By placing pressure on the urethra, the sling helps retain urine until the bladder fills.The surgeon inserts a small pump in the scrotum, which is attached to a sphincter cuff and a small balloon located near the belly button [see Figure 1].Another problem is that relatively few studies have examined how long urinary incontinence persists and what proportion of men affected seek out interventions, as Mr. One study that sent periodic surveys to 279 patients to proactively seek their responses both before and after treatment for prostate cancer, which was published in the , found that at three months after surgery, 58% of men reported wearing an absorbent pad in the previous week, and at 12 months after surgery, 35% reported using a pad in the previous week.The investigators also asked about urinary leakage, assuming some men were using absorbent pads as a protective measure but might not be leaking urine on a regular basis.
I was incontinent immediately after surgery, but I was led to believe that the problem would straighten itself out within a few weeks or months. He told me the problem would get better, and for the first month or two, I believed that.
For much of that time, he felt ill-served by the medical community. The biggest fear, of course, is that it might be life-threatening. She’s a very strong and good person, and she remained at my side every moment of the time. We had a meeting with a radiation oncologist at a major teaching hospital.
The story of how he eventually overcame this problem may be helpful to other men in the same situation. Even though I knew this is generally a disease that takes a long time to grow, I still wondered how much longer I might have to live. He looked at my medical history, then he looked me in the eye, and he said, “I know I can cure you, but the research is not on my side.
Here’s how to do basic pelvic muscle exercises, named for Arnold Kegel, the physician who first developed them: After about a year of waiting for this to get better, I consulted with another surgeon. I decided I would try this to see if it would make a difference. It was a very difficult operation, more difficult than the radical prostatectomy. So I was at a dinner, about a year and a half after I first developed incontinence, and I was talking to a woman whose husband was a prostate surgeon who had passed away. She gave me the name and number of one of her husband’s colleagues, and told me to use her name when I called him. When I met with him, he explained the artificial sphincter procedure to me and my wife. I still wear a very tiny pad, just in case there’s a leak when I bend a certain way, or lift something, just for protection more than anything else. If you’ve experienced persistent and bothersome urinary incontinence following radical prostatectomy, even after 6 to 12 months of trying conservative measures like Kegel exercises, it may be time to consider surgery.
Current options and success rates are summarized below, based on a recent review article in Artificial sphincter The surgeon places a fluid-filled cuff around the urethra and a small pump in the scrotum.