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Medical Forum / Diseases and Disorders / Prostate Cancer / May 2008

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Pads, depends, or

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Chas - 30 Apr 2008 00:13 GMT
I am scheduled for a RARP next month.  Upon removal of the cath,  what
should I likely to need for protection.  Product name specifics are welcome.
Hopefully the likely period of incontence will be short,  but I'm just
trying to be a step ahead of the game and understand the options and
available product.

thx
NB - 30 Apr 2008 00:43 GMT
>I am scheduled for a RARP next month.  Upon removal of the cath,  what
>should I likely to need for protection.  Product name specifics are
[quoted text clipped - 3 lines]
>
> thx

Hi! I  had  the surgery on March 20/08. I'm still  incontinent. With the aid
of medication, I'm now down to  2 pads a day. Before going on the
medication, I was using 4 pads a day. Anyway, I  tried a few different
brands but found  Depend Guards For Men work well and are reasonably priced.
A pack  of 52 pads runs about $17.00 plus tax here.

If you have any other questions, feel free to ask. All the best,

Nick
J. Veil - 30 Apr 2008 00:51 GMT
> Hi! I  had  the surgery on March 20/08. I'm still  incontinent. With the
> aid of medication, I'm now down to  2 pads a day. Before going on the
[quoted text clipped - 5 lines]
>
> Nick
================================
I had my op in mid January and depending on activity, reduced the pads from
eight to three per day.

Nick, what medication are you taking. Is it specific to reducing the
leakage?

John
NB - 30 Apr 2008 02:37 GMT
>> Hi! I  had  the surgery on March 20/08. I'm still  incontinent. With the
>> aid of medication, I'm now down to  2 pads a day. Before going on the
[quoted text clipped - 13 lines]
>
> John

Hi John.  I am using Trimipramine. 50  mg at  bedtime. It  is a perscription
antidepressant and  you will need to take it up with your doctor to get this
medication. It is not specific to the leakage but it does help. I'm not sure
what country you are from. The medication is manufactured by a number of
companies and is sold under a  number of different  names. If you want to
know more about it, I would suggest you look it up on RX List. It is a great
resource for checking up on all your medications, their uses, side effects,
and interactions.

The link  for RX List is: www.rxlist.com

If  you have any other questions,  please feel  free to ask.

Take  care,

Nick
J. Veil - 30 Apr 2008 02:46 GMT
> Hi John.  I am using Trimipramine. 50  mg at  bedtime. It  is a
> perscription antidepressant and  you will need to take it up with your
[quoted text clipped - 12 lines]
>
> Nick
-----------------------------------------
Hi Nick
Thank you for the info.
John
Steve Kramer - 30 Apr 2008 22:12 GMT
>> Hi! I  had  the surgery on March 20/08. I'm still  incontinent. With the
>> aid of medication, I'm now down to  2 pads a day. Before going on the
[quoted text clipped - 13 lines]
>
> John

Damn!  Newbies are coming out of the woodwork!  I was hoping this would
happen once the arguing was done.

Welcome John!

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            PSAD 0.19 years
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32                       PSAD .056 years
Lupron 07/03 (1 mo) 8/03 and every 4 months there after
PSA  .07 .05 .06 .09 .08 .132 .145       PSAD 1.4 years
Casodex added daily 07/06
PSA <0.04, <0.05, <0.04, <0.04, <0.1  2/12/08
Non Illegitimi Carborundum

Steve Kramer - 30 Apr 2008 22:08 GMT
>>I am scheduled for a RARP next month.  Upon removal of the cath,  what
>>should I likely to need for protection.  Product name specifics are
[quoted text clipped - 13 lines]
>
> Nick

Same welcome to you Nick (assuming this is your first visit).

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            PSAD 0.19 years
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32                       PSAD .056 years
Lupron 07/03 (1 mo) 8/03 and every 4 months there after
PSA  .07 .05 .06 .09 .08 .132 .145       PSAD 1.4 years
Casodex added daily 07/06
PSA <0.04, <0.05, <0.04, <0.04, <0.1  2/12/08
Non Illegitimi Carborundum

NB - 30 Apr 2008 23:06 GMT
>>>I am scheduled for a RARP next month.  Upon removal of the cath,  what
>>>should I likely to need for protection.  Product name specifics are
[quoted text clipped - 15 lines]
>
> Same welcome to you Nick (assuming this is your first visit).

