Good day DR ,I haveing paid when am doing sex with my wife, my hate is penny me the moment when I am naking har fastly ,the hate is penny me when I start sexy har, the moment when I stop sexy her the hate paid full Will stop .
i had surgery removed my prostate in Jan 2023. Major leakage problem in first month. Kegels exercises helped. Also, go to GYM to get strength in lower abdominal areas REALLY helped. Now, I do not need pad on normal day to day. Only needs pad if I need to walk/hiking for 3 or 5 hours - which may leak few drops. Do not give up, keep up exercise.
My husband had his prostate removed 2 1/2 years ago and still has leakage. Even though he had prostate cancer, he regrets to this day having it removed. He was originally going for the proton treatment but changed his mind last minute. 😕 It has changed his life forever and not in a good way. Please men out there, please go over all options thoroughly with your doctor. Ask lots of questions before deciding on removal.
Hi Sharon, thank you for the comment. Helping men post-prostate removal is my speciality and I have helped dozens of men that have residual leakage years afterwards. Can you please send me an email to hello@drericleckie.com and I can explain how I might be able to help your husband. Looking forward to hearing from you.
I had my prostrate removed in 2004 because I had prostrate cancer . My Dr. told me about the different treatment options. He told me that if I had any form of radiation treatment if it came back there wouldn’t be anything else they could do for me . I had a friend and he opted for the chemicals and it came back and killed him because he had so much scar tissue from the treatments that they couldn’t do surgery . So your husband made the right decision .
Thank you for your comments. I am very sorry for the loss of your friend. My husband is coping better these days but obviously still has issues. I will share your comments with him. Thank you again.
@@sharonbowie9741 I had my surgery on 10/19/23. I had a Gleason score of 8. My PET scans didn't show it spreading anywhere. I'm 64 years old. I've been working on my Kegel exercises, BUT I expect it might take a while to reap the benefits. Especially since I can't seem to find a pelvic floor specialist. It's hard not to be discouraged, but tell you husband to keep going. I've been tempted to try TENS therapy. I'm glad I did the surgery. From my research on the internet and talking to others. surgery is the best option if the cancer hasn't spread beyond the prostate. If radiation is tried, it hardens the tissue, which makes surgery much more difficult. I'm also amused at the suggestion in the video of setting a reminder alarm to go to the bathroom every 2 hours. I'm lucky to go past 20 minutes.
I underwent surgery for Prostate Cancer in October 2023 during which my prostate was removed. I suffered from urine leakage for many weeks afterwards. The surgery also affected other parts of my life as well. Nevertheless, I am delighted to have had the surgery. The possibility of dying from Prostate Cancer scared the living daylights out of me. Believe me, your husband made the right decision in having his prostate removed.
Thank you so much for this channel and this info. 8 months ago i had to do a turp done cause of total blockage from extremely large prostate. Successful no problems after. In follow up they found it full of cancer. Just finished radical prostate surgery and removed bag yesterday.. Almost no bladder control. I go #1 every 5 minutes. Just started the exercises today and i hope and pray they help at least to some point so i can live some kind of a life. I lift truck tires for a living. This is awful having to go every 5 to 10 minutes. You are a God send to us in our time of need. God bless you for your help.
Thank four your advises I really appreciate It was so clear. This world needs people like you that have understanding and compassion for other people, Thanks again ,and have a good day.
Thanks so much for the call and reaching out to me. I am taking your advice and will continue the kegel exercises and watch your videos. Thanks ever so much.
My surgery will be in July 2024. I've been watching several videos on what to expect. I'm glad I found your site, as it has provided many issues I did not know or expect. Thanks!
Hi Tom, all will be well. Prepare before hand ex: exercise daily, stimulate penile tissue every few days, eat healthy, start Kegels. This will make the recovery much faster!
And the doctors don't tell you how small it will get afterwards. Not that it is a big deal till you find you can't go standing up anymore with a half inch penis.
Question about the Diary: how can you schedule to go to the bathroom every two hours when actually you cannot pee on demand and it hurts terribly when you try? You can schedule all right but if you cannot go that is the (my) problem. I had Green Light Laser terapy three days ago. I would appreciate having your thoughts on this. Thank you for a very informative and helpful video.
Hey Dr. Eric! I am so glad that I've found you. Unfortuantely, I've been diagnosed with prostate cancer. Thankfully, we have caught it extremely early. But I've decided to have radical surgery to hopefully prevent any issues at all in the future. I will definitely need to learn about pelvic floor exercise. Can I begin to do this now even though my surgery is scheduled for 3 months from now?
Great to meet you Tim! Yes, now is the best time to learn how to contract your pelvic floor properly. There’s good research to suggest better recovery rates following surgery if you start now :) Send me an email at drericleckie@gmail.com so that I can guide you in the right direction.
