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Medical Forum / Diseases and Disorders / Prostate Cancer / November 2006When does the faucet turn off?
It's been 11 weeks since prostatectomy and I'm not just leaking, I'm flowing at times. Every time I sit down, bend over, stand up, you know it's going to happen and it does..... I can't seem to stop the flow. Before surgery, I pee'd 3 or 4 times a day, including before bed and when I woke, but this is ridiculous. When I carry something, exert force, fart, sneeze, laugh..... the leakage happens. When, on average, could I expect this to slow and even stop? One person I spoke to, told me it was over 8 months. HELP! This is driving me crazy! : It's been 11 weeks since prostatectomy and I'm not : just leaking, I'm flowing at times. [quoted text clipped - 15 lines] : : HELP! This is driving me crazy! I can appreciate your concern. Most of us men here wear pads for several months and then we seem to learn (as the gals have learned since childhood) to apply the Kegel muscle for control. In short, when urinating intentionally, try as hard as you can to cut off the flow in mid-stream. The muscle you will be using is the Kegel (look it up) and in time it will come normally. For months in my case after surgery anything like bending, lifting, squatting, climbing -- all provoked spontaneous leaking. I know it seems like this condition will never stop, but it will, it will. Ken Bland Ken i am having the same problem as Justin. did Justin have both nerve bundles spared like i did? which surgery technique did he have? i am over 3 weeks since surgery, oct 31st, and am still struggling with it. i think i see some improvement since i seem to have something in my bladder to pee in the toilet, even after standing. it's not anywhere near perfect especially when i see uncontrollable dripping in the shower. i have to wear depends, not just pads. if i wore pads, my pants would be wet. i don't do the kegel while i am urinating. i did it initially to see what the muscles were but i now pee first in the toilet then do it. should i still be stopping my pee like you indicated? i focus on both sphincter muscles, the one at the tip and the one in the rear. should i foget about the one in the rear since it is supposed to be non functional? i'm embarassed to tell anyone about my incontenence since i imagine they will be sniffing when they are around me. i did not expect this to last so long. i have to change the depend when i go to movies and find the bathroom toilets unsanitary. it's really an inconvienence but it's better than the alternative. i also can't figure out how i am going to masterbate with this depend on. gary > : It's been 11 weeks since prostatectomy and I'm not > : just leaking, I'm flowing at times. [quoted text clipped - 29 lines] > > Ken Bland > i don't do the kegel while i am urinating. i did it initially to see > what the muscles were but i now pee first in the toilet then do it. > should i still be stopping my pee like you indicated? i focus on both > sphincter muscles, the one at the tip and the one in the rear. should > i foget about the one in the rear since it is supposed to be non > functional? I think they take the rear sphincter with the prostate. I'm not sure but I've been looking at pictures to figure out why I can't squirt semen like I used to. It looks like it's right up where they do the cutting. Can one of you surgery dry guys give Gary tips. I recall reading that some docs tell their patients to kegel before the surgery and then keep exercising and experimenting until they get it under control. I know that it can take time because I know a guy in real life who was in diapers for over 2 years. Some unfortunate guys never get dry and have a mechanical valve emplanted. As a rad-grad, I had the opposite problem. For rad, at the inflamation peak, which happens about a month after treatment, some guys have "stoppage". In extreme cases, they need to catheterize to go. I was lucky. At the worse, I was taking 2 Flomax a day and had a weak stream. -kh A little lesson in anatomy. There are originally three sphincters, one at the top between the bladder and prostate, one within the prostate itself, and one below the prostate. The first two are yanked in surgery leaving the one at the bottom. This is the one you do the Kegels with if you think they will be of use. Is it my imagination or has there been an unusually high number of guys recently whining about leaking anywhere from a few days to a few months post surgery. I know I'm supposed to be politically correct and offer support, blah, blah, blah, but as a leaker well over three years now, get over it. You'll probably dry up sometime in the next few months, almost certainly within a year. If you don't, so what? You put a pad on in the morning just like putting on your socks. Getting old ain't for sissies as they say. What are you going to do if something really bad happens? And now some guy wants to know how to masturbate with a pad on. Take