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Doctor insights on: Any Control Urinary Incontinence Prostatectomy

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Any new techniques for control of urinary incontinence following radical prostatectomy?

Any new techniques for control of urinary incontinence following radical prostatectomy?

Surgery: If one develops severe urianry incontinence after radical surgery and has failed conservative management and medications, then surgery is the next option. This includes collagen injection to help close the bladder opening or placement a sling underneath the urethra. A fianl measure would be to place an artificial (plastic) sphincter to close the urethral while not urinating. ...Read more

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Dr. Scott Beard
566 doctors shared insights

Incontinence (Definition)

Incontinence denotes involuntary leaks of body wastes from urethra or anus; that from urethra is urinary incontinence, which may be classified as stress, urge, mixed (stress + urge), total, & overflow urinary incontinence, signifying its timing & specifics; that from anus is fecal incontinence, which may be urge, stress, total, etc. reflecting the ...Read more


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Does prostate surgery always cause urinary incontinence?

Does prostate surgery always cause urinary incontinence?

No: There are of course different type of prostate surgery. Postate removal for cancer has a severe incontinence rate of 3-5% and a mild to moderate incontinence rate of 10-15%. Both are very treatable in hands of surgeons who treat this often. Prostate scraping and laser treatments for benign disease rarely lead to incontinenece buts is also very treatable. Bottom line:it happens and is treatable. ...Read more

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Does the bladder sling surgery stop urinary incontinence caused by Prostate surgery?

Does the bladder sling surgery stop urinary incontinence caused by Prostate surgery?

See remark: There are bladder slings that help in male incontinence following prostate surgery...but the results are not as good as when placing slings in female incontinence ...Read more

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Can you have overactive bladder without urinary incontinence?

Can you have overactive bladder without urinary incontinence?

Absolutely: Oab, also known as "gotta go, gotta go right now, " simply causes bladder spasms and the urgency to urinate. If you are able to get to a bathroom quickly, or your conscious control of your bladder muscles is strong enough, you can prevent urine loss. Typically however, oab tends to worsen over time, so the cause for your oab is important to determine. See you doctor! ...Read more

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Can vesicare (solifenacin) or other overactive bladder medications cause urethral irritation? I've been have urethral urgency.

Can vesicare (solifenacin) or other overactive bladder medications cause urethral irritation? I've been have urethral urgency.

Unlikely: Urinary urgency is generally a bladder issue and not urethral in origin, especially in a 25 yr old female. See a urologist for evaluation. ...Read more

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Incontinence (dribbling) after circumcision--urethral stricture, what to do?

Incontinence (dribbling) after circumcision--urethral stricture, what to do?

Unusual: No reason why U should be incontinent of urine after a circumcision. Surgery does not affect urethra unless circumcision performed grossly incorrectly. Suggest you consult an experienced urologist & not surgeon who performed your operation. ...Read more

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Severe urine incontinence and frequent urination. No diabetes. Any medication please? Thanks.

See doc: You may have a urinary tract infection that may require antibiotics. For the incontinence, you need to be evaluated for the type (stress, urge, etc) to determine the right form of treatment for you. Those are distinct entities that completely different management Best wishes Dr M ...Read more

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Is there support for people suffering urinary incontinence after prostate surgery?

Is there support for people suffering urinary incontinence after prostate surgery?

Yes: Male slings have been shown to be of great assistance in helping men with certain types of incontinence after prostate surgery. I suggest you talk to the urologist who performed the prostatectomy or find one of the younger robotic trained urologists who might be more aware of new technology to help with incontinence after prostatectomy. ...Read more

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Frequent urination, nocturia, urinary retention, and premature ejaculation. What do these symptoms indicate?

Frequent urination, nocturia, urinary retention, and premature ejaculation. What do these symptoms indicate?

An enlarging : Prostate. You're probably overweight and Insulin resistant as well. Need to check prostate and also r/o urine infection. The premature ejaculation is a separate issue. ...Read more

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Loss of bladder control after bcg?

Loss of bladder control after bcg?

Does happen.: Unfortunately, the process of bladder installations with BCG can be very irritating to the lining of the bladder and urinary tract. Frequency, urgency, burning with urination, and urge incontinence can occur. These can be normal side effects of the treatment, however, if the side effects are severe or intolerable, work with your urologist; dose or frequency adjustments can be made. ...Read more

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My Father is experiencing urinary retention, frequent urination, difficulty starting urine stream, sudden urge to urinate and prostate gland enlar...

