Relationship between ambient temperature and incontinence

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Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3741
   Posted 6/1/2010 3:35 PM (GMT -6)   
Guys,
You know me. I have more data on incontinence than the Mayo clinic and more plots and subplots than "The Godfather".
Well, I made a discovery this week. Over the past few days, as the weather turned warmer, I have noticed that when my scrotom is sagging I have no control. Kegels do nothing. I have to change pads often. When the ambient temp is cold and my boys are trying to stay warm by pulling up "inside the house" my incontinence is much better. Still 160 ml/day but at least kegels work long enough to get me to a toilet. On hot days I will dump the full load before i can get 10 step.
Has anyone else noticed this correlation? Sagging sack - no control. Tight sack - manageable control?
You guys in Florida don't count since it is always warm there (unless your A/C stat is stuck). I'm talking to fellow cheapskate Northerners who keep their thermostats so low our wives look forward to hot flashes.

Jeff (the leaking one)
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 3+4=7, 3+3=6. 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 next See Uro 1/22/10 Trimix #1. Try 0.08- 25%, 0.12-25%, 2/26/10 try 0.16 First Success! 90%.
Incontinence - 8/20 4 full pads per day
.. 9/7 3-4 full pads per day. Try controlling fluids.
12/11/09 5 months: 3 pads per day, 400-450ml/day
02/26/10 7 months: 3 pads but leak is now 320 ml (5 day avg.)
03/22/10 8 months: 3 pads per day, 280 ml/day (5 day avg.) PT says all muscles are tight and working properly. There must be another issue. Uro mtg 4/23.
5/22/10 10 months: 2 pads per day, 190 ml/day Scope on June 12.
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04, 1/14 6 months - 0.05, 4/14 9 months - 0.04 and <0.01 with ECLIA.


cocrgolfer
Regular Member


Date Joined Oct 2009
Total Posts : 171
   Posted 6/1/2010 4:06 PM (GMT -6)   
Hey Jeff,

Boy, you have me scratching my head on this one. It got colder than a well digger's a___ here in FL this past winter and I never noticed a difference. Maybe you could try an experiment. With ice. See what happens.

Steve

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 6/1/2010 4:14 PM (GMT -6)   
"colder than a well diggers..." That's a first time for me...lol

Jeff I live in Las Vegas and we have cold days in winter and we get hotter than an atom bombs a...well you get the point. Obviously you have talked to your doctor about possible stricture?

Tony
Disease:
Advanced Prostate Cancer at age 44 (I am 47 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
LARP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.

Status:
"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas

Blog : www.caringbridge.org/visit/tonycrispino


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 6/1/2010 4:17 PM (GMT -6)   
Jeff,

You may be interested in a pair of my climate controlled underwear. They are thermostatically controlled to maintain a 62 degree ball temp. Problem is the dang refrigeration.

I am working on a backpack model that uses a leafblower engine to run a generator which in turn runs the comoressor unit. My other unit is a tow behind unit with a 50 foot coolant cable. Helps to keep the noise down during important business meetings.

Not sure about the effect of ambient on where the boys hang, but I have found that increased consumption of iced tea with Sweet & Low affects my squirts and leaks as ambient rises.

I can really cut you a good deal because sales have frankly been a little less than projected.
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
1 year psa (364 days) .01


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3741
   Posted 6/1/2010 6:17 PM (GMT -6)   
Hey Goodlife,
If you run the refrigeration unit on solar you might have a product there. A mini-fridge compressor uses about 75 watts so I figure 3 square feet of solar collectors should do it.
You can call it the "Continence Sombrero". Continence with SPF 100. Sure, people laugh now but when they're having squamish cells removed by their demotologist they'll wish they had one.
I'd do the first marketing study in the Pines at Boca Vista in Broward County.

There really does seem to be a correlation by the way.

