Incontinence and Stairs

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compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7205
   Posted 1/24/2010 7:33 PM (GMT -6)   
Got another question about the post-surgery incontinence issue. I understand that it can be a challenge going from sitting to standing.
 
What about stairs? Here's the deal. I go into the building (for work) and have to go down a flight of stairs for my office and nearby classroom. The bathrooms are upstairs (no bathroom on the lower level, which always amazed me).
 
So, will I have any problems negotiating the stairs in a non-leaking manner? I am assuming returning to work roughly 6-weeks post op. and I also realize we are all different and it's an individual thing. What has been your experience.
 
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

 


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 1/24/2010 7:52 PM (GMT -6)   
First week or so, you'll feel a small "squirt, squirt, squirt" with each stair. It'll feel like more than it really is. After 6 weeks, if you are like the average recovery, you will still be leaking some, but will have some fairly good, partial control. Not something to worry about, because it will not prevent anything that you need to do.

profman
Regular Member


Date Joined Jan 2010
Total Posts : 55
   Posted 1/24/2010 7:54 PM (GMT -6)   
Hi Mel - my urologist encouraged me to walk stairs the day I returned home from the hospital. I have no problem with stairs (in fact, I walk up five flights to get to my lecture hall), as long as I concentrate a bit on not leaking. I started doing this three weeks after surgery, and am at one pad per day.
Diagnosed 9/4/09
PSA 3.5, up from 1.8 year before
First biopsy showed 3/10 positive cores, Gleason 3+3, less than 10% involvement in all three cores, diagnosed as T2a
Doc and I decided on Active Surveillance, pending a confirmatory biopsy
Second biopsy showed 5/10 positive cores, Gleason 3+3, left side (4 postitive cores) had 40% involvement
RRP on 12/15/09
Home on 12/16/09
Failed cystogram on 12/23/09, catheter out on 12/29/09
Was called about Path report, all good news, Gleason 3+3, no margin involvement, everything clean other than core of prostate, tumor on both sides, but more prevalent on left side
Within two days down to one pad a day
ED present, although blood does flow after Viagra


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7205
   Posted 1/24/2010 7:57 PM (GMT -6)   

Thanks Profman:

 

What do you teach?

 

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

 


Im_Patient
Veteran Member


Date Joined Aug 2009
Total Posts : 665
   Posted 1/24/2010 8:10 PM (GMT -6)   
Do your best to empty your bladder when you get a chance, and just plan on using pads for awhile... they hold an amazingly large amount of fluid before they leak. Plan on visiting the bathroom often to replace if needed... it's really not a big deal (although an inconvenience). My recollection is that standing up was much more of a problem for me initially than stairs.
Gleason, 3+4; PSA, 7
Robotic Prostatectomy, March 2008 (Age 48 then), nerves both sides spared, post surgery analysis confirmed 3+4 Gleason,
cancer contained, no penetration, lymph nodes clear
PSA consistently <0.1 since surgery


pa69
Regular Member


Date Joined Mar 2009
Total Posts : 260
   Posted 1/24/2010 8:31 PM (GMT -6)   
I was very much incontinent when I returned to work after surgery. It was around 180 paces and a flight of stairs to the nearest restroom. I could fill a pad just trying to get to the restroom.

Fortunately there was a closet nearby and I relieved myself in a bottle. I'm happy to report I never got caught.

After about a month of using the bottle I came across the Afex Incontinence System that made life a lot more bearable until my continence returned.

I think I was the exception, not the rule. Most patients regained continence much faster than I did.

Wishing you dryness,
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
Four PSA tests undetectable, latest Oct 30


profman
Regular Member


Date Joined Jan 2010
Total Posts : 55
   Posted 1/24/2010 8:38 PM (GMT -6)   
Hi Mel - I teach biochemistry, and ironically, have lectured about the biochemistry of prostate cancer for a number of years before being diagnosed. That lecture is coming up in about a month - not sure how I will be presenting it this year.
Diagnosed 9/4/09
PSA 3.5, up from 1.8 year before
First biopsy showed 3/10 positive cores, Gleason 3+3, less than 10% involvement in all three cores, diagnosed as T2a
Doc and I decided on Active Surveillance, pending a confirmatory biopsy
Second biopsy showed 5/10 positive cores, Gleason 3+3, left side (4 postitive cores) had 40% involvement
RRP on 12/15/09
Home on 12/16/09
Failed cystogram on 12/23/09, catheter out on 12/29/09
Was called about Path report, all good news, Gleason 3+3, no margin involvement, everything clean other than core of prostate, tumor on both sides, but more prevalent on left side
Within two days down to one pad a day
ED present, although blood does flow after Viagra


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7205
   Posted 1/24/2010 8:47 PM (GMT -6)   

That's funny, Prof.

I teach mathematics and we do discuss exponential growth. One of my examples pertain to radioactive growth/decay, half-lifes, the sun, and cancer cell growth.

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

 


profman
Regular Member


Date Joined Jan 2010
Total Posts : 55
   Posted 1/24/2010 8:59 PM (GMT -6)   
Best of luck on Tuesday Mel - Versed is a great drug - destroys your short-term memory while it is pumped through you - I can't remember a thing from leaving the staging area until some time in the recovery room - a time span of 8.5 hours (7:15 am until 3:45 pm). Due to me having some weird anatomy (the doc was very excited by the challenge, and really enjoyed the surgery) I lost more blood than supposed to with robotic surgery, but still went home the next day. You will come through like a trooper.
Diagnosed 9/4/09
PSA 3.5, up from 1.8 year before
First biopsy showed 3/10 positive cores, Gleason 3+3, less than 10% involvement in all three cores, diagnosed as T2a
Doc and I decided on Active Surveillance, pending a confirmatory biopsy
Second biopsy showed 5/10 positive cores, Gleason 3+3, left side (4 postitive cores) had 40% involvement
RRP on 12/15/09
Home on 12/16/09
Failed cystogram on 12/23/09, catheter out on 12/29/09
Was called about Path report, all good news, Gleason 3+3, no margin involvement, everything clean other than core of prostate, tumor on both sides, but more prevalent on left side
Within two days down to one pad a day
ED present, although blood does flow after Viagra

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