Incontinence and coffee

Posted by edinmaryland @edinmaryland, Jun 14, 2025

71 y.o had RARP in January, nagging incontinence since however I can see improvement, less leakage, better in the mornings, dry at night Still, I imagine I have at least several months to go if I am lucky.

I am taking Gemtessa and have tried to avoid bladder irritants. It has been five months since I have had coffee and I miss it.It really is my only vice. I understand that both the caffeine and acid can be bladder irritants and I certainly do not want anything to make me go backwards. However, I was thinking of trying a half cup to see what happens (low acid, maybe caffeine free for starters. has anyone else had experience with re-starting coffee under these circumstances?? thanks much

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

Here's the response I get from my Oncologist and Urologist. "Wow, your the first
patient we've had with these issues". LOL I stopped even bringing it up. I've had more
luck researching it myself. Good luck with your situation. I'll reach out if I find out more.
Thanks!

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I am 73, also had RARP in January and am on Gemtessa. I restarted coffee one cup in am with only minor increase in urgency for an hour or so. I am an MD and know of no reason that this effect would be anything other than temporary and so I think you could safely give it a try.

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Thanks I am now carefully drinking a small cup of coffee probably five days a week. I usually drink a full glass of water before and after to dilate it
I am getting ready to discontinue the gemtessa as the urge incontinence is not as bad as it was. Stress incontinence is better but by no means resolved. Thanks for the d feedback I am at 15 months and hopeful progress can continue however I may next be a candidate for salvage I hope that does not start things all over

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Pound 16 ounces of water first thing in the morning and eat something then drink your coffee and see what happens. We are all different and self-exploration is an important part of getting back to our normal or new normal life.

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Profile picture for edinmaryland @edinmaryland

Thanks I am now carefully drinking a small cup of coffee probably five days a week. I usually drink a full glass of water before and after to dilate it
I am getting ready to discontinue the gemtessa as the urge incontinence is not as bad as it was. Stress incontinence is better but by no means resolved. Thanks for the d feedback I am at 15 months and hopeful progress can continue however I may next be a candidate for salvage I hope that does not start things all over

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@edinmaryland
I’m able to drink 1 cup in the morning ok with nothing but creamer. I noticed if a use an artificial sweetener it seems like I leak more. I try to drink it every other day and skip some days. And I do love my coffee. I’ve had the salvage radiation

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Profile picture for jrs619 @jrs619

@edinmaryland
I’m able to drink 1 cup in the morning ok with nothing but creamer. I noticed if a use an artificial sweetener it seems like I leak more. I try to drink it every other day and skip some days. And I do love my coffee. I’ve had the salvage radiation

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@jrs619 thanks to both you two. Did the incontinence come back after the salvage?

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