Urinary incontinence after vasectomy

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Urinary incontinence after vasectomy about 3 years ago: Mine is mostly occasional nighttime bed wetting, but I can't hold forever during the day anymore either. Symptoms seemed to start after the vasectomy. I also have less quick arousal during sex, and sometimes when I orgasm, I feel a burning pain in the medial inner part of my upper left leg. I am in very good condition and lift weights and do significant multi-angle abdominal work - it is not for need of a strong pelvic floor, but perhaps due to less sensitivity. I don't feel the urine stream when I urinate very much. Which, is probably why I often don't get woken up at night with an urge - the urge and feeling may be too weak? Nerve damage/changes due to the vasectomy?? I do drink too much caffeinated diet soft drinks and cutting back helps - my body seems thirsty (no diabetes) and likes the fluid flow. Otherwise, I have great health for my age 60+ (I still ski black diamonds, etc.). I do take medication to help me sleep - another significant factor (Trazadone 100mg, Ropinirole 3mg and Melatonin 6mg) - and, yes, that messes with sensitivity at night and ability to wake... So, perhaps a perfect storm of factors. Or, just part of getting older??
Anyone else?? Thank you to everyone for sharing their experiences and good ideas.

 

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When I take Trazadone, I’m more likely to wet a diaper, but I’m actually really grateful for that opportunity, because if I can, I’d rather sleep through my typical nocturia awakenings to pee every 5-60 minutes (sucks!). Takes me 300-400 mg of Trazzie to get into that deep of a sleep.

Most of your symptoms, except the pain in your leg, sound common for men your age. I haven’t heard of many complications from vasectomies, but I’m sure they do happen! I recommend seeing a urologist to make sure everything is okay.

 

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I never had a vasectomy, but I do know that carbonated beverages make me urinate more often than plain water. Also, caffeinated beverages keep me awake at night. Two good reasons why my favorite drink is water. Ice water on these hot days!

 

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Water, soup, yogurt, etc. - any liquid after 6:00 p.m. - makes me pee more during sleep. So does sugar, like from a dessert. Carbonation doesn’t make a difference for me one way or the other. I don’t drink caffeine after 6:00 p.m., definitely nothing strong like coffee after 12:00 p.m. - I keep it to early morning only. Caffeine in soda doesn’t affect me much.

 

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Thank you for the candid replies and additions everyone. I had stared taking the sleeping aids 1-2 years before the vasectomy and before I started having the bed wetting problem. My Doctor asked me - were you drunk?, when I had bed wet my first few times and reported it to him - I don't hardly ever drink, but we agreed the sleeping aids would have that affect of less control/odd sleep/less sensitivity just like a drunk person might experience. I should have noted that to you before.
For the "sometimes when I orgasm, I feel a burning pain in the medial inner part of my upper left leg" - it is mostly during intercourse when I am on my right hip, in spooning intercourse - and it definitely happened after the vasectomy. So, I suspect nerve damage. I have also experiences sciatica-based nerve damage in my back (prior to vasectomy I think??) and had leg numbness while standing/walking, but I fixed that by physical therapy and the technique of "leg flossing" to de-sensitize the nerve.
I'm less sensitive after the vasectomy as noted - as in, I don't have any challenge avoiding pre-ejaculation during sex, and sometimes, it takes a long time to orgasm, or on occasion, I don't orgasm - which could partially due to just being older.
When staying somewhere other than home, I follow all of the rules you all noted above and de-hydrate myself to avoid the issue.
Un-related I think - I have biopsy-confirmed Celiac's disease (gluten intolerance) (Ref: University of Chicago), lactose intolerance and FODMAPS intolerance (Ref: Stanford University) and follow strict diets for those topics.
Otherwise, I can not complain - I have great health for my age.

 

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@GeorgeF Back injury past or present absolutely contributes to incontinence. Many of us on here had our incontinence begin after a significant back injury or spinal cord injury. I fell down a cliff, and within two weeks (it takes nerves a while to die), suddenly had every kind of urinary incontinence, spasms, severe nocturia, bedwetting, etc. Physical therapy never cures a back injury; it just teaches you how to better manage the symptoms. Your back is still injured. I would see a urologist and a back orthopedist like a physiatrist. The urologist may refer you to a neurologist to get to the bottom of the pain during sex. That position may be pinching an artery (there is one in the location you’re describing) and they might even want you to see a cardiologist about why that’s happening.

As for sex, my experience as a woman with sex is that the older a man is, the fewer and less intense the orgasms and sensation, and definitely the floppier the erection - all of which is to say, you’re on track for your age, and I wouldn’t fret about those changes. Women get dry, floppy inside if they’ve had kids, and most experience some form of prolapse by the end of our lives. Aging sucks, with the exception of the increased wisdom and tolerance that comes with it. I think if you’re having sex at your age at all, count your blessings - I don’t think most are.

Hope this helps.