I am now in my 6 weeks after I had my RALP before my surgery I've done some pelvic floor exercise. Then after my catheter removed I got this severe incontinence and got UTI too, now I am taking antibiotic. Still feel pain when i do pelvic floor exersice, my nurse told me to stop exersicing my pelvic floor for seversl days. I changemy pads 4-5 times a day it so prostrating and depressing. It worsen because I am also diabetic need go to the bathroom very often. Thank God I don't have any leakage during night time maybe just because I wake up every time I feel the urged to pee.
Thanks for your comment, that would be very frustrating. How about we catch up for a free call? That way I can learn a bit more about your situation and we can discuss my online coaching to see if you would benefit from a more 1-on-1 physical therapy approach. You can schedule your free Zoom call using the link below 🙂 calendly.com/dr_eric_leckie/20min
I had prostete surgery about a month ago. Personally i havent had much problem with leakage. I get a little occasional when i caugh, sneeze or do something to strain that area. What i have noticed is that i no longer get that feeling of needing to pee, no matter how long i wait to go.
Hello Doctor! Thank you for your very useful videos concerning men's health. I wish to know how soon a person can safely go for long distance driving after TURP. Please advise.
I had a radical prostatectomy in January in 2016. I am still wearing pads during the day and diapers at night. I take two oxybutynin tablets every day. I recently tried not to take the medicine. I had a urine leakage that overflowed my diaper. I still have occasional accidents that overflow my diapers. I have stage three kidney disease. I have to drink water. Physiotherapy for three months helped me some but not that much. What you are saying in this video is very far from my reality. I have seen two different urinary doctors about this problem and what they say contradicts what you say. It has been seven years of misery.
Hi John, firstly thank you for you comment and secondly I'm sorry that you're going through all of this. You have a very complicated situation with your kidney disease and as such, what you're required to do has nothing to do with the eduction I provided in this video. Listen to your Urology team and I am wishing you all of the best. Keep Going!
@@DrEricLeckie for up to a minute. But I don't always feel when I have to go, or when I stand I leak even though I clench my muscles. It's at the point where life really isn't fun anymore, you know?
That's okay, there's still plenty of hope Steve. I think you might need some more personalized advice. Send me an email at ericthomasleckie@gmail.com I'm happy to help
Eric .... I really appreciate your RUclips channel! My situation seems a little unique... maybe not. I had BiPolar TURP in June 2022. Everything is OK ( good urine flow and much less urgency, etc.) The I have leakage is right after I urinate. I do kegel/pelvic floor exercises daily. I plan to keep doing them, but wonder if there is a reason for this happening right after I urinate only? I'm thinking perhaps I'm in too much of a hurry and don't allow time for the urine to empty out of the penile portion of the urethra?? Have I just answered my own question? Thanks for tackling this niche market!
Hey Pat, I appreciate your support as always. I agree, with you. Try this out: 1) sit down when urinating 2) when you stop urinating, continue sitting there and take 2 deep breaths in and out 3) once you finish the deep breathing perform a couple kegel contractions sitting on the toilet to clear any excess urine out of your urethra (pee tube) and then stand up and carry on. Let me know if that helps
I swear the prostate removal surgeons downplay how many men actually continue to leak well after their surgery. I’ve given up and am having the male sling surgery.
I’m hopeful that the sling will give you some relief. I couldn’t agree more about your comment about the surgeons. Often times the issues left afterwards are worse that the surgery itself. Let me know how you go with the sling surgery.
I agree. I believe the incidence of leakage is much, much, more than surgeons and patients admit to. I had robotic prostatectomy in 2008 and was led to believe that I'd be leak-free in a few months. I never became 100% dry, but was nearly dry for a number of years, losing only few drops per day. Now that I'm older (67) the leakage has increased. I believe it is due to the blood pressure medication that I take. It's not a constant drip or anything like that, but I do need to put on a pad if I'm going to be on my feet any length of time, as in out taking a walk, doing yard work for a few hours, that sort of thing. I've done thousands of Kegels over the years, and am now thinking about the sling.
@@danieltaylor4819 my story of leakage is very similar…a few drips here and there if I’m not active…but if walking, look out, I’m going to leak! Too many times I’ve had to act quickly to avoid embarrassment. I’ve made arrangements and am currently awaiting scheduling for the sling. Good luck to you.
Such a great question. I’m actually going to make a video on this. Without knowing much about your situation, I would exceed more than 20 contractions a day to start off with. Perhaps try 5 contraction in the morning, 5 sitting a lunch, 5 sitting at dinner, 5 lying in bed at night. If you do too many, you will just fatigue your pelvic floor. Thanks for the comment!
