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Radical Prostatectomy vs. Radiation therapy?

Prostate Cancer | Last Active: Apr 21 7:39pm | Replies (52)

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Profile picture for Jeff Marchi @jeffmarc

@wwsmith
I had my surgery 16 years ago. Had to wear the catheter for 14 days. Never thought about the fact that I might have incontinence after. They pulled out the catheter and I didn’t have any incontinence problem, until about nine years later, Which was about six years after I had salvage radiation.

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Replies to "@wwsmith I had my surgery 16 years ago. Had to wear the catheter for 14 days...."

@jeffmarc Surgery and radiation are a double whammy against continence. An RP surgery typically leaves you with only 5-10% of the sphincter muscle needed for continence. This handicap can be overcome but still has high chances for not having normal continence. You got six more years of continence after radiating the residual sphincter muscle you had after your RP. So many men go into salvage radiation already with incontinence problems. I wonder as a general rule do incontinence problems typically get worse quick for men who have salvage radiation after an RP?