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Alcohol after RARP

Posted by folmajt @folmajt, Jan 5 10:43am

I am 3 mo post RARP. Recovery has been about as advertised. I have returned to normal and full activity. My "junk" is still not 100%, but seems to be improving. Very minor leakage, more like dribbling after urinating. Erections are ok, but orgasms are almost non-existent (I get hard and excited, but then poof, it goes away). My question is about alcohol. I do consume most days, and it seems to really weaken the bladder control. In a social setting or at a ball game, etc, I seem to squirt/leak with every laugh or loud cheer, etc. Very annoying, especially when I am pretty much continent at all other times. In this post RARP era of my life (65 y/o), I should probably point out that a good two beer piss like a race horse is about the best thing since surgery. Going back for 90 f/u next week with urologist. Is this the type stuff to talk about with him? Thx!

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jeff Marchi | @jeffmarc | Jan 5 12:33pm

If you want to continue drinking and have this problem with incontinence while doing it, get yourself a clamp. The Wiesner Clamp works quite well and will prevent Most leakage (might dribble a little). You do have to move it every couple of hours to a different spot, but you have to go pee every couple of hours anyway.

I use one whenever I go out for extended period of time

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retireditguy | @retireditguy | Jan 5 1:58pm

I was 70 when I had RARP in 6/2024. At 3 months I was still figuring out the new normal as regards urination. Continent, but occasional minor releases. I do think alcohol was one of the things that was a bit of a challenge, although anything that went through me quickly could set me up for an inadvertent release. I was a lot better after about 6 months. I don't know for sure, but I do believe Kegals helped me. I also experienced poor erections (maybe 70% firmness) that also didn't last long when I was at 3 months. Plus my sensitivity just wasn't there yet. I'm happy to report that all improved until by 15 months I was fully back to normal (firmness, sensitivity, duration). For most of us it takes a while for the nerves to wake up and then recover. I don't know how much it helped (although I think it did), but I did exercise, do Kegals, good diet, vitamins & magnesium, and penile rehab to try to assist my recovery. But along the way there were plenty of times I wondered if I'd ever get back to full normal. As far as what to discuss with your doctor, I'd suggest discussing it all. I learned to make a list or otherwise I'd forget to mention something. Best wishes.

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