Leaking

Drinking water - to the point of forcing it down - is essential after surgery.
It flushes out random bits after surgery.
Leaking - normal, but it varies.

My incontinence was just awful. Others are great at controlling their pelvic floor muscles & don't have as many problems. Don't let the leaking put you off drinking water. You really need it.
And you got through the surgery & on the way to recovery.
So you're already winning.

You need to see a physical therapist that specializes in Strengthening the pelvic floor muscles. Some people have more incontinent than others. Some finish surgery with no incontinence but most have it. If you’d like to get back to normal, you can over the next few months by getting your pelvic floor muscles Strengthened.

@peterj116
Thanks for your response.

@jeffmarc
Thanks for your response.
Unfortunately I can’t get an appointment for the therapy. There is only one place which offers pelvic floor therapy in my neighborhood.

@eshan I am still incontinent after 6 years. Sometimes it just doesnt work. I went to Mayo for my therapy just to make sure I was doing it right but there are many online tutorials.

@eshan
I was just going to say what @tuckerp said. Check YouTube for people that are doing pelvic floors training. You will learn a lot from those techniques and maybe it will Resolve your issue.

Be aware that it won’t happen all at once it may take months to get it to work fully, but you should notice small changes over time, that accumulate and can leave you continent.

My incontinence has gotten better over the past 14 months after my surgery, by doing kegels and also seeing a pelvic floor therapist for 9 months, but I am still having some problems. I've been able to reset to realizing that this is the new normal for me and am happy that I am cancer free. Fair tradeoff I guess. I wish you luck with your journey.

Kegels strengthen the pelvic floor, not the sphincter itself. That indirectly improves sphincter control and reduces leakage.
About 80–90% regain good urinary control within a year.
Around 5–15% may have persistent leakage that may require additional treatment.

Depending on age, extent of surgery, skill of surgeon etc, it is normal to leak a month after surgery. Some men leak for a year or so before becoming completely continent. Some men never become totally continent.

Becoming continent is dependent on multiple factors. Strengthening the pelvic floor muscles is important but not the only factor (we have lost 2 of the 3 sphincters used to hold in the urine; now we have one just like women). Diet, hydration, and training the body to not depend (no pun intended!) on pads are all important. It is counterintuitive that drinking a lot of water will help with gaining continence, but there are 2 reasons this is true. If you start limiting your fluid intake your bladder capacity will shrink as the bladder wall is just a muscle. With diminished bladder capacity you will feel full with only a small amount of urine in your bladder which causes leakage. Also, more water dilutes the urine. Concentrated (yellow) urine is irritating to the bladder and promotes leakage.

I learned all of this and much more from an excellent book recommended by my urologist after my prostatectomy. "Life after Prostate Cancer" Ten weeks to continence by Vanita Gaglani available on Amazon. She is a pelvic floor PT who has treated thousands of men with urinary incontinence. Highly recommended.

They want us to flush our systems after surgery moving blood and organic matter out after surgery. In my non professional opinion and personal experience I had cut back after 3 weeks or so. After 5 weeks I was back to full activities including running, weight lifting and mountain biking.