Tony,
I will be scoped out on June 12. As long as my data curve keeps heading downward I will not agree to a sling. The linear curve fit shows a decrease of 1.05 ml per day. The second order polynomial shows me flattening out in a month or two. 150 ml day, forever. Rats.

Steve,
I suppose I could start taking cold showers, too. It got to 76 degrees here. I don't know how you guys stand it.

Jeff

Post Edited (Worried Guy) : 6/1/2010 6:58:03 PM (GMT-6)


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4119
   Posted 6/1/2010 6:47 PM (GMT -6)   
darn Jeff: You better up off that visit with us till Feb.. Dont think you could stand it.

Cajun Jeff
9/08 PSA 5.4 referred to Urologist
9/08 Biopsy: GS 3+4=7 1 positive core in 12 1 pre cancer core
10/08 Nerve-Sparing open radical
Surgery Path Report Downgrade 3+3=6 GS Stage pT2c margins clear

3 month: PSA <0.1
6 month: PSA <0.1
10 month:PSA <0.1
1 year: PSA <0.1
16 month:PSA <0.1

ED - Started Cialis at 3 months, tried all 3, 6 months added pump, 9 months Tried MUSE (YUCK) Bad experience.
1 year mark Found new Urologist visit was at 14th month post surgery
Started Injections, Caverject! (Success)
17 month: ED making improvements : Oral Meds gets me 85%


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 6/1/2010 7:04 PM (GMT -6)   
Gee, once it hits 80F here, I have the central A/C, can handle any cold temp (former NH days), but have no tolerance for any kind of heat. A/C has been on a lot lately.
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, no problem post SRT
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, next one:  July
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  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, 3/6 Cath #13 out - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 31 days, 5/24 put in Cath #17


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3741
   Posted 6/2/2010 5:59 AM (GMT -6)   
It's 56F (65F in the house) this morning and I'm tighter than a drum. I went out and got the newspaper, fired up the PC, started the coffee and I'm still holding on to my morning pee!
Clearly I will have to start tracking temps with my data.
Jeff

cocrgolfer
Regular Member


Date Joined Oct 2009
Total Posts : 171
   Posted 6/2/2010 7:24 AM (GMT -6)   
Jeff,

Now I understand. My confusion came from your definitions of "cold" and "warm". What is cold for you is freezing for me. What is warm for you is cool for me. Of course the "jewels" are going to retract when it's 65, or freezing, in your house. Then it gets to a relatively civilized temp, 75, which is nice and cool but the jewels see that as "warm" and want to come out and play. Other than that I am unable to come up with even one of my crack-pot half-baked theories.

Steve

STW
Regular Member


Date Joined Jun 2009
Total Posts : 292
   Posted 6/2/2010 12:33 PM (GMT -6)   
I was out this winter in negative teen weather and, if anything, I had to go more often. In cold weather the blood is drawn in to keep the body core warm. Evidence suggests that it must get filtered more often by the kidneys so break time comes more frequently. Not one iota of proof. I first noticed this phenomenon swimming in the 60 odd degree ocean off SoCal as a teen.
Diagnosed at 54
PSA 8.7 Biopsy 1/7/09
4 of 6 cores positive, one at 90%
Gleason 3+4=7 Neg bone scan 1/15/09
One shot Lupron Depot 1/27/09 Tax Season
RP 4/29/09
Neg lymph nodes, postive seminal vesicle, 1 positive margin
Gleason 3+4=7 with tertiary 5 T3b
Catheter out at 2 weeks no nighttime incontinence Pad free week 5
PSA 6/6/09 <0.1; 9/10/09 <0.1; 3/11/10 <0.1


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3741
   Posted 6/2/2010 12:41 PM (GMT -6)   
Steve,
75 deg is civilized? We start taking of clothes then. My ancestors swung from trees in Northern Russia. I'm a hairy guy. Got it everywhere except for that shiny spot on top. If only I could do a butt transplant.
In the winter we keep that stat as low as possible. We try to send as little money to Achmed or Abduhl .

