I've already indicated that this dribbling is frustrating. One thing that seems to be helpful:
For part of the day I seem to have minimal dripping. But as the day goes on, it gets much worse. Part of it is probably muscle fatigue from holding things back and the other part might be that I drink more as the day goes on.
So, what I've noticed is that if I urinate when the dribbling starts, it seems to reduce the dribbling (to zero) for an hour or 2 or 3. Even though I don't feel I HAVE to urinate, by doing this it reduces the annoying dribbles/squirts. Obviously, this is because I am emptying my bladder. But, two questions:
1) Is doing this counterproductive? I would like my bladder to hold more without dribbling, not just hold less.
2) A more general question. Supposedly, this all gets better over time. But what makes it better? I know with nerve damage, sometimes over time the nerve regenerates. But in this case, one set of sphincter muscles is gone. So, does the other set somehow improve? Or is something else going on (maybe other muscles taking over?).
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%)
Surgery with Dr. Menon at Ford Hospital, 1/26/10. He says all looked good. Spared nerves. Awaiting pathology report, set for 2/2/10.
Pathology Report: G 4+3 (65%-35%). Cancer in 15% of gland.
Lymph Nodes: Clear
Perineural Invasion: yes. Seminal Vessical Involvement: No
Extraprostatic Extension: yes
Positive Margin: Yes-- focal-- 1 spot .5mm
Final Weight is 52.7 gms
Incontinence: just joined that club-- definite leaks-- my guess is 1 pad during the day -- at night??? First night tonight!