What Beverages & Foods Cause Incontinence Problems?

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Heavy Leaker
Regular Member

Date Joined Feb 2010
Total Posts : 63
   Posted 2/14/2010 11:22 PM (GMT -6)   
What beverages & foods should I avoid in order to prevent my incontinence problems?  I don't get many "squirting" problems.  My problem is a constant drip when I am walking or active.  During these activities my bladder never gets a chance to fill since I am constantly leaking.  I can give up the diet soda but can I have decaffienated coffee?  Also, do artificial sweetners cause problems?
Thanks in advance for any info you can provide.  In addition I have heard that you can take pills which will regulate your internal ph & help reduce leaks.
4 biopsies over 4 years starting in 2006, 4th biopsy showed 5% of one core Gleason 3+3=6.  PSA in 2005 6.0, rose to PSA 18 shortly before surgery.  Chose surgery over radiation due to conflicts in PSA versus biopsies.  PSA 18, Gleason 3+3+6, Age 58, Rising PSA since 1999, Biopsy 5% of one core
Robotic surgery 10/26/09  T2B Tumor 30% of prostate  involving left & right lobes  NOMX Gleason 3+4=7  Urethral Resection margins &  resection surface clean Seminal vessicles clean.

Veteran Member

Date Joined Apr 2009
Total Posts : 990
   Posted 2/15/2010 3:27 AM (GMT -6)   
At three months out you are in a pretty normal range. The popular wisdom is to avoid caffeine and alcohol.

How many pads per day are you at? I would guess that this is not a diet issue.
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
9 mo. PSA 0.00 -- 1 light pad/day ED remains

Regular Member

Date Joined Mar 2007
Total Posts : 448
   Posted 2/15/2010 3:44 AM (GMT -6)   
Found this article...
Caffeine,  carbonation in soft drinks,  artificial sweetners...    all on the "bad" list.
Decaffeinated coffee might be OK...     I knoow regular coffee really messed me up in the early stages  and can still cause minor stress incontinance in me today if I am doing work using a ladder or getting up/down off ground.       Today,  alcohol late in the evening if I am also tired also  can cause me problems.
During the first few months post-op,  I was very sensitive to anything on the list...
Good luck...   and it will get better...
After 3-4 years of annual PSA 4-6, biopsy recommended
3/13/2007 - 12 point biopsy - Left 0/6  Right 1/6 Gleason 3+3 T1c
4/24/2007 - DaVinci performed at Virginia Mason hospital in Seattle
5/2/2007 - Catheter Out! Final pathology of Gleason 6  T2c Nx Mx, approx 20% of prostate involved, positive margin, but only at 2 focal points.  
6/28/2007 9 weeks incontinance... Overnite, went from 4-6 soaked pads a day from prev 8 weeks to 2 barely wet pads a day.
7/12/2007 11 weeks post-op  Minimal leakage...  one small pad a day
7/18/2007 First Post-Op PSA...  0.01 !!! 
9/10/2007 Pad free and ED at 75% with 100mg Viagra generic
6/26/2008 2nd Post-OP PSA at 14 months...  0.02 
12/2/2008 3rd Post-OP PSA at 20 months...   0.03
10/30/2009 4th Post-OP PSA at 31 months...   0.13 (moved and diff lab)
11/3/2009 Retest at my original lab...  0.11  (followup with Doc sched 11/10)
11/10/2009 Discussion indicated biochemical reccurrence and need for salvage radiation treatment. 
1/21/2010 Another PSA test at 34 months...  0.14
1/26/2010 IMRT Salvage Radiation Treatment started
                  32 sessions for 64 gys total.
2/12/2010 13 down and 19 to go...  No side effects to date except a little

Worried Guy
Veteran Member

Date Joined Jul 2009
Total Posts : 3743
   Posted 2/15/2010 6:43 AM (GMT -6)   
I can only tell you from my experience - and I have all the data to back it up.
I heard I was supposed to avoid diet sodas, caffeinated drinks, carbonated drinks, orange juice, fruit drinks, etc. I drank only water for weeks. I measured my daily pad output and found it made NO difference. In my case the most significant factor was the amount I drank not the drink itself. The next most significant factor was the time I sat or was in bed.
I now try to take a nap during the day, and dilute what I normally would drink just in case it matters. That combo has me down to 320ml per day.
You can do your own experiments too. All you need are a Mettler balance accurate to 0.01 gram and an understanding wife - a very understanding wife.

Married 34 years, DX Age 56. First routine PSA test on April 8, 09: 17.8. Start 2 weeks of Cipro to rule out protatitis. May '09 PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, 20%-70%, Gleason 6=3+3. Bone and C/T scans neg.
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, 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.

Post Edited (Worried Guy) : 2/16/2010 5:21:48 PM (GMT-7)

Regular Member

Date Joined Sep 2009
Total Posts : 27
   Posted 2/16/2010 6:58 PM (GMT -6)   
 I would keep away from Beer...Regular Coffee is a no no.......I fond that decaf coffee and tea worked..some scotch/spirits. are ok..Can not drink wine due to the acid produced by the ed drugs..Its now 12 months since my prostectomy and I no longer have any probs....Ed is another matter however....Have found Levitra works the best with the least side effects....I get my pills from ALLDAY chemist in India......

