Hang in there colbo. Same boat here. 6 week post-op and probably 8 pads/day, mostly full. Wear a 'Depends' at night with slight leakage. I have a moderate to strong flow when I pee. Both my uro and PT recommend....stay well hydrated. I found after work, I would drink 250-500 ml water quickly, then lay down. After 20-30 minutes, get up and pee. It seemed I was able to gain some urine volume..my theory was I was slowing increasing the volume of the urine my bladder was able to contain. It has seemed to work as when I am fully hydrated and I have not been upright or active, I have substantial volume, albeit frequent, if not near constant leakage.
I had PT last Thursday, specifically for Kegels. Here are some tips I learned:
- Fully relax in between reps
- I will fatigue the muscle if I do too many. I am to build up over time
- New routine for me
- 2 sets of 12 reps, 3x a day
- develop a routine of different positions...I do my first two sets on my back, legs bent(feet pulled toward body with knees elevated) before getting out of bed. Sets 3/4 mid day, sitting in ergonomic office chair, bent slightly forward at waist, hands on knees. Set 5 similar to 1/2, then set 6 rotated one one side, next day, the other side, third day on stomach. The idea is to work the muscle under different stress points.
- DO NOT clench stomach muscles (although the Kegel in question is tied into a transverse stomach muscle, so you will feel a slight tension in abdomen). I feel I really need to focus to isolate only flexing the specific Kegel.
- Build up at my own pace...I'll add a set or two or increase the reps after one week...some other add after week 2, etc.
Also, it is my understanding to focus on the urinary Kegel. When you are able to have a moderately streamed pee, stop the flow during the pee....this is the specific muscle you are trying to work, or so I have been instructed, by both my PT and uro. (Edit - this is a one time thing, only to ensure you are focusing on the correct muscle)
Also, when I am doing reps, I hold for a count of three and track reps by this system: "1-2-1, 1-2-2, 1-2-3, 1-2-4....etc." PT said this was a good idea.
I can relate that having urinary incontinence can cause depression. For the first few weeks, it was very tough on me as well...I had anxiety over it adn came close to tears on several occasions, with the whole 'why me' deal. And having a slight leak into my boxer briefs was near traumatic. Now I'm like...f-k it, did it leak through to my shorts or pants? No? It'll dry, then. I do change my pads frequently, esp at work as I want to be comfortable and decrease the possibility of leaking outside the pad. I look at it now as an inconvenience rather that a huge downer.
Mental toughness and a positive outlook on things is, for me, a major component of my recovery.
PSA: 05/16 6.2, 6/16 5.5, 08/16 5.4
Biopsy: 11/16 - 2 of 12, 3+4
Bone and CT: neg
01/17 PSA 8.5
RP: 2/08/17, Dr. Dena Engel
Lymph, bladder neck, apex: neg
t3a N0 M0, 4+5
Erect: 95-100% functioning
Incont: significant, 7-8 pads/day, night leakage
Stressed wife, happy and understanding 5 yo and 7 yo
Plant-based diet - near 100% vegan
Post Edited (RealisticOptimist) : 3/20/2017 8:39:02 PM (GMT-6)