Stress incontinence

Archives1

Staff member
Does stress incontinence ever get better over time. I had rp 1year 5 months ago at age 76. Right now most days leak apx .6 onces , most days i average 4- 5 miles walking. When i do lot of bending over from sitting position i can feel spurts. Doc at last checkup said sling was an option, i dont want anymore surgerys. I can live with it if doesnt get any worse. Anyone have any experience with stress incontinence getting any better.
thanks
 
I am in the same boat. I am 70 and 4 years post op. Still with some leaking issues. In fact I see my urologist today. I would like to do without any additional surgery if possible. I will go back to more kegel exercises.
 
I would like to know myself.
I have noticed that if I eat sugar foods it gets much worse.
For me if I'm in a public or social setting it is almost never an issue but will spurt like mad when I do go to a toilet later.

Having been on NAFC long enough I realized there is no one solution to fix all who are under the same title.
From the posts here the sling seems to have been very effective with few if any complaints
 
My experience is similar to yours. My surgery was 4 1/2 years ago. Still leak...use a pad. I leak less than you, about the only difference.
 
Almost one year poet RP for me. Leaking was starting to decrease but had back surgery 3 months ago. Now leaking is back to 300-500ml/day. 3 to 5 extra absorbant pads. Need to do something but after two major surgeries in one year, I’m not keen for another.
 
I am almost 69yo and 2.5 years post Robotic RP with nerves spared one side. I was diligent with my pelvic exercises and after 12 months was 90% or so continent. But I couldn't get that last 5 - 10% of stress incontinence. It wasn't a huge amount, around 10 grams a day on average needing one pad. But like others I am also very active, walking my dog daily and spending a lot of time working in my vegetable garden,and I found the little involuntary squirts and still needing to wear a pad annoying.

I discussed with Urologist at my 18 month followup and he said he didn't expect it would improve any further without surgery and suggested a sling surgery. Prior to agreeing to the sling surgery I went back to the specialist pelvic physiotherapist and we tried some different exercises and exercise routines for a few months to see if I could beat it without needing surgery. But I wasn't able to achieve any worthwhile improvement.

So I have recently had the sling surgery 6 weeks ago on 13 December. I have had some issues with wound healing after an internal stitch popped and part of the wound opened, which is now almost finally healed. And I have had a nasty flu for the last 3 weeks. So between those issues I haven't been able to be very mobile and the constant coughing and sneezing hasn't helped with stress incontinence. I see the Urologist next Tuesday and will hopefully get the all clear to start being more active again and I can start getting back into my normal routines and assessing how effective the sling surgery has actually been.
 
Post RP FOR 6 years at 76. Before RP urologist scoffed that I worried about possible incontinence with, “What you! You’ll have no trouble” because I was in athletic condition for 70yrold. Of course 6 years later still needing 2 pads/day. No nighttime. The true wonder is remaining cancer free at <0.1. Still athletic, though a real challenge with incontinence. I have questioned stats on recovery status since year one post op. Docs and patients move, retire, die, etc., so who tracks post op patients. Where do stats come from - seem very unreliable. Meanwhile, we victims/survivors, take cold comfort that we’re alive and urologists are off the hook. That’s until they engage us in further procedures to lessen incontinence. I do believe the younger guys (before 60-65) will heal better and quicker than us older guys. Though lots of guys have had success with sling, AUS, many still need pad(s), reinstalls, replacements, removal. Most tolerate 4-7 months of scrotum post intervention procedure pain, hoping for dryness. There have been few and far between success stories of older guys who have won the battle with cancer incontinence, and ED. But I don’t think Kegels are the reason. BTW, there are lots of other pelvic floor exercises. Stay cancer free!
 
DouginOz
Please let us know how it goes, have not ruled out sling surgery but am reluctant to have it done.
 
I’ve posed this 4X before - anyone had or familiar with PROACT procedure? One forum guy said his urologist said stay away from it. So I asked if doc gave reasons to stay away. No response. It’s supposed to be quicker outpatient than AUS or sling, Medicare approved, cheaper, less invasive, easily reversed if necessary, minute incision, to install inflatable balloons on each side of former prostate location. Is it negated by urologists because it’s newer, untested, etc?
 
I had sling surgery im Oct. My leakage went from 6 to 10 Oz to 15 to. 26 Oz. Yhe doctor said there is no way to tell how the nerve react. Google it 25% of people that get sling surgery end up with over active bladder. A condition worse than incontinence. There is a new artifical spinkter coming on the market if the fda approves it
It is electronic there will be no valve and it adjusts to your needs so when you are active it will be more aggressive than when you are sitting
 
Okay - I am not a guy. I wear Depends night time all the time. As I have said before they are not great, but more affordable on Medicare than the better ones. Wearing a pull up - maybe I am being completely obtuse, but how do you guys measure in grams or ounces, what you leak? Do I weigh my Depends before use, and then after? What kind of scale do you use? ... Just wondering. - Pam
 
@Pammy53 yes, you weigh your pad before and after use. Only need to weigh a new one once so you know your starting weight. eg my pads weigh 12grams so I subtract that from the weight of a used pad to get the weight of fluid leaked. I just use a cheap kitchen digital scale that weighs up to 5kg.
 
You must log in or register to post here.
Back
Top