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Surgery for incontinence?

User
Posted 06 Dec 2024 at 10:00

Anyone on here with any experience of surgery or further medical intervention for incontinence post RARP please?

Steve had RARP in January and although a 20% improvement …he is pretty much incontinent still! Not yet signed off from surgeon because of this, his take on it is if it hasn’t got any better within 12 month post surgery, (that’s only a couple of months away) then that’s it, it’s not going to happen and they are talking of investigations/possibly surgical intervention.

There is a suggestion from the surgeon that it may not be down to weak pelvic floors but due to the difficulty he had in reconnecting the urethra to the bladder…they won’t know until they investigate but something’s not right.

we have just come across the Emsella Chair pelvic floor treatment and are paying privately for Steve to give this a go for a few sessions to see if any improvements can be made. Had his first one yesterday so we will see, apparently it works very well for women’s pelvic floors so we thought if that is the problem, it could help, also we would have tried everything possible to us before giving in to more surgical intervention!

 

User
Posted 06 Dec 2024 at 16:11

It was 3 months. I think you are quite right to be concerned  -  at 10 months he should be on an improving curve.

 'Physics is like sex: sure, it may give some practical results, but that’s not why we do it.'                    Richard Feynman (1918-1988) Nobel Prize laureate

 

 

User
Posted 07 Dec 2024 at 08:04

Hi Debbie.

I'm sorry to hear that Steve's still having incontinence problems. I hope this link helps

https://www.kingedwardvii.co.uk/health-hub/treatment-options-for-urinary-incontinence-after-prostatectomy.

 

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User
Posted 06 Dec 2024 at 10:41

Just a thought. During my prostatectomy my surgeon had a problem with reconnecting the urethra to the bladder and it continued to leak for 5 weeks and had to heal before the catheter was removed, leaving scar tissues. My consultant advised me not to undergo any invasive therapy for incontinence because it could make my incontinence issue worse. In the event I did recover leaving me 99.9% continent. All I did was Kegel exercises.

 'Physics is like sex: sure, it may give some practical results, but that’s not why we do it.'                    Richard Feynman (1918-1988) Nobel Prize laureate

 

 

User
Posted 06 Dec 2024 at 10:58
Yes Pratap it sounds similar as Steve’s catheter was in for 4 weeks post surgery…if he knew that eventually it would resolve itself (he does his kegels religiously), then he would gladly wait without surgical intervention. How long was it before you were 99.9% continent?
User
Posted 06 Dec 2024 at 16:11

It was 3 months. I think you are quite right to be concerned  -  at 10 months he should be on an improving curve.

 'Physics is like sex: sure, it may give some practical results, but that’s not why we do it.'                    Richard Feynman (1918-1988) Nobel Prize laureate

 

 

User
Posted 07 Dec 2024 at 08:04

Hi Debbie.

I'm sorry to hear that Steve's still having incontinence problems. I hope this link helps

https://www.kingedwardvii.co.uk/health-hub/treatment-options-for-urinary-incontinence-after-prostatectomy.

 

 
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