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@gkm

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.

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Replies to "At the outset, everyone's journey is different. My urologist said my incontinence would improve and it..."

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.