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Seem to be leaking more (urine) than before...

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Posted 12/11/2009 3:56 AM (GMT 0)
Hi all,
I had my robotic surgery last January 09, and I have heard that each patient is different as far as the healing time on the incontinence and the ED issues. It seems that nowadays, after I urinate, I have to sit on the pot for an additional 5 to 10 minutes until the trickling subsides. I hope there is no internal problem and just part of the timely healing process. To tell you the truth, I really hadn't notice the extra leakage until maybe the last month or so. I was most diligent on my kegel exercises for months post op. Anyone else with the leakage? Thanks, and Happy Holidays!
Posted 12/11/2009 5:23 AM (GMT 0)

I'm right there with you.  I have been dry since September, but lately I too have found that I have to push, shake, rattle and pull to get that last drop out.  A couple of times I wasn't very concientious, and looked down to see that I had wet myself pretty good.  I was getting worried that maybe I was regressing or that there might be something else going on.  Saw my uroligist this week and talked to him about it.  He did an ultrasound after I had gone and it showed an empty bladder.  His opinion is that I just have to be more diligent about getting that last drop.  Like you i find sitting down to be the best way to go. 

Hope this give you some comfort. 

Craig

Posted 12/11/2009 5:32 AM (GMT 0)
I have found this off and on as well. I am inclined to think that like the rest of the body things start to get a little slack as time and lack of exercise takes its toll. Probably ensuring a little kegeling (v?) wouldn't go astray with keeping on the straight and narrow.
Bill
Posted 12/11/2009 12:15 PM (GMT 0)
Kegeling will help, but the main culprit is probably a sagging urethra. The urine is pooling in a dip in the urethra. When you start moving around, it pushes the last drops out - and down your pants. The technique - as awkward as it may be- is to reach behind your balls and push firmly up on your perineum. Some go from around back, others spread their legs and go in from the side, but make sure you have clearance for the half-teaspoon of urine that will come out.
The fun never stops.
Paul
Posted 12/11/2009 2:18 PM (GMT 0)
I gave up trying to piddle it all out. It is like Zeno's Paradox of Achilles and the Tortoise. I can pee 200 ml in one minute -Call that rate "Achilles". My body makes urine at a about 2000 ml per day - Call that rate "the Tortoise". If I sit on the toilet for 5 minutes, the Tortoise makes 1.4 ml - about 27 drops . If I manage to hold it for 5 minutes and let Achilles squirt it out in 0.42 sec., the Tortoise will make another 27 drops. While Achilles waits and squirts it out, the Tortoise makes more drops. You can never catch up.

The technique Paul recommends above works, and gives you a 20 minute edge on the Tortoise by squirting out about 5 ml more than either Achilles or you can.
Just don't let anyone see you doing it in a public restroom as a wide stance is required. ;-)

Jeff
Posted 12/11/2009 6:51 PM (GMT 0)
Wow! This is the most amazing site for learning more about our disease. I never knew that Achilles had PCa. I guess that time he spent in his tent was for changing pads.
Posted 12/11/2009 7:38 PM (GMT 0)
Geezer,
See? Some engineers do know something else besides numbers. Although, there were plenty of numbers in my analysis.
I could have answered the question with a limit equation and solved for the precise point where Achilles finally reaches the Tortoise and pees on his shell using Paul's Perineum Push Procedure.
I will leave that calculation for another mental case curious soul.
Jeff
Posted 12/11/2009 8:48 PM (GMT 0)
Geezer and worried guy, you made me laugh so hard that I almost lost few drops. Sometimes we need a break and laugh at whar we go thru with PCa.
Posted 12/11/2009 11:14 PM (GMT 0)
Ed,
I'm hope you found the posting educational as well as humorous. The Tortoise produced at least 5 ml of pee while I ran through those calculations and did my fact checking. In fact he just made another 1 ml. Gotta run.
Jeff
Posted 12/12/2009 5:33 PM (GMT 0)
The dangers of Paul1959's procedure. The area to which he refers is commonly called the "t'aint" which is an area that t'aint balls and t'aint a--.) A hard push and a slip would result in either turning oneslelf into a eunuch or giving oneself a self-administered DRE, the latter horrifying done without a glove.

Steve
Posted 12/12/2009 7:41 PM (GMT 0)
Can't you guys decide whether you want to start ot stop ? We kegal for months, trying to stop the pee, then we can't seem to get it all out. Maybe we just did a too good of job of kegaling, and it is trying to put the brakes on.

Anatomically, probably standing is better to drain everyting out.

Even pre surgery, can't forget the little ditty on the bathroom wall, no matter how much you shake and dance, the last 2 drops go in your pants.

Well, now it's 20 drops.
Posted 12/12/2009 7:56 PM (GMT 0)
...
And if it runs when 'ere you stand,
Then surely you are incontinent,

Kegel once, Kegel twice,
Kegel once again.

And the tortoise makes another 30 drops.
Posted 12/13/2009 6:14 PM (GMT 0)
Kinda reminds me of when I was young I loved to hunt.When it was real cold out and you had to pee real bad.You peed and then put it up and when it got warm it finished.

Zach
Posted 12/14/2009 1:53 PM (GMT 0)
I too have experienced varying amounts of leakage at different times. It got better in a hurry after surgery and reached a plateau at about the 8th week. Then I noticed that I was needing to urinate more frequently and in smaller amounts and that leakage was a little more prevelant. I think some of it has to do with the colder weather that winter brings and that we relax a bit after getting through the worst part of the healing process.



I still remain positive and do my pelvic floor exercises every day. I think it will get better with time and that might mean months rather than days. Still, I am down to one pad per day and it is mostly dry.



Keep well,

Regards,

Bill
Posted 12/14/2009 7:50 PM (GMT 0)
Bill,

You are doing very well. I am sure will reach total continence soon.

It has taken me 8 months, but I am at no pad to 1 pad a day. I mainly use one during the day for security, and I lift heavy things occasionally, and climb ladders, etc.

Keep the faith, and don't forget to pucker !
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