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Thread: Dribbling has increased

  1. #1
    Newbie New User
    Join Date
    Mar 2018
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    1

    Dribbling has increased

    Dribbling has increased lately when I get up or exert myself. I always had a few drops since my operation in 2001. But I dealt with it. But lately it's increased a little more and penetrating my jockey shorts wetting my pants. For the main part I hold my urine. So I want to know what options there are? Is there a small pad just for that that sticks on the jockies? The ones I see on the web seem very large.

    Also, I'm getting up more often to piss. I'm 73. Any suggestions for that?

    Thanks for your help.

  2. #2
    Hi Alan, Sorry your're having this problem! The answer to your question is Yes. I am 6 months post-op and am using the lightest Depends Men's Shield (light absorbency) for very slight stress dribbling (coughing and laughing). These shields are small and sticky on one side. Needless to say, that side sticks to... the front inside your shorts . There are other brands to try, but I'm sure you'll be OK with a light--or perhaps medium--pad. Someone posted that the TENA brand has a trial/assortment pack.

    At my last visit, my doc suggested PT to strengthen the pelvic floor, which I will try. I think forum brothers have had mixed success with PT, but my doc thinks I could improve further. I asked him if these are exercises in addition to Kegels and he said yes.

    Djin
    Last edited by DjinTonic; 03-13-2018 at 03:18 PM.

  3. #3
    Yes, Tena does offer a trial pack with one each of three different absorbances at
    http://www.tena.us/mens-products/Men,en_US,sc.html
    The moderate absorbency ("three drops") guards are the most popular and for some reason are the cheapest at $10 per 48 count pack. The light "shields" (one drop) cost around a dollar each, which I don't understand why that is. I've never tried the heaviest or the ultra light.

    I tried Tena because a nurse when I had my prostatectomy said her husband uses them because they are the quietest ones and do not make swishing sounds when you walk. I had tried Depends and found they were way too bulky. Ultimately I landed upon maternity nursing pads from Amazon. They are $10 for a pack of 120, are highly absorbent and stick right where you want them in your shorts without creating a bulge in your pants, and they do not become lumpy.
    Late 2012: PSA 4, age 62 all DRE's 'normal'
    Early 2014: PSA 9.5, TRUS biopsy negative
    2015: PSA's 12, 20, Mar'16: PSA 25, changed Uro
    Jun'16: MRI fusion biopsy, tumor right base, 6/16 cores: 2-100%+2-40% G8(4+4)
    Aug'16: DaVinci RP, -SM, 11 LN-, 53g, 25% involved, PNI, 6mm EPE, BL SVI, pT3B
    Jan'17: started 18 months Lupron ADT, uPSA's ~.03
    May'17: AMS800 implanted, revised 6/17
    Aug'17: 39 tx (70 Gy) RapidArc IGIMRT
    Apr'18: Dx radiation colitis
    Oct'18: Tx sclerosing mesenteritis
    Jan-Apr-July 2018: PSA's = 0.0, T=9 (still on Lupron)
    "Everyone you meet is fighting a battle you cannot see"
    Mrs: Dec 2016
    Dx stage 4 NHL/DLBCL, Primary Bone Lymphoma
    spinal RT boost+6X R-CHOP21+IT MTX via LP. Now in remission
    Read our story at CancerCoupleBlog.com

  4. #4
    Thanks, RobLee. What is the size of those nursing pads, and do you have a link to the one's you use?

    Djin

  5. #5
    Senior User
    Join Date
    Aug 2017
    Posts
    270
    Have you tried doing some kegel exercises? It's possible that your muscle tone has diminished somewhat and you need to work on it. I would always go with the least expensive and least invasive option first. You will also get some coupons with the Tena trial pack.
    PSA 8/31/15 4.01
    PSA 3/03/16 4.15
    PSA 8/28/16 3.94
    PCA3 9/16 low risk
    PSA 5/10/17 7.49,
    PSA 9/2/17 9.77
    Biopsy 6/7/17 Left Apex Gleason 6, less than 5% of core. Right Apex Gleason 6, 35% of core.
    OncotypeDX GPS score 43- high risk.
    Bone scan 7/11/17. 11th left rib iffy.
    Bone biopsy 8/11/17. Negative.
    3T MRI 7/19/17. 3.5 cm liposarcoma found behind bladder.
    CT Scans of chest and pelvis 7/31/17. Negative
    RALP 9/25/17
    Histologic Type: Adenocarcinoma
    Total Gleason Score: 6
    Tumor Quantitation: Less than 5%
    Location of dominant tumor nodule: Left posterior lobe apex to mid
    Extraprostatic Extension: Not identified
    Seminal Vesicle Invasion: Not identified
    Margins: Uninvolved by carcinoma
    Lymph-Vascular Invasion: Not Identified
    Primary Tumor: pT2c (organ confined; tumor involves both lobes)
    Regional Lymph NodesN0 (No metastasis)
    Number of lymph nodes examined 6 ;nodes involved 0
    Distant Metastasis: cM0
    Working Stage Grouping: Stage IIB (T2c N0 M0)