Hi Eric! I’m a new pelvic floor therapist and have a client coming in with urinary incontinence and ED 2 years post prostectomy. I have not completed his eval yet just a quick consult during a regular therapy session. When i work with patients with nocturia i tell them to not restrict fluids to long before bed due to the increase in urine concentration in the bladder being irritating and causing urgency symptoms. I know you said the fluid restriction is temporary after the surgery, since he is 2 years post op do you feel it’s appropriate for me still recommend not restricting fluids until 2 hrs before bed? Or do you think restriction starting at 6pm would still be useful for him? Thank you so much for your video it’s really helped a lot with upping my confidence in treating male patients post surgery!
Eric, I have communicated with you a few times - I have continued daily Kegel exercises and with setting an alarm every 2-3 hours to remind me to pee ( I have no sensation at all in bladder) my daily incontinence is much improved - I wear pads and some days have no leakage at all. My main problem is at night. I do have wine 1-2 glasses early in the evening, by 7PM. I am careful to empty the bladder before sleep around 10 PM. I have no urge to go during the night because I have no urge at any time - no feeling at all. So I awake early with pad soaked - no feeling except a soggy pad! Aside from limiting fluid more after 3 pm and no wine is there anything else I should try? Thanks - Jon
I am now 13 months post radical robotic surgery plus 35 days of adjuvant radiation inspite of 23 negative nodes. Seminal vessicles free but capsule invaded in one area - margin there free but 0.1 mm! Thats pretty close!
Hey Jon, thanks for the comment. Hmm my initial thoughts is that the 2 glasses of wine essentially puts the bladder to “sleep” making it unlikely that you’re truly emptying your bladder fully right before bed. That, and you might be getting a delayed diuretic effect from the alcohol whereby you start producing urine while you sleep. Combined on that, if you’ve had a big day of Kegel exercises and you’re body and pelvic floor are quite fatigued, you’re very likely to leak without notice in the middle of the night. Jon, is there any way you can give up the wine for 1 week to see if this makes a difference? Let me know how this goes and get back to me so we can keep trouble shooting - All the best, Eric
Post Micturition Dribbling. I am 78 years old and have had protasta treatment with radiation therapy . As soon as the urge to urinate comes, it becomes difficult to hold for me the urine and a few drops come out by the time one reaches the washroom. Or urine leaks out while sleeping. What is the treatment for it?
after radical prostatectomy. i have zero control over urine.-Forget pads i am wearing diaper. cutting water intake has helped. i am doing the kegel exercises. the exercises create pain and doing 3 reps of ten not possible. whats weird is when i get up from sitting major urine flow. i have found that before i get up - i grab penis and hobble to toilet to release urine. As far as going every 2 hours. i go several times an hour. i had surgery march 22. This is my hell on earth. I have hired a PT so hopefully I get help there.
Sorry to hear about that and I hope it gets better for you soon. The physical therapist should hopefully be able to help you recover this incontinence.
Great question. In my opinion, you would want to keep your hydration up to support your kidneys and then focus on strengthening your pelvic floor muscles as much as possible in preparation for the prostate surgery. This way, you’ll experience less leakage afterwards.
It’s a good question and depends on the reason behind the incontinence. For example, if it’s simply age related incontinence then no, the person will need lifestyle modification and pelvic floor strengthening. If the person had a prostatectomy, the incontinence will partially improve on its own as they heal, however pelvic floor training will speed this process up and ensure the incontinence has fully recovered. I hope this helps
Hey there, thanks for the comment. Typically, as soon as you have the catheter removed you can start a pelvic floor strengthening program. I have created an 8-week pelvic floor strengthening guide if you'd like to check it out. You can find the link just below. Wishing you a speedy recovery! www.drericleckie.com/courses/kegels-for-men-the-ultimate-step-by-step-8-week-pelvic-floor-strengthening-program
Hi, I had Radical Prostate removal have been using Pads for 10 yes. I have lots of leakage problems when doing lots of physical activities, long walks, jogging etc.I'm considering Male sling but have heard causes some urine to be left in Bladder and possibly UTIs Any advice
Great to hear and wishing you good luck with the upcoming surgery. It depends which type of surgery you’re having. Feel free to email me at hello@drericleckie.com
Hi Dr. Leckie, looking for advice. I had aquablation 7 weeks ago. I took the catheter out two days post op. I was not able to pee, so they put it back in for 5 more days. I was doing about 50 kegal contractions per day. Slowly, I was seeing improvement. I was peeing about 150 cc whenever I could measure it. After 4 weeks, I had to get back to work, which usually involves traveling. I saw my DR before my first business trip and he said that I was voiding well and it would get better over time. During my first business trip, I noticed that I was getting the urge to go more often. I started dribbling more. A week ago and last night, I was having a really hard time peeing just prior to bed and for a few hours after going to bed. I was peeing about 50ml every 45 minutes or so, but then it got better by around 3 am and I started to pass about 100cc and I was able to get some rest. PS. I am stopping fluid intake about 3 hours before bed. I am drinking one cup of 1/2 caf coffee in the morning and maybe a cup of tea in the afternoon. I am drinking no alcohol. Do you have any thoughts on what is causing my set-back and how I can improve this?
