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