  6. #6
    Experienced User
    Join Date
    Jan 2016
    Posts
    89
    I use the Depends Incontinence Guards Maximum absorbancy. They are not uncomfortable at all. I get 52 pack for $11 at Walmart. You can go through the self checkout or order 3 packs online and get free shipping to your house. I only use 1 pad/day.

    https://www.walmart.com/ip/Depend-Incontinence-Guards-for-Men-Maximum-Absorbency-52-Count/16940253?athcpid=16940253&athpgid=athenaHomepage&a thcgid=null&athznid=EASYREORDER&athieid=v1&athstid =CS002&athguid=null&athena=true
    DOB: 2/28/1963 Grandfather died of PC
    DRE: 10/15 Urologist exact words "Uh Oh, your prostate is as hard as a rock"
    Biopsy: 11/15 12 of 12 cores positive
    Gleason: 7 (4+3)
    RALP: 12/29/15
    Gleason upgraded to 9 (4+5)
    EPI (+) SVl (+) Margin (+) PNl (+)
    PT3b
    Continence=99%
    ED=present
    Finished 40 rounds of radiation 5/25/16
    PSA 12/29/15 3.5
    PSA 2/22/16 0.15
    PSA 4/4/16 0.12
    PSA 8/8/16 0.13
    PSA 12/9/16 0.07
    PSA 6/8/17 0.04
    PSA 1/11/18 0.01
    PSA 7/9/18 0.01

  7. #7
    Experienced User
    Join Date
    Jan 2016
    Posts
    89
    Alan, I wake up 2-3 times a night to pee. I got tired of getting up so I just got one of those pee jugs they give you at the hospital. I just roll to the side of the bed, pee in the jug, go back to sleep and empty it in the morning.
    DOB: 2/28/1963 Grandfather died of PC
    DRE: 10/15 Urologist exact words "Uh Oh, your prostate is as hard as a rock"
    Biopsy: 11/15 12 of 12 cores positive
    Gleason: 7 (4+3)
    RALP: 12/29/15
    Gleason upgraded to 9 (4+5)
    EPI (+) SVl (+) Margin (+) PNl (+)
    PT3b
    Continence=99%
    ED=present
    Finished 40 rounds of radiation 5/25/16
    PSA 12/29/15 3.5
    PSA 2/22/16 0.15
    PSA 4/4/16 0.12
    PSA 8/8/16 0.13
    PSA 12/9/16 0.07
    PSA 6/8/17 0.04
    PSA 1/11/18 0.01
    PSA 7/9/18 0.01

  8. #8
    Moderator Top User HighlanderCFH's Avatar
    Join Date
    Nov 2011
    Posts
    6,850
    Welcome aboard, Alan. And congratulations on all the years that have passed since your surgery 17 years ago.

    One of the others asked about Kegel exercises? If you are not doing them, you might give them a try (check the Mayo Clinic instructions in the sticky threads at the top of this forum) and see if they do not help within a couple weeks.

    Chuck
    July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA 9/ 2011 = 5.7.
    Local uro DRE revealed significant BPH, no lumps.
    PCa Dx Aug. 2011 age of 61.
    Biopsy DXd adenocarcinoma in 3/20 cores (one 5%, two 20%). T2C.
    Gleason 3+3=6. CT abdomen, bone scan negative.
    DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
    Surgeon was Dr. Matthew Tollefson, who I highly recommend.
    Final pathology shows tumor confined to prostate.
    5 lymph nodes, seminal vesicules, extraprostatic soft tissue all negative.
    1.0 x 0.6 x 0.6 cm mass involving right posterior inferior, right posterior apex & left
    mid posterior prostate. Right posterior apex margin involved by tumor over 0.2 cm length,
    doctor says this is insignificant.
    Prostate 98 grams, tumor 2 grams.
    Catheter out in 7 days. No incontinence, minor dripping for a few weeks.
    Seven annual post-op exams 2012 through 2018: PSA <0.1
    Semi-firm erections 5 years post-op whenever the moon turns into blue cheese.
    NOTE: ED caused by BPH, not the surgery.

  9. #9
    Quote Originally Posted by DjinTonic View Post
    What is the size of those nursing pads, and do you have a link to the one's you use?
    I'd guess they are C-cup size. Hint: turn them sideways in your undies.

    https://www.amazon.com/Medela-Disposable-Nursing-Pads-Count/dp/B00HUARZSS/
    There's no way they'd be able to handle the flow I had before the AUS, but they work very well for the drips and squirts I have now.

  10. #10
    Quote Originally Posted by RobLee View Post
    I'd guess they are C-cup size. Hint: turn them sideways in your undies.
    Thanks, RobLee. I've placed an order.

    OK, I've thought this through, but I'm going to ask the question anyway: Is the 120 count per pad or per pair? The picture there shows two; hence my confusion--plus my limited (read zero) knowledge in this area.

 

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