7 weeks after Prostatectomy and still waking up a lot to pee.

My situation is somewhat different. After my surgery in 2023, I had ZERO incontinence issues. My surgeon said I was one of the “lucky” 10%. However, even today I still pee a lot. Sometimes I will get up 3 times a night. I will say I don’t have that urge feeling like I had with my enlarged prostate. That feeling got in the way of my normal daily routine . My surgeon says it could be a number of issues: some people just produce more urine(I have since I was a teen), or the bladder can be weakened slightly after surgery. He told me to really try and pee less, especially while sleeping. It has been helping. I really believe some of my problem is psychological. BTW I’m 73 and doing well. Hope this helps. Best wishes.

@kjacko
You might try Myrbetriq or Gemtesa to stop that urgency and need to get up three times at night. I get up one time since I started taking those pills. They also help with incontinence..

@jeffmarc Are those OTC or prescription. BTW, I hate taking pills.

@kjacko
They are prescription drugs that are used to stop the urgency at night. I found Myrbetriq really helpful. It does cost about $1300 a month but if you have hit the $2000 Medicare limit, you pay nothing.

I am almost eight weeks from my prostatectomy with very little progress on my incontinence. I have been going to physical therapy to work on Kegels and do them every day as well as my normal exercises. But the flows come out of nowhere when I just stand or walk. I can stop the flow while standing over the toilet, but when I think I'm done, I walk away and start flowing again. It's not like I just feel the urge where I have a chance to contract my pelvic floor. The urine just leaks out before I can do anything. This is beyond frustrating as I would think it would be better by now. Night time is no better where I wake up multiple times either feeling I need to go or worried that I should go. My urologist just keeps telling me to do the Kegel exercises and it will get better, so I keep hoping and praying it does soon because I am doing all that I can with little to show for it.

@vcsurvivor59 hi
I had my surgery on 12 Sept catheter out on 19 sept I start the count from that day so I am 7 and a bit weeks.
No prob with erections but was incontinent ie first week in pull ups or heavy pads it has improved where I wear light pads ie grade 1, 2 or 3. I was doing kegels as shown by pelvic floor therapist but I discovered a kindle book a week ago by a therapist from Melbourne in Florida ( I live I’m Melbourne Australia and it is fantastic.
Her name is Vanita Gaglani.
The book has a comprehensive 10 week program to continence ( I am starting at week 3 )
The exercises are much more comprehensive including 5/6 different Kegels as well as other exercises for the bladder and pelvic floor muscles.
When I started I was dry at night getting better in mornings worse in afternoons and when walking etc
I also had urgency and frequency.
These are improving. She also deals with diet and avoiding bladder irritants.
And in week 3 or 4 sitting with plastic and a towel at home without pads ( you will get wet but this is training so as to help get over reliance on pads.
She also stresses a limit on total Kegles per day
The book title is Life after Prostatectomy maybe worth a look.
The other treatment I would look at if still struggling a 5/6 months is the Emsella chair look it up
Best wishes for recovery

@pezzy
Thanks so much for your experience and reaching out to me. I have heard of that a book so your recommendation validates that it's worth buying. It's so hard not seeing results and the feeling that my incontinence is not improving. It has also been difficult to find an actual pelvic floor specialist as opposed to a physical therapist who does not have the specific expertise to help me.
I wish I was dry at night and at least have better days than others. But standing and walking, especially around dinner time has been the most difficult. It's not like when I feel I need to go that I have the chance to hold it. I can do that standing over the toilet. The problem is that it comes with shorts bursts without a chance of stopping it. This has been the most frustrating part for me.

I feel like I'm doing everything I can with very little progress, so I hope the book can help.

@vcsurvivor59

If kagles and other Pelvic floor exercises don’t work, the following usually do.

These are solutions for incontinence that work well if you have not had radiation. ProACT works quite well and stops incontinents almost completely. The other option is the sling. You can easily read up on both of these options.

If you had radiation that affects the urethra (most radiation other than spot radiation ) or may have it in the future these devices do not work well. Only the AUS works in those conditions