Incontinence and Bladder Pressure

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Regular Member

Date Joined Aug 2010
Total Posts : 121
   Posted 1/13/2011 2:55 PM (GMT -6)   
Each week brings a new experience, or at least a modified one.  This may be normal (if there is such a thing) but it is new to me.  I've been doing my Kegels and progressing in the incontinence department.  What I've noticed the past couple of weeks is if I have a real full bladder, I leak less. 
This morning I was working at my desk and until the pain got to me, I was busy so ignored the sensation.  I got up, walked to the restroom and emptied without incident.  No leakage on the way.  On the return from the restroom, I leaked.  This seems backwards to me?

Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4835
   Posted 1/13/2011 3:11 PM (GMT -6)   
The pressure on the whats its name valve was greater thus keeping it closed??  (just made that up - but it sounds good)

Regular Member

Date Joined Jan 2010
Total Posts : 363
   Posted 1/13/2011 3:52 PM (GMT -6)   
I've noticed the same thing, when I have some pressure reminding my brain to keep things tight no leaks, when empty I get an occasional drop.

The sphincter that was controlled by involuntary muscles is gone, it's the one that was kept closed 'till you consciously relaxed it, the one that is left your brain has to continually keep tight even though you may not be thinking about it at the time (sub-conscious takes care of it) so when there is no pressure the brain may slack off a bit leading to a drop.

At least that's the way it was explained to me.
Dave in Durango CO

Ed C. (Old67)
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Date Joined Jan 2009
Total Posts : 2458
   Posted 1/13/2011 3:59 PM (GMT -6)   
I've had this same problem for over a year. Full bladder is no problem however, I occasionally leak one or 2 drops when I just emptied my bladder.Regardless of my kegels and exercise I haven't been able to rid my self of the 1 or 2 drops on some days. I can live with that since it doesn't require wearing a pad.
Age: 67 at Dx on 12/30/08 PSA 3.8
2 cores out of 12 were positive Gleason (4+4)
Davinci surgery 2/9/09 Gleason 4+4 EPE,
Margins clear, nerve bundles removed
Prostate weighed 57 grams 10-20% involved
all PSA tests since (2, 5, 8, 11, 15, 18 months) undetectable
Latest PSA test (21 months) .005

Worried Guy
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Date Joined Jul 2009
Total Posts : 3734
   Posted 1/13/2011 4:18 PM (GMT -6)   
Hey Pocketman

Very astute observation. I found the same thing. To learn continence I would drink a big glass of water before bed and could actually make it through the night. I was so proud of my morning deposit into the bowl I wanted to invite my friends over to watch! Unfortunately after that morning pee it was all downhill from there.
I have fingers (and knees) crossed hoping this surgery will fix it.
Good luck to you.

Regular Member

Date Joined Aug 2010
Total Posts : 121
   Posted 1/13/2011 8:31 PM (GMT -6)   
Didn't realize my brain was even involved in this situation. (Although I've been accused of thinking with that part of the anatomy.) Perhaps this is related to training oneself to urinate on a schedule? I appreciate the replies knowing now that my experience is "normal."

Regular Member

Date Joined Jun 2010
Total Posts : 192
   Posted 1/13/2011 9:39 PM (GMT -6)   
I've had the same thing since a couple of weeks out of surgery, I leak when I'm empty but can hold it easily when my bladder is full. It only fills if I'm sitting or lying down. My continence therapist didn't understand this. I'm down to 1 pad a day so I'm assuming new muscles are slowly providing more control. open RP May 2010.

Regular Member

Date Joined Aug 2009
Total Posts : 147
   Posted 1/14/2011 4:45 AM (GMT -6)   
It seems that when you have been for a pee there is a certain amount of urine left in the uretha, this needs to be coaxed out by gently sroking the scotum upwards towards the penis.
When you were younger this was not a problem, a quick shake and all was dry, but as you grow older the muscle tone goes  and without the prostate and the sphincter at the bladder neck some work is required to get rid of the last few drops.
I would think that this is part of the problem you are referring to. The stroking works for me and I have been told by my prostate nurse that this is what she suggests to her patients.
All the best from England.

Veteran Member

Date Joined Jan 2006
Total Posts : 654
   Posted 1/14/2011 7:34 AM (GMT -6)   
Tuesday, prior to getting the AUS implanted I was asking my Dr. about something similiar and he refered to the description given by Dogbot. He added that some guys have a little dip in the uretha just outside of our remaining sphincter and a little urine can pool there after urination and drip out as we walk.
06-08 1st biopsy neg psa 4
10-09 psa 5.5 2nd biopsy 1/12 pos. 10%, G(4+3) age 65
12-15-09 RRP Tulane NOLA Dr Lee
Path, 1%, clr marg, no EPE, no SVI, nodes cl, G(4+3)
100% incontinent @ 12 months
ED, pre-op severe, post op total
10/10 Dr Boone, Baylor recomended AUS
AUS and IPP performed 1/11/11
post op psa's 0.04,<0.1,<0.1,<0.01@12 mo.

Regular Member

Date Joined Apr 2010
Total Posts : 189
   Posted 1/14/2011 7:46 AM (GMT -6)   
Before surgery I leaked a few drips. This had been going on for 30 years. Now I don't always leak after going but when I get up from sitting I have to remind myself to keep it closed or I leak. The colder weather here in Florida seems to also be having an effect. I leak more when the temps are below 50.
I don't want to hear from you people up north about cold. I used to live in upstate NY so i know cold. I came here to SO Florida to be warm. 45 is not warm any more.
Age 68 weight 185 height 6'
Samples taken 4/19/2010 sent to Bostwick
3 out of 12 samples cancer
1) gleason score 3+3 involving 65%
2) gleason score 3+3 involving 65%
3) gleason score 3+3 involving 10%
PSA 3.5 Mar 19
PSA 2.5 Apr 4
Bone scan clean CT scan clean
Da Vinci 10/12/2010 DR Paul Kahn all nerves spared
Home 10/19/20
Cath out 10/22/2010
Prostate 56 gm. Gleason grade 3+4 = 7
2 MO PSA 0.0
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