"Gushing" and Collagen Implant

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Regular Member

Date Joined Mar 2007
Total Posts : 422
   Posted 3/16/2007 5:11 PM (GMT -6)   
Yesterday (2/15/07) after talking to the surgeon's nurse about some stinging, she wanted me to come in for a bladder scan to make sure I was emptying ok (scan revealed I was).  I have not been able to "pee on purpose" at all since my surgery a month ago (open prostatectomy), and she wanted a urin sample.  I explained I probably could not furnish it because every time I stand from my seated position, I gush and it all out and cannot control it... well I had a little success of holding it one week ago, but not since then.  Of course I sat in the waiting room and the moment my name was called I stood and, gush, gush, gush.  When I do that, I have this awful urge to squeeze my legs together when I walk..I can only hope, after thinking about it, that I didn't do that in front of everyone in the waiting room.  Oh well, it's too late to worry about it now.
After the scan I heard the nurse tell the surgeon I was in the room if he wanted to see me.  To my surprise, he did.  He asked if I was dong the Kegals (yes).  I asked him about my continuing incontinence and he said "It's only been a month.  You must be patient."  "Yes, yes, I know."
He then mentioned "Collagen implant", which I had no idea what he meant and told him so.  He explained it, set me up with the nurse for the skin test (had it) and said if I was not improved by June 6 (my 3 month appointment to check psa), and if the skin test was ok, we would talk more about a "collagen implant".  Of course I am interested, but...

...The literature he gave me has caused some concern.  For one, the literature says one has to be incontinent for one year before he receives the implant.  Another is that it may take 4 or five of these treatments.  Of course there were other concerns too.  I searced this forum but came up with nothing so...

(1) Have any of you received this treatment?  What can you share with me about it...the "pros" and/or "cons". 

(2) In addition to the Kegals, is there anything to do about that awful gushing when I stand up?  A little leaking I can live with I think.  But the flooding is another thing.

Thanks for any comments.


Veteran Member

Date Joined Nov 2006
Total Posts : 883
   Posted 3/16/2007 9:32 PM (GMT -6)   

Hey Gene,  I had RRp on Oct 17th.  Have had alot of leaking since then.  check out my Journey a couple of pages back "kw's journey"

Did your Doc run a scope on you to see what was going on in your bladder?  This would show him what the sphincter is doing.

I did the 30 skin test and all was ok.  When my Dr. liked what he saw on the scope.  He did not want to do the collegen injections.  He wanted me to keep doing the kegals to see if it get's better.  He was afrade to mess with the sphincter.

They will do the scope to do the injection, so if it all looks good he may not need to do the collegen.

My Dr. did  start me on Detrol yesterday to see if that will take care of it.....

Just hang in there cause your not alone.....


    PSA 5.7 - Discovered during Annual Physical with Family Practice Dr.
    Gleason 7
    Biopsy - 3 of 12 positive (up to 75%) all on left side of prostate
    RRP on Oct. 17, 2006 - Nerves on right side saved.
    All Lab's clear.  No Cancer outside prostate
    Cathiter in for 3 weeks due to complications in healing. Removed Nov. 9, 2006
    First Post op PSA on Dec. 11, 2006  Undetectable 0.00
    Office visit on Jan. 19th due to continued excessive urine leakage.
    Feb.20th Cystoscope and 2nd Post Op PSA. Another 0.00.....:)
     Dr. said everythign looks fine.  Continue to work Kegeal's. Leaking appears to have improved  after Cystoscope?!?!?!  Down to 3-4 pads per day!
    March 1st  Leaking has crept back up to 6 - 8 pads a day ??????? 
    May 22nd Follow up (unless incontenance does not improve by mid March) and 3rd Post Op PSA

Veteran Member

Date Joined May 2006
Total Posts : 2542
   Posted 3/16/2007 9:36 PM (GMT -6)   

Hi ~ Gene,


I know KW has been talking with his doctor about collagen injections and has some really good info on his thread..  (this should be a last resort.... after months of healing)

There’s a thread with info on Kegels too!!!! 


 (Direct Link ~ just click on the title below and a new window will open!  

Reminder … click on the REFRESH icon once you get there)

Helpful Hints & Direct Links :)


Buddy feels strongly that walking and stairs have been a very important part of his continence recover/healing.


Give your body time to heal, Give your mind time to heal…  This has been a major surgery and this has been a major physical/mental journey.  The best medicine for awhile is to listen to your body...


Keeping you close in thoughts and prayers,

In Friendship ~ Lee & Buddy


Other threads by Gene6163: 

(Direct Link ~ just click on the title below and a new window will open!  

Reminder … click on the REFRESH icon once you get there)

open Surgery Three Weeks Ago...

"Gushing" and Collagen Implant

Method discovered (?) while attempting to regain Continence

Six Weeks & Starting to Bleed...

mama bluebird - Lee & Buddy… from North Carolina

Link to our personal journey…>>>     Our Journey ~ Sharing is Caring 

April 3, 2006  53 on surgery day

RRP / Radical Retropubic Prostatectomy with "wide excision"

PSA 4.6   Gleason  3+3=6    T2a   Confined to Prostate

2nd PSA 02-06-2007 Less than 0.1 Non-Detectable :)

Post Edited (bluebird) : 4/10/2007 11:49:09 AM (GMT-6)

Regular Member

Date Joined May 2006
Total Posts : 80
   Posted 3/16/2007 10:16 PM (GMT -6)   
Hi Gene
Hold up on the emplant.  Wait it out.  It probably won't take too long.  I was that way too and I couldn't hold it for the test  so the next time I went into the office I ran straight to the bathroom and gave a tiny sample.  I just couldn't hold it.  Work on the kegels and give it a little more time and don't worry about wetting yourself.  It will pass.  Who cares what others think.  I wet myself plenty of times.  It could take a few months to ease up but it will.  It happens suddenly .  Its worth waiting for.  Hey.  This is the way it is.  And its not forever.  Just use your pads and do the kegels and try to be patient.  Nobody gushed more than I did.  You're going to be fine.  Some get over this quicker than others.  Maybe it'll be quick for you.  The kegels are the answer.  Good luck on a fast dry up.
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