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Medical Forum / Diseases and Disorders / Prostate Cancer / December 2003

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Losing ground

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David S - 25 Dec 2003 02:12 GMT
   Went back on the ditropan today.  I will try anything short of the
rubber band to stop the leaking.  Since my wife's accident I have lost
ground.  Six pads have become the norm.  Of course, this is not a "normal"
time of the year, i.e., I am not just sitting at my desk hitting keys on the
computer keyboard all day.  Up and down, wrapping packages, go to the store,
clean this, wash that, etc.  Standing most of the time and a lot of
stooping, etc.  Not normal for me.  Perhaps that with the stress is behind
this.  I tried to call the uro yesterday, but nobody home.  They must have
taken an extended break for the holiday.  Good for them.  They deserve it.
I can wait.
   However, in today's mail I see it will not have to wait.  It seems my
doc has set up an appointment for me right after New Year's.  I had called
two or three weeks ago to ask more questions about the impotence, and they
told me I would have to set up an appointment to deal specifically with
that.  After my wife's accident I figured that would have to wait.  Looks
like they took that more seriously than I did, and they took the initiative
to set up the appointment.  We will see what that brings.  If he suggests
the injections as the next step I do not know what I will do.  Anybody out
there rely on the injections as the main method to overcome impotence?  I am
not sure I can do the shots.  My wife is a nurse, so she could do the
injection, but I can think about a lot more romantic forms of foreplay.
   I am damn sick of the incontinence, just in case that did not come
through above.   But,....

   MERRY CHRISTMAS TO ALL,

       and to copy a great writer, to all a good night.

   Thank you.
David S.

P.S.  Buttercup is still hiding out.  We lost ground there too.  Since the
accident she will not even look at my wife, and she does not want to be with
us at all.  It is like she has rejected us.  I am not sure how to comfort
her and make her feel safe with us again???  More stress.  Great....happy
new year.
gregory - 25 Dec 2003 02:49 GMT
geez david, do i ever know about the incontinence..... this is the place
we can talk about it. i hear it does get better and it must. i compare
it to waiting behind a slow driver at an intersection. when i get
impatient i think; hey do you see any cars parked at any intersections
for days on end? NO, likewise, it WILL pass. hmmm. i even wonder when
but it's only been 6 days.

the important thing i found is to get the right equipment. i use the
'depend' diapers for adults. no fancy straps to adjust. then put
'always' maxi overnight pads for women inside them. that way when i
can't stand being wet, i just pull out a pad from my pocket when walking
(it seems i like a fresh one every half hour) and watch for rest rooms
in the malls or plan to walk near stores. keep a 'depends' men's pad too
in case you feel an urge for a large pad.

and dang! what a pain those pads are to sit on! think of what women go
through! try to humor yourself by comparing notes with your women
friends about pads, ha!
and by 6, 7, 8pm i am tired in the muscle dept.. so then if no one is
round i just put a small cup between my legs with my robe on. the handi
wipes and viva paper towels help. so does many garbage cans all over the
place. the dumps would over flow if everyone was using those diapers,
that's for sure.
if anything takes getting used to it's incontinence. what a bullS**t
word that is to describe it. most of my friends don't even know what it
means. when you fight the reality of the current situation, then it gets
hard. it will pass, try to make light of it. geez, i can't even drive
and that takes some getting used to. hope this helps... greg
RO - 25 Dec 2003 17:09 GMT
> geez david, do i ever know about the incontinence..... this is the place
> we can talk about it. i hear it does get better and it must. i compare
[quoted text clipped - 14 lines]
> through! try to humor yourself by comparing notes with your women
> friends about pads, ha!

>  and by 6, 7, 8pm i am tired in the muscle dept.. so then if no one is
> round i just put a small cup between my legs with my robe on. the handi
[quoted text clipped - 6 lines]
> hard. it will pass, try to make light of it. geez, i can't even drive
> and that takes some getting used to. hope this helps... greg

Hello. I had an RP about four years ago and have been incontinent ever
since. Some men improve in as much as two years. Your Dr. can refer
you to someone who can help you with Kegal exercises. Another
alternative is an artificial urinary sphincter which may be premature
at this time. Try the Kegals and be patient. In many cases men improve
to just urge incontinence which is a little bit better than pissing
like a race horse. Hope this helps. P.S. drinking caffeine draws water
from your body. Try reducing it and you WILL see the difference.
cured? - 25 Dec 2003 02:55 GMT
There is a devise called a sling that I read gives good results.You can run
a search for it.
Dave - 25 Dec 2003 05:00 GMT
My doctor advised that the sling would not work for me because of my total
incontinence. Also he advised against collagen injections because of its
poor record with my condition. After enduring this condition for 18 months,
I had a AUS installed. If one goes over 6 months with improvement in the
continence department, the future is bleak. I am very glad to have the AUS
installed.

