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Is 76 too old for prostate cancer surgery?
Prostate Cancer | Last Active: Jul 20 10:32pm | Replies (97)Comment receiving replies
My PSA was undetectable yesterday. I have worried I am not doing my muscle training correctly and made that known to the PT. I know when I started if I did a certain movement I would leak but now that is not the case even without contracting. They gave me a set of exercises to do at home which I am still doing and I try and engage the muscles throughout the day. I’ve started going back to the gym and for me that’s a good place to get them involved. I think since I stopped going to PT I am leaking more but I am not sure. Since I am just at the 6 month mark I may be expecting more of myself and just need more time. My surgeon said I would be fine at 12 weeks, boy was he wrong. Thanks for your help.
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congratulations on the PSA!!!
I may not be correct but I feel like I am threading a needle sometimes. I love working out and doing things ( work, babysitting, gardening etc.) There are days when I do more and my mood definitely improves and then I feel like doing even more, for example instead of one or two walks ( just 20-30 minute walks) , I might do three. Also on days when I babysit, I feel better and do more (when babysitting getting up and down, lifting standing, sitting etc) then on those nights and even the next day I definitely leak more, Sometimes this interrupts my sleep, keeps me up more at night. It is almost as if I was being told to slow it down and allow for slower progress, If I do less, less leakage
still no matter what, I do my PFM training every day.
did you see that article on the American Urological Association website about Urinary Incontinence following RARP?? It indicates that most men get better by about nine months ( give or take a few months)
It also recommends that urologists give this information to patients
like you, I was told little about incontinence- I had to ask. then heard that it all depends, lots of variance, some guys really turn a corner at three months, etc. etc. I should have been shown this chart.
I am happy for guys that have no incontinence or turn a corner at three months, However, you and I -hopefully- may be among the majority of men that take longer closer to a year.
As an aside the recommendations for options to address incontinence if it does not resolve is eye-opening. There are some important warnings about some of the seemingly popular solution's on this list. even the clamp which I was considering seems problematic
For those who wait a year or two and may need a surgical solution this is a must read
I wonder if both of our surgeons read this report or at least keep these findings and recommendations in mind
recommendation #5 copied from this report
. Clinicians should inform patients undergoing
radical prostatectomy or transurethral resection of
the prostate after radiation therapy of the high rate
of urinary incontinence following these
procedures.
it goes into some depth about shared decision making and what patients should be made aware of