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Artificial urinary sphincter - not a rave review
Prostate Cancer | Last Active: Jul 28, 2025 | Replies (14)Comment receiving replies
Thankyou.
I just got work (7am in the middle of Winter, which doesn't help) and urge incontinence was awful. I'm used to giving up & just peeing into the pad, but I can't do that now. So I'm left with the awful feeling of badly needing to pee, without being able to.
From what I've read, adjusting it is another surgery & probably another couple of weeks off work.
I see the surgeon again in a month, so see how I'm getting on. I don't want to seem ungrateful, but I'm not doing well at all.
Replies to "Thankyou. I just got work (7am in the middle of Winter, which doesn't help) and urge..."
Call your surgeon or regular urologist and ask if there are any pills that can lower urgency . I think I read on this forum of such pills existing < 3
PS: I found this by Googling : For lowering the feeling of urine urgency, medications like anticholinergics (oxybutynin, tolterodine, solifenacin, fesoterodine, darifenacin, trospium) and beta-3 adrenergic agonists (mirabegron) are commonly prescribed. These medications work by relaxing the bladder muscles, reducing the frequency and urgency of urination. Some anticholinergics are also available as patches or gels.
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Peter, I am not well versed in the device, but I would think that your bladder needs time to adjust to fuller volumes. After all, you’ve been leaking constantly for over a year and your bladder is not used to being inflated by any volume of urine.
I think the feeling of needing to rush to the bathroom will slowly decrease in time. Right now, you are stretching those smooth muscle fibers in the bladder ( due to greater volume) which have surely contracted in the last year. I certainly couldn’t say how much time to give this, but a month or two more would not be unreasonable in my mind. Best,
Phil