My Father is experiencing  urinary retention, frequent urination, difficulty starting urine stream, sudden urge to urinate and prostate gland enlar...

Be checked ASAP...: Of no doubt, your father needs an urgent care to help improve his expected voiding trouble which commonly comes with many aging men. How to gel all these related care done correctly? Follow suggestions in articles listed in http://formefirst.com/onBPH-LUTS-VoidingTrouble.html. Thereby, you surely gained insight on how to work well with the doctor for right care timely. Best wish to his health.... ...Read more

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Can cystoscopy cause urinary incontinence in women?

Can cystoscopy cause urinary incontinence in women?

No: Cystoscopy is simply a technique to view the inside of the bladder with a video camera. It would not cause incontinence but may be part of the evaluation of incontinence in some patients. ...Read more

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Are symptoms for Interstitial Cystitis & Bladder Cancer the same?I have a burning bladder, a little blood, hesitance & fear urinary retention is next.

Are symptoms for Interstitial Cystitis & Bladder Cancer the same?I have a burning bladder, a little blood, hesitance & fear urinary retention is next.

Here are some...: The typical symptoms of both entities uniquely differ, but both may occasionally coexist. Besides, concerning slow urine flow, hesitancy, & even urinary retention + blood in urine, it is possible to sort these things out correctly by following suggestion in articles listed in http://formefirst.com/onBPH-LUTS-VoidingTrouble.html & blood in urine in http://formefirst.com/hematuria.html. Best wish... ...Read more

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Urethral pain before period? No UTI hip, urinary frequency. I have pcos, hormones?

Urethral pain before period? No UTI hip, urinary frequency. I have pcos, hormones?

May need uro/gyn ck: You may have a better diagnosis from a uro/gynecologist, who can test if your have urethral spasm, and if it's hormonally related or not, if it's a consistent monthly finding with your pcos. Good that you don't have uti, or urinary frequency with this. ...Read more

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Is oxybutynin the best choice for neurologic bladder and occasional bladder leakage? or detrol? or vesicare (solifenacin)?

Is oxybutynin the best choice for neurologic bladder and occasional bladder leakage? or detrol? or vesicare (solifenacin)?

It's the cheapest: oxybutynin happens to be the original (and che"anticholinergic" on the market, originally developed in the 1970's. It is effective but has side effects (dry mouth, eyes, and constipation). The newer drugs have slightly better side effect profiles. Check out the new beta agonist myrbetriq too. See a specialist in neurogenic bladder, urologists often have additional training in this area. ...Read more

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Had neurogenic bladder due to cauda equina syndrome.Is there any chance that botox can help reduce urinary retention, urgency problem?Should i try it?

Had neurogenic bladder due to cauda equina syndrome.Is there any chance that botox can help reduce urinary retention, urgency problem?Should i try it?

Talk to urologist: Assuming you have an atonic bladder causing problems with initiation of urine, or overflow, Botox would have no value and might even cause worsening. If you suffered urgency incontinence, might be useful. Urodynamic testing can determine the precise bladder dysfnctn and guide therapeutic intervention. ...Read more

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Incomplete defecating, Incomplete emptying of bladder during urination and Incomplete ejaculation, weak erection, sperm in prostate. wh Doctor to see?

Urology: Incomplete emptying of the bladder, sexual dysfunction, and even constipation could be related to a prematurely enlarged prostate. Less commonly, a neurologic, nerve-based issue may cause similar symptoms, but the best initial evaluation would be with a urologist. ...Read more

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Male not emptying full bladder, frequent urination and pain in bladder reason?

Male not emptying full bladder, frequent urination and pain in bladder reason?

Prostate issue: Sounds like a prostate issue, may be prostatitis as enlarged prostate is unlikely at 37. It needs to be checked by a physician. ...Read more

Dr. David Samadi
97 doctors shared insights

Prostatectomy (Definition)

Prostatectomy generically refers to total or partial removal of the prostate gland by surgical or endoscopic means for benign or malignant conditions. More commonly it refers to radical prostatectomy, an operation to treat prostate cancer, though in the past, endoscopic prostatectomy (TURP) for enlarged prostate (BPH) was a more common operation ...Read more


Dr. Andrew Berry
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Urinary (Definition)

Any subject, be it anatomy, physiology, or object pertaining to urine. For example: urinary tract (anatomy), urinary catheter (object), ...Read more