Incontinence after surgery

Hallo again.....I am now 4 months post op and still dripping away. I get through about two very wet pads in 24 hours ...sometimes 3 pads. Really fed up with being wet! My PSA was good at 3 months.
My surgeon wanted to do the camera thing to take a look at my bladder and muscles (pink muscle and white muscle as he called it)...he did explain but I can’t remember all of the details, suffice it to say that he regarded my incontinence as mild to moderate but the higher part of moderate and felt sure on inspection of the muscle that a sling would be recommended. As far as a valve goes he felt a risk of infection was higher. Anyway I did decide to wait a bit longer to see if the leaking might improve. It does get me down of course and even waiting will be hard but am hoping things will improve naturally.

Thankful to be cancer free.

Thanks Praise and others for follow-up and comments. It helps me to keep things in perspective and maintain my own patience...

My urologist mentioned the sling (mesh) but I’m not sure at this early stage. I think it’s best to chat to your surgeon and research. I’m hoping by the time a year is up I may be somewhat continent. Hoping....

My URO sent me to PT right after RP. The PT wished folks would come in before the RP. She specialized in Kegel and floor exercises and penile rehab. To stretch the bladder she had me wear a Cunningham penile clamp. It forces your bladder to stretch and hold more. She started me on a tens unit with a annal device. It stimulates your floor muscles with electric shock . Also do 10 Kegel reps 4 times a day. I use it daily for 30 minutes. If I get lazy and stop using it, I leak more. I am at 1 pad a day, very light drips. She also stressed that I needed blood flow to my penis to keep it healthy. Has me on a vacuum pump 20 min daily and penile injections of trimix every 4days. This all started 4 weeks post RP. Will have to do the penile rehab procedures for the rest of my life unless I get an implant. Implant is scheduled for next month with Dr Boyd at Keck Medicine , USC.

This is an old thread but my answer may help. I got my implant in April of 2018 and an AUS in August of 2020. I was dripping one small pad a day but would just flow if I putt my leg over my quad. I also would pee during orgasm. The quad pounds on my aus valve also and opens it some. AUS is not much of an improvement and causes me pain most of the time. I still drip with orgasm but at least don't need a towel. 2 pumps and 2 testicles in my sack is a crowd. It causes my scrotum to get pinched between my legs. (Ouch) I don't know if I regret getting the aus , but it is a toss up.

Praise, you can type in AUS or sling in the search button and research previous threads on those subjects. I am looking at AUS for myself and it did help to look at other posts.
Michael

I had the AUS installed a couple years ago and have zero regrets.