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

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Incontinent

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joy2wrld - 04 Feb 2004 12:02 GMT
When my friend was diagnosed last summer with prostate cancer and we found
this newsgroup to be very helpful and informative and we both learned a lot.
Really appreciate your help.

His surgery was mid-July 2003 and it's really starting to wear on him that
he's still having leakage problems.

The physician assistant suggested he drink less water and see if that helps.

Is he being overly concerned with the leakage problem or is this "normal"?
I realize that everybody heals differently but .....   He tells me that he
still doesn't feel the urge to urinate, but when he stands up he leaks, so
he goes to the bathroom and the pad is always damp.

Any suggestions, advice or should he just be more patient?

Thanks again for your help.

Joy
John K. Herreshoff - 04 Feb 2004 12:07 GMT
The PA should check his/her head area for gray matter.  

DRINK WATER.  Not drinking water is not the fix.

Talk to the doc for starters.

Keegels, anyone?

John.

> When my friend was diagnosed last summer with prostate cancer and we found
> this newsgroup to be very helpful and informative and we both learned a
[quoted text clipped - 16 lines]
>
> Joy
Tee Doubleyou - 05 Feb 2004 18:31 GMT
>The PA should check his/her head area for gray matter.  
>
>DRINK WATER.  Not drinking water is not the fix.

If you read more carefully you see that PA said "less water"
and so says Walsh who is authority on prostate  and you are NOT.
So there is no reason for checking gray matter of "his/her head area".

Kegel's exercices obviously helped me and I am perfectly continent for
at least six weeks now. Surgery took place on Nov 24, 2003.
Tee

>Talk to the doc for starters.
>
>Keegels, anyone?
>
>John.
peter*pan - 05 Feb 2004 21:50 GMT
<<Kegel's exercices obviously helped me...>>

What evidence can you offer up that kegels did the trick?
Are you still doing them?

If kegels were responsible for curing incontinence, then
stopping kegels for some period of time should show a
regression back to incontinence.

Anyone here stop doing kegels and find incontinence return?
Tee  Doubleyou - 07 Feb 2004 00:08 GMT
><<Kegel's exercices obviously helped me...>>
>
>What evidence can you offer up that kegels did the trick?
>Are you still doing them?

I am the walking evidence. I was doing them every time I went to the
bathroom and only then.
I stopped the flow of the urine for at least two or three times for about
ten seconds.
I noticed a significant improvement as time went by. In the beginning I
could not stop. Gradually I was able to stop when my bladder was
partially empty. After a few weeks I was able to stop the flow any time I
wanted for any lenght of the time.
Now, I am doing them once a while - maybe two, three times a day, that's
all.

>If kegels were responsible for curing incontinence, then
>stopping kegels for some period of time should show a
>regression back to incontinence.
>
>Anyone here stop doing kegels and find incontinence return?

Kegel's exercises are nothing more then strenthening the sphincter which
is basically a muscle.
I will not try to stop doing them just to find out if incontinence will
return or not. I do not want to be a guinea pig.
Tee

--
Miser, qui nunquam miser!
Internet Traveler - 10 Feb 2004 20:41 GMT
Yes, many times over the past 6 years.  But I use a portable
electrical stimulation unit to make sure the pelvic floor muscles are
exercised.  Dr. Kegel developed an excellent approach to using other
muscles to assist the extrernal spincter but it does require guidance
or, in my case, assistance in exercising the right muscles.

stimulation On Thu,  5 Feb 2004 15:50:09 -0600, "peter*pan"

><<Kegel's exercices obviously helped me...>>
>
[quoted text clipped - 6 lines]
>
>Anyone here stop doing kegels and find incontinence return?
ButtercupsDad@dog.net - 23 Feb 2004 13:54 GMT
    My surgery was August 1, 2003 and I have started to show
improvement just within the last month.  I still leak during the day,
but am down to using one Depends Guard per day.  For no good reason I
have not done the Kegel exercises in the last few months, so that does
not appear to be a factor.  I did do them regularly before returning
to work though.  For the last six months I have been using 4 to 5 pads
per day and sometimes more on weekends when I was active.  I lost
count of accidents (wet my pants) and one day had it happen twice.
    Don't give up.  My uro told me it could take a full year to
get better, and I believe Dr. Walsh says that it can take a year and a
half, but at that point it is as good as it will ever get.  
    Good luck to you.  Try not to let this dominate your life.  Be
thankful there are effective products like the Depends that allow you
to live life more or less normally.
    Thank you.
David S.

>>The PA should check his/her head area for gray matter.  
>>
[quoted text clipped - 13 lines]
>>
>>John.
Larry Wheat - 24 Feb 2004 01:40 GMT
>       My surgery was August 1, 2003 and I have started to show
> improvement just within the last month.  I still leak during the day,
[quoted text clipped - 12 lines]
>       Thank you.
> David S.

Great to hear the good report, David --- congratulations!

I've been "working without a net" for a week now.

Larry
Joe \(Shaw\) - 24 Feb 2004 04:30 GMT
> I've been "working without a net" for a week now.