Yesterday, avg temp 75, I leaked about 250 ml. Today, avg temp 68-69, looks like will end up a 150 ml day.

It may be cold in the winter but the summers here are gorgeous. Think I could justify a trip to Oz as incontinence therapy?

Jeff

cocrgolfer
Regular Member


Date Joined Oct 2009
Total Posts : 171
   Posted 6/2/2010 3:33 PM (GMT -6)   
Jeff,


I saw some great news there. 150ml=5oz. Isn't that about one pad/day? That's some great progress!



I would say that is about where I am too if we're talking about "around the house or out and about" continence. If we're talking about "strenuous or semi-strenuous exercise or movements" continence then I'm still totally incontinent.



Keepin' the faith,



Steve

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 6/2/2010 3:38 PM (GMT -6)   
Jeff, if you did that transplant you just mentioned, would that make you a "butt head"? Just curious. lol.
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, no problem post SRT
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, next one:  July
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  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, 3/6 Cath #13 out - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 31 days, 5/24 put in Cath #17


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3741
   Posted 6/2/2010 4:15 PM (GMT -6)   
David,
I guess so. That would explain a lot! :-)

Steve,
If I am very careful all day, and tip toe around the house, and keep the t-stats set to 65, and have only one full cup of liquid at each meal and just before bed, I can do 150 ml. But if my wife asks me to bring in the groceries, or if I have to answer the phone quickly, or if I twist to pick up the TV remote or... I can lose a full 30 ml before I can stop it.

But it is trending downward. like glacial movement or tectonic plates... or the value of my stock portfolio.
Jeff

Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2461
   Posted 6/2/2010 8:32 PM (GMT -6)   
Jeff,
I actually had the opposite result prior to becoming continent. I would actually dribble when it was cold. I also had more leaking when I needed a bowel movement, I guess, a full colon put pressure on my bladder .
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 5 months
2 months 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 months PSA test 1/21/10 result 0.004
14 months PSA test 4/19/10 result 0.005


pa69
Regular Member


Date Joined Mar 2009
Total Posts : 260
   Posted 6/2/2010 9:51 PM (GMT -6)   
Hi Jeff,
I haven't noticed a correlation between temperature and leakage. Like Ed C. I have noticed a problem with leakage when the bowel movement urge is present.
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
Six PSA tests undetectable, latest April 30
Pad free beginning Mar. 18, 2010!


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3741
   Posted 6/3/2010 5:19 AM (GMT -6)   
Ed and PA
That is an interesting relationship. I'll have to think about that and see if it applies to me.

I have been outside for the past 20 minutes filling the bird feeders, cleaning up some animal damage.. It was 59 deg and misting and I was wearing only my short raincoat, RedWing work boots no socks, a T shirt and my pee pad filled briefs. (How's that for an image.) The boys are nice and tight inside. Let's see how long it takes for me to start dripping.
J

geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 6/3/2010 1:21 PM (GMT -6)   
Jeff,
As a science guy I’m sure you know that using correlation you can “prove” that storks bring babies (everyone else can look it up on the web.) I’d look around for some variables besides temperature – fluid intake, activity level, diet changes, heck even exposure to sunlight assuming you are not one of those brothers that burst into flame when exposed.
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


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3741
   Posted 6/3/2010 2:07 PM (GMT -6)   
Hey Geezer,
As a science guy I try to eliminate as many unknown variables as possible. Fluid intake is controlled. I mark the calendar 1,2, or 3 for activity level: quiet, normal or active.
Even if I had an orgasm.

Correlations can prove almost anything. One man in 12 has some form of prostate cancer. Of the guys who check this site daily, 92% have PCa. Therefore, of the guys reading this note, the odds of them having PCA are more than 10 times the general population. Don't tell the EPA or NIH. They would shut this site down. ;-)
Jeff
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