No Dr. here but from what I can remember the prostate supports the area where the external sphincter is located. When it is removed you loose this support. The pelvic floor muscles are supposed to step up and take over. In my case the muscles are weak and the hip area muscles are too tight to let the pelvic floor muscles pull where they should.
Hopefully someone smarter than me will answer back soon.
Remember....there are no dumb questions.....we are all here to help each other.
PSA 5.7 - Discovered during Annual Physical with Family Practice Dr.
Biopsy Sept. 27, 2006 - Diagnosis Sept. 29 - 3 of 12 positive (up to 75%) all on left side of prostate, Gleason 7
RRP on Oct. 17, - Nerves on right side saved.
All Lab's clear. No Cancer outside prostate
Cathiter in for 28 days 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 everything 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 ???????
March 29th Collagen injection into sphincter / bladder neck area to control excessive leaking. Worked for a couple of days then back to leaking.
April 17th (Six Months Post Op) 2nd Collagen Injection to control excessive leaking. Leaking started back next day at work!
May 14th Second Opinion about my leaking and Options at OU Medical Center. After reviewing my records the Dr. feels I will probably need some surgical intervention to stop my leaking. But did agree to try Bio-Feedback and work hard on the Kegeal's first!
May 30th Follow up with my Dr. and 3rd Post Op PSA 0.00 agian!!!
June 1st Start Bio-Feedback to try to control my leaking.
Oct 17, 2007 1 year Post Op - Still fighting moderate / Severe incontenance. Using 4-6 pads a day. Erections usable....sometimes!...Better with 100mg Viagra