In three weeks my husband, who underwent RRP yesterday, will have his
catheter removed and begin his quest for urinary continence.  This could
be difficult for him to achieve as his bladder muscle tone is poor,
capacity is limited and urinary urgency is already present due to many
years of BPH.
.
During my years of teaching I have learned to make tasks easier to
accomplish by breaking them down into specific goals to be met through a
series of small steps.  I would like to devise a program that will
enable him to meet small measurable criteria and prevent him from
becoming discouraged because of unrealistic expectations.
.
I'm hoping to use Dr. Walsh's phases as a framework:
.
Phase 1:  Remain dry when lying down
.
Phase 2:  Remain dry when walking around
.
Phase 3: you are dry when you stand up after sitting
-----------
I hope to incorporate timed voids, as often as necessary,  to maintain
low bladder volume and pressure.  Exercises for strengthening and
controlling the remaining sphincter would also be included in the
program.
-----------
I would appreciate any suggestions from group members who have "been
there and done that" in developing these small, hopefully achieveable
steps.  Thank you in advance for your help...Leah