Re: Post surgery Incontenence
I'm surprised no one else has responded to your question; this is an area that I had questions about too. And I'm sorry that I came in late - Your husband probably has the catheter out by now, and you're already into the recovery phase.
I don't have a lot of expertise here, but I can relate my own experience. I'm 71 years old and otherwise in good health and pretty good condition. I had a DiVinci-assisted radical prostatectomy on April 21. The catheter came out on day 13, and today is day 112 post-catheter. At the end of each day I have weighed my pads and determined the grams of leakage. Here's some real data on incontenence: On the day the catheter came out I leaked 678 g of urine - a considerable amount. Nonetheless basic contenence was there from the beginning, and it improved quickly.
Days 1-10 127.9 g
Days 11-20 56.8 g
Days 21-30 21.8 g
Days 31-40 14.5 g
Days 41-50 18.1 g
Days 51-60 15.0 g
Days 61-70 7.4 g
Days 71-80 6.5 g
Days 81-90 3.2 g
Days 91-100 6.3 g
Days 101-110 3.2 g
When I went to the incontenence section of stores in my area, something I had never paid attention to before, I found that there are dozens of products for women, but exactly two for designed for men. I have used four products since surgery:
1) Certainty Adjustable Underwear - 77 g - unisex
2) Top Care Guards for Men - 26 g
3) Depends Guards for Men - Regular - 23 g
4) a lighter woman's product - 7 g I don't remember the brand.
The adjustable underwear I bought presurgery, not knowing what to expect. I only used them during the catheter phase when I had some unexpected leakage around the catheter at night. It was a surprise, but I found that I could control it - IF I was awake. I never used them after the catheter came out. They were more than I needed. I eventually gave them away to a nursing home.
Post-catheter I have been using the Top Care and Depends products. However, after about a month they were also more than I needed. I tried the women's or unisex product, but it was unsatisfactory: They were narrow where they needed to be wide, didn't fit, came loose, I fell out of them.
This week my leakage is in the 0-15 g range. Most days I wear regular underwear. At this stage most leakage is imperceptible. I still use the Depends if I anticipate more leakage than usual. I'm a field biologist, so I spend a good bit of time walking off trail in waders, stepping up, stepping down, stepping over. I don't like the guards in this situation - they are bulky, hot, and they chafe. I find a little Astroglide helps the chafing. Depends are still too heavy for me: I need something lighter - maybe in the 10 g range. The packaging leads one to believe that there are several grades, but I think "Regular" is the only one Depends makes. I still have a lot to use up, but I would appreciate anyone's advice on lighter weight guards suitable for men.
If your husband's recovery is anything like mine, I would recommend the Depends Male Guards - Regular. They are a little lighter weight that the Top Care but a little more expensive in my area. They come with an individual wrapper which seems unnecessary to me. They fit. They stay in place.
Good Luck with you husband's recovery.
Last edited by Progne; 08-21-2010 at 10:38 PM.