the damn thing off and get your hand wet. Dave Perry > > i don't do the kegel while i am urinating. i did it initially to see > > what the muscles were but i now pee first in the toilet then do it. [quoted text clipped - 24 lines] > > -kh >..... I know I'm supposed to be politically correct and offer > support, blah, blah, blah, but as a leaker well over three years now, > get over it. .... And now some guy wants to know how to masturbate with a > pad on. Take the damn thing off and get your hand wet. It's not just PC. This diaper thing is a big deal for many guys. Maybe Depends can be a fashion statement, a 21st century version of the codpiece. As for the second part, google for "golden shower" for tips. -kh > i focus on both > sphincter muscles, the one at the tip and the one in the rear. should > i foget about the one in the rear since it is supposed to be non > functional? You DID get detailed Kegel instructions from your doc, right? If not, go pee on HIM and Google urinary incontinence here and on the net. There are many Kegel exercise regimens. > i'm embarassed to tell anyone about my incontenence since i imagine > they will be sniffing when they are around me. i did not expect this > to last so long. Again . . . what did your doc say? It can take weeks, months, or even longer to dump the diapers and switch to pads or go commando. My friends don't WANT to sniff around me, especially after having seen me twirl a heavy diaper around my finger as I walked towards the park dumpster last summer. > i have to change the depend when i go to movies and > find the bathroom toilets unsanitary. Office phones or keyboards or desktops have many times more germs on them than public toilet seats do. > i also can't figure out how i am > going to masterbate with this depend on. Take it all off, sit on the side of the tub with your feet in the tub, and raise hell. I.P. : Ken : i am having the same problem as Justin. [quoted text clipped - 20 lines] : going to masterbate with this depend on. : gary <Remainder snipped> I didn't intend to confuse you, Gary, but it appears that I have quite unintentionally done so. Justin Case and Ken Bland are one and the same person. I adopted Justin Case as my pseudonym solely as an eye-catcher; Ken Bland is my real, legal name. As for Kegel-ing, I recommend that you practice this each and every time you urinate. The best procedure, not available to you now but for those who will have this radical surgery at a later time, is to practice using the Kegel muscle long before it is necessary. I have not investigated this myself but I had a dentist friend tell me that a man's Kegel muscle is much longer than a woman's and can be used every bit as effectively as the women (who never had a prostate) to control urination. (Yeah, I know, even among the women there are occurrences of incontinence, often under the same circumstances that you and I describe.) Please exercise patience. We are all different but we have the same goals in mind. Remember Winston Churchill's advice to a classroom of students during WW II: "Never, never, never give up." (The records seem to support the fact that Churchill's speech was actually more like "Never...give in," but most people remember it otherwise.) Ken Bland aka Justin Case On November 24, Justin Case wrote, in pertinent part: (ka-snip) > Remember Winston Churchill's advice to a classroom of students > during WW II: "Never, never, never give up." > > (The records seem to support the fact that Churchill's speech was actually > more like "Never...give in," but most people remember it otherwise.) > I dunno about most people, but this is the history and correct quotation: "The speech was made 29 October 1941 to the boys at Churchill's old public [private] school, Harrow--not Oxford or Cambridge: 'Never give in--never, never, never, never, in nothing great or small, large or petty, never give in except to convictions of honour and good sense. Never yield to force; never yield to the apparently overwhelming might of the enemy.''' Source: The Churchill Centre http://www.winstonchurchill.org England (and the Commonwealth) had been defending itself against fascism for some two or three years at that point. America had yet to enter the war (note the date). I use the quotation from time to time when dealing with PCa. Regards, Steve J >It's been 11 weeks since prostatectomy and I'm not >just leaking, I'm flowing at times. > >Every time I sit down, bend over, stand up, you know >it's going to happen and it does..... I can't seem to >stop the flow. (snip) >HELP! This is driving me crazy! It's been 28 months for me. After 2 years, my original surgeon said that I would not improve, and the constant drip (and sometimes flow) was driving me nuts! I figured that the surgeon knew what he had cut - and knew something he didn't want to tell me. But I had a sphincter implant on Halloween. Monday the doc is going to activate the thing. I'll let you know. Charlie |
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