Are these the wrong (right) pads??

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compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7269
   Posted 1/22/2010 6:51 PM (GMT -6)   
OK -- this little thing is bugging me.
On my recent shopping trip to Walmart in preparation for my surgery, it was recommended that I buy Men's Pads/Guards and the Tena/Serenity brand was mentioned.
 
Well, I purchased: Tena Overnight Pads Full Coverage and Tena Moderate Pads Long (3 stars out of 5 darkened in).
 
But it doesn't say MEN'S PADS.
 
Did I buy the wrong item? I still have the receipt, so I can return it.
 
So... this is the place to ASK!!
 
Mel (surgery set for TUESDAY!)
63 years old
PSA-- 3/08--2.90;  8/09--4.01; 11/09--4.19 (Free PSA 24%), this after 45 days on cipro! DREs have always been normal.  
History of BPH/prostatitis. PCA-3 test: 75.9 (bad news, guaranteeing I have to do....): Biopsy on 11/30/09. Result of biopsy:

5 out of 12 cores positive. Gleason 4+3. More specifically: 2 cores were 3+3 (one 5% and the other 30%) on one side. On the other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C

REVISED BIOPSY REPORT: The previous was read by Umich. Slides were then sent to Dr. Menon at Ford Hospital. Here is their report (much better) -- changes in bold print below:

5 out of 12 cores positive. Gleason 3+4. More specifically: 2 cores were 3+3 (one 5% and the other 20%) on one side. On the other side, 3 cores were 3+4 (5%, 5%, 20%)

 Latest: Surgery with Dr. Menon at Ford Hospital, set for 1/25/10

 


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3741
   Posted 1/22/2010 7:05 PM (GMT -6)   
Mel,
As you know I have lots of data on pads.
Maybe someone else can chime in on the Tenas. I personally did not have much luck with those. You'll most likely use the long pads as you dry out. No need to bring them back. I use the long pads, cut in half, and put them in my regular Depends Men's guards pads - the equivalent is CVS Guards for Men Extra absorbency 52 for $13. The smaller long pads are great for extending the life of a regular pad. Depending upon how much you leak, you can just pull the half pad out and drop it in the trash without making a big production about it. Also since I am dry at night I only use half a long pad while in bed. When I throw it out it only costs me 8 cents, instead of 25 cent for a full size overnight pad.
By the way, if it is totally dry, it ends up in my gasifier woodburning stove and turns into BTUs to heat my house.
Jeff

Post Edited (Worried Guy) : 1/22/2010 5:56:07 PM (GMT-7)


JohnK11
Regular Member


Date Joined Jan 2010
Total Posts : 25
   Posted 1/22/2010 8:45 PM (GMT -6)   
A shopping guide to pads (others please add their favorites
and their best-value pads)

Summary : rating from 1 (least absorbent) to 4 (most absorbant)
--all prices are Suburban Chicago and does not include
tax (1.75% where I am for medical supplies)

---for Male guard pads (except unisex targeted for woman)-----
(?3.5/4 supersize) Tena Serenity overNight (unisex) 35 to 53 cents
(30 for 10.49(sale) to 15.99)
(3/4) Assurance (Walmart house brand) @ 20 cents (48 fot 9.52)
(3/4) Certainty (Walgreen's house brand) @ 16/22 cents
(52 for 7.99 on sale; 11.49 regular price)
(supposed to be the same as Target house brand)
(2/4) Depend Male guard 22-32 cents (48 for $10.49(sale) to $14.99)
(?1/4) Best deal is Jefenna (-unisex/Aldi house brand) 7.5 cents
(24 for $1.79)

Preamble : From a previous thread "Number of pads..." in another
Prostate cancer forum, I explore
some of the other brands mentioned (I have a slow recovery due
to extracapsuler Robotic prostate surgery--promising slow
recovery; just recently after 3 months, down to 3 pads a day
plus the diaper (underpant))--and have some recommendations.

As you can see from the summary above, if you have lots of leakage,
the any of the 3/4 male guard pad seems to be the best choice--
(Cheapest is Walgreens on sale; if not on sale, Walmart/Assurance
is the cheapest) (All are much thicker than Depend Male guard--
what a dissappointment)

For overnight use, you may want to spend the extra bucks for the
Tena Serenity Overnight pads--but it's expensive--even on sale;
My guess is that it will absorb up to 1.5/2 times the 3/4 Male guards.

