No sensation

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I'm not sure if this topic has been addressed previously, so I apologize if it has. If so, maybe someone could direct to the thread about this issue. Since my prostatectomy/diverticulotomy (14 months ago), I don't have much if any sensation in my penis when I pee. I wear a diaper most of the time, and there are times when I can't tell if I'm wet or not. Also, not necessarily related, I've been having more night time wetting. At one time, I could go days/nights and my diaper remained dry. Lately, however, I've had a wet diaper every night for over a week. Can incontinence be that inconsistent? I'm thinking I will always wear a diaper being afraid of what could happen.

 

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I can totally relate. I have MS and have a similar experience though I have sensations sexually in my penis, I can’t really tell when I’m peeing when I’m going to pee or when I’ve peed

 

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Hi- That makes sense that there is little sensation. I'm not a doctor, but a bioengineer and I study this. Peeing is a two-step process. The nerves tell the muscles around the bladder to contract, then -what's called the micturition reflex- the muscles holding the bladder closed (at the base of the urethra/penis) open. After prostatectomy, the muscles are weak at the base because it used to be the prostate partially doing the work. I just mean that nerves in the penis don't really come into play and if the urethral sphincter at the base isn't fully closed, you won't know when you are leaking. With night wetting- that is more urge incontinence that just happens as you get older.
We are working on a solution for this! Our first device is for women (elitone.com), but we have a DoD grant for men - so stay tuned!

 

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Hi elidah, Man if ever anyone needed an effective solution for
"Urge Incontinence" it is me.

If this solution ever comes to fruition, Please to let this thread know ASAP!

And Brother I will stay so-tuned in, and you can take that to
the Bank!

Thanks.

 

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I have had a couple of TURPs, the last one was 5 years AFTER I had radiation treatment for prostate cancer. I also have slow leakage of urine, and I agree with "elidah" that the problem is most likely a structural defect with the INTERNAL sphincter.

I have been doing kegels for about 6 months now, and have noticed an improvement is my continence, but I also know that kegels do nothing for your INTERNAL sphincter, so if it's defective I'll probably never get full resolution.

Good luck!

 

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Hicmulwee, how do I go about checking if I have a
"Structural defect" with the INTERNAL sphincter.

What is the test called?

Thanks.

 

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To scorpioman, the test that gives you some specific measurements of how your "plumbing" is working is a urodynamic test. I just had one done, but haven't had my review meeting with my urologist to discuss the outcome. A cystoscopy would also give your urologist some visual understanding of your urinary system.

Hope this helps!

 

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Howdy cmulwee, back in Dec. 2017 I had a choice of having a
TURP or Laser Prostate Surgery(LPS).I choose to have the LPS.
The surgery Post-op was going fairly normal.Then 4 days after surgery my Dr. says I have OAB. Now I have had Urge Incontinence
for approx. 6 months.

I briefly discussed with my Uro the possibility of having a scope
of my bladder done. I have put that off for now since I am currently undergoing PTNS treatments.

Thanks for the helpful info.

Good Luck to you Pal.