Fixing Urinary Leakage After Prostate Cancer Surgery | Ask A Prostate Expert, Mark Scholz, MD

PCRI's CEO, Alex Scholz, asks Executive Director, Mark Scholz, MD, about managing urinary incontinence after radical prostatectomy for prostate cancer.

0:35 How can urinary leakage be managed after surgery?

4:00 Are artificial sphincters permanent?

4:30 Should these measures be taken immediately after surgery?

5:04 Are most urologists aware of these treatments?

5:44 Can the side effects of the pharmaceutical options be mitigated somehow?

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[thomasfreed-phzp]

I found some very absorbent pull ups at Wal mart called assurance. They are 10 times better than depends. Pick you size s-m m-l large and x-large. My control has improved tremendously using kegle exercises. Physical therapists can teach the correct way to do them.

[seant]

This is very informative! I wish my dad had done prostatectomy surgery. He passed away from Prostate Cancer in December 2021.

[steve]

I had no incontinence or leakage worth mentioning after my Davinci RP. Being fit: walking, weight training and yoga all help tremendously. I have more urinary control and comfort than before my RP.

[jwalderman]

I have had an artificial sphincter inserted 6 weeks ago. My urologist has advised that I wait 8 weeks prior to activation because I had radiation treatment following the removal of my prostate. My question is: What is involved in the activation of this device? And what is the follow up procedure when using this device to urinate?

[stanknowlton]

I ended up making my own catheter carrying contraption, the flimsy hospital issue device was designed for the bed ridden, now how do I make this available for other patient.

[steve]

Thank you for this site! Keeps me in the loop. God Bless

[ferdinandblose]

Artificial sphincter sounds like another problem on top of existing problem. Kegel exercise never cure urinary incontinence

[jimbrew]

Presurgery, my Mayo surgeon predicted I'd be continent after 4 months. The surgeon didnt mention kegels. I thought it was a rather bold prediction. However, I'm currently at 3 months and pretty much there. The exception would be alcohol use.

[cactusstudiossouth]

I am 3 months post Prostindectomy! Inconvenience is at level 10! I switched to wearing Swimming Trunks full time now, at least the Florida heat dry's me up in between leaks! Please, some one Advise me?

[jamesmeyer]

Is the reason that incontinence happens is the spincter inside of the bladder gets damaged when the urethra is reattached or or is it more due to nerve damage? I have slow drip or two at times and yet during sex the only thing that comes out is precum so does that mean my bladder spincter shuts off for urine for sec then why can't it shut for other times like when I cought or relax while standing?

[kevinmedic]

I used to work with spinal cord patients teaching them how to use a leg bag with condom catheter after my surgery I used the same technique I'll buy a condom catheters and connect them to a leg bag. My leakage is. About a 6 out of 10 I found that the condom catheter and leg bag give me back my life

[Keith]

I had Dsavici RP two years ago had still have leakage. I tried the pills and they didn't work and now trying botox . It has been two weeks now and i leak more than before. Maybe another couple of weeks might make a difference, but I little faith in botox now.

[sf]

With successful nerve sparing RP how soon till one can start "TriMix"(etc) injections while nerves repair and return ? Thank you.

[greasemonkeybd]

had prostate removed but no robot also had radiation after surgery-leaking piss very bad got worse with time. so do you dr. mark can tell me who you would send me to for the mechanical contrivance called the so-called artificial sphincter?? I live in Louisiana

[nestordupo]

Its 1 year next month and I have still incontinence not much and its not bother me anymore butbI still take betmiga tablet though. I have incontenence during my arousement because I take also diff meds for my ed.