If you have just a little leakage, maybe you can get by with the
cheaper Aldi pads, which are very similar to the huge number of
maxi-pad brands targeted for women (Always, Kotex, Tena, etc.)

Comments on underpants (adult diaper)
I did not try too many brands --sticked with Assurance (Walmart
house brand) underpants with leakage control 50 cents each for
medium (18 for $9) and now with Sam's club Member Mark house brand
40 cents (60 for $24) which provide less leakage protection
--should have stuck with Assurance. Maybe should have tried the
other brands--Depend, Walgreen, etc.

So, currently, my daily expense is about $1 for 3 pads and 1 diaper.
Also, I normally only remove the top and bottom 1" of the paper from
the adhesive--that way, it's much easier to change pads inside the diaper
without tearing the diaper.

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7082
   Posted 1/22/2010 10:39 PM (GMT -6)   
Mel,
I posted quite a bit about this on the CSN page as well.

The worry factor kicks in after you find out if you'll hold water or not, and the pad research will give you something else to think about.

Tena pads in general - I still use the "Long Heavy Pads" (42/pack - gender neutral label, 4 of 5 absorbency indicated) at night. I've done fairly well at night, so may be jinxing it all by saying that, but I'm more concerned of having to strip the bed and wash the sheets daily than I am the per pad cost (having had a very few nights like that)- these were 10.99 USD for 42 with a coupon downloaded from their web site, if the math needs to be done. Now I don't need them as much, but they are mine, so I'll use them. "Wasted" is relative when you have to do flights of stairs to get to the laundry one week after surgery.

The Tena Male Guards are clearly packaged with the name "Male Guards", as are the others I mention in the next paragraph. They (the Tena) are what I hope to be able to get by with some day. They are thin, work well with your clothing, but are understandably not the most absorbent.
(Update 2/26/10 - The Tena packaging has changed. Packages from last year ('09) were labeled "Tena Male Guards". Packs I have gotten this month (02/10) carry the labels "Tena Men" and "Protective Guards Moderate").

Again, price aside (look for sales and coupons/samples on Depends, Coloplast, and Tena websites.
Walgreens Certainty / aka Target Affirm / aka Kroger's Male Guards are the most absorbent, but bulky. They do not begin to fit in my pre-surgery jeans, but are the economical choice for around the house in sweats.
Depends Male Guards are less absorbent, less bulky, and using them, I can actually use my pre-surgery jeans. I just have to change more often.
Tena Male Guards are about on par with Depends, but much thinner, so they are less noticeable. They are also the more expensive of the group. Look on their web site for stores that carry them.
Coloplast makes some that are really light, but more for drips than real leakage. Maybe someday ....
(Update 2/26/10 - The Coloplast "drip collector" products come in two sizes, Normal, 80 ml absorption, #5410; Extra, 100 ml, #5420. You can also get samples from them. They seem to be available from more serious home care supply stores rather than chain Rx.)

You may need pads even with the catheter - I had bladder spasms, with brutal leakage, and used whatever pad the ladies had to offer until I made it to the store. Then I used the "adjustable" pants that split on the side for a few days. For night, pick something absorbent if you need it, gender on the label is not relevant. None of them are comfortable. Just some less than others.

Once you "lose" the catheter, and want to get out in public, use the criteria above based on fit and leakage or lack there of.

I am +13 weeks, and use Walgreens or Depends male guards in a Depend male pant. I still leak like day one, but being the representative of the worst 2% on the board, you must certainly do better, and I wish dry nights and days for you.

Don't worry too much about it - send off for the samples, they will be waiting for you at home. (Depends and Tena will send a sample). You should be like the guy who had his cath out before me - the nurse said he got home dry and has not used a pad since.

By the way, if you buy at Walgreens, and you really don't like what you got, they take back an opened pack if you've just used one or two and have the receipt. I did. I wouldn't say much for the impact on your self-esteem to take back diapers, but I gave it a shot. Next partial pack will go to a local charity instead. My local prostate cancer group said there was no problem finding a home for any of my unused extra supplies. There are survivors who are much worse off than any of us who have a computer.

And lastly, a pad is a pad when you need a pad. All the fancy ladies editions are for form and thickness. Except for those that are narrow and have "wings", they work if they are what you have. Tell that girl in the Tena commercial you're wearing her pad. Or not.

Again, Dry wishes for you.

