I would suggest the next step would be to continue to meet with your physician and review your situation.
I will offer some recommendations for talking points and questions for
you that I hope will be helpful.
"¢ Describe the frequency, and amount of leakage you are experiencing daily.
"¢ Describe the difference in your need to urinate prior to surgery, and now so your physician can measure the difference.
"¢ Let your physician know if you need to wear protective pads or garments.
"¢ Let your physician know how this is impacting your daily routine and your life.
"¢ Let your physician know if it is more difficult to control when you cough, sneeze, strain or laugh, and or is it more difficult to control when you are walking, running, or jumping?
"¢ Any constipation? And for how long?
"¢ Bring a listing of your medications, including prescription, over the counter and any herbal supplements you may take.
"¢ Inform your physician if you smoke, drink coffee or alcohol.
"¢ Inform your physician if you have diabetes or a family history.
"¢ Ask your physicians if there any exercises that could help?
"¢ Ask your physician if there are any additional procedures to help?
"¢ Ask your physician about an urodynamic evaluation "” a diagnostic session to help determine the nerve and muscle function of your bladder and urethral sphincter.
"¢ Describe any other symptoms.
Men can have problems with incontinence after prostate surgery. Sometimes the leakage is a result of irritation from the catheter that was in place after surgery. Sometimes it is due to weakness or damage to the sphincter muscle that normally holds in the urine. Many times the leakage disappears in four to six months. However, the amount of incontinence after prostate surgery is fairly unpredictable and can vary from person to person.
Lastly, I also think it important to stress to your physician on how incontinence can impact your quality of life. Based on the outcome of your discussions you may also want to seek a second opinion.