Hi Greg, just on my honeymoon at the moment. Can you please send me an email and I can reach out to you that way? I can help you with this problem. Email me at hello@drericleckie.com Thanks and looking forward to hearing from you soon.
After holep surgury(prostrate), urine leakage at the time walking heavyly .I have taken medicine mirago s50&miragoe 50 tablet .but already time 70days passed .but no cure .pl suggest
Had 2/3 of my prostate removed using HIFU. TURP was done approx. 2 months following using Greenlight laser. All in June n August of 2021 and still have leaking and ED problems. Told B4 surgeries that I would NOT have these problems.. Post-op care is (pardon the pun) piss-poor and I have stopped going (he got mad when/if I asked any Q's) as of this year ~~ nearly 2 yrs post op.
Hey there thanks for sharing your situation. If you’d like to discuss it a bit more I depth and see if I might be able to help, I offer free 20-min online consults. You can book in here: calendly.com/dr_eric_leckie/20min
Hi Dr. I just came across your video and thinking of having my prostate removed since I was told in August that I have prostate cancer after having a biopsy. In talking to one guy who had the surgery I think last year he never told me about the leaking. I’m now reading the comments and learning there is a big issue with leakages. Do u have a video of what a kegerator exercise is? I can start on doing this daily as I also need to prevent having kidney issues since my pcp and I are watching closely the numbers. I’ll subscribe to your page.
Welcome to the channel! Yes, I sure do. You can check out my latest video teaching you how to Kegel here: ruclips.net/video/-D2KLel-jp8/видео.htmlsi=czChuoAJ0ZyN8y7L
Hi Dr im 69 i had bladder cancer 10 years ago they remove my bladder and made up a bladder called NU bladder nobody told me about strengthening my muscles i had catheters but it was very painful struggling to get some per out yours exercise very simple i tried it there is a deference i went 3 times to hospital because of bladder infection
I had robotic prostatectomy, bilateral nerve sparing. Surgery was 2 months ago. Still having significant problem with leaking; using the Depend male guards. Also have been on 5 mg tadalafil daily since surgery, have seen no effect whatsoever. Is it still too soon to be concerned that both these issues won't improve?
The surgeons definitely downplay the side effects of the prostatectomy and scare you with the word cancer. Of course everyone will be scared to death when being told he has prostate cancer, although if you have a cancer grade 1 score 3+3, the probability that it grows is low and it will take many years to become life threatening if it ever happens before you die from something else. So, do not let you be overcome by fear and explore your options before going to a surgery that you may regret later.
I had surgery six weeks ago but i leak bad allday i have to wear thik pad and my pinus went down to like one inch i have to seat to pee because i cant even find my pinus threw the zeaper and it flow every where so i have to pull my pinus skin over to pee in one stream rather then flow all over its a pain in the ass when i go somewhere i have to go to bath room frequently because if i dond itll leak in my underwear
Need help from Dr. Eric? Book in for a FREE online consultation --> calendly.com/dr_eric_leckie/20min
Good day DR ,I haveing paid when am doing sex with my wife, my hate is penny me the moment when I am naking har fastly ,the hate is penny me when I start sexy har, the moment when I stop sexy her the hate paid full Will stop .
i had surgery removed my prostate in Jan 2023. Major leakage problem in first month. Kegels exercises helped. Also, go to GYM to get strength in lower abdominal areas REALLY helped. Now, I do not need pad on normal day to day. Only needs pad if I need to walk/hiking for 3 or 5 hours - which may leak few drops. Do not give up, keep up exercise.
Sir is there an alternate to GYM that can be done at home?
My husband had his prostate removed 2 1/2 years ago and still has leakage. Even though he had prostate cancer, he regrets to this day having it removed. He was originally going for the proton treatment but changed his mind last minute. 😕 It has changed his life forever and not in a good way. Please men out there, please go over all options thoroughly with your doctor. Ask lots of questions before deciding on removal.
Hi Sharon, thank you for the comment. Helping men post-prostate removal is my speciality and I have helped dozens of men that have residual leakage years afterwards. Can you please send me an email to hello@drericleckie.com and I can explain how I might be able to help your husband. Looking forward to hearing from you.
I had my prostrate removed in 2004 because I had prostrate cancer . My Dr. told me about the different treatment options. He told me that if I had any form of radiation treatment if it came back there wouldn’t be anything else they could do for me . I had a friend and he opted for the chemicals and it came back and killed him because he had so much scar tissue from the treatments that they couldn’t do surgery . So your husband made the right decision .
Thank you for your comments. I am very sorry for the loss of your friend. My husband is coping better these days but obviously still has issues. I will share your comments with him. Thank you again.