Post Edited (142) : 6/10/2010 12:02:18 PM (GMT-6)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 1/22/2010 11:14 PM (GMT -6)   
Mel, speaking of catheter leakage, since I have experience with both kinds, and currently fitted with both a foley and an SP cath, can honestly say I never ever dripped a dropped the 3 1/2 months plus I have been on the SP cath. But in the few days I have been back with a Foley catheter in the penis, when I do have a spasms (6-12 a day easily), it does cause some leakage and dripping. That was typical when I was on foley's in the past.
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% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/10 - Corrective Surgery #4, and Caths #11 and #12 in at the same time


142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7082
   Posted 1/22/2010 11:23 PM (GMT -6)   
Just a note on Tena products - their Male Guards are in limited chains, I think WalMart is not one of them. I got mine at Kroger, and I've seen ads at CVS. They (Tena) show who carries what products on their website - www.tena.com

Depends Male Guards - I have seen them at Kroger, Walgreens, Target, WalMart. Walgreens seems to have the best sales.

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3741
   Posted 1/23/2010 1:57 AM (GMT -6)   
Hey JohnK11
I thought I was the only crazy one in the bunch. I can't wait to show your post to my wife so she sees I am not alone. :-)
I actually did a study of pee pad capacity in-situ with about 6 or 7 different pads. I wore adult diapers and put pads in position and then weighed them on a lab scale when then got "squishy" and when they started to leak. That way my clothes were protected while I ran the experiments.
I also worked out cost per volume.
My daily cost is down to 49 cents by using one CVS Male Guard full size pad @0.25 and doubling it up with moderate absorbency unisex pads that I cut in half. I change them 2-3 times per day. Except for my nighttime pad (I am continent in bed), when I throw out a pad, it is FULL - I get my money's worth. I also weigh my pee pads from the previous 24 hours every morning and plot it on an excel spread sheet with linear and 2nd order polynomial forecasting.
Yep, certifiable nut case.
Welcome to Healing Well.
Jeff

Post Edited (Worried Guy) : 1/23/2010 6:51:22 AM (GMT-7)


zachattack
Regular Member


Date Joined Dec 2009
Total Posts : 97
   Posted 1/23/2010 5:52 AM (GMT -6)   
HI Mel,I had my surgery back in June 09 and due to my coughing I am still leaking so bad that I only wear pull-ups.The pads are a pain in the keester to keep in place even with the adhesive strip.I talked to my surgeon today and he said with my cough it may take me up to three years to become continent again.good luck to you and as always you and all my PCa brothers are on my mind 24-7.

Zach
age 55dx 12-2008,psa at biopsy 8.6
biopsy 12/12 gleason 3+4=7
da vinci surgery 6-09 nerve sparing by DR. John W. Scott (my hero)
Hospital 3 days cath 7days still leaking from cough(bad lungs)
still have ed may be the hormones.
9-09 psa 2.2 hormone inj
10-09 nuclear bone scan no results yet I will have gold markers placed 12-29-09
start rad 1-10-10
organ confined
extracapsular seminal vesicle involvement
lymph node involvement


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7269
   Posted 1/23/2010 1:09 PM (GMT -6)   

Zach:

 

I am shocked by that doctor's comments. Do you have a very chronic type of cough?

Mel


63 years old
PSA-- 3/08--2.90;  8/09--4.01; 11/09--4.19 (Free PSA 24%), this after 45 days on cipro! DREs have always been normal.  
History of BPH/prostatitis. PCA-3 test: 75.9 (bad news, guaranteeing I have to do....): Biopsy on 11/30/09. Result of biopsy:

5 out of 12 cores positive. Gleason 4+3. More specifically: 2 cores were 3+3 (one 5% and the other 30%) on one side. On the other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C

REVISED BIOPSY REPORT: The previous was read by Umich. Slides were then sent to Dr. Menon at Ford Hospital. Here is their report (much better) -- changes in bold print below:

5 out of 12 cores positive. Gleason 3+4. More specifically: 2 cores were 3+3 (one 5% and the other 20%) on one side. On the other side, 3 cores were 3+4 (5%, 5%, 20%)

 Latest: Surgery with Dr. Menon at Ford Hospital, set for 1/25/10

 


142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7082
   Posted 1/23/2010 1:14 PM (GMT -6)   
Mel,
Coughing, laughing, and sneezing are all leak points. You will notice more that they hurt like the dickens for several weeks after surgery.

You will want to avoid people with coughs or colds for a while.
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