Prostate Cancer Incontinence: What products do you use? Tips?

Posted by script72 @script72, Oct 18 2:57pm

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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Profile picture for johnfinch @johnfinch

@jeffmarc

Thanks for that suggestion. I had not given that any thought. Does it hurt? How long do you wear it for ?

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@johnfinch
It does not hurt. In fact you forget you have it on right after you put it on. After two or three hours, I do feel it and it may be a little painful if I have it clamped down real tight.

They recommend you do not wear it for more than two hours in one spot. By then you should pee and just relocate it a little bit.

It has three different size rubber “gaskets” you can switch out. So you pick the one that you can clamp down the furthest without hurting yourself.

One guy in this forum, said that he wears them all day. He doesn’t tighten them down completely and wears a pad if he leaks a little. I prefer to tighten it down all the way.

It’s not very expensive so it’s not a big deal to try one out. I’ve used a couple different brands and the Wiesner works the best that I have found.

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Profile picture for jeff Marchi @jeffmarc

@johnfinch
It does not hurt. In fact you forget you have it on right after you put it on. After two or three hours, I do feel it and it may be a little painful if I have it clamped down real tight.

They recommend you do not wear it for more than two hours in one spot. By then you should pee and just relocate it a little bit.

It has three different size rubber “gaskets” you can switch out. So you pick the one that you can clamp down the furthest without hurting yourself.

One guy in this forum, said that he wears them all day. He doesn’t tighten them down completely and wears a pad if he leaks a little. I prefer to tighten it down all the way.

It’s not very expensive so it’s not a big deal to try one out. I’ve used a couple different brands and the Wiesner works the best that I have found.

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@jeffmarc

Kind of you to provide further guidance. Much appreciated.

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Profile picture for jeff Marchi @jeffmarc

@johnfinch
It does not hurt. In fact you forget you have it on right after you put it on. After two or three hours, I do feel it and it may be a little painful if I have it clamped down real tight.

They recommend you do not wear it for more than two hours in one spot. By then you should pee and just relocate it a little bit.

It has three different size rubber “gaskets” you can switch out. So you pick the one that you can clamp down the furthest without hurting yourself.

One guy in this forum, said that he wears them all day. He doesn’t tighten them down completely and wears a pad if he leaks a little. I prefer to tighten it down all the way.

It’s not very expensive so it’s not a big deal to try one out. I’ve used a couple different brands and the Wiesner works the best that I have found.

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@jeffmarc

Thanks again for the clamp suggestion. I sent an inquiry about it to my urologist. I have an appointment on Dec. 1st. His response, "The stress incontinence will improve significantly if you are doing the kegel's exercises aggressively and of course if it persists and its significant, there are external and also minimally invasive options. I would keep up with kegel's and wait till the appointment and it may have improved significantly by then."

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Profile picture for surftohealth88 @surftohealth88

My husband is now about 10 weeks post op . He started with about 70 -90 ml in 24 hours and using overnight Depends for nighttime (although it was an overkill) and medium Tena pads for daytime. Over time his incontinence improved to now 15-20 ml in 24 hours (which is 1/2 of an oz) and he is using Depends shield during the day (2 a day for sanitary reasons). He is doing Kegels and some pelvic floor exercises but is not religious about them and needs reminding *sigh lol, since his urologist told him that he will be continent very soon . As always his "glass" is not half full but full and almost overflowing - lucky ducky.

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@surftohealth88
Wait! You're MEASURING how much he's leaking in ml?! How are you doing that?

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Profile picture for sanDGuy @sandguy

@surftohealth88
Wait! You're MEASURING how much he's leaking in ml?! How are you doing that?

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@sandguy I can answer that.

Weigh a pad dry (measured in grams.) Write it down.
Then weigh it when its wet (measured in grams). Write it down.
The difference is milliliters lost. (do you use metrics?)
I bought a small kitchen scale just for that.

Do that for each pad over a 24 hour period.
Urologists love having leakage quantified like that.

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Profile picture for sanDGuy @sandguy

@surftohealth88
Wait! You're MEASURING how much he's leaking in ml?! How are you doing that?

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@sandguy
Yes, Peter explained it well (thanks Peter ; ) .
Weight it in grams , 1 gram equals 1 ml. So, if the difference is 10 grams there is 10 ml of urine in your pad. I would suggest to weight EVERY pad before using it since they are not all the same weight, even if they come form the same bag. Buy tiny kitchen digital scale on Amazon, they are very cheap. AND, I am not measuring - HE is measuring lmao - I just go over numbers on a written log every day like very strict librarian lady *wink wink

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Profile picture for peterj116 @peterj116

@sandguy I can answer that.

Weigh a pad dry (measured in grams.) Write it down.
Then weigh it when its wet (measured in grams). Write it down.
The difference is milliliters lost. (do you use metrics?)
I bought a small kitchen scale just for that.

Do that for each pad over a 24 hour period.
Urologists love having leakage quantified like that.

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@peterj116
Well, if I had a butler I would definitely task him with that.

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Profile picture for sanDGuy @sandguy

@peterj116
Well, if I had a butler I would definitely task him with that.

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@sandguy No worries. I'll be right up.

It's not that much of a pain.
I just weigh a dry pad & with each change, I weigh the wet one & note it down on my phone.
Then I just added it to a spreadsheet when I had time.
Here's one of my old ones.

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Profile picture for peterj116 @peterj116

@sandguy No worries. I'll be right up.

It's not that much of a pain.
I just weigh a dry pad & with each change, I weigh the wet one & note it down on my phone.
Then I just added it to a spreadsheet when I had time.
Here's one of my old ones.

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@peterj116

That is very neat data spreadsheet Peter : )) ! I am sure your doctor liked it.

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Profile picture for sanDGuy @sandguy

@peterj116
Well, if I had a butler I would definitely task him with that.

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@sandguy
ahahhaaaa, I am re-watching Downton Abbey at the moment so you cracked me up - I imagined poor Carson weighting his Lordship's pads ahahahaha ... I will not be able to watch tonight's episode without imagining this - well THANKS sanDGuy XP

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