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  #1  
Old 02-18-2008, 06:36 AM
J. O' Connor
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Default Incontinency Question

On the 21 January I wrote:

"After removal of the catheter, that day and the next, it was as if someone
opened the tap and forgot to close it. Day three - 5 pads, day four - 4 pads
and today I think I will be managing with only two pads."

Well, unfortunately I celebrated too early. Now that I am back to my usual
busy live routine, I am lucky to make it through the day with seven to eight
very full dripping pads. I am o/k in the morning but from noon onwards it
just runs straight thru.
It is now just under four weeks since the removal of the catheter and there
is no detectable improvement. I spoke to the Uro Nurse and she told me that
although I had all my nerves spared, it is early days and not to despair.
Yet I detected surprise when I told her of my status. She wanted to send me
to a Physiotherapist to check if I am performing the exercises correctly...I
declined as I did not think that throwing money at a Physiotherapist would
teach me anything new. Heck, it is not rocket science to do Kegel.

I followed the survey on this newsgroup about the 'long term' outcome of
others, but would love to hear when you started to see an improvement. Was
it after 1, 3, 6 or more month after RLRP? Am I to optimistic to expect a
quicker reduction of incontinency?


Best wishes,
John from Australia

2006-3.4
3/2007-6.3
7/2007-6.7
8/2007 Biopsy: (40%)of one core = Gleason pattern 3+3=6, Stage T1.
12/2007-5.8
15/1/2008- RLRP of 54 gram. 3+4=G7,T3a. Perineural invasion + small focus of
extraprostatic extension. Clear margins.


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  #2  
Old 02-18-2008, 06:36 AM
I.P. Freely
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Posts: n/a
Default Re: Incontinency Question

J. O' Connor wrote:
> I would love to hear when you started to see an improvement. Was
> it after 1, 3, 6 or more month after RLRP? Am I to optimistic to expect a
> quicker reduction of incontinency?


It's been >3 years now, so recollection is hazy, but I was still
flooding at least two, often three, of Depends' big diapers each day a
few months after my RP, which took one nerve bundle. I'd guess I
graduated from diapers to pads after something like 6 months, then
gradually tapered from several pads a day to my present 1-3 triangular
pads a day.

Except while windsurfing, when I'll overflow a giant diaper in an hour
inside my dry suit. I relish midsummer, when I can just wear swim
shorts and ignore the quarts I leak in a long hyperactive day. In more
controlled exercise such as hard gym workouts, I seldom leak more than
an ounce or three in a few hours. I've done my Kegels faithfully now for
a month with no obvious improvement; if at three months I'm not drier,
screw the Kegels.

Some references say I'm wetter than statistics would predict, but the
post-RP continence specialists I consulted said I'm leaving s trail
right down the middle of the Continence Highway, where Your Mileage May
Vary.

I.P.
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  #3  
Old 02-18-2008, 06:36 AM
J. O' Connor
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Default Re: Incontinency Question

Thanks I.P.
I value your input.
John


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  #4  
Old 02-18-2008, 01:37 PM
rosbif
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Default Re: Incontinency Question

On Mon, 18 Feb 2008 04:28:54 GMT, "J. O' Connor"
<spamkiller@nowhere.com> wrote:

> I am o/k in the morning but from noon onwards it
>just runs straight thru.
>It is now just under four weeks since the removal of the catheter and there
>is no detectable improvement.


I'm no authority on this but I believe you've plenty of healing
prospect ahead of you - my uro told me that things would be pretty
messy inside for the best part of 6 months and up to a year before
best outcome could be appraised. My intuited image of a post-op
sphincter is of a valve which has been pulled this way and that,
slowly trying to bed-in to altered geometry, clogged up with dried
blood, scabs, scar tissue and who-knows-what.
I don't want to pump up your expectations, but I do think it's far too
early to assume you're at your best, or even anywhere near it.
Kegels were causing me quite a bit of soreness in the rectum so I gave
up on those, continence improved naturally over time.
Good luck.

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  #5  
Old 02-18-2008, 08:24 PM
Jim
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Default Re: Incontinency Question

John,

I had my RP about four weeks ago with somewhat similar post-op pathology to
yours (Gleason 7 (3+4), T3a, three small areas where the cancer was at the
edge of the prostate). I had a little trouble healing the anastamosis so I
had to keep the catheter for 19 days. That finally came out a week ago
today. The nurse said I should stay in the clinic until I had either soaked
a couple of pads or was able to use the men's room. I drank 40 oz. of water
and an hour later I stood up to go to the bathroom and my bladder
immediately emptied into the pad. It was like a garden hose turned on high!
Luckily we brought lots of pads and a change of clothes! I used 8 pads in
the half day after the catheter removal.

I was down to four pads the second day with some apparent control resuming
the Kegel exercises that I did for months before the surgery. The next two
days I went back up to 8 pads/day. My wife pointed out that I had been
drinking a large glass of cranberry juice with lunch each day and that
cranberries are a natural diuretic. The combination of 80 oz of water a day
and the cranberry juice made me pump out a gusher of urine! I now recall
that my urologist recommended drinking cranberry juice years ago when I had
a bout with kidney stones. He was trying to encourage urine flow and that's
certainly not my problem now!

