Prostate Cancer Incontinence

Posted by script72 @script72, 1 day ago

My husband had successful prostate cancer surgery in 2003 at age 53. In 2025 at age 77 he is becoming more incontinent but he feels worth the price to be alive all these years. He uses Depends and has to change frequently but wonders if anyone experiencing this same outcome has any other better methods or product they use. He does kegel exercises everyday and wants to stay away from surgery. He thinks it is stress incontinence as he has no problems during the night.

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That is good news since 2003. I will be interested in the answers. I had RP in Feb 2020. I have been incontinent since surgery. I also can hold it during the night. I usually get up a couple times to make sure. I have put on a condom catheter since surgery. It solves the issue of wearing a pad. Which is disgusting to me. But I am so tired of getting dressed every morning that I would like to find a reliable option. I went to see my urologist at Mayo last summer. He suggested I use an AUS. It does require surgery which is what I am nervous about doing. I did a search of AUS on this site and my feeling was its still not a 100% fix. My urologist told me to not worry. But... To have all the equipment up inside you waiting to malfunction but on the other hand if it would give me back some normalcy then maybe I should. I have been working extra hard on kegels but at 73 building muscle is not what it was. My urologist said most likely kegels would not fix it.

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Profile picture for tuckerp @tuckerp

That is good news since 2003. I will be interested in the answers. I had RP in Feb 2020. I have been incontinent since surgery. I also can hold it during the night. I usually get up a couple times to make sure. I have put on a condom catheter since surgery. It solves the issue of wearing a pad. Which is disgusting to me. But I am so tired of getting dressed every morning that I would like to find a reliable option. I went to see my urologist at Mayo last summer. He suggested I use an AUS. It does require surgery which is what I am nervous about doing. I did a search of AUS on this site and my feeling was its still not a 100% fix. My urologist told me to not worry. But... To have all the equipment up inside you waiting to malfunction but on the other hand if it would give me back some normalcy then maybe I should. I have been working extra hard on kegels but at 73 building muscle is not what it was. My urologist said most likely kegels would not fix it.

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@tuckerp I had the AUS last July.
Totally worth it.
I was useless at Kegels, so incontinent for 9 months.
I know it's another surgery & recovery is no fun.
It's not always 100% continent. But I went from 7 pads a day to zero.

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About 50-60% of seniors over 65 have problems with incontinence so perhaps it is age related.

Over 70 % of 70 year old men have ED because the incidence of ED increases with age.

IMHO many blame RP for both conditions when in reality it might be happening due to aging. That said, regardless of the cause, the treatment and management is the same : pelvic floor exercises, AUS, sling, pads or clips. There is also a new surgery method called "ProAct" , maybe your husband can ask about that. It supposedly is less invasive procedure.

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Profile picture for peterj116 @peterj116

@tuckerp I had the AUS last July.
Totally worth it.
I was useless at Kegels, so incontinent for 9 months.
I know it's another surgery & recovery is no fun.
It's not always 100% continent. But I went from 7 pads a day to zero.

Jump to this post

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Profile picture for tuckerp @tuckerp

That is good news since 2003. I will be interested in the answers. I had RP in Feb 2020. I have been incontinent since surgery. I also can hold it during the night. I usually get up a couple times to make sure. I have put on a condom catheter since surgery. It solves the issue of wearing a pad. Which is disgusting to me. But I am so tired of getting dressed every morning that I would like to find a reliable option. I went to see my urologist at Mayo last summer. He suggested I use an AUS. It does require surgery which is what I am nervous about doing. I did a search of AUS on this site and my feeling was its still not a 100% fix. My urologist told me to not worry. But... To have all the equipment up inside you waiting to malfunction but on the other hand if it would give me back some normalcy then maybe I should. I have been working extra hard on kegels but at 73 building muscle is not what it was. My urologist said most likely kegels would not fix it.

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Appreciate your comment. Thanks.

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I am almost 3 years out since RARP and it took me almost 2 years to be MOSTLY continent. I now leak 3 to 5 ml per day and wear a light pad. I guess I'm used to it as it just seems part of my daily routine. I do Kegals 2 or 3 times a week.

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Thanks for your response. It is comforting to know others have the same concerns regarding this situation.

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Profile picture for surftohealth88 @surftohealth88

About 50-60% of seniors over 65 have problems with incontinence so perhaps it is age related.

Over 70 % of 70 year old men have ED because the incidence of ED increases with age.

IMHO many blame RP for both conditions when in reality it might be happening due to aging. That said, regardless of the cause, the treatment and management is the same : pelvic floor exercises, AUS, sling, pads or clips. There is also a new surgery method called "ProAct" , maybe your husband can ask about that. It supposedly is less invasive procedure.

Jump to this post

@surftohealth88

Have not heard of ProAct. We will research that. Thanks for responding. Appreciate it.

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