What to expect after prostate surgery: How bad is the incontinence?

Thank you for your advice! I've consulted a lot of people. I've seen the Library of Congress, the Royal Library of England on the Internet. Australian library and related doctors and professors, I may be 6-7% of incontinence.

Here we do artificial urethral sphincter treatment is not safe, the longest is ten years, there are many twists and turns in the middle. I have done Kegel exercises for more than a year, and now I have done pelvic floor muscle exercises for nearly four months, but when I left the hospital, I leaked urine 100%, and now I am 20% restrained at night!

Perhaps come to the US? Don’t know your $$ situation, but if what you are going through is worse than death, take out a loan.
We always borrow $$ for ridiculous things….how about comfort, ease and peace of mind? There are so many men on this forum you could speak with to get recommendations.

I am a Chinese with a low income. I was very scared after prostate cancer surgery. How could this happen? I want to regain control of urination through my exercise.
I really want your support!

All we can do is offer you emotional support and information. If you live in a part of the world where the surgery is substandard and your finances ate limited it is difficult to advise you on how best to proceed.

I'm in a different situation, because mine is all free.
Maybe there was damage to the urethra or bladder during surgery.
A cystoscopy may be able to determine that. Doesn't sound like a fun procedure, but it might help.

I always had extra Depends pads or the depends underwear in my truck and car . And carried an extra pad in my jacket Always wore dark jeans or dress pants. Won’t show has bad if you leak urine . Occasionally my bladder let go and you are wet.. jeans will be soaked also. Be a good idea to have another pair of jeans in your vehicle. If you’re not any better in keeping dry after 1 month talk to your dr about seeing a Physical Therapist to get more bladder control. Might help. I leaked all the time. Just drying off after a shower urine ran out of me. My surgeon said do nothing for 3 months.. no lifting grocery bags no pull starting mower . blower . Weed eater. Had my neighbors mowed for 3 months.. I went for a walk first thing in morning and leaked a lot then took shower and than took another shower before I went to bed. Hope you get control of your bladder .. I did not .

"Just drying off after a shower urine ran out of me."
Ha. That's me. Every day. God, I hate that.

At the outset, everyone's journey is different. My urologist said my incontinence would improve and it did. However, 7 years post surgery, I still fall into that 5% -10% bracket of men that will remain incontinent. I did my kegels faithfully at the beginning but admit that I am no longer as diligent as I should be. I had a cystoscopy (it was pain-free) and it indicated that my external sphincter muscle was on the short side and was not up to the task. An AUS device was recommended but I found the whole idea to be distasteful. I am dry overnight and could live with my one Depend diaper and maximum Guard pad per day. I am currently 82 and still reasonably active; playing squash, golfing. exercising twice a week and skiing at Whistler. Unfortunately, in January 2024, 18 months after my salvage radiation my leakage increased and I am now having to use two pads and be much more diligent in changing pads, although I am still dry overnight. I discussed the change in my incontinence with my physiotherapist and she commented that salvage radiation can lead to a change in one's incontinence up to two years after treatment. There are a couple of research papers supporting that conclusion. Despite this setback, I am still currently cancer-free, reasonably active and hope to see my granddaughter graduate from university. A final comment; it would be nice if there were some current statistics about how many men suffer from incontinence after a RP with or without salvation radiation.

I had surgery 15 years ago and had no incontinence problems. 3 1/2 years later, it came back so I had salvage radiation, I still had no incontinence problems. About five years after radiation the incontinence problems started. At first I only needed a thin pad in my underwear. As of a couple of years ago, I needed a thick pad, but it’s been 10 years now and it hasn’t gotten worse.

I’m now taking a pill called myrbetriq Which has helped Reduce the incontinence.

Gemtesa also helps reduce incontinence.