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Medical Forum / Diseases and Disorders / Prostate Cancer / January 2004

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rashes

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gregory - 03 Jan 2004 02:59 GMT
hello everyone,
has anyone ever developed a rash while incontinent? my penis is getting
red on the very tip, and gets sore and my scrotum is bright red and
itches like crazy. the doctor says it's from being wet all the time. i
change pads like crazy and wash every day. over the phone my urologist's
nurse thought it could be a type of 'jock itch' or what ever polite
wonderful word that's called. so they sent me to the store on new years
eve to get an anti-fungal cream. but since he is a 2 hour drive they
told me to go to my regular MD. my regular md office thought it wasn't
any infection but irritation and he prescribed a synthetic cortisone.
that was today. the incontinence hasn't improved  since the catheter
came out on the 19th. i am patiently waiting this out even though the
urologist is slightly concerned. today my regular md wants me to go to a
physical therapist who specializes in incontinence issues. the
urologist's nurse said that men who are very active before surgery seem
to have more trouble regaining bladder control. how are you supposed to
drink the usual 6 glasses of water that are good for your health when
you leak like a sugar maple! seriously, what i've taken to doing at
night is sit with my legs open and holding a pad to give myself an
'airing out' and to dry off for a while. hmm.. the rest around the house
and the walks are relaxing. any one have these rash issues? thanks, greg
Heather - 03 Jan 2004 04:23 GMT
Diaper rash, my dear.  As in what babies get from wet diapers.  (G)

And as I have stress incontinence problems...I can feel your pain.  Use
a cortisone type cream and keep the area dry.  (think 'baby').  Use baby
powder, or Bond's Medicated powder......and fold up a paper towel or
thicker Kleenex, and put it between you and the pad......changing it as
often as needed.  The folded Kleenex works for me for prevention.....the
cortisone cream works for the very sore redness.

Cheers.....Heather

> hello everyone,
> has anyone ever developed a rash while incontinent? my penis is getting
[quoted text clipped - 17 lines]
> 'airing out' and to dry off for a while. hmm.. the rest around the house
> and the walks are relaxing. any one have these rash issues? thanks, greg
peter*pan - 03 Jan 2004 05:44 GMT
I found that to be somewhat of a problem as the "moisture" we are referring to is somewhat
- 03 Jan 2004 05:52 GMT
I found that to be a problem as well as the "moisture" we are experiencing is somewhat caustic.

I have used A+D (baby rash) since my LRP.  I don't need it as much as when I was *really* incontinent.  But I recommend rubbing it twice a day - morning and night.
DanR - 03 Jan 2004 17:58 GMT
Yeah, I had the rash.  It was very much an irritant.  It lasted a week
or so.  I used a blow dryer on low setting, and that helped alot.  I
also used "Desitin" (messy but it did help).

Keep doing the kegels and walking - it will get better.
DanR
gregory - 03 Jan 2004 23:35 GMT
i bought a blow dryer yesterday. today the rash got so bad i almost went
to the emergency room. took a shower instead, called the urologist and
took the benadryl he suggested. i don't think i've ever scratched so bad
in my life. now it's peaceful. i only wish i was prepared for this
before it happened. whew, what a day. ~ g
David S - 04 Jan 2004 01:06 GMT
   When I had that problem my wife bought feminine wipes.  I think "Always"
was the one brand.  In any case, I use them each time I change the pad, and
it worked.  The irritation and itching stopped and has not come back.  I am
five months in, and still incontinent, but at least no more itching.
   The Always brand comes in a resalable plastic that is small and will fit
in a pocket.  They are more "wet" than some of the other brands, so I like
it better.  Some of the other brands come in a rather large plastic
container that you could not conceal very easily.
   Good luck.
   Thank you.
David S.

> hello everyone,
> has anyone ever developed a rash while incontinent? my penis is getting
[quoted text clipped - 17 lines]
> 'airing out' and to dry off for a while. hmm.. the rest around the house
> and the walks are relaxing. any one have these rash issues? thanks, greg
Heather - 04 Jan 2004 04:51 GMT
Good point, David.  I meant to add that to my post.  Keeping the skin in
that area free of urine is most important.  It can really burn you.  Or
itch you.  Just think back to the days when the kids were young.  Mine
sure let me know when she had a wet diaper!!

Glad to hear all is relatively well.  Give my best to your wife.....she
has had a tough time of it.  A dog shrink??  I can hear my father, the
vet, now.  (G)  He is flippin' in his grave, I am sure.

Cheers...Heather

>     When I had that problem my wife bought feminine wipes.  I think "Always"
> was the one brand.  In any case, I use them each time I change the pad, and
[quoted text clipped - 29 lines]
> > 'airing out' and to dry off for a while. hmm.. the rest around the house
> > and the walks are relaxing. any one have these rash issues? thanks, greg
David S - 04 Jan 2004 17:43 GMT
Hi Heather:
   What has happened is that the dog has kind of rejected both of us.  She
will not stay in the room with us unless on the leash, and then she just
sits and will not lay down.  This is all after my wife's accident (the last
one...there are so many).  I guess the accident traumatized the dog.
Another theory is that some of the equipment that is around now is causing
her distress, e.g., the wheelchair, walker, etc.   Maybe her first home,
where we think she was abused, had a disabled person.  Who knows, but the
current situation is not good for any of us.  I guess it is not crazy to get
an opinion from someone that specializes in aberrant animal behavior -
yes/no ??  Better than the one on tv that reads animals' minds.  Do they
show that one down under?
   Happy New Year!
   Thank you.
David S.