@@sharonbowie9741 I had my surgery on 10/19/23. I had a Gleason score of 8. My PET scans didn't show it spreading anywhere. I'm 64 years old. I've been working on my Kegel exercises, BUT I expect it might take a while to reap the benefits. Especially since I can't seem to find a pelvic floor specialist. It's hard not to be discouraged, but tell you husband to keep going. I've been tempted to try TENS therapy. I'm glad I did the surgery. From my research on the internet and talking to others. surgery is the best option if the cancer hasn't spread beyond the prostate. If radiation is tried, it hardens the tissue, which makes surgery much more difficult. I'm also amused at the suggestion in the video of setting a reminder alarm to go to the bathroom every 2 hours. I'm lucky to go past 20 minutes.
I underwent surgery for Prostate Cancer in October 2023 during which my prostate was removed. I suffered from urine leakage for many weeks afterwards. The surgery also affected other parts of my life as well. Nevertheless, I am delighted to have had the surgery. The possibility of dying from Prostate Cancer scared the living daylights out of me. Believe me, your husband made the right decision in having his prostate removed.
Thank you so much for this channel and this info. 8 months ago i had to do a turp done cause of total blockage from extremely large prostate. Successful no problems after. In follow up they found it full of cancer. Just finished radical prostate surgery and removed bag yesterday.. Almost no bladder control. I go #1 every 5 minutes. Just started the exercises today and i hope and pray they help at least to some point so i can live some kind of a life. I lift truck tires for a living. This is awful having to go every 5 to 10 minutes. You are a God send to us in our time of need. God bless you for your help.
1 week out and have no control yet of urinating. I have no idea when I need to go
Thank four your advises I really appreciate It was so clear. This world needs people like you that have understanding and compassion for other people, Thanks again ,and have a good day.
You’re welcome! Thanks for the lovely comment
Thanks for the video I need all this information I just had my prostate removed 10 days ago...
You’re welcome! Wishing you all the best, let me know if you have any questions
Thanks so much for the call and reaching out to me. I am taking your advice and will continue the kegel exercises and watch your videos. Thanks ever so much.
You’re welcome. Thanks for supporting my channel and wishing you all the best. Stay in touch and keep me updated on how you’re doing.
My surgery will be in July 2024. I've been watching several videos on what to expect. I'm glad I found your site, as it has provided many issues I did not know or expect. Thanks!
Hi Tom, all will be well. Prepare before hand ex: exercise daily, stimulate penile tissue every few days, eat healthy, start Kegels. This will make the recovery much faster!
I’m 4 weeks out of surgery and I urinate without knowing.. it just pours out. I have to wear depends… very frustrating
And the doctors don't tell you how small it will get afterwards. Not that it is a big deal till you find you can't go standing up anymore with a half inch penis.
How do men carry the incontinence pads without a purse?
Wonderful video!
Thank u so much for the past month i can feel a small difference i had a bladder operation 8 years ago nobody explain to me about this kegel exercise
This is amazing to hear, thank you for sharing. I'm glad I could help and keep up the great work 💪
Thanks a lot for your video. I had TURP done 3 days back. Your suggestions are very helpfull.
Question about the Diary: how can you schedule to go to the bathroom every two hours when actually you cannot pee on demand and it hurts terribly when you try? You can schedule all right but if you cannot go that is the (my) problem. I had Green Light Laser terapy three days ago. I would appreciate having your thoughts on this. Thank you for a very informative and helpful video.
Hey Dr. Eric! I am so glad that I've found you. Unfortuantely, I've been diagnosed with prostate cancer. Thankfully, we have caught it extremely early. But I've decided to have radical surgery to hopefully prevent any issues at all in the future. I will definitely need to learn about pelvic floor exercise. Can I begin to do this now even though my surgery is scheduled for 3 months from now?
Great to meet you Tim! Yes, now is the best time to learn how to contract your pelvic floor properly. There’s good research to suggest better recovery rates following surgery if you start now :) Send me an email at drericleckie@gmail.com so that I can guide you in the right direction.
If you can start earlier the better
great advise from someone who KNOWS!!!
I am now in my 6 weeks after I had my RALP before my surgery I've done some pelvic floor exercise. Then after my catheter removed I got this severe incontinence and got UTI too, now I am taking antibiotic. Still feel pain when i do pelvic floor exersice, my nurse told me to stop exersicing my pelvic floor for seversl days. I changemy pads 4-5 times a day it so prostrating and depressing. It worsen because I am also diabetic need go to the bathroom very often. Thank God I don't have any leakage during night time maybe just because I wake up every time I feel the urged to pee.
Thanks for your comment, that would be very frustrating. How about we catch up for a free call? That way I can learn a bit more about your situation and we can discuss my online coaching to see if you would benefit from a more 1-on-1 physical therapy approach. You can schedule your free Zoom call using the link below 🙂
calendly.com/dr_eric_leckie/20min
I had prostete surgery about a month ago. Personally i havent had much problem with leakage. I get a little occasional when i caugh, sneeze or do something to strain that area.
