incontinence and cialis

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New Member

Date Joined Feb 2010
Total Posts : 5
   Posted 3/11/2010 8:47 PM (GMT -6)   
My husband had RP on feb 4th and the catheter removed 16 days later, he had open surgery as we live in Panama and da vinci is not available here, so he has had the catheter out for nearly 3 weeks now, he is dry in the night, although is getting up around 5 times he says he is not getting any urge from his bladder but at the end of his penis telling him to go to the bathroom, he is still leaking when he stands but when he is sitting he is is ok, i know from reading other posts this that seems to be normal but most of the posts are from da vinci patients,he is so impatient to get things back to normal as he hates wearing the pads and avoids going out as much as possible i am hoping to hear from other open patients with their experiences as to when we can expect to see some progress, his doctor has given him pills to relax his bladder in order to relieve the spasms and said things will be better after a month or so,is this too ambitious?
The other question i have is has anyone had a reaction to cialis he takes half a 20mg tablet every other day, on cialis day he is irritable and damm right awkward and on non cialis days he is calmer and a bit more reasonable he takes the tablet in the morning his doctor did not specify a time but we were wondering if it would be better taken at night any suggestions would be gratefully accepted.

Veteran Member

Date Joined Apr 2009
Total Posts : 990
   Posted 3/11/2010 9:31 PM (GMT -6)   
First of all, take a deep breath and remember that your husband is on the right side of healing. I am a robotic guy but after watching this board for nearly a year I have found very little difference in ED and incontinence between robot and open. There are lots of differences, but they seem to vary with the individual not the operation. Remember that open is still considered the "gold standard" so you should be confident that as far as incontinence and ED go, your husband has had the best.

As far as meds go, I would ask about switching to a different drug unless there were experiences prior to surgery that go against this. Again, there is wide variation among men in the side effects that they get from different drugs.

Dry at night is a very good sign because it is usually the first improvement observed. As far as hating to go out -- we have all had to get used to that strange feeling of talking to the checkout clerk at the supermarket while you know you are peeing your pants. For optimum healing he needs to be out and doing things -- especially walking. Embarassment is something we learn to leave behind.
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

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4463
   Posted 3/12/2010 8:38 AM (GMT -6)   
AS your husbands brain relearns and adapts to the new signals it is receiving with the urges to pee, it should begin to to let him go longer periods of time. It has taken mine 2 1/2 years to reach some kind of understanding with my bladder as to frequency. But again, maybe I just got a slow learning brain... smilewinkgrin
G. is correct, ask for samples of the other ed pills and try them, see if the action or reaction is any different.

I am an open guy and had a good experience with it, dry the day after catheter removal, recovery normal, the pee urges took some adjusting to, but it does slow down and become much more normal. Now, it is just a normal pattern of urges for me. I suffered with BPE and Prostatitis for 10 years or more, so being able to pee freely and painlessly is a blessing I am grateful for every day. I love pushing the urinal scent block halfway up the back of the I'd give it 3 to 6 months healing to really get some idea of what he is gonna be left with, as far as continence. For most guys, it's a slow but steady improvement over many months to get completely dry and in control... So practice patience and let the body do its healing cycle. smilewinkgrin
James C. Age 62
Co-Moderator- Prostate Cancer Forum
Gonna Make Myself A Better Man:
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP 110gms.- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
32 mts: PSA's: .04 each test since surgery, ED Continues-Bimix .3ml PRN or Trimix .15ml PRN

Regular Member

Date Joined Oct 2007
Total Posts : 300
   Posted 3/12/2010 9:03 AM (GMT -6)   
Incontinence after RP can be very annoying. As the healing begins, pad usage will go down. I did kegel exercises faithfully and it worked for me. being dry at night is a good sign. I am two years post-rp and still have to wear a pad sometimes. It is just one of the nasty side effects that some of us have to adjust to after RP. I would try the two other ED drugs also. Some of the irritabilty could be frustration too. Just a thought.
Age 65
Diagnosed 10/12/07
PSA 6.3
Biopsy 18 core samples, 2 positive <5%
Stage T1a Gleason 6 (3+3)
LRP  1/29/08
Gleason 7 (3+4)
1 positive margin (.3cm)
4/16/08- Started Bi-mix injections 
5/15/08- 1st Post-Op PSA 0.07 Undetectable
8/11/08 -2nd Post-OP PSA 0.02 Undetectable
8/15/08- No more pads as of today  Whoopee!!!
11/13/08- 3rd post-op PSA 0.02 Undetectable
03/02/09- 1 yr. post-op PSA .09 Undetectable
05/13/09   PSA .18 (ouch)
Started IMRT June 13, 2009
Completed 37 treatments July 31, 2009 (66.6gy)
11/23/09 Post IMRT PSA .18
2/12/10   Post IMRT PSA 0.00

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