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Medical Forum / Diseases and Disorders / Prostate Cancer / February 2006

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incontinence, home experiment results so far

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judamd@aol.com - 07 Feb 2006 22:21 GMT
About two months ago I reported that I would try a kind of biofeedback
technique to see if my continued incontinence could be improved.  My
plan was to wear no pad between roughly dinner until the next morning.
During the five hours before bed I wore thick warmup pants and flannel
style boxer shorts to contain the drips.  Of course, any drip was
immediately felt as a cold trickle on my leg.  The idea was that if I
were alerted to the discomfort of every drip, maybe I would be more
sensitized to them and more importantly, anticipate them and fend them
off.

Well, after two months, I like to think there is some improvement
overall but it's hard to quantify.  First off, I'm experiencing fewer
cold trickles when padless, at least I hope there are fewer and not
that I am just getting used to them.  Secondly, it seems I have more
days when my pad is less than half full when I remove it although this
isn't easy to determine since I haven't recorded pad weight nor have I
kept track of what activities I participated in that day - I know
walking is the worst for me.  I now don't have to change to a second
pad more often than about once per week whereas at the beginning of
this regimen I was changing to a second pad perhaps every other day or
so although I never filled the second pad.

I have no idea if any of this is really working or if I'm a victim of
wishful thinking.  I had been noticing very slight improvement even at
2+ years post-op before I started this new routine so maybe what little
improvement I've experienced would have occured anyway.  My immediate
plan is to gradually extend the pad-free time although I'm a long way
from walking into the real world without protection.

I'll report again in another couple of months.

Still drippin' and hopin'
Dave Perry
Alex - 08 Feb 2006 04:25 GMT
> About two months ago I reported that I would try a kind of biofeedback
> technique to see if my continued incontinence could be improved.  My
[quoted text clipped - 29 lines]
> Still drippin' and hopin'
> Dave Perry

Dave,

There's a 2000 Lancet article (https://www.cebp.nl/media/m650.pdf) on a test
of biofeedback with two groups of post-RRP guys. About 50 got biofeedback
training, and about the same number did not.
At four months only 5% of the BF guys were still incontinent, versus 35% of
the control group. At a year it was still 5% (2 guys) for the BF group and
19% for the controls. There is some, but not a lot, of information on the BF
techniques used.

Alex
 
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