> Good point, David.  I meant to add that to my post.  Keeping the skin in
> that area free of urine is most important.  It can really burn you.  Or
[quoted text clipped - 58 lines]
> > > and the walks are relaxing. any one have these rash issues? thanks,
> greg
Wakeley Purple - 05 Jan 2004 03:42 GMT
...
> urologist's nurse said that men who are very active before surgery seem
> to have more trouble regaining bladder control.
...

I hope not! I just did a 10-mile running race New Year's day in 1:20:42.
Having run a total of 30 miles last week, I consider myself highly active
and hope I have a quick recovery because I am in good physical shape.

Signature

Wake

Age 58
PSA 3.8
Biopsy positive 5% in 1 of 10 cores
Gleason 3+3
T1c
RP scheduled 1/12/04

Alan Meyer - 05 Jan 2004 04:41 GMT
Wake,

I wish I could run that long or that fast, but I couldn't
have done it even before PCa, or even before getting
middle aged (57) and PCa!  I admire your ability.

I'm finding that between the Lupron and the radiation
that I'm getting (don't know which is doing it to me), my
running ability is greatly diminished.  I'm able to do less than
half of what I was doing this summer (4 miles at 9 min/mile
was my usual run.)  I hope to get it back when all this is
done.

I think your belief in quicker recovery is justified.  --BUT--
don't push yourself when you've finished the operation!
Get it back slowly.  You'll be able to see the scars on your
belly, but won't see the internal injuries that have taken place.
They will be there, and they'll need some time to heal.  Give
yourself a chance to heal.  Don't overdo it and tear things up
inside.

That's two cents from another firm believer in exercise.

   Alan

> ... I just did a 10-mile running race New Year's day in 1:20:42.
> Having run a total of 30 miles last week, I consider myself highly active
> and hope I have a quick recovery because I am in good physical shape.
Wakeley Purple - 06 Jan 2004 03:58 GMT
...
> don't push yourself when you've finished the operation!
> Get it back slowly.  You'll be able to see the scars on your
[quoted text clipped - 4 lines]
>
> That's two cents from another firm believer in exercise.

That's the same helpful message I've seen several times here. I've also read
a couple of sad reports from people who pushed too hard too soon. It's been
a while since I had my appendix out, but I remember being pretty cautious
during that recovery. I'm not a "type A" sort, so I can usually take it
easy with no mental anguish.

Bought the GoLytely yesterday - 6 days to go.

Signature

Wake

Age 58
PSA 3.8
Biopsy positive 5% in 1 of 10 cores
Gleason 3+3
T1c
RP scheduled 1/12/04

Steve Kramer - 05 Jan 2004 11:18 GMT
I believe you will heal faster, but the Kegel has to be trained.  With your
obvious training ethic, I think you'll have a much greater chance training
the muscle.

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
HTbegins 07/21/2003 @ 48
PSA  .1
Lupron 7/03, 8/03, 12/03

>
> ...
[quoted text clipped - 5 lines]
> Having run a total of 30 miles last week, I consider myself highly active
> and hope I have a quick recovery because I am in good physical shape.
Rebecca Ford - 05 Jan 2004 20:40 GMT
You should be fine. Recovery is quicker overall for those who are in good
shape. Hubby and I biked an average of 15-20 miles a day 5 days a week
before surgery. He was back biking within 6 weeks and had no incontinence
except for when he had too much alcohol.

Signature

Rebecca Ford

>
> ...
[quoted text clipped - 5 lines]
> Having run a total of 30 miles last week, I consider myself highly active
> and hope I have a quick recovery because I am in good physical shape.
gregory - 06 Jan 2004 03:37 GMT
i would have just liked to know ahead of time that there was a danger of
rashes developing. that could have been avoided with the proper creams
and airing out. and another surprise i didn't really need to learn after
the fact. the doctor said today that it might be another two weeks
before i show any improvement. time, i know and patience too. at least i
go to use my new bathroom  that my friends did for me as a present for
surgery and took a tub for the first time. ~g
Alan Meyer - 06 Jan 2004 23:47 GMT
> ... and another surprise i didn't really need to learn after the fact. ...

I think when you go to medical school, they train you to say:

  Oh, you have XXX?  That's normal.

  Oh, you're in pain?  That's normal.

  Oh, it isn't better yet?  Give it another two weeks.

I suspect some of the things that surprise us surprise them too,
but they'll never let on.  After all, no sense upsetting the patient.

  Alan

[Stop it Alan!  Don't be such a darned cynic!]
 
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