I lurked for a bit and then decided to join in the conversation. I'm still
weak and sore from the surgery and can't sit at my computer for any extended
period of time but a message here and there is tolerable. Thanks for the
welcome.

I'll get my pathology report next week (I hope).

Take care,

Nick
I.P. Freely - 30 Apr 2008 23:12 GMT
> I'm
> still weak and sore from the surgery and can't sit at my computer for
> any extended period of time

Nick, are you walking a LOT? Other exercise? At >five weeks I'd expect
you to feel pretty good by now. and walking is a big boost towards that
end.

I.P.
NB - 01 May 2008 00:39 GMT
>> I'm still weak and sore from the surgery and can't sit at my computer for
>> any extended period of time
>
> Nick, are you walking a LOT? Other exercise? At >five weeks I'd expect you
> to feel pretty good by now. and walking is a big boost towards that end.

Actually, I'm not  feeling  well  at all. I'm walking some  around the house
but not a lot. I managed to get on the treadmill and walk for about 10
minutes today. I'll up it gradually depending on how I'm feeling.

Take care,

Nick
Steve Kramer - 01 May 2008 01:14 GMT
> I lurked for a bit and then decided to join in the conversation. I'm still
> weak and sore from the surgery and can't sit at my computer for any
> extended period of time but a message here and there is tolerable. Thanks
> for the welcome.
>
> I'll get my pathology report next week (I hope).

I went back to work (sedentary duties) at six weeks.  You should start to
feel a lot better soon.
djperry42@sbcglobal.net - 30 Apr 2008 02:36 GMT
There are two brands of men's pads.  Depends and Serenity (Tena).
There are adult diapers similar to bulky water-proof undies as well
but I doubt you'll need these.  Both pads require briefs to hold them
in place and both cost about $17 for about 50 pads.  I prefer the
Serenity pads but they are more difficult to find.  Rite Aid Drugs is
the only place I can find them in my area and then it's the small 20-
count packs for $7.  Depends can be found everywhere and often are on
sale sometimes for as low as $11 for a 52-count package.  Both can be
had online such as at Amazon.com for pretty good savings and free
shipping if you order more than $25 worth at a time.

Hopefully you won't need these enough or long enough to set up an
account at some place like Amazon but that's generally what's
available.  Minor drips can often be handled with various women's pads
or even some wadded up TP though I wouldn't wear khaki pants.
Dave Perry

On Apr 29, 4:13 pm, "Chas" <unwanted_mailxxx@comcast(removethis and
xxx).net> wrote:
> I am scheduled for a RARP next month.  Upon removal of the cath,  what
> should I likely to need for protection.  Product name specifics are welcome.
[quoted text clipped - 3 lines]
>
> thx
Les Charles - 30 Apr 2008 03:13 GMT
Thank you gentlemen,  exactly what I was looking for.

Chas
There are two brands of men's pads.  Depends and Serenity (Tena).
There are adult diapers similar to bulky water-proof undies as well
but I doubt you'll need these.  Both pads require briefs to hold them
in place and both cost about $17 for about 50 pads.  I prefer the
Serenity pads but they are more difficult to find.  Rite Aid Drugs is
the only place I can find them in my area and then it's the small 20-
count packs for $7.  Depends can be found everywhere and often are on
sale sometimes for as low as $11 for a 52-count package.  Both can be
had online such as at Amazon.com for pretty good savings and free
shipping if you order more than $25 worth at a time.

Hopefully you won't need these enough or long enough to set up an
account at some place like Amazon but that's generally what's
available.  Minor drips can often be handled with various women's pads
or even some wadded up TP though I wouldn't wear khaki pants.
Dave Perry

On Apr 29, 4:13 pm, "Chas" <unwanted_mailxxx@comcast(removethis and
xxx).net> wrote:
> I am scheduled for a RARP next month. Upon removal of the cath, what
> should I likely to need for protection. Product name specifics are
[quoted text clipped - 4 lines]
>
> thx
I.P. Freely - 30 Apr 2008 06:29 GMT
1. Have a package of major men's diapers on hand. If you need them
(*EXTREMELY* likely at first), you'll be *EXTREMELY* glad you had them.
If you don't need them, take 'em back. I flooded many a day for the
first few months.