What i have noticed is that i no longer get that feeling of needing to pee, no matter how long i wait to go.
Nice job. Thanks for the clear directions.
Glad it was helpful!
great personality for the subject
Thank you, I’m glad you enjoyed!
Hello Doctor! Thank you for your very useful videos concerning men's health. I wish to know how soon a person can safely go for long distance driving after TURP. Please advise.
Hey there, it depends on your surgeons recommendations afterwards. They will give you specific advice on this :)
I had a radical prostatectomy in January in 2016. I am still wearing pads during the day and diapers at night. I take two oxybutynin tablets every day. I recently tried not to take the medicine. I had a urine leakage that overflowed my diaper. I still have occasional accidents that overflow my diapers. I have stage three kidney disease. I have to drink water. Physiotherapy for three months helped me some but not that much. What you are saying in this video is very far from my reality. I have seen two different urinary doctors about this problem and what they say contradicts what you say. It has been seven years of misery.
Hi John, firstly thank you for you comment and secondly I'm sorry that you're going through all of this. You have a very complicated situation with your kidney disease and as such, what you're required to do has nothing to do with the eduction I provided in this video. Listen to your Urology team and I am wishing you all of the best. Keep Going!
I had my prostate removed in 2017 - and I STILL have to wear pads. 😞
Hey there Steve, how are you going with your Kegels exercises and how long can you hold a contraction for?
@@DrEricLeckie for up to a minute. But I don't always feel when I have to go, or when I stand I leak even though I clench my muscles. It's at the point where life really isn't fun anymore, you know?
That's okay, there's still plenty of hope Steve. I think you might need some more personalized advice. Send me an email at ericthomasleckie@gmail.com I'm happy to help
not unusual.
@@steveschneck8120 PM
Eric .... I really appreciate your RUclips channel! My situation seems a little unique... maybe not. I had BiPolar TURP in June 2022. Everything is OK ( good urine flow and much less urgency, etc.) The I have leakage is right after I urinate. I do kegel/pelvic floor exercises daily. I plan to keep doing them, but wonder if there is a reason for this happening right after I urinate only? I'm thinking perhaps I'm in too much of a hurry and don't allow time for the urine to empty out of the penile portion of the urethra?? Have I just answered my own question? Thanks for tackling this niche market!
Hey Pat, I appreciate your support as always. I agree, with you. Try this out: 1) sit down when urinating 2) when you stop urinating, continue sitting there and take 2 deep breaths in and out 3) once you finish the deep breathing perform a couple kegel contractions sitting on the toilet to clear any excess urine out of your urethra (pee tube) and then stand up and carry on. Let me know if that helps
Thank you
For your teached
I swear the prostate removal surgeons downplay how many men actually continue to leak well after their surgery. I’ve given up and am having the male sling surgery.
I’m hopeful that the sling will give you some relief. I couldn’t agree more about your comment about the surgeons. Often times the issues left afterwards are worse that the surgery itself. Let me know how you go with the sling surgery.
I agree. I believe the incidence of leakage is much, much, more than surgeons and patients admit to. I had robotic prostatectomy in 2008 and was led to believe that I'd be leak-free in a few months. I never became 100% dry, but was nearly dry for a number of years, losing only few drops per day. Now that I'm older (67) the leakage has increased. I believe it is due to the blood pressure medication that I take. It's not a constant drip or anything like that, but I do need to put on a pad if I'm going to be on my feet any length of time, as in out taking a walk, doing yard work for a few hours, that sort of thing. I've done thousands of Kegels over the years, and am now thinking about the sling.
@@danieltaylor4819 my story of leakage is very similar…a few drips here and there if I’m not active…but if walking, look out, I’m going to leak! Too many times I’ve had to act quickly to avoid embarrassment. I’ve made arrangements and am currently awaiting scheduling for the sling. Good luck to you.
The cuff is better! You do stop
@@flbeachcat the cuff?
Hello Doctor. I wonder if there's a certain number of kegels one should not exceed? Is there a maximum number per day?
Such a great question. I’m actually going to make a video on this. Without knowing much about your situation, I would exceed more than 20 contractions a day to start off with. Perhaps try 5 contraction in the morning, 5 sitting a lunch, 5 sitting at dinner, 5 lying in bed at night. If you do too many, you will just fatigue your pelvic floor. Thanks for the comment!
😊
My doctor recommends no more than 80 a day.
is there a table of levels of incontinence? the numbers of pads- light, medium, strong? thx
THANKS FOR THIS INFORMATION
You're welcome!
