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How long does it take to get bladder control 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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Is TURP a high risk surgery?

TURP carries a very small risk of causing death. The risk of dying as a result of the procedure is now estimated to be less than 1 in 1,000. The risk usually arises from complications involving the heart or a serious postoperative infection.

nhs.uk - Transurethral resection of the prostate (TURP) - Risks - NHS

Transurethral resection of the prostate (TURP) is generally a safe procedure. However, as with all types of surgery, there are potential risks.

Retrograde ejaculation

Retrograde ejaculation is the most common long-term complication of TURP and can occur in as many as 65 to 75% of men. This is where semen doesn't come out of your penis during sex or masturbation, but flows into your bladder instead. It's caused by damage to the nerves or muscles surrounding the neck of the bladder, which is the point where the urethra connects to the bladder. Retrograde ejaculation isn't harmful and you'll still experience the pleasure of an orgasm. However, your fertility may be affected, so you should speak to your surgeon if this is a concern. It may be possible to have an alternative procedure called transurethral incision of the prostate (TUIP) instead, which carries a lower risk of causing retrograde ejaculation. It's also sometimes possible to reduce the risk when performing a TURP by leaving prostate tissue near the urethra intact.

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