> There is a devise called a sling that I read gives good results.You can run
> a search for it.
David S - 26 Dec 2003 01:31 GMT
Dave:
   The six months is what has me worried.  I am at five months post RRP
now, and I cannot see any improvement.  Today I was going through pads every
two hours.  However, it was another really busy day, up and down, standing a
lot, etc.  So that may have something to do with it.
   I have my next appointment in January, so I will ask for more
information then, including the AUS.
   Thank you to everyone for their responses.
   Happy New Year.
David S.

> My doctor advised that the sling would not work for me because of my total
> incontinence. Also he advised against collagen injections because of its
[quoted text clipped - 6 lines]
> run
> > a search for it.
Steve Kramer - 26 Dec 2003 13:36 GMT
David,

What is your typical daily liquid intake?

I had the office coffee pot removed from next to my office door because I
found I was drinking 2-3 pots a day and dribbling a cup or so.  When I drink
a lot of beer and stand, I lose a cup of that too.  But, if I drink a lot of
water and just a pot of coffee, I'm dry as a desert.

Signature

Wishing you a Happy New Year
Prostate Cancer Survivor (so far), not a doctor
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000
PSA  .1  .1  .1  .3  .4  .8
EBRT 05-07/2002 @ 47
PSA  .3 .2  .2  .2 .3
Erection 05/12/2003 @ 48
Begin Lupron 07/21/2003 @ 48
PSA  .1

> Dave:
>     The six months is what has me worried.  I am at five months post RRP
[quoted text clipped - 18 lines]
> > run
> > > a search for it.
David S - 26 Dec 2003 21:11 GMT
Steve:
   While the catheter was in I purposely drank a lot of water and juice.
When it came out I stopped that.  I also stopped the coffee altogether for a
few weeks to see if that made a difference (I drink decaf).  It did not.  In
a normal morning I will drink two cups, probably 12 ounce each.  Other than
that it is water for the most part.  Sometimes I will drink a Coke or
Sprite, but I lost my taste for carbonated beverages a long time ago.
   Today "we" took down the tree so it was up and down, standing a lot,
etc.  I filled some pads in two hours.  Also, I went back on the dirtropan a
couple days ago.  All I have to show for that is a dry mouth and throat.  My
wife, the nurse, tells me that it should help the incontinence and
encourages me to stick with it.  So, until the next uro appointment in
January, I guess this will be my routine.
   Still have to take down the outside lights, but they probably will stay
up until after New Year's day.
   Speaking of which, Happy New Year to the group.
   Thank you.
David S.

> David,
>
[quoted text clipped - 32 lines]
> > > run
> > > > a search for it.
Steve Kramer - 27 Dec 2003 02:01 GMT
I'm moving all my crap out of the old house.  I was looking for pads tonight
at Sam's.  Never thought I'd got back to them.

Signature

Wishing you a Happy New Year
Prostate Cancer Survivor (so far), not a doctor
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000
PSA  .1  .1  .1  .3  .4  .8
EBRT 05-07/2002 @ 47
PSA  .3 .2  .2  .2 .3
Erection 05/12/2003 @ 48
Begin Lupron 07/21/2003 @ 48
PSA  .1

> Steve:
>     While the catheter was in I purposely drank a lot of water and juice.
[quoted text clipped - 56 lines]
> > > > run
> > > > > a search for it.
Dave Perry - 26 Dec 2003 16:31 GMT
David S.,
Sounds like you are becoming discouraged.  While you and I are past
the median time (3 months) for urine control, we both have some time
yet.  Some men don't acquire it until 18 months.  I do believe I read
somewhere that 18 months is just about the upper limit though - if no
control by then ..., well you get the picture.  As for me, I am
regaining some control but I too have bad days although none as bad as
during the first few weeks.  Just yesterday (Christmas day) I went
through five pads but I changed two prematurely in anticipation of
visiting relatives, etc.

As for surgery to fix it, I wouldn't advise anyone on whether or not
to have it.  I wouldn't myself because all three times I've gone under
the knife since age 18 I've come out with side effects that are either
annoying, painful, or inconvenient two of which are well known on this
newsgroup.  Even my vasectomy left me with lifelong epididimitis (the
uro I went to at the time said I was one of the lucky 2% with side
effects :) - that's that a.shole's grin, not mine).  Would I do the
surgeries again, you bet for two of them but not for incontinence.
Doctors who are still practicing medicine can go practice on someone
else.  The pads are inconvenient, I get disappointed when I leak but I
don't get discouraged - hell, I had an "accident" just two days ago.
The accident occured because of false confidence "yeh, it's only been
four hours so I can go another two".  Well, I couldn't and didn't.
The pads are a small expense and inconvenient, but if I have to wear
pads the rest of my life, I can do it.  I realize that I may never be
the way I was before but so what? I can't run a mile in six minutes or
have sex three times a day as I could in my early years either.  I
just view the whole thing as starting a new episode in a life-long
soap opera.

Take care and keep your chin up (even if that's all we can get up).
Here's hoping all us leakers have happy holidays and low PSA's.
Dave Perry    

> Dave:
>     The six months is what has me worried.  I am at five months post RRP
[quoted text clipped - 6 lines]
>     Happy New Year.
> David S.
 
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