2. Serenity Guards for Men are, IMO, the only pad of any use, for one
simple reason: they're wider than everything else. All other pads are
just 2-3" wide, and my penis a) is longer than 1.5" and b) doesn't stay
exactly where I put it. Side leaks are thus guaranteed with anything
less than Serenities. I stock up at half price when Rite Aid has sales
on them, because it's obvious after 42 months wet that I won't dry up
until I die. If I need diapers again on a permanent basis, I'll return
any cases of Serenity pads I have left.

3. You shouldn't need continence meds at night. As with most RRP
patients, I've been dry lying and sitting since the catheter came out at
6 months. BUT ... buy a couple of incontinence mattress pads. They're
about  20" X 30", and you will probably wet the bed once or twice.

4. JUST JOKING; it was 8-10 days.

5. My vey experienced surgeon is highly surprised and disappointed I
wasn't pretty dry within 6 months; he has no explanation for it. But
I'll be going through 2-4 pads a day -- and must avoid trampolines or
similar activities -- for decades to come ... I hope.

6. OTOH, the uro I consulted whose decades-long career is full-time
management and research of post-RP incontinence says I'm average, that
uro surgeons have no idea of the actual statistics her practice and
research shows.

7. YMMV.

8. Wadded up TP and women's menstrual pads are not treated to mange
urine. Use only men's incontinence pads, as the PC books advise (I think
it was in Walsh that I read that), if you want to avoid skin irritation
and odor.

9. OTOH, so I wear pads. Big deal. I'd rather not need them, and I
prefer boxers to boxer-briefs, but pads beat a toothache or bum knee ALL
to heck.

I.P. Freely ... unfortunately
Steve Kramer - 30 Apr 2008 22:02 GMT
>I am scheduled for a RARP next month.  Upon removal of the cath,  what
>should I likely to need for protection.

A couple of buckets.

Ha!  Just kidding.  One diaper (mine happened to be Depends) did the trick
for me until I got home.

What is an RARP?  It's a new anagram for me (probably equal to another
anagram I'm more used to.

Finally, welcome to our little club and tell us a little about yourself,
please.  Age, Gleason, PSA, Stage...

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            PSAD 0.19 years
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32                       PSAD .056 years
Lupron 07/03 (1 mo) 8/03 and every 4 months there after
PSA  .07 .05 .06 .09 .08 .132 .145       PSAD 1.4 years
Casodex added daily 07/06
PSA <0.04, <0.05, <0.04, <0.04, <0.1  2/12/08
Non Illegitimi Carborundum

Chas - 01 May 2008 04:12 GMT
>>I am scheduled for a RARP next month.  Upon removal of the cath,  what
>>should I likely to need for protection.
[quoted text clipped - 9 lines]
> Finally, welcome to our little club and tell us a little about yourself,
> please.  Age, Gleason, PSA, Stage...

Thanks Steve:

I have been lurking for a while and posted once a while back.
My RARP reference perhaps should have read RALRP (Robotically Assisted
Labroscopic Radical Prostectomy).
I have also seen it as RALP.  I don't know whats the most correct term.  But
I know it has to hurt for a while.

To specifics,  I am 70 years old with a Gleason 6, T1CN0M0, PSA 4.2 and have
been reviewing my options over the last 6 months or so.  Biopsy provided one
5% positive core, other 11 negative.  This is my second cancer,  mastectomy
performed in March 2007.  Also found to be a carrier of the BRCA2 genetic
mutation.

Chuck
Steve Kramer - 01 May 2008 22:02 GMT
> To specifics,  I am 70 years old with a Gleason 6, T1CN0M0, PSA 4.2 and
> have been reviewing my options over the last 6 months or so.  Biopsy
> provided one 5% positive core, other 11 negative.  This is my second
> cancer,  mastectomy performed in March 2007.  Also found to be a carrier
> of the BRCA2 genetic mutation.

Those are excellent numbers, Chuck (if one has to have the bastard).  I'm
glad you are fit enough for surgery at 70.  There's a very good chance
you'll be rid of the beast for life.

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            PSAD 0.19 years
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32                       PSAD .056 years
Lupron 07/03 (1 mo) 8/03 and every 4 months there after
PSA  .07 .05 .06 .09 .08 .132 .145       PSAD 1.4 years
Casodex added daily 07/06
PSA <0.04, <0.05, <0.04, <0.04, <0.1  2/12/08
Non Illegitimi Carborundum

 
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