HealingWell
Search Close Search
☰

If prostate only produces lubricant, then why incontenence

Support Forums
>
Prostate Cancer
✚ New Topic ✚ Reply
❬ ❬ Previous Thread |Next Thread ❭ ❭
Posted 11/25/2007 2:11 AM (GMT 0)
Most of the reading I have done on role of prostate, most all publication say the main thing prostate does is to provide lubricant for sperm. So no one says it also controls bladder.

So I just do not understand why removing the prostate cases incontenence.

I like to hear from friends on this matter.

My thoughts; the only expalnation I can think of is, the muscles around the prostate perhaps presses against the prostate and is provides contenent.

Now that the prostate is removed there is a space between the muscle and until some tissue growth fill the gap there will be incontenance.

I also read that a doctotor in the east cost offers a new procedure that while they perform Devinchi Robatic, he re-arranges some of the muscles that within a short time 4-12 weeks continance is gained based on 49/50 patitents. Any one elase has read about this?

When I asked my Dr. he Said with or without the new DR./east cost procedure the contenence is achived about 4-12 weeks after surgery.

Thx,

VE 

Posted 11/25/2007 3:13 AM (GMT 0)

    No Dr. here but from what I can remember the prostate supports the area where the external sphincter is located.  When it is removed you loose this support.  The pelvic floor muscles are supposed to step up and take over.  In my case the muscles are weak and the hip area muscles are too tight to let the pelvic floor muscles pull where they should.

    Hopefully someone smarter than me will answer back soon.

    Remember....there are no dumb questions.....we are all here to help each other.

    KW

Posted 11/25/2007 5:08 AM (GMT 0)
Also, the trauma caused to the ureter when it's separated and reattached to the bladder - healing takes time -- this with the lack of support KW talks about is what causes the trouble. Also, our doctor explained that men have two muscles that control urine flow -- the main one is no longer there and the kegals are needed to get the second and previously unused one strong. He said women only have the ONE muscle and that's why they often have continence problems after menopause and kegals of course help us women as well.

;o) Linda & Bob
Posted 11/25/2007 11:07 PM (GMT 0)
 Hi ~ VE,   W elcome     to…    ~ HealingWell ~   and   A    “ Special ”    Warm Welcome   to   You !   Knowledge gives us POWER….   POWER takes away the fear.   ~      ~      ~      ~      ~      ~      ~      ~      ~      ~      ~      ~      ~     Click   on   link   below for important information that will help you ~ help us!!   Welcome New Members ~ to HealingWell       The information (link) listed above is to help you get around the forum!       This is a journey best traveled with friends.            Welcome ~ New Friend from all the members here... on HealingWell.com   v       IdahoSurvivor ~   Moderator for Prostate Cancer Forum http://farm2.static.flickr.com/1160/1313099593_9f819e3ff8.jpg   v       bluebird ~   Moderator for Prostate Cancer Forum http://i206.photobucket.com/albums/bb179/mamabluebird1955/mamabluebirdWelcome.jpg  
Posted 11/26/2007 2:30 AM (GMT 0)
VE,

My (armchair reading) understanding is that in men there is a consciously controlled valve where the prostrate intersects with the urethra (for ejaculation) that controls urine flow through the urethra.
This is the muscle Linda & Bob -aka Lawlink described that only men have.
This consciously controlled valve is removed with the section of the urethra that is encased by the prostrate.

My understandiong of urethra reattachment research (as done Dr. Tewari as mentioned by Chas036 and by other teams not yet published) does not suggest there is more muscle being utilized in the reattachment -
   - but rather less trauma to both the remaining urethra and it's reattachment suturing -  
       and less trauma to the unconsciously controlled valve at the base of the bladder.
This unconsciously controlled bladder valve is supported by and encouraged to open and close by activities of your pelvic floor ("kegel") muscles. (The beads from that argon machine are unsurpassed KW!)

Keep Kegeling!

Your friend,

CCedar
ICTHUS!
Posted 11/27/2007 2:54 AM (GMT 0)
If I understand it correctly there are two muscles ( sphincters ) before the operation and only one remains after. Therefore the Kegal exercises are very important to help stop the leaks. there are several links to the correct way to preform the exercises,however I can't remember them at this time, maybe some of the others here can help. Good luck, positive thinking are a great help. God Bless, Uncle Dan
✚ New Topic ✚ Reply