Hi all
I am 67 male and had a Prostatectomy end of May this year, here in Zurich/Switzerland. After 7 days and removal of catheter they sent me home, but after 2-3 days I developed Lymphoceles on both sides and had to go back to the hospital for another 7 days for drainage and punctuation. After being back home I started to fight my incontinence. 4-5 times a night I had to get up to go to the bathroom, daytime was better, sitting and lying I could and can hold for 4-5 hours. Walking was not possible for more then 5 minutes before I started leaking and losing control without strong contraction of the external sphincter. I had also difficulty and pain for 5-6 weeks when sitting on a chair, with pain of the perineum region. I started Physio with a pelvis therapist (A) and with another specialist (B) who has many years of incontinence therapy experience (without the 2 knowing of each other). I did and do with A pelvis exercises, weight lifting and body coordination training on a machine called "Sensopro" (
https://sensopro.swiss/), a super machine for pelvis and other body training which is also used here by top athletes (skiers, track and field athletes, soccer players, etc.). This helped me a lot and with therapist B I did mental training and she taught me that pelvis strength is important but it is also important to try to control the nerve signals and bladder "commands" which are inconsciously sent to the bladder. Also this helped a lot (speak to your bladder!!). I have at night now 1-2 pit-stops, daytime has imporved as well, most challenging still is standing and walking (leakage, while walking, starts after 15-20 minutes and feels uncomfortable.
My PSA after 3 months was under 0.1, so from this point of view I am happy for the time being.
I must say the incontinence, although I was made aware of this by my surgeon, who also asked me to look into radiation treatment, incontinence experience was much worse than I expected. 2 friends of mine had the surgery before I had it, and especially one of them advised me that his incontinence lasted only 3-4 weeks! It seems every patient is different and needs tailor-made treatment and not the standard treatment you can read up in the brochures.
My surgeon prescribed me Betmiga (mirabegron) after the first post-op check, but I decided I try to get back full control with Physio before using a drug (when you read the Betmiga leaflet you find a large amount of possible negative side-effects, like for instance urinary infection, atrial fibrillation [I had heart attack 5 years ago], etc.). I think there is a trread in this forum on Betmiga.
I think this is a great forum and I look forward to joining here very often. And many thanks to all of you sharing their personal experience!
I hope my post is at the right place, if not, postmaster pls move where it belongs to! Thanks!