Stress Incontinance

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marke
New Member


Date Joined Feb 2010
Total Posts : 4
   Posted 3/28/2011 4:32 PM (GMT -6)   
Its been a while since I posted here but I find myself in need of a little advice or just comparison to how other guys are doing.

I had a standard RP Prostatectomy done last Feb 2010, its now been about 13-14 months. Generally I'm doing pretty well. ED issues are much better, still not perfect but there is life down there and it gets better each month. Don't like the shorter length at all but what are you going to do?

My main questions are around incontinence. I can generally get away with a very light pad, basically a panty liner, that is only damp at the end of the day. However, I still have a fair degree of stress incontinence. As an example I got the flu last week that resulted in a lot of upper chest congestion, I could not stop coughing and they weren't little wimpy coughs either.

No matter what I did I just could not stop squirting with every cough, even when I clenched the pelvic floor muscles. It drove me nuts, I had to go back to the depends guards and I was going through 3 of those a day.

I'm not that diligent with the keggle exercises although I feel like I'm constantly tightening all day anyways.

So my question is, is this about normal. Do other guys have this same problem with stress incontinence? Can I expect this to continue to improve or is this the best its going to be at 14 months? Would focusing on the keggle's help or is it too late for that?

Mark

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7082
   Posted 3/28/2011 4:42 PM (GMT -6)   
Mark,
 
I don't think you can ever stop doing Kegels for "maintenance" if you needed them to start with. If I back off, within a few days I leak again.
 
I was at one pad a day before RT, but now am settled in, I guess, at 1-3 per day, likely worsened by RT.
DaVinci 10/2009
My adjuvant IGRT journey (2010) -
www.healingwell.com/community/default.aspx?f=35&m=1756808

Zimmer
Regular Member


Date Joined Oct 2009
Total Posts : 24
   Posted 3/28/2011 9:26 PM (GMT -6)   
Hi Mark..
Your situation sounds just like mine, I also had radical Feb 2010, stress incontinence is driving me nuts, a sneeze a cough or a hard laugh will cause a leak I also am not that diligent with the Keggels, I am almost always dry at night but lately it is getting worse, even getting romantic with my wife will bring on a leak instead of a little hardness...have met with urologist and considering alternatives...

NY-Sooner
Regular Member


Date Joined Sep 2009
Total Posts : 464
   Posted 3/29/2011 6:53 AM (GMT -6)   
I am 59 yrs old and 4 years post op from robotic surgery and I still have stress leaks when I caugh, sneeze, pass gas, lift something, or get sexually aroused.  I just learned to live with it.

Arch
Regular Member


Date Joined Jun 2010
Total Posts : 192
   Posted 3/29/2011 8:30 AM (GMT -6)   
I still leak a pad a day after 10 months, open surgery, if I stand without squeezing or run or lift I squirt. I still do my kegels and have recently increased the frequency of kegels at the doctors recommendation. I'm starting to think its the new normal. I have graduated to lighter female incontinence pad.
 
r
age 56
PSA 5.5
Biopsy, both lobes PCa
Gleason 3/4=7
open RP May 18, 2010
Pathology: 15% involved, lymph nodes and v. d. clear, margins clear
June 3-10 10-12 pads/day
2 months 8 pads/day
Aug 1, 2010 5-6 pads/day
Aug 20, 2010 3-5 pads per day
Aug 16, 3 month PSA: undetectable
Sept 22, 2 pads a day
Oct 12, PSA 0.03
Dec 1.5 pads a day
ED OK with no drugs Dec 2010

p_elliott
Regular Member


Date Joined Nov 2010
Total Posts : 143
   Posted 3/29/2011 12:10 PM (GMT -6)   
I do good if I remember to tighten up before coughing, sneezing, farting, blowing my nose but if i have to use physical force I leak. If I knew I would not have to physical strain during the day I could get by with out a pad.
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