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Medical Forum / Diseases and Disorders / Prostate Cancer / January 2007leakage during intercourse
i had RLRP on oct 31st and have been using viagra daily. i masterbate daily with my wet noodle. i still wear a pad for some minor incontinence leakage when i make a motion or laugh or something. usually it occurs in the evening, probably when the muscle is more fatigued or the bladder is full. it also happens when i masterbate with my wet noodle. should i expect leakage when i am able to have an erection. i am planning to do the injection to get an erection and then have intercourse. isn't leakage prevented during intercourse? i don't recall being able to pee with an erection. if that does happen, would a profolactic be useful? gary I had RLRP on 9/18/06. No more leakage, or pads needed. However, I also get leakage during beating off while standing, 80% erection. Intercourse with Viagra, laying down, causes no leakage. I suspect if you are laying down, you may prevent leakage, even if beating off. Try it and let us know, LOL. I don't think erection will prevent leakage, until the remaining sphincter gets stronger. I plan to ask the doc about this in a few days. A rubber will only hold so much volume, so I guess it depends how much you leak as to your question. >i had RLRP on oct 31st and have been using viagra daily. >i masterbate daily with my wet noodle. [quoted text clipped - 8 lines] >if that does happen, would a profolactic be useful? >gary RML i am impressed that you have no leakage 3 mths after surgery. it gives me hope. how soon after surgery were you able to disscard the pad and how old are you? how often did you do the kegels? it does make sense that there shouldn't be any leakage with masterbation or intercourse laying down. has anyone else in the chat room had that laying down experience even though they wear a pad for leakage? gary u > I had RLRP on 9/18/06. No more leakage, or pads needed. However, I > also get leakage during beating off while standing, 80% erection. [quoted text clipped - 19 lines] > >if that does happen, would a profolactic be useful? > >gary I am 54. I went from pads to panty liners at about the last 3 weeks of the 3 month leakage period, then to no protection at 3 months (from cath removal). I started kegels a month prior to surgery, and am still doing them 1x/day at about 10, 10 second hold reps. Prior to that regimen, I was doing same number but 3 times/day. I am now having no stress leakage or leakage even when I jog. BTW...the Kotex light day extra coverage pads are about the largest, and I used 2 at a time, side by side. >RML >i am impressed that you have no leakage 3 mths after surgery. it gives [quoted text clipped - 7 lines] >gary >u > RML > i am impressed that you have no leakage 3 mths after surgery. it gives > me hope. It's not unusual, Spouse had no leakage after having the catheter out, shortly after discharge from hospital. Must have been less than three weeks after surgery. Mary Is your contention that this is not unusual based solely on my experience and that of your husband's (a shot from the hip), or are you aware of some scientific data that supports what you say? If so, please share the data that indicates it is *usual* to gain continence 3 months after prostatectomy. I think many would be encouraged to read it. >> RML >> i am impressed that you have no leakage 3 mths after surgery. it gives [quoted text clipped - 5 lines] > >Mary > Is your contention that this is not unusual based solely on my > experience and that of your husband's (a shot from the hip), or are [quoted text clipped - 3 lines] > continence 3 months after prostatectomy. I think many would be > encouraged to read it. Seems to me she was citing anecdotal information as she only referred to her husband's situation. I can add one more to those stats<g> as I was all but completely dry (save for a rare "stress spurt") in < 3months. All depends on a multitude of factors including physical condition, skill of surgeon, what your lifestyle (post-op) is, what sort of "rehab" you do on your own (Kegels, etc) A friend who joined this club of ours and had his RRP by the same skilled surgeon didn't fare as well as I did but kept at it until he dried out. In answer to your question about data, however, I'm sure there is a body of data out there that generally indicates continence/incontinence post-op but when dealing with this beast (PCa) you quickly come to the realization - or should - that the only statistics that matter are your own. i.e., put 150 men in a room and weigh them. The average weight comes up as 187 lbs. Now just how many men do you figure are going to tip the scales at 187 lbs? Not much different than saying only 1 man in twenty will suffer from PCa (not a valid cite, just pulled out of the air). Not bad odds unless you happen to be the guy who "wins" the DX<g> >>> RML >>> i am impressed that you have no leakage 3 mths after surgery. it gives [quoted text clipped - 4 lines] >> >> Mary > the only statistics that matter are your own. True AFTER treatment. But when CHOOSING treatment, large-study stats are invaluable because we never know our own stats for many