activity and incontinence

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woodguy5
New Member


Date Joined Jan 2010
Total Posts : 10
   Posted 2/2/2010 7:14 AM (GMT -6)   
Hi All,

Had surgery 1/6/10 catheter out on 1/191/10. Can,t complain about leakage after it only being 14 post catheter. I can hold urine well good flow and I do have leakage. My question is I am being more active during the day i.e. doing errands, some walking, and some light lifting like bringing in wood for the wood stove (cold here Ma.). During these activities there is minimal leaking but at night when relaxing or getting off the couch I am noticing more leaking then the afternoon. Is it because the muscle is just tired or what? I am doing kegels every day.

Ron
Age 43
Gleason 3+3=6
psa 3.9
Stage T1c
Feb 11th will be first psa test post surgery

Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2458
   Posted 2/2/2010 10:20 AM (GMT -6)   
Ron,
That is very normal. I think you are doing very well considering the short time since surgery. The evenings were bad for me as well since the muscles are tired. This should get better over time.
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 in circumference.
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
8 months PSA test 10/9/09 result <0.1
11.5 months test 1/21/10 result 0.004


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 2/2/2010 10:40 AM (GMT -6)   
Hey Woodguy.
I'm a wood burner too. Lopi Freedom, insert. It give me plenty of exercise.

I leak more in the afternoon and evening and will squirt when lifting the wood off the pile and loading the stove. It is to be expected.

You are doing quite well at this stage. Don't panic.
Stay warm
Jeff
DX Age 56. First routine PSA test on April 8th: 17.8. Start 2 weeks of Cipro to rule out protatitis.
May PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, 20%-70%, 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.
Extraprostatic extension present; Perineural invasion: present, extensive.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 12/11 5 months, Still no activity, zip. Using pump daily since 11/11. No effect with 20 mg of Cialis or 100 mg of Viagra. Shots next? See Uro 1/22/10 Trimix unsuccessful.
Incontinence - 8/20 4 full pads per day
.. 9/7 3-4 full pads per day (Try cutting down on fluids. Bad idea. I know.)
11/14 4 months: Still 3 pads per day. 420ml/day, 91 um leak.
12/11 5 months: Still 3 pads per day. 400-450ml/day
1/11/10 6 months: Still 3 pads but leak is now 320 ml (5 day avg.)
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04, 1/14 6 months - 0.05.


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4106
   Posted 2/2/2010 11:02 AM (GMT -6)   
You are doing just great. You still have some healing to do and muscles to get used to the extra work they have to do.

Jeff T
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
1year psa <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next. Next step injections.
15 months out injections Caveject (success)


woodguy5
New Member


Date Joined Jan 2010
Total Posts : 10
   Posted 2/2/2010 1:52 PM (GMT -6)   
Hey guys thanks for the positive insight!

geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 2/2/2010 2:31 PM (GMT -6)   
Greater incontinence inn the evening is pretty common. Remember that your body has had a major reconfiguration in the pee department and your brain has to get used to slightly different signals. Some guys who are a little farther along have even stopped using pads while at home with the idea that it will help the brain pay more attention. (it does increase the amount of laundry)
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads
6 mo. PSA 0.00 -- 1 light pad/day


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2691
   Posted 2/2/2010 2:34 PM (GMT -6)   
Can your wife carry wood? It will really cut down on the leaking, as we say it Good For Mens's Prostate Health, (GFMPH). Some guys have gotten new guitars, guns, tv's, etc. with this little phrase.

Really, sounds like you are doing great. You will get better at learning how to clench those cheeks at the appropriate times too.

Good luck !
Goodlife
 
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injection
No pads, 1/1/10,  9 month PSA < .01


MaxBuck
Regular Member


Date Joined Jan 2010
Total Posts : 75
   Posted 2/2/2010 3:47 PM (GMT -6)   
goodlife said...
Can your wife carry wood? It will really cut down on the leaking, as we say it Good For Mens's Prostate Health, (GFMPH). Some guys have gotten new guitars, guns, tv's, etc. with this little phrase.

Really, sounds like you are doing great. You will get better at learning how to clench those cheeks at the appropriate times too.

Good luck !
It has been a real shame that my uro told me not to shovel snow this winter. devil
Dx at age 56: Oct 09; PSA 5.8, followed up by 9.9 two weeks later (reproducibility of test - ?)
Biopsy ind cancer in 8/12 cores: Gleason 8 (4+4)
open radical retropubic prostatectomy Dec 4 09
Post-op pathology: 56 g weight, cancer in 21%, Gleason 7 (4+3, tert 5); margins clear, no lymph node involvement (0/9), perineural invasion present, T2c N0Mx (but showed clear from distant metastasis in pre-op bone scan and CT scan)
Continence data: 1 "panty liner"/day, with minor leakage when I get up from long seated position
ED pretty complete: some erection possible but current non-functional

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