I underwent RALP about 9 months ago and continue to suffer from overt (i.e., not stress or urge) incontinence. After surgery, my surgeon said that he did not see any reason why I would not regain full continence. I work diligently with a PT on pelvic floor and core exercises. Although there has been some progress, I am still at about 3 pads per day and my QOL is very bad. I had one urologist tell me I have probably plateaued and may want to start discussing surgery (sling, artificial sphincter) while another urologist said that I should continue to see progress for 1 or perhaps 2 years. At this point, no one is suggesting I will regain continence, although I realize they are just trying to set expectations. I would like to hear from others who have had longer term incontinence (ideally "overt") - did it continue to improve much after 9 months or so, did you end up having surgery, do you have any advice to offer?
Experience with longer term incontinence - Prostate Cancer N...
Prostate Cancer Network
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