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@bberger1955

I’m 68 year old active man in relatively good health, no major issues prior to the PC diagnosis, however a little overweight.
I had nerve saving RP on Oct 31. The surgery involved right neurovascular bundle resection. The left bundle was saved. Since surgery, my wounds have healed up and I have had minimal discomfort or pain. However I have experienced severe incontinence since the catheter was removed. It is almost 8 weeks now and I’ve seen little to no improvement in my bladder control. I have been doing Kegel exercises on a regular daily basis but haven’t noticed any effect as yet. I have minimal feeling in my penis or bladder when leaking or streaming urine. So I don’t get much warning. I only know from the warmth in my Depends. I go through 3-5 Depends a day. While I’m sleeping I get some leaking but not a lot. I do wake up one or twice during the night and am able to get to the restroom to urinate.

I’m frustrated to no end, as it is and will be difficult for me to get back to my activities - working out, golf, walking and ultimately cycling.

I know it is early days and I need to have lots of patience (not my superpower)!! I have my 3 month check in with my Mayo surgeon early February.

I’m looking for any insights from men who have experienced a similar situation, with resection of a neurovascular bundle. How did your incontinence improve over time? What did you do to gain this improvement? Any other helpful thoughts? Many thanks!!

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Replies to "I’m 68 year old active man in relatively good health, no major issues prior to the..."

Hi @bberger1955, I moved your questions about incontinences after radical protatectomy with resection of a neurovascular bundle to this discussion:
- Do you have urinary incontinence after prostatectomy & radiation?
https://connect.mayoclinic.org/discussion/urinary-incontinence-1/
I did this so you can read tips and resouces, as well as experiences posted by members and connect with them easily.

You are certainly not alone. There are a number of incontinence-related discussions that you may also be interested in using the group search: Here's a listing:
https://connect.mayoclinic.org/group/prostate-cancer/?search=incontinence&index=discussions
It may seem overly simple, but Kegel exercises help,
- Do those Kegels!
https://connect.mayoclinic.org/discussion/do-those-kegels/
Other Kegel discussions: https://connect.mayoclinic.org/group/prostate-cancer/?search=kegels&index=discussions

Good luck with developing the super power of patience. Don't forget to recognize the incremental improvements. 🙂

5 months since for me bud. It gets better. I do 1,000 cruches a day for Core
building too plus the Kegels. One other one you can do is lay on the back and
hunch as high as you can go and hold it for a minute and do 3 of them. When you do Kegels, grab and then flex the butt also. I still pee a lot and do have accidents. I don't wear any diaper crap. It makes me focus hard and it really works most of the time.

Thank you for sharing. I too have no feeling to urinate, just a stream that leaks out.
What has helped me is sticking to a diet. Biggest change is no more coffee, or carbonated drinks. The diet seems to have helped.

Am 8 weeks out and down to one thin pad during the day and one at night.

Kegels, fast and slow up to 8 times per day. And lots of core exercises. Seems to have helped.

And I took had right bundle resection.

Good luck with the Drs visit.