Sitting to standing incontinence solved

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same_as_u
Regular Member


Date Joined Mar 2007
Total Posts : 76
   Posted Yesterday 7:09 PM (GMT -7)   

I am not thrilled with this solution; I am very happy to have it as an alternative to dashing to the bathroom every time I stand up.  I have noticed that sitting to standing incontinence has also been the bane of several others who have posted here.

 

First, some brief background: It is now 8 weeks after my Radical Prostatectomy surgery.  My incontinence has been occurring mainly when I stand up from a sitting position after as little as 2 minutes of sitting.  To a much lesser extent it occurs when I cough or laugh.

My urologist said that my bladder changes position when I stand.  My pcp says the healing process takes six months.  Putting these two comments together lead this Structural Engineer to come up with a way to stand up without the urge to pee.  Since I cannot patent this procedure, we can just call it the ”Horn method.”  If anyone cares to enhance it we can add your name to this noble feat.  It almost sounds noble to have your name associated with a method for squelching pee.

This method is based on the fact that the bladder does the same thing that it did before surgery.  After and before surgery the bladder would move lower due to gravity; after surgery it has no prostrate resting place to stop its descent.  That is where the healing process requires time.

The first success for this method was when I was sitting in my living room and my crapzuh wanted the toys from her basket 12 feet away from me.  I slid off of my chair, and with my body remaining in the sitting position I walked the distance to get Rosey her toys, and returned remaining in the sitting position.

Why did this work?  The bladder used to sit on the now gone prostrate.  By keeping my body in the same position as when I was sitting, the bladder does not move as my urologist described it.  Of course this is fine for short distances only, so I refined it for longer distances.

When I get up from sitting to go longer distances I tilt my body out of my chair with my torso remaining in the same position as when I was seated.  In this position I am facing the floor.  As you can envision the bladder surroundings remain the same as when I was seated; it has nothing forcing it to move down.

Both of the above two methods have worked for me every time for the past week.  I refined this a little more for even longer distances. Although the refinements that I will mention below were almost always effective – not 100% as the above was for me.  As you will notice the refinements below are more comfortable and convenient.

The first refinement was that after I took the first coupe of steps with my body tilted toward the floor, I would s l o w l y start to straighten up.  By straightening my body slowly, I think this has a different affect on the bladder than the sudden upright move of the normal sitting to standing.  This leads to my final refinement.

When I don’t have the patience for the above, I tilt forward from the sitting position then stand up very slowly with my first two or three steps while exerting the strongest Kegel that I can muster.  I then release the Kegel after being vertical.  This works most of the time, not always.  I suspect that being 8 weeks from surgery helps for this to work at all.

The only fringe benefit that I can think of for the Horn method is that you may be aware that your shoes need polished more often.  One caveat – while you are doing any of the above, don’t cough.

I have to get up now; I’ve been sitting long enough.

 

Walt Horn               


Walt

 
Born 1940 - 67 yo
PSA 6.9 March '07 to 5.1 July '07
Biopsy May 2007
clinical stage T1c
Prostate size 25 by TRUS
Gleason 4+4
Radical Prostatectomy Surgery October 12 2007
Nondetectable PSA December '07

Post Edited (same_as_u) : 12/14/2007 9:33:46 PM (GMT-7)


biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1463
   Posted Yesterday 7:44 PM (GMT -7)   
Hey Walt,

Leave it to an engineer to successfully frustrate gravity. Good for you. Anything that makes life more liveable after surgery is worth the try.

Jim
Age 73. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Catheter out on 12/13/06.  Dry on 12/14/06.
Pathological stage: T2C. Gleason 3+4. Cancer confined to prostate.
PSAs from  1/3/07 - 10/17/07 0.00. 
Next PSA test on 1/15/08
 
"Patience is essential, attitude is everything."
 


uncledan
Regular Member


Date Joined Aug 2007
Total Posts : 120
   Posted Yesterday 7:59 PM (GMT -7)   
Good work Walt, I guess this procedure could be called stalking around the horn. If it works for you, it is worth a try for me. Being 4 months past surgery now I have very little leakage. I haven't ever had more than a few drops, but they were always in a time of stress. I.E. standing, getting out of a car, coughing, etc., you know the type of stress I mean. Thanks for the tip. Uncle Dan
Age 67
No symptoms, DRE negative, 10 - 06 PSA 5.44, 01 - 07 PSA 6.47
5 - 07 CT and Bone scans negative, 05 - 07 Biopsies, 2 of 6 positive
Gleason Score (3+4) 7 Stage T1c
08 - 14 Dr. Dasari - Baptist Hospital, Nashville da Vinci RAP, five hours surgery
Some right nerve and all left nerve removed,
Hospital discharged 8 - 16
Pathology report Negative margins, Encapsulated, 50% left side
Lymph nodes 2 R & 1 L - Negative, R & L seminal vesicles - Negative
Gleason changed (4+3) 7 closer to 8 than 6
9 - 26 Great PSA 0.000, 9 - 27 Starting on meds for ED
10 15 Dry most of the time, occasional leak (dribble )
10-27 Received pump started use on 10-29 can see resulted, enlargement.
11-22 Viagra, Lavitra no help yet, Pump still not producing usable results either.
11-28 2nd PSA since surgery 00.00


