Posted 12/14/2007 8:09 PM (GMT -6)
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.