years to come (you HOPE), and until then the only stats we have are from those who preceded us. I.P. > Is your contention that this is not unusual based solely on my > experience and that of your husband's (a shot from the hip), or are [quoted text clipped - 3 lines] > continence 3 months after prostatectomy. I think many would be > encouraged to read it. According to Walsh in his book, studies done at Hopkins on RP patients showed that half the men regained continence by three months, 80 percent at six montsh and and over 90 percent by one year. Continence was defined as not needing to wear pads. He notes that some men continue to wear pads even if they have only minor leakage, but they are still considered incontinent. Scardino says that 75 percent of his patients are dry enough to stop using pads by six weeks, and at one year only 1 percent have neough trouble to warrant further treatment. Of course, the skill of the surgeon plays a role in how quickly a man will stop being incontinent, so it pays to choose a surgeons who has good statistics in this regard. On the other hand, men who have had serious problems with BPH before surgery may have a harder time regaining continence after surgery. >>> RML >>> i am impressed that you have no leakage 3 mths after surgery. it gives [quoted text clipped - 4 lines] >> >> Mary >> RML >> i am impressed that you have no leakage 3 mths after surgery. it gives [quoted text clipped - 5 lines] > > Mary It's certainly not unusual to gain complete control in that time period Mary, but my experience tells me that the majority may take up 6 months to a year.  SignatureJK Sinrod www.SinrodStudios.com www.MyConeyIslandMemories.com > i had RLRP on oct 31st and have been using viagra daily. > i masterbate daily with my wet noodle. [quoted text clipped - 5 lines] > injection to get an erection and then have intercourse. isn't leakage > prevented during intercourse? To some extent, but there may be some leakage when you have an orgasm. I did early on, but with time the problem got a lot better and eventually disappeared. It didn't ever bother my wife. She just took a bath afterwards, which she always did anyway. Remember that it is unlikely that, over the course of many years of sex with the same partner, you have never had some urine mixed in with the seminal fluid. Urine is sterile unless you have a bladder infection. They used to use fresh urine on battlefields to sterilize wounds. My advice is to empty your bladder before you begin and then forget about it. i don't recall being able to pee with an > erection. > if that does happen, would a profolactic be useful? As I noted, there is no danger from the urine. If there is a problem, it is in your head and/or that of your partner. > gary > My advice is to empty your bladder before you begin and then forget > about it. My advice is to try it first solo while lying down, but only with a towel in place or in the tub; I often squirt urine with great force from any position during orgasm. I.P. >i had RLRP on oct 31st and have been using viagra daily. > i masterbate daily with my wet noodle. > i still wear a pad for some minor incontinence leakage when i make a > motion or laugh or something. usually it occurs in the evening, 4 years post RP here and yes it leaks frequently durng sex. I leak sometimes when aroused instead of an erection! Changing positions that involve lots of leg spreading are the worst. I need to take mini bathroom breaks to try and get another few drops out during foreplay. After that, it pretty much stays dry. Checkout my thread on using a ring. SignatureJK Sinrod www.SinrodStudios.com www.MyConeyIslandMemories.com >i had RLRP on oct 31st and have been using viagra daily. >i masterbate daily with my wet noodle. [quoted text clipped - 6 lines] >prevented during intercourse? i don't recall being able to pee with an >erection. Before surgery you had to valves to control urine. One was at the bladder and the other was past the prostate. Now you only have one valve, the one that was past the prostate. Before when you had sex your nerves were set up to shut the bladder valve during sex and open the other valve to let the semen shoot thru. Guess what, if it obeys the same programming as before it's going to open when you get excited but now there is no longer the main valve at the bladder to hold the urine back. That's why leakage is much more likely during sex after a RP. For most, or at least some, it seems the system manages to reprogram itself and not open the valve anymore since there is no semen coming out anyway. There is something called retrograde ejaculation (this is when you have not had the RP) when the signals are messed up and that second valve doesn't open and the semen goes backwards into the bladder instead of out the penis. >if that does happen, would a profolactic be useful? >gary > i don't recall being able to pee with an erection. > if that does happen, would a profolactic be useful? 55 years ago during a sex education class, the text stated that at the moment of climax, the prostate clamps the uretha to prevent peeing. I've never seen it mentioned in any other text. |
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