How long are you incontinent after prostate surgery?

Most people regain control in the weeks after we remove the catheter. The vast majority of men who had normal urinary control before the procedure achieve it again within 3 to 18 months after the surgery.

mountsinai.org - Continence After Robotic Prostate Surgery | Mount Sinai - New York

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A concern that many men understandably share in considering prostate surgery is its possible effect on their bladder control. Most people regain control in the weeks after we remove the catheter. The vast majority of men who had normal urinary control before the procedure achieve it again within 3 to 18 months after the surgery. At Mount Sinai, our track record is better than the national average. Some men have immediate bladder control and do not leak urine after the surgery. However, for most men, regaining full control of their urine is a gradual process that takes several weeks or months. By six months, most men who were continent before the surgery no longer need pads, though some prefer to wear just a liner for security even if they do not leak.

The two types of incontinence following prostate surgery are:

Stress incontinence is the involuntary loss of urine that can occur during physical activity, like lifting a heavy object, or when you laugh or sneeze, putting increased "stress" or pressure on the bladder. Stress incontinence accounts for the majority of incontinence problems. is the involuntary loss of urine that can occur during physical activity, like lifting a heavy object, or when you laugh or sneeze, putting increased "stress" or pressure on the bladder. Stress incontinence accounts for the majority of incontinence problems. Urge incontinence is the sudden need to urinate due to bladder spasms or contractions. To hasten the recovery of urinary control, we teach you pelvic floor exercises to strengthen the urinary sphincter. These exercises are known as Kegel exercises. Basically, they consist of tightening the urine control muscle (the sphincter muscles) 10 to 20 times every hour to strengthen the muscle that controls urine flow. We may recommend other behavioral strategies as well, including timed voiding, double voiding, and reduced fluid intake, which can significantly help facilitate urinary control and can be started shortly after surgery.

Continence Treatment

In about 5 percent of patients, there can be damage to the urinary sphincter or the nerves nearby, resulting in temporary or permanent incontinence. A minority of patients may have delayed healing of the bladder/urethra connection and thus require longer catheterization or may require re-insertion of the catheter because of swelling at the connection. We tailor our continence treatment to your medical history, physical condition, and personal preferences. We use a biofeedback program that speeds up the process of urinary recovery. Most patients report that they are fully continent and have a stream of urine that is better than pre surgery stream (due to enlarged prostate) within a few months after surgery. If continence problems persist, there are minimally invasive surgical options that are highly successful, such as the male urethral sling and the artificial sphincter. At Mount Sinai, we do these surgeries as outpatient procedures.

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How often do you empty a catheter bag?

suburbanhospice.org - Emptying Catheter Bag - Suburban Hospice, Inc.

A urinary catheter drains urine continuously from the bladder through a plastic tube and into a collection bag. This bag should be emptied as often as needed or at least every twelve hours. Leg bags should be emptied every 3 to 4 hours. Gather supplies and put them in a clean space close to the patient. Before you empty the bag, you will need:

Gloves

Container to collect urine

Alcohol swab

To empty the bag, follow these steps:

Put on gloves Remove the drainage tube from its sleeve, and point it into the container. Unclamp the drainage tube. Try not to touch the end of the tube to any surface when emptying the collection bag. Let the urine drain into a container. Reclamp the tube. Clean the tip of the drainage tube with an alcohol swab. Reinsert the tube into the sleeve.

Call your Hospice nurse if you notice:

Blood or cloudiness in the urine

Foul odor to the urine

No urine

Please feel free to call your Suburban Hospice, Inc. team at 833-888-7222. any time for questions or concerns you may have about urinary catheter care. Your team wants to be responsive to your needs and concerns.

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