Incontinence getting worse

[denardis]

I’m 3 years post radical prostrate surgery. Had to radiation in 2023. Typically was using 3 to 4 pads daily. Have always been dry at night. UI getting worse - going thru 5 pads daily. I’m 77.
PSA has been climbing back up as well from .04 after operation to now .7 Wondering if rise in PSA has anything to do with increase in UI (?), but probably not, or could it just be UI getting worse because I’m getting older. Kegels never helped much for me. Comments ?

 

[Bobsyeruncle]

I'm confused. Your PSA was 0.04 after the surgery which was 3 years ago. Then you had salvage radiation in 2023 (I assume it was because your PSA rose to the point where it was determined you had a recurrence). Then after salvage radiation, your PSA is now 0.7? Are you on ADT?

My guess (as a layman) is your initial UI was due to the surgery. Then you had salvage radiation which can make your UI worse - and sometimes the side effects show up a year or more later. The increase UI may be due to the radiation's immediate/delayed side effects. Talk to your Dr (there are treatments that can help), and try Kegels again.

Hope this helps.