Another Incontinency Question

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Regular Member

Date Joined Jun 2010
Total Posts : 35
   Posted 10/5/2010 10:21 AM (GMT -6)   
My catheter was removed on Monday, September 25, after open RP on September 16.  Right out of the batter's box, I was incontinent.  After 3-4 days, I now wake up dry in the morning but struggle to stay dry during the day.  What I have noticed is that I am unable to go for very long before I need to pee.  At night, I typically wake up every hour to 2 hours.  During the day, I typically pee about every hour or so (sometimes I even pee more frequently).  Is this a fairly typical progression?  I'm hoping to reach the point where I can go several hours between visits to the bathroom but that doesn't seem to be working just yet.

Veteran Member

Date Joined Nov 2007
Total Posts : 598
   Posted 10/5/2010 10:47 AM (GMT -6)   
You are totally normal. At night, a good exercise would be to consciously hold it after the urge hits. This will strengthen your one remaining valve and help the bladder get used to the new full feeling. But don't over do it. The progression to continence is exactly what you are experiencing - dry at night - dry till noon - dry till dinner - dry till bedtime. It will tend to go in plateaus. Just suddenly, you'll notice you've been dry for most of the day. You are normal. Stuff will come out in chunks, that's normal. Blood will come out, that's normal. the only thing to worry about is when nothing comes out at all!
Paul ED website for PCa guys

46 at Diagnosis.
Father died of Pca 4/07 at 86.
10/07 PSA 5.06 (Biopsy 11/07 1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC
Saved both nerve bundles.
Path Report: Stage T2cNxMx
-Gleason (3+3)6
Pad free on March 14 - (10 weeks.) Never a problem since.
ED - at one year, ED is fine with viagra.
Two year PSA - undetectable!

Veteran Member

Date Joined Jan 2006
Total Posts : 654
   Posted 10/5/2010 11:02 AM (GMT -6)   
It looks like you are doing great, probably ahead of the "normal" recovery. As long as you have a good stream, my guess you will have a great recovery. Congratulations! I hope your recovery continues to go well.

Veteran Member

Date Joined Jul 2010
Total Posts : 3892
   Posted 10/5/2010 11:06 AM (GMT -6)   
After ten days with the catheter, your bladder shrinks and gets lazy..My experience is exactly the same as yours..Try holding it as long as you can in the morning to get your bladder stretched back out..Sometimes that strong urge will fade and give you another hour..By doing this, the bladders capacity improves quickly.

I had to get up 3 times at night in the beginning, but now only once...Trying to "hold it" at night can be risky...
Age 68.
PSA at age 55: 3.5, DRE normal. Advice, "Keep an eye on it".
age 58: 4.5
age 61: 5.2
age 64: 7.5, DRE "Abnormal"
age 65: 8.5, " normal", biopsy, 12 core, negative...
age 66 9.0 "normal", 2ed biopsy, negative, BPH, Proscar
age 67 4.5 DRE "normal"
age 68 7.0 third biopsy positive, 4 out of 12, G-6,7, 9
RRP performed Sept 3 2010, pos margin, one pos vesicle nodes neg

Regular Member

Date Joined Jun 2010
Total Posts : 87
   Posted 10/5/2010 11:25 AM (GMT -6)   
This all sounds familiar and normal to me.  At almost 2 months from surgery during the weekend I can hold it almost all day without thinking about it, but sitting at my desk at work I go more often just because.  Trying to hold it is a good idea and it works.  You will be fine in not time.
Age 53
Pre OP PSA: 1/2008=5.9, 2/2010=6.0 (free=9%)
Biopsy, 4/10/2010 This was my 2nd Biopsy. The Uro put me out and took 36 samples. 3 samples positive 1%, 2%, 2% no evidence of perineural invasion. T1c

Dx April 2010
Gleason: 3+3=6
CT Scan: Neg
DaVinci: 8/11/10, Dr David Bryan, SSM DePaul-St Louis
Post Op Path:
Gleason 3+3=6
Tumor involves left lobe only
Tumor constitutes less than 5% of gland volume
No vascular or neural invasion detected
No capsular invasion detected
Distal urethral margin of resection free of tumor
Proximinal urethral margin of resection free of tumor
Radial margin of resection free of tumor
Seminal vesicles uninvolved by carcinoma
TM stage T2a (unilateral less than 1/2 of one side), NX, MX
ALL Margins uninvolved
Extra Prosatic extension: Absent
PSA: 9/10 <.1,

Forum Moderator

Date Joined Jan 2010
Total Posts : 7082
   Posted 10/5/2010 10:38 PM (GMT -6)   
My recovery (so-called) is a little different - I've not had to get up at night since the catheter was pulled unless I drank something carbonated - guarantees a flood, BUT, for months, the second I started to get up in the morning, the flood began. It was the PCa Olympics to get to the bathroom before the Depends pant flooded out.
Daytime - at first (two months or so) 20 minutes was my max daytime hold. At almost a year out, 2 hours is still a dream. Sometimes I make 2 hours, more often it is less, with a sudden extreme urge to go. This may have been worsened by the radiation.

Post Edited (142) : 10/5/2010 9:56:06 PM (GMT-6)

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