I'll be fine in 2012.
Post Surgery PSA - 9/3 6 weeks - 0.05

Post Edited (Worried Guy) : 10/11/2009 6:36:11 AM (GMT-6)


Dandapani
Regular Member


Date Joined Jan 2009
Total Posts : 62
   Posted 10/11/2009 8:04 AM (GMT -6)   
Jeff, these are made in Honduras. Good to spread our money around and not concentrate it in China.

I can't put these on your pee scale. The vendor makes two varieties, regular and super plus:

Regular:

For light to moderate incontinence (Absorbs approximately 4 ounces to 6 ounces of fluid.)

Super Plus:

For moderate incontinence (Absorbs approximately 8 ounces to 10 ounces of fluid.)

I bought the Regular. Last time I weighed my "pads" I was only 0-5 grams of weight gain daily so felt the regular brief would work for me.
Dan

PC diagnosis @ 53 YO
PSA: 3.4 - 3.7 for preceeding 10 years, new GP advised Urologist visit

09/18/08 12 plug biopsy
09/29/08 PC diagnosis, 1 of 12 plugs, 5% cancer, Gleason 3+3 (6), left side plug w/cancer
12/17/08 da Vinci robotic radical prostatectomy, lab confirmed biopsy, 5%, PIN rest of prostrate, negative margins
12/29/08 catheter removed

03/24/09 1st PSA blood draw, < 0.1% "undetectable"
07/07/09 2nd PSA blood draw, < 0.1% "undetectable"
10/06/09 3rd PSA blood draw, (waiting results)

current status: continent with some stress incontinence; essentially ED, no luck with oral drugs, but doing therapeutic vacuum pump.


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3739
   Posted 10/11/2009 8:29 AM (GMT -6)   
Dan,
You're my kind of guy. You weighed your pads. I did that with my diapers "boosted" with guards. If the weight was the same before and after use, i.e. within 1 gram I figured I would reuse it. My scale will measure 0.01 g so I am pretty sure of my numbers. It is so sensitive I can even watch the water evaporating from a warm pad. (Please don't tell my wife. We keep the Mettler in the kitchen.)
I'll definitely keep these in mind and will run performance studies when I get my hands (and other bits) on one.
Jeff

kw
Veteran Member


Date Joined Nov 2006
Total Posts : 883
   Posted 10/11/2009 1:53 PM (GMT -6)   
  Thanks for the info Dan.  I may look into getting a few to try.
  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 More 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


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2460
   Posted 10/11/2009 7:46 PM (GMT -6)   
Thanks for the info. Even though I consider myself to be continent (99%), I still have one or 2 drops on the days that I play golf. I bought the lightest women liners to use on those days. The problem for me is that the liners are very narrow and my guy seems to move around and miss the it.
Age: 67 at Dx on 12/30/08
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09 Dr Fagin, Austin TX
Pathology report:
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Posterior lateral lesions measuring 1.5 x 1.4 x 1.0 cm showing focal capsular penetration over a distance of 3mm.
Prostatic adenocarciroma accounts for approx. 10-20% of the hemisphere.
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx, Negative margins
seminal vesicles clean, lymph nodes: not dissected
continent after 4 months
8 weeks PSA test 4/7/09 result <0.1
5 months PSA test 7/9/09 result <0.1


Dandapani
Regular Member


Date Joined Jan 2009
Total Posts : 62
   Posted 10/11/2009 8:00 PM (GMT -6)   
Ed C., yup, I was mortified when I missed the pad on a weekend. I thought, my God, what would I do if this was at work. LOL! I think these permanently padded briefs are just the ticket.
Dan

PC diagnosis @ 53 YO
PSA: 3.4 - 3.7 for preceeding 10 years, new GP advised Urologist visit

09/18/08 12 plug biopsy
09/29/08 PC diagnosis, 1 of 12 plugs, 5% cancer, Gleason 3+3 (6), left side plug w/cancer
12/17/08 da Vinci robotic radical prostatectomy, lab confirmed biopsy, 5%, PIN rest of prostrate, negative margins
12/29/08 catheter removed

03/24/09 1st PSA blood draw, < 0.1% "undetectable"
07/07/09 2nd PSA blood draw, < 0.1% "undetectable"
10/06/09 3rd PSA blood draw, (waiting results)

current status: continent with some stress incontinence; essentially ED, no luck with oral drugs, but doing therapeutic vacuum pump.


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3739
   Posted 10/12/2009 12:04 PM (GMT -6)   
As I was changing my pad this morning I thought of a difference between the disposables and the built-in type.
The Depend Guards are treated with some kind of odor protection. I don't know what it is but I do know it works. Urine in a wash cloth is much more pungent than a pad. Maybe that is insignificant when you only leak 5 ml per day. (Lucky guy) I don't know. I leak that in 5 minutes.
I'm going to wait and see how you guys make out before placing an order so please update this thread after you road test them. Thanks!
Jeff

Dandapani
Regular Member


Date Joined Jan 2009
Total Posts : 62
   Posted 10/12/2009 4:49 PM (GMT -6)   
Jeff, these reusables wouldn't be a good match for you, then. Good luck.
Dan

PC diagnosis @ 53 YO
PSA: 3.4 - 3.7 for preceeding 10 years, new GP advised Urologist visit

09/18/08 12 plug biopsy
09/29/08 PC diagnosis, 1 of 12 plugs, 5% cancer, Gleason 3+3 (6), left side plug w/cancer
12/17/08 da Vinci robotic radical prostatectomy, lab confirmed biopsy, 5%, PIN rest of prostrate, negative margins
12/29/08 catheter removed

03/24/09 1st PSA blood draw, < 0.1% "undetectable"
07/07/09 2nd PSA blood draw, < 0.1% "undetectable"
10/06/09 3rd PSA blood draw, (waiting results)

current status: continent with some stress incontinence; essentially ED, no luck with oral drugs, but doing therapeutic vacuum pump.

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