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Medical Forum / Diseases and Disorders / Prostate Cancer / August 2005Incontinence Observation.
Do any of you experience a sudden urgent need to urinate? I do not mean that you just pee a large quantity, but rather that you get an urgent need to go. When I get up at night I dump 500 ml or more, but there is no "urgent" sense to go. This happens to me on occasion but not very often. When it did happen yesterday I observed that I had no trouble holding my water until I got to the bathroom. As I was relieving myself I began to wonder about how is it that I can hold back the tide but leak all day when there is no sense of urgency? It seems to be contradictory to me. I am using 1-3 pads per day. Sometimes one. Sometimes more for no apparent reason. I am two years post RRP. Thoughts? Yep, same here. In fact I rarely "have to go" as I did in the old days. Occasionally I'll know I have a full bladder (as when I get up in the morning) but the sensation is different than it used to be. I also sometimes get this same sensation when the bladder is only half full or less. Usually, however, I get no sensation at all, full or empty and I have to remind myself to go to the bathroom regularly otherwise I will just leak it all into the pad. Maybe that's why I still wear a pad. If I went to the can every two hours I probably would be able to get by all day with only a few drips in my pants and no pad. Holding steady by the way at one pad per day, maybe a bit less. I think I see some little improvement even at two years. Still hopeful. Dave Perry Yep, same here. In fact I rarely "have to go" as I did in the old days. Occasionally I'll know I have a full bladder (as when I get up in the morning) but the sensation is different than it used to be. I also sometimes get this same sensation when the bladder is only half full or less. Usually, however, I get no sensation at all, full or empty and I have to remind myself to go to the bathroom regularly otherwise I will just leak it all into the pad. Maybe that's why I still wear a pad. If I went to the can every two hours I probably would be able to get by all day with only a few drips in my pants and no pad. Holding steady by the way at one pad per day, maybe a bit less. I think I see some little improvement even at two years. Still hopeful. Dave Perry Same with me. I'm convinced it is caused by damaged nerves resutling in less auto control of the sphincter. The sphincter just releases when it wants, in an irratic fashion. Before my bladder neck resection procedure a month ago I was amazed at how little, if at all, I could feel myself urinating (I had to look down to see there was a stream or no). After the procedure it seems I have more nerves around the bladder neck, etc. sensing urine/flow, but it remains to be seen if this will improve continence. As expected, with the opening up of the bladder neck I have some increase in incontinence, but I still have pain in the urethra+perineum area. Perhaps when that settles down good things may happen, or I will get an AMS 800. |
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