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

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physiologically speaking...

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mountainguy1958 - 21 Dec 2006 01:12 GMT
Why is it that every time I pass gas I leak urine? My colon and my
urethra are separate pipes. Is there shared musculature?

I had RRP surgery a little over a month ago. Continence is improving,
with this notable exception. I walked around the house today for about
two hours in my bathrobe and slippers with no pad or underpants,
without a drop of leakage, except when I farted (which I tried not to
do).

Others must have had this experience too, I would imagine. Anyone?
I.P. Freely - 21 Dec 2006 01:55 GMT
> Why is it that every time I pass gas I leak urine? My colon and my
> urethra are separate pipes. Is there shared musculature?

Yes. You practice your Kegels by constricting the same muscles with
which you stem the escape of gas (or worse).

I.P.
c palmer - 21 Dec 2006 03:39 GMT
From: mountainguy1958@gmail.com (mountainguy1958)
Why is it that every time I pass gas I leak urine? My colon and my
urethra are separate pipes. Is there shared musculature?

=======> it's called "stress continence"

when you bear down to grunt, you are going to leak right now.  an
example, would be to pick up something heavy off the ground.

when you tighten the ab muscle, it applies pressure to the lower abdomen
and of course, the bladder.   this puts pressure on the newly installed
bladder valve that you are training and it will push urine pass the
valve and cause you to leak.

~ curtis

knowledge is power - growing old is mandatory - growing wise is optional    
"Many more men die with prostate cancer than of it. Growing old is
invariably fatal. Prostate cancer is only sometimes so."
http://community.webtv.net/PALMER_ENT/doc
Steve Kramer - 21 Dec 2006 10:53 GMT
> Why is it that every time I pass gas I leak urine? My colon and my
> urethra are separate pipes. Is there shared musculature?
[quoted text clipped - 6 lines]
>
> Others must have had this experience too, I would imagine. Anyone?

I have that problem, too; still after six years.  It's cost me many a good
farting contest.

The issue is the same group of muscles are involved as are involved in
pushing urine out of your bladder.

Signature

PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA  .1  .1  .1  .27  .37  .75
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32
Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05, 5/05, 10/05,
2/06, 6/06
PSA  .07 .05 .06 .09 .08 .132 .145
Casodex added daily 07/06
PSA <0.04
Non Illegitimi Carborundum

mountainguy1958 - 21 Dec 2006 11:44 GMT
Thanks Steve et al.

I guess there's nothing to do about it but continue what I'm doing.

Steve, I was reading your signature and couldn't figure out the third
line. What doeis "N0M0" signify prior to the mention of negative
margins?

> > Others must have had this experience too, I would imagine. Anyone?
> > I have that problem, too; still after six years.  It's cost me many a good farting contest.
[quoted text clipped - 15 lines]
> PSA <0.04
> Non Illegitimi Carborundum
Steve Kramer - 21 Dec 2006 23:13 GMT
> Thanks Steve et al.
>
[quoted text clipped - 3 lines]
> line. What doeis "N0M0" signify prior to the mention of negative
> margins?

Good question!  I'm not sure I've seen it explained here.

There are two staging methods:  The Whitmore-Jewett staging classification
and TNM (tumor, nodes, metastases).  The latter was developed by the
American Joint Committee on Cancer and the International Union Against
Cancer.  I have very rarely seen anyone express their stage in the older
Whitmore-Jewett classification.

So, the TNM classifies the state of one's cancer as it affects tumor (in the
prostate), lymph nodes and remote metastases.  My T (not to be confused with
testosterone) was originally diagnosed, actually predicted, to be 2c which
merely means it involved both lobes but was not expected to be outside the
prostate.  My N (lymph nodes) were obviously predicted to be 0 (zero), i.e.,
no involvement.  Furthermore, I was not expected to have remote metastases,
ergo, my M was also 0.

When they drilled into my belly, plucked my prostate and sliced and diced
it, they also grabbed a lymph sampling.  They found that the cancer had
actually extended through the prostate capsule, which would have been a 3.
If it had just done so, it would have been a 3a.  If it had done so
bilaterally, it would have been a 3b.  But, it was found in my seminal
vesicles, which is a 3c.  However, nothing was found in my lymph notes and
there was no indication of remote metastases.  So, T=3c, N=0, and M=0
(T3cN0M0).

