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Cancer: Prostate Message Board
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Old 08-16-2010, 11:01 AM   #1
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FL48 HB User
Post surgery Incontenence

Hi:
My husband has just had a Radical Prostatectomy Aug 6,2010 and will be having his catheter out in a few days. Can anyone recommend a product that he can use for the incontinence. We know this will be an ongoing problem for a while.

Thank You
Judy

 
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Old 08-21-2010, 09:25 PM   #2
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Re: Post surgery Incontenence

Hi, Judy,
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.
Progne

Last edited by Progne; 08-21-2010 at 09:38 PM.

 
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Old 08-22-2010, 04:13 AM   #3
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taff3 HB User
Re: Post surgery Incontenence

Quote:
Originally Posted by FL48 View Post
Hi:
My husband has just had a Radical Prostatectomy Aug 6,2010 and will be having his catheter out in a few days. Can anyone recommend a product that he can use for the incontinence. We know this will be an ongoing problem for a while.

Thank You
Judy
Hi Judy, I had a Radical Prostatectomy 15 months ago, i'm 66 yrs. old & am back to 99% to what i used to be. After the catheter was removed i was supplied with incontinence pants by our N.H.S., I wore them for aprox. a month, they were more for confidence than anything else, i did have the odd leak when coughing or laughing but over time the leaks became less frequent & now as i say virtually back to normal. Rest assured it will get better in time

 
Old 08-22-2010, 07:30 PM   #4
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Re: Post surgery Incontenence

Hi Progne:
Thank you for the wealth of information. My husband has had the catheter out since Aug 18th and is doing fine. His incontinence is what we have expected at first and are hoping it will easy up in time. It is good to hear that it might not last too long, our Dr. has said to look for improvements weekly, NOT day by day. It is hard to adjust to this new way of living. We have found that the Tena Men's Pad seems to be working for us now, mind you we have had a few mishaps but that is expected. We have now learned to have a emergency pack in the car for these times. I would like to thank you for the advice about using Astroglide as my husband did mention this was happening and now I know what will help. I would not have thought of weighing the pads each time to help keep track of how he is doing, just going by the number of pads he uses each day. We will check out the Depends to see if they are lighter than the Tena. We are still awaiting our pathology report from the surgery, it has been delayed do to summer vacations is what we are being told.
Thank You once more for your help.
Judy

 
Old 08-22-2010, 07:37 PM   #5
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FL48 HB User
Re: Post surgery Incontenence

Hi Taffe3:
My husband Frank is 61 yrs old and in average shape. I am hoping he will be done with the incontinence within 6 months to 1 year. If this happens earlier it will be a bonus. He is doing the Kegel exercises but when doing them he seems to leak more and can not stop it once it starts. I wonder if this is normal? I know it is still early, his catheter has not even been out a week yet. All takes time.
Thank You for your advise and support.
Judy

 
Old 11-29-2010, 01:25 PM   #6
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LacLemay HB User
Re: Post surgery Incontenence

Quote:
Originally Posted by FL48 View Post
Hi:
My husband has just had a Radical Prostatectomy Aug 6,2010 and will be having his catheter out in a few days. Can anyone recommend a product that he can use for the incontinence. We know this will be an ongoing problem for a while.

Thank You
Judy
Never heard of a "product" but if there is would like to know about it. Special exercise is all i heard about. Did he have any pain urinating after the surgery?
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LacLemay

 
Old 11-29-2010, 06:00 PM   #7
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FL48 HB User
Re: Post surgery Incontenence

No pain at all, actually he did very well after the surgery. He is right back to doing everything he did before except bike riding because of the weather. Usually in FL this time of year. Have now tried a few items and down to one pad a day.... Thanks for your reply....

 
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