Leakage in the evenings...thoughts

yes, i experienced the same thing around that time, my doctor said it was normal, the muscles that we control to stay dry get plain tired after all day, and kind of give in a little. Listen to your body and get off your feet more if you can.

david in sc

I'm a month out of surgery and leak worse than an old canoe. I am only dry when horizontal. When I eat dinner, 6:00 pm, I sit down and everythig is fine but the second I stand up, the levee breaks.
I have tried kegeling about 10 -15 seconds before standing and that seems to give me a little more time so I can reach the backyard where I "water the grass". I cannot make it to the bathroom and certainly can't use a toilet without spraying the floor, walls, shower curtain...
PS Guys, if you hear me being arrested for indecent exposure, please vouch for me, okay? I don't want to be put on a S*x Offender list for peeing in my backyard. Believe me, s*x is the farthest thing from my mind!
(Oh what I would give for 98% dry)
Jeff

Jeff, you said: "I cannot make it to the bathroom and certainly can't use a toilet without spraying the floor, walls, shower curtain... "
Describe what you mean by spraying on the floor, etc. Do you mean it fans out from the head of the penis, that you can't control it or hold it and aim it correctly, or what. Don't believe I've read of anyone else saying this recently.

I truly think the kegals are key but you cannot overdue it.  I remember when I first had the issue my fear was that it would always be there.  My biggest issue was after I drank alcohol I would sometimes have an issue.  Keep doing the kegals and find out how many and how frequently they work for you.

James,
My problem is that the millisecond I slide the Depends to the side, I begin spraying. I don't even have time to grab on to my hardware or aim. If it is stuck in the horizontal position it sprays on anything in front of me until I get it under control. The whole event is over in seconds and I do mean all over. Then I have to clean up the mess. Instead of all the effort I have graduated to just doing it outside.
I have tried to stop the stream and can slow it a little. I know it will get better, but the only time I feel "normal" is when I am taking a shower. Sigh.
Jeff

Jeff,

Try sitting at a each all day!  Wear a dark bathing suit - No one knows and you don't care!  At 7wks post surgery I'm dry all night, except if my wife gets frisky.  I'm dry in the morning but have to get to the bathroom every 45 mintues or so. By afternoon and with standing/walking/working I leak more than not leak.  Very frustrating to say the least.  This healing curve the men speak of is not curving fast enough for me!  I'm a teacher and will be back in front of the class in 3 weeks! "Hey teach, you're leaking again!"  I kegel three times a day, 40 reps each time. My hope is by class time I'll be on top of this.

Hi Guys,

From all this talk about Kegels, I thought you should know my story.

When I got the cath out, I did Kegels by the book, right off the instruction sheet the Dr. gave me. I progressed to a point during the first nine months, but still had stress incontinence and problems in the evening as Ike has mentioned.

I talked to my surgeon about the issues nearly one year out of surgery. She said she thought she could get me the rest of the way to "dryness."

She sent me to a local physical therapist at a hospital rehab clinic who has had years of experience treating men and women with urinary incontinence. She uses bio-feedback therapy.

I learned during the first visit, that the generic instruction sheets apply more to those who would get better on their own with the Kegel exercises making it a little quicker.

With the bio-feedback, they can measure the electrical activity of your pelvic floor muscles with accuracy and bring them up to strength gradually as you learn to control and strengthen your muscles.

In a matter of weeks, I had made an incredible amount of progress. I owe a lot to a patient and kind therapist who knows what she is doing.

She said that she has much better results with women, because women are patient to learn and do the exercises that gradually build up your control. Often men come a couple of times and then say "I got it" and don't go any further. I went through the entire program and I am very grateful for it.

Let me know if you need more info.

Best regards,

Barry

I am not sure if Kegels exercise is always the answer as you know I had open surgery in Thailand I have been to see the doctor 3 times since the operation not once as the doctor mentioned anything about Kegels and he tells me that he as a 95% continence record and half of the other 5% got a good level of continence back The way he treated me when taking out the catheter I tend to believe him he gave me a couple of tissues and told me to drink lots and come back in a couple of hours which scared me but with the aid of the tissues I kept dry I have not done any Kegels and I am at the stage of normally only squirting a couple of times a day normally late afternoon I think that it reminds me to concentrate because I am normally dry till the next afternoon my catheter was removed 10 days ago