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Post surgery and incontinence


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Old 09-22-2017, 07:27 AM   #1
hmcg7
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Post surgery and incontinence

I am looking for people after prostatectomy and how it took you to recover
from incontinence. I am only 2.5 weeks post op, wearing a depends type of
protection. I realize everyone is different, just looking for an idea.

 
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Old 09-26-2017, 12:48 PM   #2
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Re: Post surgery and incontinence

Hi again,

I see you haven't had a reply in several days, so I'll give this a try, though I have no first-hand experience.

Partly, according to experts, it depends on the patient's age, with younger men recovering faster, and the expertise of the surgeon, with patients of more expert surgeons doing better. Doubt if either point is a surprise.

It can also vary depending on what the surgeon had to do during the operation.

According to a well regarded source: "Many men will require a protective pad for several weeks to months after surgery. Fortunately, most men will ultimately recover urinary control. Long-term (after 1 year) incontinence is rare with occurrence in less than 5-10% of all surgical cases." Also fortunately, there are a number of treatments that can decrease or eliminate such lasting incontinence for most patients, according to leading expert Dr. GL.

If you are up for some in-depth homework, you can go to www.pubmed.gov and check the medical research that has been published. You might try a search string like: urinary incontinence AND prostatectomy . I just got 2,743 hits with that one (with the abstracts filter activated). You can work with the search string and filters to narrow down results.

I hope this helps, and I hope you get some responses with first-hand experience.

 
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Old 11-02-2017, 11:15 AM   #3
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Re: Post surgery and incontinence

I can tell you I'm 4 weeks out and still completely incontinent

 
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Old 11-09-2017, 09:28 AM   #4
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Re: Post surgery and incontinence

Ron, I had an appointment with my surgeon on Tuesday 11/7, he said it could take up to 3 months before feeling an improvement. Do Kegel exercises, 3 times a day

 
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Old 11-09-2017, 09:32 AM   #5
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Re: Post surgery and incontinence

I replied to Ron after a visit with my surgeon, my prostatectomy was 10/16. Doc said might need as much as 3 months before noticing improvement. Do Kegel exercises 3Xaday

 
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Old 01-22-2018, 04:24 AM   #6
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Re: Post surgery and incontinence

I'm 2 weeks post and have some questions about Kegel exercises. I know the muscles involved and my doc'd papers say to start with the squeeze to a slow count of five, then relax completely to a slow count of five. This is called a "set." The paper then says the goal is to hold each contraction for ten seconds, then relax for 10 secs. Then it says "to complete 25 to 30 sets each of the three to four exercise sessions per day." Really????? That much?? If each set is a total of 20 secs. and I am to do about 28 sets of these...then that figures out to about 9 mins. of standing over the toilet at least 3 times a day doing this. Is that the usual amount of time for doing Kegel exercises post op? Are guys REALLY taking that much time doing these every day like that?

 
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Old 01-22-2018, 01:47 PM   #7
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Re: Post surgery and incontinence

Quote:
Originally Posted by VideoGuy View Post
I'm 2 weeks post and have some questions about Kegel exercises. I know the muscles involved and my doc'd papers say to start with the squeeze to a slow count of five, then relax completely to a slow count of five. This is called a "set." The paper then says the goal is to hold each contraction for ten seconds, then relax for 10 secs. Then it says "to complete 25 to 30 sets each of the three to four exercise sessions per day." Really????? That much?? If each set is a total of 20 secs. and I am to do about 28 sets of these...then that figures out to about 9 mins. of standing over the toilet at least 3 times a day doing this. Is that the usual amount of time for doing Kegel exercises post op? Are guys REALLY taking that much time doing these every day like that?
Hello Video Guy, My instructions are nearly the same as yours. You can do them seated or standing. I do them seated. Start with 20 quick contractions, then hold for 10 seconds. My rest was just 5 seconds then another 10 second contraction..and so on. After the 25th set, do another 20 quick contractions. About 6 minutes total. I'm 3 1/2 months post surgery. I still have occasional leakage, but very slight. Sneezing, coughing anything that involves the abdominal muscles. Try to get in the habit of a pelvic contraction if possible before sneeze or cough. I've had a huge improvement. Fairly sure I was 4 or 5 weeks post op before I noticed an improvement. Good Luck

 
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