Improving Incontinence Post Therapy

This is an anecdotal personal experience/observation but it may be of help to some experiencing continued/increasing incontinence.

I had a RP in 10/21. Prior to surgery I began following a Physical Therapy regimen for pelvic floor/core stability and strengthening as outlined in a book by Vanita Gagliani " Life after Prostatectomy ....." available on Amazon. My incontinence steadily improved over the first year until I was not wearing a pad at home or during very short trips. I am very active-walking, gym and golf-and would wear a very light pad for stress incontinence during those times. After walking and playing 18 holes of golf sometimes the pad was almost dry.

After PSA elevation and recurrent disease in my pelvis, I had 37 radiation treatments in March/April 2023. I had been increasingly lax in doing my pelvic floor/core Kegels exercises in 2023. I noticed a significant uptick in my leakage over the year to the point I was using multiple pads during golf (3-4) and needing to wear one at home.

Not being in control of my disease, I decided I could control my incontinence to some degree. I started doing my exercises twice a day and Kegels every 2 hours like I did in 2021. After a month or so my incontinence improved significantly and I am now back to a single light pad on the golf course.

I realize this is unscientific but may be of help to some with increasing incontinence. My pelvic floor/core exercises take me 15 minutes in the morning and night. Good luck.