To All: I continue to monitor my path to continence recovery and now at nearly 8 full months since surgery, I still have a small amount of leakage. I measure my pad input and the leak is around 12 to 15 cc for an entire working day. Not much but it still requires some protection. On my scheduled phone call appointment check in with my urologist to confir on my 2nd PSA test results (<0.1 undetectable) he asked me how much fluid I was consuming. I told him it was 16 oz at breakfast, 22 to 24 oz during the work day, 16 oz in the evening with dinner and another 8 oz in the mid-evening for a total of around 64 ounces of fluid. He told me I was drinking WAY TOO MUCH fluid each day so no wonder I was leaking so much. Discussed the common myth about
having to consume a set amount of water each day and told me to start cutting back, slowly, because my kidneys were accumstomed to such a fluid bombardment each day and that I needed to ween myself to an acceptable level. That level was to drink when I get thirsty not out of a scheduled habit. It was an interesting revelation and not the direction I expected to go with my phone appointment.
I have found a few other medical professionals on line who profess the same concern that folks drink too much fluids. The bottled water craze may have prompted this observation by urologists. Much of the myth stared with Weight Watchers who came up with the 8 glasses per day dictum for everyone.
Curious if others follow the drink when thirsty rule or have a set amount of fluid the consume daily. Of course, your climate, medications, (including caffeine)activity level and salt consumption play a role in how much water you consume. This has really rocked my mindset on fluid consumption. Any thoughts?
Biopsy: Gleason 3+3=6, PSA 6.6 One core of 12 with 5% T1c
Surgery: July 2010 J. Hopkins
Path: Gleason 6, Neg Mar, Neg LN, Neg Sem Ves
9/15/10 1st post op PSA <0.1 undetectable
3/11/11 PSA - TBD <0.1
Incontinence - seeing some progress
Aug -Sept 2010 - 4-5 pads
Oct 2010 3 pads
Nov 2010 2 pads
Dec - Mar 2011 1 pad all day -slight leaking
ED: slow steady improvements