Welcome to HW.
The other thing you need is time. 22 days isn't that long and you likely just need more time to heal.
Hang in there, it gets better as your body heals.
That. It is almost impossible to predict how much time you will need, mainly time from the surgery but also even from the catheter. Not only is 22 days nothing in this game, your only a few days past the catheter removal. I suspect that all related muscles get really lazy while the catheter is in and maybe even have time to atrophy just like a leg muscle in a cast for weeks. Plus the bladder and most everything else is probably inflamed and irritable and prone to spasm. Plus the bladder itself shrinks (more atrophy?) while a catheter is in place, though probably not by much in just 3 weeks.
Finally, you mention "a pucker in the anastomosis at the bladder neck". They make an effort to place the anastomosis far enough away from the sphincter(the one you are trying to strengthen with Kegels) that it won't fall down into the sphincter. But since there is little room to work in there, and you are steep head down(trendelenburg position) for most of the surgery which encourages everything to fall away from the sphincter towards the head, there may be a problem. When you have a full bladder and especially if you stand up, that healing anastomosis may fall right down into the sphincter. And while it is swollen and stitches are dissolving and scar tissue is healing, even a very strong sphincter muscle may not be able to squeeze the urethral anastomosis hard enough to close it. Or if you can it takes so much effort that the muscle quickly fatigues. If this is the case, nothing but time is going to take care of that, and that all depends on how long it takes for your anast. to heal enough to be easy to close. Though it will probably help to have stronger muscles.
A lucky few(IMO) are dry from the time the catheter is removed, or within a week or two. Most of us take some months to be mostly dry, seems to me. Probably a much smaller % are like me. I took most of a year(even with biofeedback/electrostimulation training at about
3 months) to get mostly dry, and am still slowly improving at 2 years. Maybe 3% or so will never get dry enough and may need additional surgery to fix it.
I'm sorry you are having to go through this, it sucks for sure, most of us can relate. Keep Kegeling, but don't overdo it. Remember how if you are trying to build muscle by lifting weights or running, most don't recommend going to exhaustion every day. That might also apply to Kegels, but I don't know for sure. And hang in there, it almost certainly will get better either in weeks or months. (Though he was upfront about
the ED, I don't feel like my surgeon adequately prepared me for the likelihood of incontinence that could well last weeks or even a lot longer, and I bet most don't)
Bill in mS
Post Edited (BillyBob@388) : 1/8/2016 10:00:08 AM (GMT-7)