2 weeks after catheter removal, 4 weeks post surgery

Hi

I'm posting for my friend, who doesn't have a computer. He underwent surgery for prostate removal, nerve sparing. Since the catheter was removed he is completely incontinent. He is using the disposable diaper/underwear and very depressed. He tried the pads and they leaked, so went back to the disposables.
He is doing a lot of kegels but not much improvement, he said only a little improvement from the beginning.

He had prostate cancer 10 years ago and had the radiation/seeds and wonders if that has given him worse incontinence than someone who didn't have that.
At this point he had no choice to do surgery, as he was turned down for HIFU and a second round of radiation.

Anyone have incontinence that improved in time?
If he doesn't get improvement what can be done?

Hi
He has been walking a lot

He's 60. No incontinence issues before

When might it start to get better?

What he had is fairly uncommon, failed radiation followed by surgery. There probably isn't a lot of history for that particular progression.

It can take a long time.

Welcome to HW.

That an unusual history so like others have said, hard to say. With the prostate now gone, I doubt previous seeds/RT are still having an effect. Still, RP post RT is rare.

Post RP it's common to be incontinent for awhile. It can be a slow recovery. It can be months before there is recovery. Likely three or four, but that's a guess on my part.

Kegals and walking are the best.

Andrew

Give it more time, it is still early. Just beware, having RP after radiation/seeds is fairly rare. Possibly because of all of the scar tissue caused from the radiation surgery was more invasive than a typical prostatectomy which can cause more of a problem with incontinence.