Hi Eric! I’m a new pelvic floor therapist and have a client coming in with urinary incontinence and ED 2 years post prostectomy. I have not completed his eval yet just a quick consult during a regular therapy session. When i work with patients with nocturia i tell them to not restrict fluids to long before bed due to the increase in urine concentration in the bladder being irritating and causing urgency symptoms. I know you said the fluid restriction is temporary after the surgery, since he is 2 years post op do you feel it’s appropriate for me still recommend not restricting fluids until 2 hrs before bed? Or do you think restriction starting at 6pm would still be useful for him? Thank you so much for your video it’s really helped a lot with upping my confidence in treating male patients post surgery!
Hey katelyn, thanks for the comment. Send me an email and I'd gladly give you my insight: hello@drericleckie.com
Hi there I have a question, I go to the toilet so many times a day , I may have issues with my bladder. Any advice pls
Eric, I have communicated with you a few times - I have continued daily Kegel exercises and with setting an alarm every 2-3 hours to remind me to pee ( I have no sensation at all in bladder) my daily incontinence is much improved - I wear pads and some days have no leakage at all. My main problem is at night. I do have wine 1-2 glasses early in the evening, by 7PM. I am careful to empty the bladder before sleep around 10 PM. I have no urge to go during the night because I have no urge at any time - no feeling at all. So I awake early with pad soaked - no feeling except a soggy pad! Aside from limiting fluid more after 3 pm and no wine is there anything else I should try? Thanks - Jon
I am now 13 months post radical robotic surgery plus 35 days of adjuvant radiation inspite of 23 negative nodes. Seminal vessicles free but capsule invaded in one area - margin there free but 0.1 mm! Thats pretty close!
Hey Jon, thanks for the comment. Hmm my initial thoughts is that the 2 glasses of wine essentially puts the bladder to “sleep” making it unlikely that you’re truly emptying your bladder fully right before bed. That, and you might be getting a delayed diuretic effect from the alcohol whereby you start producing urine while you sleep. Combined on that, if you’ve had a big day of Kegel exercises and you’re body and pelvic floor are quite fatigued, you’re very likely to leak without notice in the middle of the night. Jon, is there any way you can give up the wine for 1 week to see if this makes a difference? Let me know how this goes and get back to me so we can keep trouble shooting - All the best, Eric
@@DrEricLeckie Will do as yoou suggest and let yu know. Wine is optional
Post Micturition Dribbling. I am 78 years old and have had protasta treatment with radiation therapy . As soon as the urge to urinate comes, it becomes difficult to hold for me the urine and a few drops come out by the time one reaches the washroom. Or urine leaks out while sleeping. What is the treatment for it?
after radical prostatectomy. i have zero control over urine.-Forget pads i am wearing diaper. cutting water intake has helped. i am doing the kegel exercises. the exercises create pain and doing 3 reps of ten not possible. whats weird is when i get up from sitting major urine flow. i have found that before i get up - i grab penis and hobble to toilet to release urine. As far as going every 2 hours. i go several times an hour. i had surgery march 22. This is my hell on earth. I have hired a PT so hopefully I get help there.
Sorry to hear about that and I hope it gets better for you soon. The physical therapist should hopefully be able to help you recover this incontinence.
6 to 8 months??? It’s been 11 years!
What if you have stage 3a CKD and need prostate surgery? CKD changes the hydration game.
Great question. In my opinion, you would want to keep your hydration up to support your kidneys and then focus on strengthening your pelvic floor muscles as much as possible in preparation for the prostate surgery. This way, you’ll experience less leakage afterwards.
Just curious...
Will incontinence heal by itself eventually if a person does not do pelvic floor exercises?
It’s a good question and depends on the reason behind the incontinence. For example, if it’s simply age related incontinence then no, the person will need lifestyle modification and pelvic floor strengthening. If the person had a prostatectomy, the incontinence will partially improve on its own as they heal, however pelvic floor training will speed this process up and ensure the incontinence has fully recovered. I hope this helps
@@DrEricLeckie thanks for the comprehensive reply.
WIll Kegel excercices work since I had prostate surgery 10 years ago, and I still have issues.
No.
Dr Eric, i just had my prostate surgery last week. Can u advise when i can start on the pelvic strengthening exercise. Tq.
Hey there, thanks for the comment. Typically, as soon as you have the catheter removed you can start a pelvic floor strengthening program. I have created an 8-week pelvic floor strengthening guide if you'd like to check it out. You can find the link just below. Wishing you a speedy recovery! www.drericleckie.com/courses/kegels-for-men-the-ultimate-step-by-step-8-week-pelvic-floor-strengthening-program
Hi, I had Radical Prostate removal have been using Pads for 10 yes. I have lots of leakage problems when doing lots of physical activities, long walks, jogging etc.I'm considering Male sling but have heard causes some urine to be left in Bladder and possibly UTIs Any advice
Thank You
You're welcome
Hsving the removal soon so this video is just what I needed.
Sure lower sphincter is removed but does the upper one remain?
