Posted 5/11/2021 4:07 PM (GMT -6)
Hi Canadian, I am now almost 13 weeks post RALP. Similar to you, I had a hard time telling exactly how much I was leaking, so I started weighing the pads to get a grasp on it. I created an excel spreadsheet, tracking the daily volume, along with how many miles I walked, ran, biked and paddled (an outrigger canoe). In that spreadsheet, I have a graph of all those things, so I can see trends. In the graph, I've included a 7-day average, so I get an overall sense of what is going on. I can see that on days that I walk a lot, I leak more, particularly if the walks are over 2.5 miles or so. I don't leak much while running, and hardly at all biking or paddling. When I had my RALP, I ended up with a plastic urinal bottle, that is calibrated on the sides. Some days, when I really gotta go, the volume per pee is about 200 ml. Other days, it is up to 300 ml. I read that a normal adult men's bladder can hold 400 to 600 ml, so I've been trying to "hold it" when I can, trying to up the threshold for needing to pee. I think part of it is reconditioning the bladder and the nerves controlling it, and part of it is tuning up that sphincter muscle. A few days after my catheter was removed, I was leaking about 300 ml per day, while yesterday it was 10 (my lowest total yet). I can't predict the future, but my 7-day average is slowly heading downward, and I think it will bottom out in a month or so. I imagine it will still have intermittent dribbles for a while after that. Every week or so, I have a leaky day, and I can't figure out why, except that maybe the muscle needs a day off. Seeing the PT has helped, and now I try to kegel while doing whatever I am doing (sitting at my desk, riding my bike, driving, doing planks, sit-ups, yoga, etc.) In talking to my PT, he said that it is important to kegel while creating strain and torsion on the abdomen, so I do a lot of twisting type motions, lunges, high-knee marches, etc. I must look like a freak while going for my walks doing these things. Best wishes for a speedy and dribble free recovery.