Ten years ago I underwent radical retropubic prostatectomy. One year after the surgery, I had "salvage" radiation therapy (36 sessions) and 18 months of hormone therapy. Up until this year, I was virtually trouble free with only very mild stress incontinence and did not need to use any protective guards or incontinence products. Due to decreased urine flow, I underwent an incision procedure for Stenosis of the vesico-urethral anastomosis (Incisio stenosis anastomosis vesico-urethrale). Since this procedure I am having uncontrollable leakage of urine. The situation has not changed after three months. When standing, even after having emptied my bladder, there is constant after-dribble. The condition is somewhat better when sitting or lying down. I have been intensively performing Kegel exercises for the past three months and have really strengthened my pelvic floor muscles. I have also been taking mirabegron tablets (Betmiga 50mg) for nearly 2 weeks.
What solution would you suggest to improve my quality of life? I am in good shape and enjoy sports. I am 68 years old, 1.8 m (5' 11") tall and weigh 80 kg (176 lbs).
Thank you.