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I had Green Laser Turp procedure on March 10 to address BPH affecting mostly the medial lobe. Two months later, I was still totally incontinent, requring 6 to 10 Depends per day. A cystoscopy exam show a lot attached debris left from the Green laser procedure. A second procedure (cyrus Turp this time) was done three weeks ago was done to clean out the debris from the first procedure, and to remove some additional part of the medial lobe. I'm still totally incontinent, meaning that if I'm up and about, nothing is retained in the bladder. As I sleep on my back, enough urine can be retained to wake me; by making a bee line to the bathroom, I find that I have had as much at 500 ml of urine, but most typically 200 to 300 ml.
Is this total incontinence after a Turp procedure normal or typical for someone who had no previous incontinence issues? My health at age 77 is otherwise very good as I hiked and biked and weigh within 5 lbs of my high school weight. I've did a lot of Kugel and other exercises with a therapist, but am not doing that at this time. I try to stay positive, but changing multiple times per day, washing up, and cleaning up my dribbles from the bathroom floor is exhausting. I have also used a couple kinds of urether clamps (e.g. Cunningham) for short periods so I can get through a meeting or a church service. I've also been using an external catheter and bag some days. I find that more tolerable than the constantly wet Depends diaper, especially on hot humid days. But since I am not circumcised, using the condom device to collect urine has its own problems.
If anyone has been down this road and got through it, I would like your comments. And if some ultimately had to resort to surgery to install an artifical spincter, I would appreciate learning about that experience. (And where in the US are the top centers for artificial spincter surgery.)
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