incontinence after radical prostate surgery

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Been 10 days since surgery. Uncatherized in 7 days. Up 4-5 times a nite with urges each time only short stream and dribbles.still feel urge. Frequentduring yhe day also. How Long Before This Starts To Ease Up?

 

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Could be some months. Everyone is different

 

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My surgery was 7 hours long, " open surgery " in Sep 2015.
Now I have good bladder control when sleeping or sitting down. My problem now is dribbles when standing up or walking . I understand it may take few more months.

 

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I'm cumming up on week 25 ,I have slight leakage during day,use usually two moderate pads, night is the problem with 4 or 5 trips to the john and lately 3 Tena level 3 pads one usually soaked , I think I may be looking at a year or so. But so far I'm still alive.

 

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Oh, how nice for the replies. Great to hear from people whom have been there. Yes Alanta your right on, everyone is different. Starshine, I too get up 4 to 5 times but I get urges so I go right away it seems to minimize leakeage to dribbles. Ive been doing Kegels since 8 wks prior to surgery. My thing are like mhsaha, walking, standing, bending any stress. I,m 66 yr old.

 

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I guess I'm a member of the club. I did the Kegels until my eyes crossed but a couple years later I still use Pads. The leakage has been rather "random" My Uro person (A very smart PA lady) has concluded that I don't fully empty the bladder and so I'm cathing which in the short time I've done it seems to have come close to solving the leakage. *Nothing much to leak I guess? Anyhow talked to a lot of guys that had no leakage post op. My surgery had a bad glitch (Had to go right back in for a do over for bleeding in the gut OUCH!) so maybe the nerves around the bladder or? got a bit more chopped on then normally happens. Anyhow, I'm happy to be rid of the cancer (Thank God!) I got used to cathing before they removed the prostate so its not a huge issue to go back to doing it. And it feels different (better) to be able to fully empty my bladder. *And I really like that the Coloplast people came out with the small caths that don't require embarrassing explanations.

 

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I thought I would post a follow up message. Things are still going well. The cathing still seems like it was a good choice and I've gotten used to doing it *And it (or rather I) goes fast. The benefit of having an empty bladder before going to sleep is not having either to wake up in the predawn hours or have it be a panic level run to the bathroom if I manage to sleep with an uncomfortably full bladder.

 

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I'm 74 and its been 34 weeks since robotic prostectomy,with some setbacks ,overall I think things are improving, still wear a moderate pad in the day with little to no leakage except when stressing over whatever. At night I wear a heavy tena pad and go most times the whole night and some nights fill the pad up and have to change it. sometimes i overflow at night but , not lately. i still keep a urine proof pad to put down on the bed sheet handy and have used it on occasion. I want to travel to new england to visit my grand kids and am concerned about dealing with hotels travel and what to bring and what ifs , got a fair size vehicle so I'll just bring my pads along......psa is next to zero and I'm alive. Still yearn for the sex life I once had.....that kind of depresses me. But! I'm still alive!!!!

 

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If the heavy Tena pads aren't enough to get you through the night you might want to check out the condom catheter. If nothing else you don't have to get up and you won't have to deal with wet skin. It might be doable for the day as well.

As to the sex life problems. Is it just urine during sex or at climax? I posted some stuff on a different thread that might be of interest.

 

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Hello,
This is my first post on any blog. Trying to research for my father. Little history...had radical prostatectomy years ago and actually had only very mild symptoms of incontinence until recent. Had some radiation therapy after and since nothing until 3 yrs ago when he had hematuria and found out had a small benign tumor as a result of radiation. Had to have removed in order to get path report. Since then, has had total incontinence. Had tried some pharmacological meds but stopped working after a while. Myrbetrig, oxybuyinin, etc. Tried penile clamp, no luck. Pads are filling constantly. He's not willing to try surgical options as he has had bad experiences with too many in the past and none are a guarantee. Any suggestions, hopes, trials? Desperate to find him some help. He's an active guy and I see it really has him down. Thanks for reading!

 

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Sorry to hear about your dad having problems. This is all difficult stuff to handle because of the embarassment factor.

I (Totally) understand his reluctance to go under the knife again. That was one of the options I heard about but my Uro person saw my reaction and cut the instructional lecture short. One thing you didn't mention that would keep him dry and not have to keep changing pads is to use a condom catheter. I tried this and I think if my current solution didn't work as well as it does this would be my second choice.

I would have him ask his Urologist if he could go in to learn how that works and possibly get samples (If Available) or at least a prescription so he can ask for some samples from the manufacturer. I would get a variety of sizes because the size is important so its comfortable and works right. If he does give it a shot make sure to tell him I think he should give it a long enough trial before he gives it a thumbs up or down. All of this stuff. Cathing or whatever seems to become easier and less "weird" with practice.

Here is a link that talks about how this works and how it differs from using pads and absorbents. The Conveen is the one I tried and would say its a good one worth trying.

Try Conveen today! Offering reliable protection from minor dribbling to heavier leakage. - Coloplast US

Try Conveen today! Male external catheter-and-bag incontinence solutions offering reliable protection

www.coloplast.us

They have a link for samples but I think you still need a prescription.

Other outfits I've heard of are Hollister, Urocare, Covidien Dover, Rusch. *And probably plenty more that I have not heard of.

 

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Just came back from U of F Proton therapy Treatment facility in Jacksonville , Fla . for treatment following prostatectomy. Urinary incontinence is about the same but stream much better. I am struggling with my sugar addiction and diabetes. if I behave and watch my diet I can sleep through the night without waking to urinate and satisfy my thirst. However I wake in the morning with a soaked pad [ using Tena super level 3 pads ] if going away to a friends I sometimes will add a booster pad like "reassure" moderate pads and or sleep on a waterproof bed pad [ washable type ] sometimes I use "Abriman pads " , can not find these in stores so get direct or from TVIS . One or two Tena" moderate" pads last the day. Urge has become mor extreme lately { post proton tx } when i have to , I need to move fast , when driving stop often or have a problem even with pad , maybe switch to heavier pad when traveling and always carry an extra. No body promised me a rose garden , life's really pretty darn good.