Great to hear and wishing you good luck with the upcoming surgery. It depends which type of surgery you’re having. Feel free to email me at hello@drericleckie.com
Hi Dr. Leckie, looking for advice. I had aquablation 7 weeks ago. I took the catheter out two days post op. I was not able to pee, so they put it back in for 5 more days. I was doing about 50 kegal contractions per day. Slowly, I was seeing improvement. I was peeing about 150 cc whenever I could measure it. After 4 weeks, I had to get back to work, which usually involves traveling. I saw my DR before my first business trip and he said that I was voiding well and it would get better over time. During my first business trip, I noticed that I was getting the urge to go more often. I started dribbling more. A week ago and last night, I was having a really hard time peeing just prior to bed and for a few hours after going to bed. I was peeing about 50ml every 45 minutes or so, but then it got better by around 3 am and I started to pass about 100cc and I was able to get some rest. PS. I am stopping fluid intake about 3 hours before bed. I am drinking one cup of 1/2 caf coffee in the morning and maybe a cup of tea in the afternoon. I am drinking no alcohol. Do you have any thoughts on what is causing my set-back and how I can improve this?
Hi Greg, just on my honeymoon at the moment. Can you please send me an email and I can reach out to you that way? I can help you with this problem. Email me at hello@drericleckie.com
Thanks and looking forward to hearing from you soon.
After holep surgury(prostrate), urine leakage at the time walking heavyly .I have taken medicine mirago s50&miragoe 50 tablet .but already time 70days passed .but no cure .pl suggest
Amazon has there own brand of pads much less expensive
Had 2/3 of my prostate removed using HIFU. TURP was done approx. 2 months following using Greenlight laser. All in June n August of 2021 and still have leaking and ED problems. Told B4 surgeries that I would NOT have these problems.. Post-op care is (pardon the pun) piss-poor and I have stopped going (he got mad when/if I asked any Q's) as of this year ~~ nearly 2 yrs post op.
Hey there thanks for sharing your situation. If you’d like to discuss it a bit more I depth and see if I might be able to help, I offer free 20-min online consults. You can book in here: calendly.com/dr_eric_leckie/20min
Hi Dr. I just came across your video and thinking of having my prostate removed since I was told in August that I have prostate cancer after having a biopsy. In talking to one guy who had the surgery I think last year he never told me about the leaking. I’m now reading the comments and learning there is a big issue with leakages. Do u have a video of what a kegerator exercise is? I can start on doing this daily as I also need to prevent having kidney issues since my pcp and I are watching closely the numbers. I’ll subscribe to your page.
Welcome to the channel! Yes, I sure do. You can check out my latest video teaching you how to Kegel here: ruclips.net/video/-D2KLel-jp8/видео.htmlsi=czChuoAJ0ZyN8y7L
Hi Dr im 69 i had bladder cancer 10 years ago they remove my bladder and made up a bladder called NU bladder nobody told me about strengthening my muscles i had catheters but it was very painful struggling to get some per out yours exercise very simple i tried it there is a deference i went 3 times to hospital because of bladder infection
I’m glad to hear you found the video helpful :)
After protatectomy 3 months ago, I cannot have an orgasm because it is too painful. My urine is ok when I control fluids.
good video except for the bells dinging thanks
Had radical proctectomy 5 weeks ago. My butt hole still hurts. Is this normal?
Mine was sore for near that long after surgery.
I had robotic prostatectomy, bilateral nerve sparing. Surgery was 2 months ago. Still having significant problem with leaking; using the Depend male guards. Also have been on 5 mg tadalafil daily since surgery, have seen no effect whatsoever. Is it still too soon to be concerned that both these issues won't improve?
Hi Jeff, these issues should be improving. Book in for a free call with me and I will help you get started: calendly.com/dr_eric_leckie/20min
80 days post opp still using 7 depends a day
Book in for a free call with me, I can help: calendly.com/dr_eric_leckie/20min
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The surgeons definitely downplay the side effects of the prostatectomy and scare you with the word cancer. Of course everyone will be scared to death when being told he has prostate cancer, although if you have a cancer grade 1 score 3+3, the probability that it grows is low and it will take many years to become life threatening if it ever happens before you die from something else. So, do not let you be overcome by fear and explore your options before going to a surgery that you may regret later.
I had surgery six weeks ago but i leak bad allday i have to wear thik pad and my pinus went down to like one inch i have to seat to pee because i cant even find my pinus threw the zeaper and it flow every where so i have to pull my pinus skin over to pee in one stream rather then flow all over its a pain in the ass when i go somewhere i have to go to bath room frequently because if i dond itll leak in my underwear
Hey Bob, please feel to book in for a free call, I can help you with this: calendly.com/dr_eric_leckie/20min
Hi my father have prostate removed surgery 5 months ago stil now he have pine and blood in urine i need your halp how we get your phone number Please