Elite Member

Date Joined Oct 2008
Total Posts : 25393
   Posted 2/16/2010 8:00 PM (GMT -6)   
My doctor said it would be best to stick to 100% during that time. Fortunately, I am mainly a water only kind of guy to start with, so it wasn't much of a sacrifice to me.
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, 1/19 - Corr Surgery #4,  Caths #11 and #12 in at the same time, 2/8-Cath #11 out - 21 days

English Alf
Veteran Member

Date Joined Oct 2009
Total Posts : 2218
   Posted 2/17/2010 1:32 PM (GMT -6)   
Decaff coffee works for me, and I had coincidentally switched to decaff about four months before I was diagnosed.

Tea is fine for me, and we were posting a few months back about Camomile tea being a possible help as it is meant to calm the bladder.

Fizzy stuff is no good. (I have thus now got loads and loads of fizzy mineral water in the house not being drunk!)

Alcohol doesn't seem to be the problem. I only drink alcohol with food too now. So I'm okay with two glasses of wine with a meal, but not so happy with beer.

I have been quite a bit better inn the last few days and the only thing I have been doing differently is to drink either less fruit juice at breakfast and lunch or to dilute it a bit with water. (2/3 juiice 1/3 water and luckily IO seem to ahve very strong juice so it still tastes fine with this much water added. My 20 year-old daughter drinks juice diluted with 2/3 water)

I can't find the old thread about camomile tea etc I'm afraid


Veteran Member

Date Joined Apr 2007
Total Posts : 823
   Posted 2/17/2010 4:57 PM (GMT -6)   
Hi Heavy Leaker

I talked my Dr. into some coffee in the hospital. I didn't have any problem with it cause I was using the cath. After I got out I still drank regular coffee because I don't like the decaf stuff. I just understand my limits and don't overdo it especially when I am driving and not near a bathroom.
age at dx 54 now 57
psa at dx 4.3
got the bad news 1/29/07
open surgery Duke Medical Center 5-29-07
never more than 2 pads
ED is getting better
the shots work great, still can't give them to myself
two years of zero's
Retired again after 36 years February 1, 2010

Regular Member

Date Joined Sep 2009
Total Posts : 35
   Posted 2/19/2010 10:07 AM (GMT -6)   
Alcohol in any form and caffeine in any form even if in any supplements or food such as chocolate. both of these make the kidneys produce more urine and some high blood pressure meds will also effect the urine output, amny are diuretics.
My husband finds the biggest issue is when he is standing still. He's ok sitting, laying down and moving constantly as soon as he stands still he starts leaking. He does need to take more frequent breaks.
April 09 PSA 3.2
May 09 DRE enlarged prostate
July 09 PSA 5.2
July 09 Biopsy 5 out of 12 malignant
Gleason score: Primary 3, Seconary 4 Total 7
August 24, 2009
Radical Open Prostatectomy Andocarcinoma of the prostate
% of 4 and/or 5: 1-25%
% of 3    76-90%
Androgen deprivation effect: Negative
Apical involvement: Positive
Apical marginal involvement: Negative
Extraprostatic extension (EPE): Negative
Margin: Negative
Bladder Neck Shave: Negative
Areas of involvement: Right and Left lateral, posterolateral and posterior and left anterior apex and mid prostate
Principle area of involvement: Right and left lateral, posterolateral and posterior apex and mid prostate
Focality: Multifocal
Volume: Medium(100 Sq mm)
Ejaculatory Duct: Negative
Seminal vesicles involvment (SVI): Negative
Vas deferens N/A
High Grade PIN: Positive
Neuroendocrine differentiation: Negative
Pathologic Stage: pT2c NO MX

Regular Member

Date Joined Oct 2009
Total Posts : 419
   Posted 2/19/2010 2:23 PM (GMT -6)   
You confirm what my doctor says....caffeine and "especially alcohol" tend to relax the sphincter and the sphicter must start working again....even after sling surgery which I just had. He also recommends that if you have had sling surgery that rolling to one side or other when getting up may help since that affects the position of the sling.
64  year old male in excellent physical condition.
PSA jumped  3 to 8 in one year
pt2b NO Mx with a Gleason score 3+3=6.
DaVinci RP,  7/23/08. Tumor type: Acinar
size 5.5 cm x 5.7 cm weight: 77 gm.
Largest tumor nodule: 1.3 cm. All margins negative.
Incontinence & ED. Dry nights , no control during day.
Imipremine and detrol, Phy ther. and kegals no help.
FUDS and cystourethroscopy testing 10/09.
24 hr pad wt. 219gm. AUA sympton index 13/35=moderate
Incontinence symp. index severeity score=22
Rec. for sling surgery. Dr. does mostly InVance.
Researched and decided on either AdVance or Virtue.
Virtue sling surgery 2/3/10 NYU med center by Dr. Victor Nitti

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