Night time incontinence

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New Member

Date Joined Feb 2010
Total Posts : 5
   Posted 6/6/2011 5:04 PM (GMT -6)   
Anyone out there with any advice on the night leaking issue? I'm now about a year and nine months past my robot surgery and still having night time incontinence. I've been pad free for over a year, with just relatively minor stress leaks during the day. For a while it was four to six weeks between night leaking, but this has gradually increased instead of decreased, so that it's now a couple of weeks to a couple of days between incidents, the last one a couple of nights ago at a nice hotel! My GP has referred me to another urologist specializing in this, but I REALLY do not want anything more stuck up either end for them to "test". Seems like I should be well past this from what I'm reading. Quantity or type of fluids don't seem to be much of a factor, or time of consumption. The only consistent thing are those darn "pee dreams", the end of which always results in waking up wet!

Thanks for any advice!

Forum Moderator

Date Joined Jan 2010
Total Posts : 6855
   Posted 6/6/2011 5:14 PM (GMT -6)   
I've seen that spicy diet adds to my fairly infrequent (maybe 3 per month) nighttime leaks. A Mexican lunch doesn't bother me, but move it to dinner and trouble awaits.
Likewise a beer - before 5, ok, but much later, and ...
DaVinci 10/2009
My adjuvant IGRT journey (2010) -

Veteran Member

Date Joined Jan 2009
Total Posts : 2211
   Posted 6/6/2011 6:26 PM (GMT -6)   
After reading some old posts on the topic I have started back on Imamprine at a higher dose. Getting a little more sleep and less leaking. I was like you, no more sticking anything in me for awhile.
Dx with PCA 12/08 2 out of 12 cores positive 4.5 psa
59 yo when diagnosed, 61 yo 2010
Robotic surgery 5/09
Gleason upgraded to 3+5, volume less than 10%
2 pads per day, 1 depends but getting better,
started ED tx 7/17, slow go
Post op dx of neuropathy
T2C left lateral and left posterior margins involved
3 months psa.01, 6 month psa.4
Started IMRT Jan. 2010 72gys
7month post SRT PSA.27

Veteran Member

Date Joined Jun 2007
Total Posts : 784
   Posted 6/7/2011 2:32 AM (GMT -6)   
This has happened to me at irregular intervals for the last 4 years, has not happened for 8 months, but even now I sleep with a waterproof blanket under me, I even take on holidays, and visiting relatives and friends, My Uro said if it became more frequent he would give me something, said that alcohol can make it happen, who knows.

age 67 PSA 5.8 DRE firm Rt
Biopsy 2nd July 07 5 out of 12 positive
Gleason 3+4=7 right side tumour adenocarcinoma stage T2a
RP on 30th July,

Post op Pathology, tumour stage T3a 4+3=7, microcsopic evidence of capsular penetration, seminal vessels, bladder neck,are free of tumour, lymph nodes clear, no evidence of metastatic malignancy, tumour does not extend to the apical margins.

Post op PSA 0.5 26th Sept 07 Totally dry
PSA 23rd Oct.0.5
Started SRT on 5th Dec.
Finished 24 Feb 08
PSA from 30th April 08, until now range- 0.5 to 0.7

Regular Member

Date Joined Nov 2010
Total Posts : 259
   Posted 6/7/2011 5:34 AM (GMT -6)   
I have the same problem with the night leaks. Seems to be worse when I take a sleep aid such as Xanax or one of the PM meds. Dr. says it relaxes things too much which cause the leakage.
57 years old
2009 PSA 2.2
2010 PSA 3.2
Biopsy 24 cores 3 positive
Gleason 3 plus 3
Robotic Surgery March 3, 2011 @ 6 am
Believe it or not it didn't hurt much (1 pain pill)
Cath removal 3/17/11
Still Leaking 04/21/11 but getting better
05/26/11 leakage is much improved one small pad daily
ED an issue but helped just a bit with a pill
Recovery is slow but sure
First post op PSA 06/22/11

New Member

Date Joined Feb 2010
Total Posts : 5
   Posted 6/7/2011 5:58 AM (GMT -6)   
Thanks for the comments guys. I suppose it's nice to know I'm not the only one. It would be even nicer to know that there is a way out of this! It is SO frustrating as I'm sure you guys would agree.

Here's hoping for dryer nights and better dreams!

51 years old
daVinci surgery Oct 19, 2009
Biopsy 12 samples, one "positive"
Gleason 3+3
Last pre-op PSA 4.5
One year PSA 0
ED not too bad now, even without chemicals, pumps or rings, but orgasm is nothing!

Veteran Member

Date Joined Sep 2009
Total Posts : 5467
   Posted 6/7/2011 6:05 AM (GMT -6)   
My guess is sleeping aids. I take this nature aid type from costco, it will occasionally give bad dreams, not incontinence, but shows they do have an influence on subconcious. Its madw from different types of herbs. They do relax the mind tho and helps me sleep. I assume you dont take acidic drinks prior to bedtime and empty bladder be fore.
Diagnosed 8/14/09 psa 8.1 66,now 67
2cores 70%, rest 6-7 < 5%
gleason 3+ 3, up to 3+4 @ the dub
RPP U of Wash, Bruce Dalkin,
pathology 4+3, tertiary5, 2 foci
extensive pni, prostate confined,27 nodes removed -, svi - margins -
99%continent@ cath removal. 1% incont@gaspass,sneeze,cough 18 mos, squirt @ running. psa std test reported on paper as 0.0 as of 12/14/10 ed improving

Regular Member

Date Joined Aug 2009
Total Posts : 147
   Posted 6/7/2011 7:57 AM (GMT -6)   
I have previously mentioned the fact that I have had this happen to me over the last 2 years, but fortunately not in the last 3 months.
It has happened perhaps 6 times, and usually involves a dream of wanting to pee, them waking and finding a damp patch. Not too much of a leak but enough to wake me up before it got too serious.
As I said I am now 2 years out from DaVinci, and no wet dreams in the last few months, so hopefully time seems to cure.
I am 99.9% leak free during the day and was pad free at about 4 months, but never had more than a dribble at the worst.
All the best from England.

Veteran Member

Date Joined May 2011
Total Posts : 546
   Posted 6/7/2011 9:09 AM (GMT -6)   
I have not had any issues with night time leaks.
However, since surgery I drink nothing past 6:30-7pm.
I go to sleep about 10 pm, go several times before sleeping.
Once or twice at night down from 5-6 a night
I do drink tons of fluids during the day.
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