Ok here it is. I’m 8 weeks post NSRP (under John Donohue at Medway, in whom I have every faith) I gave a blood sample for follow up PSA last week but not heard anything yet.
I guess I’m hoping for some identification (please don’t share your miraculous stories of instantaneous dryness). I feel like I’m being weedy and pathetic about this but can’t seems to stay rational, calm or hopeful about recovering continence. My level of wetness fluctuates. I have used as few as 3/4 Tena 2 pads a day and up to 5/6 when I’m more active though things have become worse in recent days which has been worrisome. It’s worst when I drive or walk longer distances (or repaint my garage as I did this morning- 4 pads in two hours). When I remember I try engaging the pelvic floor muscle when standing up or leaning forward or any number of seemingly minor movements, which can help, but generally, after around 9.00 am, I can’t walk more than five paces without dripping - and when that happens I can feel myself tensing up and frequently diving into a rabbit hole of pessimism and despair.
One thing I can’t seem to find an answer to is exactly how continence is recovered?! I practice Kegels as instructed by my specialist nurse - 10 reps twice a day and 4 reps in the evening. But I can’t imagine that some Popeye scale pelvic floor musculature will hold my urethra closed after a time. Does the striated sphincter somehow wake up and compensate for the two that were removed? I don’t get it…
I know we’re all different and that expected recovery varies, with averages of 6 months to a year before ‘most’ men achieve relative dryness but I am finding it difficult to just accept the circumstances and trust that recovery is possible given how hard it is to control now.
as I say, any identification or insight would be welcome. Also does anyone know of any support groups where one might talk about how this feels with fellow sufferers?
Hi there
Yours is the post I've been waiting for.
My husband had Laparoscopic Robotic prostatectomy at Medway Hospital 9 weeks ago today by Prof Sherif.
If you read my profile you will see how thing's have progressed for my husband.
He has been seeing a physiotherapist at the Meads medical centre who has been a great help with the pelvic floor exercises and he's also got the NHS Squeasy app on his phone to remind him to do the exercises.
He had his follow up PSA 7 weeks and a day after surgery m, as advised by the nurse who removed his catheter.
Like you we were wondering when he would have husband follow up appointment for the results of the PSA and tissue analysis and were anxiously awaiting a phone call to give him a date. We didn't get a call, but a couple of days ago a letter arrived for a telephone appointment on 4th September. We are hoping that if there was a problem they would see him in person.
As for a support group in the area, there's nothing and I posted on the forum last week asking if there was anyone else in Sittingbourne who would be interested in getting together to support each other.
I joined a brand new private Facebook support group yesterday and tried to share the details on one of our local gossip group's, but they rejected my post.
We have been invited to a well being meeting next month at Medway hospital, which is run by Mcmillan which I think may help.
I am happy for you to send me a friend request if you think we could support each other.
Hi GR1 thank you so much for your response. I would be glad to accept your friend request but can’t figure out how. I’ll send you a request and see how that goes.
I’ll contact my nurse about the well-being group though Medway is a bit far for me and I’m working most of the week. I’m based in Tonbridge.
Further to my reply last night.
I note that you are using the tena stage 2 pads and the number you are going through every day. My husband was given samples of these by Prostate Cancer UK and a years supply of the same by the community continence service.
The absorbancy level of these is inadequate following surgery. Before my husband’s catheter was removed he was experiencing leakage and I did some research and discovered an online supplier of incontinence products, called incontinence choice. They do an excellent range of pads and disposable pants and they're cheaper than the Asda own brand ones. My husband has been wearing the maximum night time and daytime ones and they're excellent and have given him the confidence to get out and about. Most days he's now using one pair all day and another during the night.
He has also gone caffeine free, although he didn't know that I'd substituted his one and only caffeinated drink of the day. The physio also gave him advice about which drinks to avoid and said that fruit juice should be diluted as it can irritate the bladder.
At his last appointment we were discussing his progress and I suggested that the process was like training a child. When they're born they have no control and they have to learn the sensation of needing to use the toilet. In the early days it's a bit hit and miss and they don't always make it it time. No 2 kids are the same. Some will cracked it quickly but others take time.
I have sent you a friend request
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