same_as_u
Regular Member


Date Joined Mar 2007
Total Posts : 76
   Posted Yesterday 8:10 PM (GMT -7)   
Thanks for the kind words Jim and Dan.

Dan, please let us know how you make out with this. As long as I don't stand erect immediately, and remember to tilt then slowly stand with each step this has worked fine for me when I get out of my car. I don't care if the neighbors think I'm looking for a quarter I dropped.

Walt
Walt

 
Born 1940 - 67 yo
PSA 6.9 March '07 to 5.1 July '07
Biopsy May 2007
clinical stage T1c
Prostate size 25 by TRUS
Gleason 4+4
Radical Prostatectomy Surgery October 12 2007
Nondetectable PSA December '07


bluebird
Veteran Member


Date Joined May 2006
Total Posts : 2542
   Posted 1/20/2008 3:35 PM (GMT -7)   
tongue  Hey Walt   &    :-)   Uncle Dan,

It’s been a month…. As your time permits….  We’d sure like an update!

Hope things are going well for both of you.

Continuing to keep you both close!

In Friendship ~ Lee & Buddy


mvesr
Veteran Member


Date Joined Apr 2007
Total Posts : 823
   Posted 1/20/2008 7:56 PM (GMT -7)   
Hi Walt. sounds like a plan. I had problems when I stood up, then one day it went away. Keep up the kegals, it will get better for you too, I am sure.

Mika

same_as_u
Regular Member


Date Joined Mar 2007
Total Posts : 76
   Posted 1/21/2008 8:27 AM (GMT -7)   
Thanks for your comments Mika and thanks for asking Blue Bird. Since I left my job in August I have been really busy with a catalog business and customers for three web sites. They have now exceeded my salaried job income, which goes to show that when we don’t despair over loosing a job we can end up much better off. My employer that discharged me really lost a valuable employee and I gained a better life. The only downside is that it is too easy to not workout, and simply work the businesses instead; I’ve got to take more time off to exercise.

As I indicated above, the only things now that bring on my incontinence are laughing and coughing. For the holidays, one of the things my younger son gave me was a Dilbert calendar – go figure. I only hope he doesn’t hide my cough drops for grins.

I told our buddy Doug about my success with incontinence and he challenged me to work on something for ED. I said “Come again?” Bad jokes aside, we have had no success in that area, although it has been fun trying. Next month I will start using Viagra and report back whether successful or not.
Walt

 
Born 1940 - 67 yo
PSA 6.9 March '07 to 5.1 July '07
Biopsy May 2007
clinical stage T1c
Prostate size 25 by TRUS
Gleason 4+4
Radical Prostatectomy Surgery October 12 2007
Nondetectable PSA December '07


bluebird
Veteran Member


Date Joined May 2006
Total Posts : 2542
   Posted 1/27/2008 9:49 AM (GMT -7)   

  cool Yea ~ Walt....

It's really good to hear from you and to know things are going well on the work front!!!  Shame on your employers... it will come back 2 fold on them ~ and rightfully so.  And to know life is even sweeter now makes one smile!  tongue

Please continue to exercise… it is really important!

We hope to hear good results in your challenge from above!! :)

Keeping you both tucked close in special friendship ~ Lee & Buddy

 

Helping to keep Walt's Journey together for future readers & members:

 

 

Threads started by: Walt *Same_as_u 

 

12-14-07  Sitting to standing incontinence solved

09-29-07  Name your poison

07-29-07  A complex profile – unfortunately

07-20-07  From Loma Linda to Surgery

06-23-07  Does anybody have an opinion to share about TomoTherapy?

06-19-07  The power of this site – a thank you note.

06-17-07  Does anybody have an opinion to share about Proton Radiation?

06-14-07  Any chance of Remission with Prostate cancer?

03-10-07  Three newbie questions about biopsy & reversing psa 

Group Hugs for Walt *same_as_u… WELCOME HOME!! started by bluebird

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