Urology Expert Forum
Neobladder and incontinence
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Neobladder and incontinence

I recently had a cystectomy and elected to go with a neobladder instead of a stoma.  The Foley catheter was removed about four weeks ago, and since then, I've been battling incontinency.  Although I understand this is normal and I'm willing to be patient, I'm wondering if there are some things I could be working on to help improve the situation.  There usually seems to be very little warning before urination, usually just a sensation in the penis which means it's almost too late to avoid an "accident."  Needless to say, I can't leave home without wear-
ing incontinent underwear.  Are there any exercises and/or techniques which would help?  My urologist is great, but he really didn't give me a lot of guidance about this and I'm not scheduled to see him again for six weeks.

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Incontinence after a neobladder is not an uncommon side effect.  Most cases subside eventually.  

Some suggestions would be a condom catheter, penile clamp or implantation of an artificial urinary sphincter.  Kegel exercises can also help with the incontinence as well.  

Testing the urine to exclude infection should also be done.  

These options can be discussed with your urologist.  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_
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