Wine Guy

[wineguy]

Hi all

I'm new to this. Not used to discussing my health with anyone other than my Doctor.

I.m 60 yrs. and had Hifu procedure done 4 yrs. ago. Had some complications the first year having to where catheter many times that year because of blockage. Better now as I go for scope every 4 months. Leakage is getting better but not pad free.

Some morning hardness must be the daily 5 mg. of Cialis. But still need injection to perform.

Any suggestions on the leakage?

[LVRob129]

You have leaked for 4 years? Thats not encouraging. I just get told kegels and lots of them, with a surgical sling as a last resort.

[cpcohen]

FWIW --

You don't say whether you've tried doing Kegel exercises, or not. If you haven't tried them (that is:

. . . gone to a pelvic-floor-specialist physiotherapist,

. . . and been trained _how_ to do them,

. . . and then done them for a few months),

then get started on a Kegel-exercise program.

If that doesn't work, the alternatives (as far as I know) are a "surgical sling", and an "artificial sphincter".

The reports on the Forums I follow show some effectiveness for the "surgical sling", and better effectiveness for the "artificial sphincter". The artificial sphincter (I think) is a more-complex surgical procedure.

(I have done Kegels in the past. When I was serious about practicing them, I stayed dry. When I slacked off, I needed to wear pads.)

. Charles

[dadzone43]

Only suggestion is the obvious: keep up with the pelvic floor exercises. We gave here in Providence a superb physical therapy program solely devoted to pelvic floor rehabilitation. A great resource.

[dadzone43]

The durgicsl slings are good, are very dependent on the skills of the surgeon, might be a problem in you because of prior stricture/scarring and have their own complications and eventual failure.

[Trivista]

Hey Wine Guy

I have an Artificial Urinary Sphincter and it works great.

It requires surgery which is very uncomfortable and 6-8 week recuperation prior to activation but the AUS works great and I am dry again after years of stress incontinence.

I was leaking as a result of Robotic Radical Prostatectomy followed by 39 radiation treatments because the cancer had escaped the prostate. This resulted in the incontinence because I never had time to heal from the initial surgery.

I have 2 more Lupron injection, July and November and that will be the end of two years hormone treatment.

I will be 70 this year but this is the best I have felt since PC diagnosis April 2015.

[David1958]

If you do not know anything about male physiology, then this will be new to you. Men start off with two urinary sphincters, one in the base of the bladder, and one in the prostate. This is what makes it easier for men to hold off peeing for far longer than women. I also believe that we exercise the sphincter in the prostate a lot more than the one in the bladder. When the prostate is removed in RP, we are left with the underused sphincter in the bladder. This is why kegals are so important. You have to build up strength in that muscle to get that bladder sphincter up to snuff for a big job, holding back the waters. Even so, you will be far more cognizant of the proximity of available bathrooms. You pass one by at your hazard. That bladder sphincter can only be pushed so far. If you push it beyond its limit, all bets are off for you staying dry. I have done that and suffered the consequences. I strive to never let that happen again.