Prostate Cancer Expert Forum
urinary leakage
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This forum is for questions about: Advanced or Metastatic Prostate Cancer, Biopsy, Bone Scan, Blood in Urine or Semen, Benign Prostatic Hyperplasia (BPH), CT Scan, Cystoscopy, Erectile Dysfunction, Hormone Therapy, Incontinence, Pain (abdomen, low back or hip), PSA Test, Prostatitis , Radiation Therapy, Rectal Exam, Recurrent Cancer, Risk Factors, Screening, Staging (Tumor size; Metastasis), Surgery, Transrectal Ultrasound, Urinary Difficulty or Burning, Urinary Urgency (Leaking), Watchful Waiting.

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urinary leakage

what is the cause of urinary leakage post robot assisted prostectomy, how long does it last, and what can be done to speed up process to decrease leakage?
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242579_tn?1252114771
Thank you for your question. Permanent incontinence after prostatectomy is usually not an issue for an experienced surgeon. In my experience most patient return to full continence within 6-8 weeks following surgery.

To understand the risk of urinary incontinence after prostatectomy it is important to understand the pelvic anatomy. When the surgeon removes the prostate, whether robotically or through open surgery, the bladder is pulled down and the urethra is pulled up to be reconnected surgically. A catheter is put in place to allow for the surgical connection to heal. Generally, as the catheter is draining urine continually after surgery, the bladder decreases in size. Over weeks and months after the catheter is removed, the bladder returns to its original size and urinary frequency becomes less of an issue.

Kegel exercises can also hasten the recovery of urinary incontinence following robotic prostatectomy. If incontinence and leakage occur after 1 year following surgery, surgical intervention may be necessary.

Ash K. Tewari, MD
http://www.nycrobotics.com

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