N1 is a met in a single lymph node.  If I had one, I would be T3cN1M0.  N2
is a met between 2 cm and 5 cm.  N3 is bigger.  M1 is distant mets.  M1a is
nonregional lymph nodes.  M1b mets in bones.  M1c is mets in other sites.

I don't remember your post op biopsy report, but with the numbers you went
in with, I suspect you were Maybe a T1bN0M0.  It'll be on your doctor's
report if you don't have a copy.

Signature

PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA  .1  .1  .1  .27  .37  .75
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32
Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05, 5/05, 10/05,
2/06, 6/06
PSA  .07 .05 .06 .09 .08 .132 .145
Casodex added daily 07/06
PSA <0.04
Non Illegitimi Carborundum

Buttercup's Dad - 21 Dec 2006 13:20 GMT
Do not know why, but I leak urine when passing gas.

> Why is it that every time I pass gas I leak urine? My colon and my
> urethra are separate pipes. Is there shared musculature?
[quoted text clipped - 6 lines]
>
> Others must have had this experience too, I would imagine. Anyone?
I.P. Freely - 21 Dec 2006 20:55 GMT
I could pass gas while holding my urine within days of getting rid of my
catheter just by concentrating on relaxing my anal sphincter juuuuust
enough to let gas pressure take care of business without the urine
sphincter relaxing too much (gas exerts its own pressure inside the
colon, and the bladder is a muscle which exerts ITS own pressure). I
could sneeze or cough without leaking right out of the catheter, too.
Now if I could just stop dribbling the REST of the time after 26 months,
I might actually dry up some day.

Each surgery and each anatomy has its own behavior.

I.P.
Eddiegr - 22 Dec 2006 00:07 GMT
> Why is it that every time I pass gas I leak urine? My colon and my
> urethra are separate pipes. Is there shared musculature?
[quoted text clipped - 6 lines]
>
> Others must have had this experience too, I would imagine. Anyone?

I'm not sure why you like to wander around without a pad or underpants,
but
I have similar leakage  problems. There's a simple solution to prevent
most of this type of leakage.
Press hard on your penis (through the pad) while you fart. You'll find
that this will stop most leakage.
Ed
mountainguy1958 - 22 Dec 2006 00:41 GMT
I wanted to see how I would do, and I did fine for the couple of hours
that I attempted. Having no pad increased my body awareness.  I was
able to exercise enough muscular control to avoid losing a drop. I had
a terrycloth bathrobe on, so a small spill wouldn't have gone anywhere
but into he fabric, but even that didn't happen. I know I'd never make
it through the day, at least at this point, with my mind and body
focused on ordinary tasks. If I'm lucky, and keep up the Kegels, maybe
one day I'll re-learn enough muscle control around the bladder to stay
dry without concentrating on it.

> I'm not sure why you like to wander around without a pad or underpants,
> but I have similar leakage  problems. There's a simple solution to prevent
[quoted text clipped - 3 lines]
> that this will stop most leakage.
> Ed
chasjac - 22 Dec 2006 00:39 GMT
> Why is it that every time I pass gas I leak urine? My colon and my
> urethra are separate pipes. Is there shared musculature?
[snip]
> Others must have had this experience too, I would imagine. Anyone?

I sure have.  You and I are in the same cohort, as we had our surgeries
more or less at the same time.  I leak when I fart, sneeze, cough,  or
laugh.  After an hour of Comedy Central, I'm ready to change my pad.
:-)

My Kegel exercise instructions state that if I feel like I'm trying to
avoid passing gas, then I have found the correct muscles to flex,
provided I'm not tightening up my butt, legs, or stomach muscles.

I wonder about applying pressure to my penis to stop a leak.  I'd hate
to develop a habit of touching myself to control leakage.
mountainguy1958 - 22 Dec 2006 01:10 GMT
Some things that work in private don't go over well in public.

Tying it in a knot might be an option.  :-)

[snip]

> I wonder about applying pressure to my penis to stop a leak.  I'd hate
> to develop a habit of touching myself to control leakage.
 
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