Depends pads. Old vs new

Posted by budisnothome @budisnothome, 4 days ago

Has anyone tried the new thinner style depends guards? Does it hold very much liquid and stay in place? Why did they mess with something so many of us rely on...

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Profile picture for rlpostrp @rlpostrp

To @jeffmarc
Yes...I am circumcised. That isn't the issue. I believe that losing that 1/2 - 1" in length caused an extra fold or two of my foreskin. I look at it, and it looks more "bunched up." I guess I am OK with losing the 1/2 - 1" in length...going from 12" to 11" won't be a problem!!! Haha!!!

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@rlpostrp
Yeah, I can see that the shrinkage might make it appear to have more folds. Never thought about it that way. The amount of skin didn’t disappear.

Sorry to hear you’re having so much trouble, I would really be frustrated with that problem. Of course, I just found a way to stop it from happening, I hope. Maybe you Can resolve the problem by Becoming continent.

One strange thing. I’ve had the surgery, but they left me wide open for six weeks. I am leaking a fraction of what I was before the surgery. It may not stay that way, but if it does, I’m already a good deal of the way toward the improvement I’m looking for. When they finally allow me to block it completely. I sure won’t be dripping much.

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For light duty, I preferred the Tena brand shields - the ones labeled for level one.

I liked the Duluth Trading Company "Bullpen" boxer briefs. They have a "pouch" in front which kept the liners in place pretty well.

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If it’s the pad that resembles a shield, yes. They do appear thinner but my experience is that the absorbency rate is about the same. I change my pad often. I find not much difference in the time frame that the pads have to be changed. I do like the new pads much more comfortable to wear.

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I noticed majority are using light pads 1-2 drops for dribbles. I was just curious if any one could tell me how long has it been after your prostectomy have you been using light pads. And did you later have to receive radiation. The reason is I too didn’t even wear a pad after my surgery, I was 56. But after receiving IMRT I now use a pad every3 to 4 hours. Any body have a problem like mine, I hope not.

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I’ve used Depends pads and briefs, but find Tena pads much better. Their maximum absorption pads offer superior protection and are virtually invisible under any type of clothing despite not being the thinnest pad on tne market.

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Profile picture for jrs619 @jrs619

I noticed majority are using light pads 1-2 drops for dribbles. I was just curious if any one could tell me how long has it been after your prostectomy have you been using light pads. And did you later have to receive radiation. The reason is I too didn’t even wear a pad after my surgery, I was 56. But after receiving IMRT I now use a pad every3 to 4 hours. Any body have a problem like mine, I hope not.

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@jrs619
After surgery, I had no problems and didn’t have to wear a pad. After salvage radiation, I had no problems and didn’t have to wear a pad. Six years later I started leaking, In the 6+ years following, I’ve gotten worse. I went to a pelvic floor physical therapist and did keagles for Six months and it did not help. I reached the point where I could soak a thick pad in two hours if I was really busy. I just had an AUS (Artificial urinary sphincter) installed. They haven’t even turned it on and I’m already continent, Maybe I won’t even have them turn it on.

It took me six years to have a problem, Other people have it happen much quicker. Some people don’t have it happen at all.

You want to find a pelvic floor physical therapist, they specialize in incontinence, get a few sessions so you can learn how to stop leaking. It may work for you.

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Profile picture for Jeff Marchi @jeffmarc

@jrs619
After surgery, I had no problems and didn’t have to wear a pad. After salvage radiation, I had no problems and didn’t have to wear a pad. Six years later I started leaking, In the 6+ years following, I’ve gotten worse. I went to a pelvic floor physical therapist and did keagles for Six months and it did not help. I reached the point where I could soak a thick pad in two hours if I was really busy. I just had an AUS (Artificial urinary sphincter) installed. They haven’t even turned it on and I’m already continent, Maybe I won’t even have them turn it on.

It took me six years to have a problem, Other people have it happen much quicker. Some people don’t have it happen at all.

You want to find a pelvic floor physical therapist, they specialize in incontinence, get a few sessions so you can learn how to stop leaking. It may work for you.

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@jeffmarcjeffmarc
Thanks Phil I’ll look into it. If it improves slightly I consider it a win at this point

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I'm so grateful that mine stopped 6 months post-op but I relied on pads and underwear from Walgreens. Walgreens changed their pads drastically about midway through and they were terrible after the change. I switched to the very thin Depends pads.

Off topic: I'm a big believer in getting PT before and after surgery. The kegels aren't done right by most without a therapist actually putting their hand down there and feeling what you're doing. The one I had was great and very thankful to have gotten her help. It's never too late to go get some PT.

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Profile picture for rlpostrp @rlpostrp

to JeffMarc:
What I quietly, subtly noticed is that in my post-op reality, my un-erect penis is in fact, slightly shorter than before...the "internal" part of my penis, but...the outside...the skin of my penis, remains as it was. Thus, I have a few more "folds" of skin on the underside, which is where even just "drops" of urine can settle in the crevices of the extra folds of skin, and quickly set up a rash and infection. This potential is made worse by me wearing tight-fitting jockey style underwear to keep my "Shields" product in place for incontinence. I tried affixing a Shield to my boxers but it doesn't work because boxers do not have a bottom "panel" of fabric like jockey style do. My Shield would move around and feel uncomfortable, AND...not do its job. It only took 2-3 attempts before I caved in and started wearing jockey style underwear. That cost me close to $200 in new underwear. Ugh.
Because removal of the prostate includes removal of the portion of urethra that ran through it (~ 3/4"-1"), when the urologist rejoins the remaining penile urethra to the bladder (anastomosis procedure), there is a stretching of the urethra to allow that to happen, with sutures holding it all together until it heals. So...the shorter, rejoined urethra draws-up the penis as a result. And of course, within that small length of urethra that runs through the prostate, is the most important of the two "sphincters" that we have to control urine flow...thus post-op incontinence, until our brain and Kegel's can retrain the one remaining weaker sphincter to control and hold our urinary continence.

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@rlpostrp I sympathize with your post. My prostatectomy left me ultimately with a rectourethral fistula and total incontinence. I was a lifetime boxer wearer but had to start wearing Depends-type underwear (CVS) and 6 or 7 pads a day. My groin is constantly moist but despite my doctors telling me to use zinc oxide to protect the skin, I don’t but have no major diaper rash problems. My penis like yours is shorter by at least an inch and although circumcised my remaining foreskin slips over my glans so that i look uncircumcised and my glans is constantly moist. I did not previously pursue penile rehab but have an appointment with a urologist to discuss what can be done about the penile shortening.

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