And just who is this "Annette" you've been working without?

yuk, yuk
Larry Wheat - 25 Feb 2004 01:16 GMT
I didn't know you were such a card, Joe --- I'll bet you shuffle when
you walk ... ;)}

Larry

Joe (Shaw) <joeprice@shaw.ca> wrote:

> > I've been "working without a net" for a week now.
>
> And just who is this "Annette" you've been working without?
>
> yuk, yuk
jimhoney - 04 Feb 2004 12:09 GMT
> When my friend was diagnosed last summer with prostate cancer and we found
> this newsgroup to be very helpful and informative and we both learned a lot.
[quoted text clipped - 15 lines]
>
> Joy

Kegel exercises, and perspective (that is, maybe he should think of this as
a small problem considering the disease might have taken his life).

jimhoney
Leonard Evens - 04 Feb 2004 15:01 GMT
> When my friend was diagnosed last summer with prostate cancer and we found
> this newsgroup to be very helpful and informative and we both learned a lot.
[quoted text clipped - 15 lines]
>
> Joy

According to Walsh in "Guide to Surviving Prostate Cancer"---which is
well worth reading---at Hopkins, half of all patients are not using pads
at 3 months and almost all are not using pads at one year.   So your
friend does have a bit of time before begin concerned.  Still, one would
expect a bit of progress by now, so he should talk to his doctor about
it.   If he hasn't been doing Kegels, you should certainly start now.
He may need some advice about how to do them.
Alan Meyer - 04 Feb 2004 15:52 GMT
> When my friend was diagnosed last summer with prostate cancer and we found
> this newsgroup to be very helpful and informative and we both learned a lot.
[quoted text clipped - 15 lines]
>
> Joy

The fact that he's "leaking" and not just gushing out sounds like a
sign that he's got some urinary control.  That's very positive.  He
needs to keep working on it with Kegel exercises.  I'm guessing
that he'll continue to slowly improve.

Some lucky guys are continent right away.  Some unlucky guys
never regain continence.  Some guys like your friend are in the
middle, but hopefully he can work himself over to the lucky side.

   Alan
peter*pan - 04 Feb 2004 18:16 GMT
You didn't give any history of progress: has the leaking been the same since surgery, or has it improved.

My progress has been slow but steady, and in stages.  I started out at ~12-15 pads per day.  Suddenly that dropped to ~9-12/day, then ~7, then ~3-4, and now I am at ~1-3/day.  Where once I thought I was doomed to wear pads forever, I now actually believe it may eventually stop.

My LRP was 5/21/03.  I do lots of kegels.  I read somewhere that too many was a mistake, but I also read that it takes weeks and even months of kegels before they have an impact.
Dave Perry - 04 Feb 2004 23:23 GMT
I had my prostate out July 15th, 2003.  Started off with about 6
pads/day, now down to 1 or 2 (occasionally up to 3 or 4 depending on
where I am going and what I do).  I expect to be at 1 pad per day in
another month or two with normal activities.  For many of us it takes
a lot of patience coupled with a lot of frustration but continence
almost always comes eventually.  There are some on this group
including me who question the value of Kegels.  There is not any hard
data to show they really work just a whole lot of anecdotal evidence
from people who did them and are now continent.  There is an equal
number of continent men who did not do them.  Those who do them swear
by them claiming they worked but others are dry from day one with no
Kegels.  To top it off, each doctor has different ideas on how many,
how often, when, etc..  I flexed that sucker for weeks both before and
after surgery with no effect.  What progress I have achieved recently
has come on its own long after I gave up on the Kegels.  I think the
exercise strengthens the muscle but continence comes when the nerves
heal, not how buffed up the muscle is.  Only my two cents.
Dave Perry
Larry Wheat - 05 Feb 2004 02:03 GMT
Dave:

  I didn't start to really improve until I began to forget to kegel ---
no connection of course, just a coincidence. My rad-onc doc, however,
has a different technique for kegelling: he says tuck in your butt and
your stomach and hold it --- like when you salute your wife...

  By his definition, those of us who try to maintain decent posture are
kegelling and didn't know it. That might explain my improvement despite
neglecting my kegels.

Larry

> I had my prostate out July 15th, 2003.  Started off with about 6
> pads/day, now down to 1 or 2 (occasionally up to 3 or 4 depending on
[quoted text clipped - 14 lines]
> heal, not how buffed up the muscle is.  Only my two cents.
> Dave Perry
Tom Williams - 23 Feb 2004 00:35 GMT
I'm 7 months post RRP, have given up on Kegels (think I overdid them
for the first few months, but at some level, or to some extent, they
may be needed). I'm frustrated, dissappointed and dejected at this
point, can point to only minimal progress over 7 months, and the
significant progress I got resulted, I believe, from
meditating/concentrating on the nerves in the area of the (now gone)
prostate, and mildly trying to stimulate them while lying down. Soon
after that (5 months post RRP) I noticed some fluid retention in the
bladder while walking down the street, cause I all of a sudden felt
warmth in my pants (i.e., not just drip, drip, drip). It hasn't
improved since, and I'm just going to forget about it and wait until
its time to install an artificial device (1+ year).

> When my friend was diagnosed last summer with prostate cancer and we found
> this newsgroup to be very helpful and informative and we both learned a lot.
[quoted text clipped - 15 lines]
>
> Joy
Steve Kramer - 23 Feb 2004 02:44 GMT
Sorry you are having suck problems.  Most of us get it back within a year.
Hopefully, you'll have success in the next 5 monhts.

Signature

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

> I'm 7 months post RRP, have given up on Kegels (think I overdid them
> for the first few months, but at some level, or to some extent, they
[quoted text clipped - 28 lines]
> >
> > Joy
 
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