Prostate Surgery

Kirk said:
True, caffeine can cause you to leak more. I try to limit myself to 1 cup in the morning and that’s it.

Yes, viagra gives a little blood flow but not an erection for sex. They say it takes longer than a year. I think being worried about leaking affects your psyche. I am waiting until I get to about 8 months before trying again. Viagra is so expensive
 
Marlondb, I don't know for sure if I do kegels right. But when I pee, constricting down below will stop the stream. I can only assume that means I've been doing something correct. Overall, my leakage keeps reducing so something is going right down there. But I can't say if the improvement is from kegels, exercise or just time. I ride a stationary cycle. Been doing that for years to help my diabetes. I didn't ride for 3 or 4 months after surgery. When I started again it was like starting from scratch. And leakage was a problem while pedaling. I upped my routine about two months ago. I increased my cycling from 5 days a week and pushing for an hour on the bike to 7 days a week and less emphasis on the time. I shoot for a minimum of 35 minutes. I've found that I rarely do just 35 minutes. I've seen benefits. I leak less and I've finally started dropping the 10+ pounds I put on after surgery...down about 5 pounds so far. This is definitely helping my psyche. I'm just guessing, but I think all three have had a positive impact on my recovery process.
 
Ok, I will try to answer the above. Im 72 and could get erection and completion at day 22 tho it wasnt pretty(a lot of urine in it). Manual of you know what I mean. The doc put me on 60mg generic viagra daily for 4 weeks due to anecdotal info that it may incrrase blood flow in a positive way so erections could occur down the road. This wasnt due to the effect of the drug on the penis directly, but rather to lay a vascular framework for fown the road.
He svripted me generic thru GoodRx and I think you get initial coupon from their site. He has me on 100mg evrry 3 day and it cost me $4 for 6 tabs. Fill them at WallyWorld using GoodRx
My doc said kegels dont help but I do some anyway. Im positive they help when I contract them on rising and it allows me to get to bathroom. But just walking around they dont help me. I will continue them in a half ass way.
 
I found going to a physical therapist specializing in pelvic muscle exercises was very helpful. Find the best one you can. Ask your surgeon to the best one and get a script for it. I'm 74, had surgery end of Jan 2019. Now I'm in 3-4 (includes one at night) thin pads each 24 hr period. Improving slowly. The pelvic muscle exercises and kegels definitely have helped me. Being active has helped me as well like doing a lot of yard work. I think it has kept my mind off the leaking and spurting. So there is a psychological aspect to this as I have observed. My PT turned me on to the connection of mind to body and the importance of this psychological aspect. She told me, while at home, even if you think you're not quite ready, start to transition from the pull-up diaper to a thick pad, like in the morning/early afternoon when I'm not leaking a lot. ... all to build my confidence. For me it's this technique has worked (of course along with the physical exercises). Then while at home I took the chance of wearing the thin pads on occasion. And that has played out well. Now just in thin pads but some days are better than others. I've detected that slowly my bladder is able to hold more urine before I need to pee. In the late afternoon and early evening when I tend to flow more I do a lot of sitting in a chair or recliner (with a laptop or magazine). These positions stop the urine flow so I can plan emptying my bladder at the toilet when I want. I've cut out wine, beer and coffee which I'm sure helped. Since I'm retired, I have been using the 1 hour "sitting to cut off urine flow", off and on strategically. Then getting up and emptying my bladder, then walking around or doing chores, then sitting down for a while. I don't know if this is part of a "legal" recovery or not but it works for me. Makes me feel I'm in control and builds my confidence. I hope this helps information helps you out.
 
Thanks Teddy. Lots of good info. I have a feeling I have been a bit too inactive and am going to follow a walking and biking plan.
 
Yes Teddy, good info. I do some of that timing thing after morning void and before bed, then i get good emptying which means my bladder is able to contract.
This post op situation is a case of drawing a line in the sand then doing what you need to do to anticipate. I hope to eventually draw that line farther away from me
 
I'm 68, used to walking/climbing stairs every day. Had a radical prostatectomy early January, still leaking, but down from 2 pull-ups + 3 Depend guards per day to no pull-ups (cloth jockey shorts), one guard for daytime, one shield for sleeping. Discontinued wearing pull-ups after about 10 weeks. Around the same time I started systematic Kegels - several sets per day (after weeks of random occasional Kegels) and leakage diminished noticeably overnight. If I do too many K's the area feels tender so I cut back on them for a day. Also, for the first several weeks I pooped a little almost every time I peed. That also stopped about a month ago. The two are of course controlled by the same muscle.
 
Alcohol blocks the anti-diuertic hormone which means you are going to make more urine. More urine means more stress on bladder. It has to go somewhere
 
I would think it best you quit altogether for a couple of weeks...alcohol, soft drinks and caffiene. Then gradualy add back your most necessary drink until you notice a change. You will enjoy success better than the alcohol
 
Marlondb said:
so do you think I should just quite all together or just fewer drinks?
Marlon,
I quit alcohol cold turkey and never went back. I do have one cup of coffee each day and a carbonated soda.
 
Doug said:
Ok, I will try to answer the above. Im 72 and could get erection and completion at day 22 tho it wasnt pretty(a lot of urine in it). Manual of you know what I mean. The doc put me on 60mg generic viagra daily for 4 weeks due to anecdotal info that it may incrrase blood flow in a positive way so erections could occur down the road. This wasnt due to the effect of the drug on the penis directly, but rather to lay a vascular framework for fown the road.
He svripted me generic thru GoodRx and I think you get initial coupon from their site. He has me on 100mg evrry 3 day and it cost me $4 for 6 tabs. Fill them at WallyWorld using GoodRx
My doc said kegels dont help but I do some anyway. Im positive they help when I contract them on rising and it allows me to get to bathroom. But just walking around they dont help me. I will continue them in a half ass way.
 
The same to me is what I learned on the playground. It completed the transaction so you can call it anything you want
 
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