So, have you thought about
trying to do something about
your leaking? There are several things that help. With treatment some guys can become dry again while others see improvement but it doesn't totally solve the problem. There are, basically, three options for incontinence after RP that doesn't resolve itself after a year. They are physical therapy aka biofeedback, surgery to install a sling, and surgery to install an artificial urinary sphincter.
There have been some studies that show that biofeedback can yield improvement in a narrow majority of men who leak after RP. The way it works is that a technician will hook you up to a machine like an EKG machine except that the sticky pads go on your lower abdomen and on your butt. The machine will measure the pelvic floor contractions when you do your Kegel exercises. You do this every week for six weeks or so and, so the theory goes, the improved tone of your pelvic floor will make you leak less. Can't say it worked for me but I had a nice time chatting with the tech while her PC scored my efforts.
If you are a moderate leaker and didn't have radiation along with your surgery then you may be a candidate for a sling. The sling re-positions the urethra slightly forward where it comes out of the bladder which takes some of the strain off of the sphincter so it doesn't have to work as hard to close. Slings work well for light to moderate leaking (it is a popular operation for the ladies) but they work less well for heavy leakers or men who have had radiation which tends to scarify and stiffen the urethra so the sling can't properly re-position it.
If you are a heavier leaker (as I was) then you might be a candidate for an artificial urinary sphincter (like mine). An AUS is a cuff that is installed around your urethra to compress it so urine doesn't flow. A squeeze bulb in your scrotum gives you a minute or two to pee with each squeeze. I was hoping my AUS would make me dry which it hasn't done, but it has reduced my leaking from around 300 ml per day to, maybe, 70 or 80 ml. In terms of pads I have gone from using three or four pull-up pads (Depends or similar) to one or two pads that slip into ordinary tighty-whities. As I said, I was hoping for better but, to be honest it has made a big difference. Aside from checking to make sure I have a spare pad in a pocket when I leave the house in the morning I just don't worry about
And don't feel embarrassed talking about
your incontinence. We have a long and stories history of discussing the issue at considerable length. If you want to find one of the more notable discussions type the search key "pee gravel" into the search box at the top of this page and check out some of "Worried Guy"'s postings.
63 Slow PSA rise 2007-2012: 1.4=>8
4 bxs 2010-2012: 1&2 neg, 3 pos 1/14 6(3+3) 3-4% (2nd
opn. 7(3+4)), 4 neg
DaVinci 6/14/12. "some" nerve sparing on left
Path: pT3a pN0 R1 GS9(4+5)
Pos margins on rt
24 mo ADT3 7/12 - 7/14
Adj IMRT 66.6 Gy 10/17/12-12/13/12
8/2012-3/2015: Incont., Trimix, VED, PSA<0.015.
AUS & IPP installed 3/5/2015Forum Moderator - Not a medical professional
Post Edited (PeterDisAbelard.) : 8/3/2016 10:04:25 PM (GMT-6)