I thought a new post was the best way for me to bring up this topic as I have yet to find my way around to know if anything like it has already been covered.
Do you know what your fluid input and output is? Because when it comes to my bladder and incontinence I found that the amount I was drinking and when, as well as how much I was urinating and when proved to be very relevant.
I guess, like everyone, I was told that it was important to make sure I drank plenty after the operation. It was recommended to drink between 1.5 and 2 litres a day. (I hope everyone can cope with me talking in litres and ml)
So I drank plenty until about six days after the operation when I had to empty my catheter bag at night and noticed that it was nearly full. There was about 750ml in it at 3am despite it having been emptied at 11pm. The first thing that suggested was that my situation pre-op of having to get up in the night to urinate was because my kidneys must produce a lot of urine when I was asleep. The next thing I did was to work out how much I was drinking and it proved to over 3 litres per day, so I thought it might help to drink less and I am sure it did.
I was dry at night since the catheter came out, though for the first weeks I wore a pad at night just in case, but one of the most helpful changes was to stop drinking anything after 8pm. I still get woken sometime around 3 or 4 with a full bladder, but that’s just like the old situation and I am thus used to going to the bathroom and getting back to sleep again afterwards.
In the day time I also limit my drinking to regular times and can now be fairly certain that there are clear windows when I know that it has been a while since I have urinated and even longer since I have drunk anything and that I am thus empty so it will be okay to be out of the house for a while. And then when I get back I have something to drink.
I have also cut out caffeine, so that’s meant only decaffeinated coffee, no tea and no cola drinks. I didn’t drink much alcohol anyway, and only drank at meal times, but now I drink even less. I drink 3.5% beer instead of 5% and maybe only one bottle a week (330ml/half a pint). I also use very small wine glasses and thus while I drink wine two or three times a week it is not more than 300ml in total. And I eat more fruit to take in liquid in a slower form.
about 10 weeks after the operation I was very thorough and measured everything I drank and everything I produced and noted the time as well. I am going to list the details below in case anyone else finds them interesting or helpful.
05.15 300ml urine
08.30 150ml urine
08.30 500ml drink = Juice, milk & Coffee (Breakfast)
09.15 10ml urine
10.00 25ml urine
10.30 250ml drink = Coffee
11.45 225ml urine
11.55 10ml urine
12.30 50ml urine
12.30 250ml drink = Juice at Lunch
14.00 175ml urine
16.00 325ml urine
16.01 5ml urine (only occasion I nearly had a leak)
16.05 250ml drink = Coffee
17.45 350ml drink = water & small glass of wine with meal
18.30 100ml urine
19.00 250ml drink = Coffee
20.00 160ml urine
20.00 250ml drink = Coffee
21.45 275ml urine
22.00 5ml urine while washing
24.00 200ml urine
If I have done the mathematics correctly that was a Total input of 2100ml and Total output of 2015ml
I am convinced it is easier to manage my new situation by being careful about what I drink and when. Has anyone else noticed anything similar or been being more careful and regular in this regard?
Age: 49 5ft 9in. 178lbs
Married 25 years, and I cannot thank my wife enough for her help, support and understanding!!
Family history of Prostate Cancer: None
PSA April 2009: 8.6 (The first time my PSA was measured.)
Biopsy April 2009: Tumour found in 2 out of 12 cores. Gleason 3+3.
RALP (nerve-sparing) at AVL-NKI Hospital Amsterdam on 29th July 2009
In hospital for ONE night
Partial erections on 1st and 2nd Aug 2009 with catheter still in.
Catheter out on 6th Aug 2009. Dry at night, but wearing pads 24/7
Post-op pathology: Gleason 3+4. Seminal Vesicles invaded, but otherwise negative margins,
Erection 100% & orgasm without help from anything on 15th Aug 2009
Stopped wearing pads on 21st Sept 2009
Pre-op style intercourse possible on 24th Oct 2009
No use of tablets, injections, pumps etc. at any time.