Prostate Cancer Incontinence: What products do you use? Tips?

Posted by script72 @script72, Oct 18, 2025

My husband had successful prostate cancer surgery in 2003 at age 53. In 2025 at age 77 he is becoming more incontinent but he feels worth the price to be alive all these years. He uses Depends and has to change frequently but wonders if anyone experiencing this same outcome has any other better methods or product they use. He does kegel exercises everyday and wants to stay away from surgery. He thinks it is stress incontinence as he has no problems during the night.

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My husband is now about 10 weeks post op . He started with about 70 -90 ml in 24 hours and using overnight Depends for nighttime (although it was an overkill) and medium Tena pads for daytime. Over time his incontinence improved to now 15-20 ml in 24 hours (which is 1/2 of an oz) and he is using Depends shield during the day (2 a day for sanitary reasons). He is doing Kegels and some pelvic floor exercises but is not religious about them and needs reminding *sigh lol, since his urologist told him that he will be continent very soon . As always his "glass" is not half full but full and almost overflowing - lucky ducky.

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I'm 51 weeks post surgery, 4 weeks before radiation. I use Tena moderate during the day, one a day although heavy lifting or big effort like hiking or working out sometimes requires a second. When I work from home I usually go for the lightest Depend product because it's cheap and easy.

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I now take Zytiga with constant urination with occasional urgency as a side effect. I take Gemtesa which helps me sleep but after taking Zytiga in the morning, I never know how the morning will go. If I am out and about, away from toilets, I slip a shield in my underwear just in case of a dribble. Hope that helps.

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On the one hand I would stay with what works. Tena could be cheaper and I prefer less. It is easier for me to go places with a Tena pad in my pocket to change if I need to

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Profile picture for hirejohn @hirejohn

@davederousseau
After my RARP is April, I was expecting or at least hoping for minimal or even no incontinence. Did kegles for a month or so before surgery, very good health and physically fit, nerve sparing procedure at a center of excellence. To the contrary, my incontinence was pretty significant for the first couple of months and included the inconsistent flow you mentioned. However, I'm happy to report that with PT therapy, religious adherence to my kegles and other recommended exercises, and avoiding bladder irritating food and beverage, I'm down to one or two pads at day with the pads often being dry when changed. So continue with your protocols and remain positive as you will almost certainly improve significantly in the months to come.

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@hirejohn
Thanks. I am exercising and starting to up my kegels, as the post-surgery pain down. Like you, I did prior kegels and am fit. Looking forward to improvements and return to a more active life, other than just walking. Thanks again for the details. Best to you.

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Profile picture for davederousseau @davederousseau

Thank you all for sharing. My radical prostatectomy was on 3 Oct, almost a month ago. Catheter out on the 17th. I have been going through about 2-3 pads a day. The urine stream has been very inconsistent, with some only dribbling and some pretty strong. Today, I was unable to control/feel the leaks as much and it happened much more. And there was some pressure in the bladder, but no urge to go; only mostly dribbles, little flow, when I tried to pee. And I have not yet had a hard urge to pee, even when I feel that I have to go. Is the inconsistent flow and light urge something others have experienced?

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@davederousseau
After my RARP is April, I was expecting or at least hoping for minimal or even no incontinence. Did kegles for a month or so before surgery, very good health and physically fit, nerve sparing procedure at a center of excellence. To the contrary, my incontinence was pretty significant for the first couple of months and included the inconsistent flow you mentioned. However, I'm happy to report that with PT therapy, religious adherence to my kegles and other recommended exercises, and avoiding bladder irritating food and beverage, I'm down to one or two pads at day with the pads often being dry when changed. So continue with your protocols and remain positive as you will almost certainly improve significantly in the months to come.

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Profile picture for script72 @script72

Ditto. My husband just started using Tena after doing some research on best pads. Better than Depends. Less bulky and sides prevent soiling of underwear.

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@script72
I agree. Tena moderate absorption work for me.

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Hi All,
I am six weeks out from RARP and doing reasonably well with incontinence. From the start I have used Depends and found they work well for me. My question is how do you know if you are ready to switch to pads? Since Depends has worked well, I am very comfortable using them and a bit nervous about switching to the Tena pads some of you are recommending. Thanks@

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Another Tena endorsement.Men’s Sensitive Extra Coverage. 90 pads for $39.99 on Amazon ($.44/pad). Since these pads do not show under any of my cloths it makes sense to buy the most absorbent ones.

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Profile picture for peterj116 @peterj116

@script72
Another vote for Tena.
But buy one packet initially, to test out.
It's a shame you can't order free samples up there.
I did.

If buying pants, buy the navy ones. Please.

*Edit
Canada offers free samples
https://www.tena.ca/en/tena-samples

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another vote for Tena
I have tried others tena outperforms

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