How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Y. Your Own Question

Dr. Y.
Dr. Y., Urologist
Category: Urology
Satisfied Customers: 20373
Experience:  Specializing in general urology and reconstructive urology.
32613003
Type Your Urology Question Here...
Dr. Y. is online now

4 months ago, I underwent a radical prostatectomy. The 3 month

Resolved Question:

4 months ago, I underwent a radical prostatectomy. The 3 month post-op check showed that the results were the best they could be and my consultant said I did not need to see him for another year.
By that stage, I also had the problem of incontinence effectively under control apart from the occasional dribble. I had several sessions with a physiotherapist who was satisfied that I was performing pelvic floor exercises correctly and I have continued to carry these out.
However, during the last week or so, the incontinence has returned with a vengeance. I am now wetting the bed during the night whereas even when I first had the catheter removed, I always woke up and was able to get to the toilet. I am also freely leaking when sitting in the car - a problem which I have not had for a long time. I have had some discomfort and soreness and, on one occasion, a slight pink colour on toilet tissue - but otherwise urine is clear.
I have seen my GP who has confirmed there is no infection. I need to understand why my condition has deteriorated.
Submitted: 2 years ago.
Category: Urology
Expert:  Dr. Y. replied 2 years ago.
Hello and thanks for trusting me to help you today. I look forward to working with you.
Have they checked your bladder by ultrasound to see that your are completely leaking all the urine out?
How is your urine flow when you do urinate?
Customer: replied 2 years ago.

I had an ultrasound check when catheter removed and this showed that bladder was emptying, I have not had one since but the bladder feels empty.

The flow has been weak ever since catheter was removed but I had nevertheless achieved control.

The current problem started a few days ago.

Expert:  Dr. Y. replied 2 years ago.
If you were relatively dry before, this nuance of leakage may be related to bladder spasms which is forcing your hand out of the bladder in the presence of a week sphincter after your prostatectomy. This typically would be caused by an infection if it is sudden in onset but it sounds like they have ruled this out. Regardless, your doctor may want to consider putting you on medication such as oxybutynin which is designed to stop to see if this helps to improve your leakage.
Your sphincter would not be working well and then suddenly stopped working. This is not likely a problem with the sphincter.
Hope this helps.
Dr. Y., Urologist
Category: Urology
Satisfied Customers: 20373
Experience: Specializing in general urology and reconstructive urology.
Dr. Y. and other Urology Specialists are ready to help you
Customer: replied 2 years ago.

Thank you. I note that the sphincter is not likely to cease working once the problem has been brought under control.

I was prescribed oxybutynin last week and I used it for 2 days but it did not appear to be effective. I ceased to use it because I developed constipation followed by diarrhoea which seemed to increase the pressure on my bladder and make the matter worse.

Today I was prescribed Vesicare which is I understand similar and I will now try this.

In view of the sudden onset combined with discomfort and soreness, I thought that this was most likely caused by an infection leading to inflammation. Can a urine test sometimes fail to detect an infection?

Expert:  Dr. Y. replied 2 years ago.
Yes, a urine test is not 100% accurate. It is possible they may have missed the infection. They may want to consider repeating the test to see if they missed the infection. I would recommend switching to the Vesicare to see if you can tolerate this. The medication is going to take more than a few days to work. I would give it at least a week to see if you any changes. Hope this helps.
Dr. Y., Urologist
Category: Urology
Satisfied Customers: 20373
Experience: Specializing in general urology and reconstructive urology.
Dr. Y. and other Urology Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Dr. Y.

    Dr. Y.

    Urologist

    Satisfied Customers:

    15021
    Specializing in general urology and reconstructive urology.
< Previous | Next >
  • http://ww2.justanswer.com/uploads/lyeung1/2010-07-25_032152_tn_IMG_0241.JPG Dr. Y.'s Avatar

    Dr. Y.

    Urologist

    Satisfied Customers:

    15021
    Specializing in general urology and reconstructive urology.
  • http://ww2.justanswer.com/uploads/TH/tharun/2013-12-28_0129_tailoredfitsuits.64x64.jpg Dr. Tharun's Avatar

    Dr. Tharun

    Urology Resident

    Satisfied Customers:

    614
    MBBS, DNB surgery and presently working as Urology resident towards the degree of Urologist.
  • /img/opt/shirt.png Dr. B's Avatar

    Dr. B

    Urologist

    Satisfied Customers:

    62
    Trained in Adult and Pediatric Urology, Fellowship trained in Urologic Oncology.
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    276
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University