Anyway, I've skipped the juice since Friday and now soak 3-4 pads/day mainly
when I'm physically active. I actually made it through the night Saturday
and Sunday with only minor wetting. Maybe things are starting to come under
control but I do still leak pretty consistently during the day! Don't give
up! I'm not planning to!

Regards,
Jim

"J. O' Connor" <spamkiller@nowhere.com> wrote in message
news:aQ7uj.16344$421.11445@news-server.bigpond.net.au...
> On the 21 January I wrote:
>
> "After removal of the catheter, that day and the next, it was as if
> someone opened the tap and forgot to close it. Day three - 5 pads, day
> four - 4 pads and today I think I will be managing with only two pads."
>
> Well, unfortunately I celebrated too early. Now that I am back to my usual
> busy live routine, I am lucky to make it through the day with seven to
> eight very full dripping pads. I am o/k in the morning but from noon
> onwards it just runs straight thru.
> It is now just under four weeks since the removal of the catheter and
> there is no detectable improvement. I spoke to the Uro Nurse and she told
> me that although I had all my nerves spared, it is early days and not to
> despair. Yet I detected surprise when I told her of my status. She wanted
> to send me to a Physiotherapist to check if I am performing the exercises
> correctly...I declined as I did not think that throwing money at a
> Physiotherapist would teach me anything new. Heck, it is not rocket
> science to do Kegel.
>
> I followed the survey on this newsgroup about the 'long term' outcome of
> others, but would love to hear when you started to see an improvement. Was
> it after 1, 3, 6 or more month after RLRP? Am I to optimistic to expect a
> quicker reduction of incontinency?
>
>
> Best wishes,
> John from Australia
>
> 2006-3.4
> 3/2007-6.3
> 7/2007-6.7
> 8/2007 Biopsy: (40%)of one core = Gleason pattern 3+3=6, Stage T1.
> 12/2007-5.8
> 15/1/2008- RLRP of 54 gram. 3+4=G7,T3a. Perineural invasion + small focus
> of
> extraprostatic extension. Clear margins.
>
>



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  #6  
Old 02-19-2008, 12:55 AM
djperry42@sbcglobal.net
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Posts: n/a
Default Re: Incontinency Question

It's been close to five years since my catheter was removed and right
off I flooded the pads from day one. I noticed a gradual reduction
from five or six pads per day to four then three over a period of
about six months although my memory is a bit fuzzy on this.
Unfortunately, I can still fill three pads per day even now although
it requires some activity such as gardening or walking to leak more or
less continuously. If I sit on my arse the whole day and go to the
can every two hours I can get by with one pad which is more soaked
from perspiration than urine. Surprisingly, I don't leak at all with
a full bladder. Once I have my morning draining though it's leak,
leak, leak the rest of the day. Hopefully, you will have a nice
steady pad reduction over the next few months down to one or none.
You can do the Kegels, they won't hurt but if I had a nickel for every
Kegel - - -. I think they are of value for stress incontinence such
as occurs with a sneeze but worthless frequent dripping I experience.
Good luck.
Dave Perry

On Feb 17, 8:28*pm, "J. O' Connor" <spamkil...@nowhere.com> wrote:
> On the 21 January I wrote:
>
> "After removal of the catheter, that day and the next, it was as if someone
> opened the tap and forgot to close it. Day three - 5 pads, day four - 4 pads
> and today I think I will be managing with only two pads."
>
> Well, unfortunately I celebrated too early. Now that I am back to my usual
> busy live routine, I am lucky to make it through the day with seven to eight
> very full dripping pads. I am o/k in the morning but from noon onwards it
> just runs straight thru.
> It is now just under four weeks since the removal of the catheter and there
> is no detectable improvement. I spoke to the Uro Nurse and she told me that
> although I had all my nerves spared, it is early days and not to despair.
> Yet I detected surprise when I told her of my status. She wanted to send me
> to a Physiotherapist to check if I am performing the exercises correctly....I
> declined as I did not think that throwing money at a Physiotherapist would
> teach me anything new. Heck, it is not rocket science to do Kegel.
>
> I followed the survey on this newsgroup about the 'long term' outcome of
> others, but would love to hear when you started to see an improvement. Was
> it after 1, 3, 6 or more month after RLRP? Am I to optimistic to expect a
> quicker reduction of incontinency?
>
> Best wishes,
> John from Australia
>
> 2006-3.4
> 3/2007-6.3
> 7/2007-6.7
> 8/2007 Biopsy: (40%)of one core = Gleason pattern 3+3=6, Stage T1.
> 12/2007-5.8
> 15/1/2008- RLRP of 54 gram. 3+4=G7,T3a. Perineural invasion + small focus of
> extraprostatic extension. Clear margins.


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  #7  
Old 02-19-2008, 02:39 AM
David&Joan
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Posts: n/a
Default Re: Incontinency Question

Dave has a good point. Kegel's are useful to control stress situations:
standing, sitting, lifting, etc. You first consciously use them and later
unconsciously do it. But they seem to have no value in controlling routine
leakage. It seems that the remaining sphincter needs to be retrained to do
its new job continually. And it is equally true that a fullish bladder
rarely leaks. I think that the sphincter is somehow reminded of its new duty
when the bladder is full.

And for what its worth, an orgasm will almost always cause a leak if there
is anything in the bladder, even for the driest of us. Why? I suspect that
the sphincter downstream of the prostate (the one that is left after
surgery) is not designed to block flow during and orgasm. Otherwise how
could semen get through? It is the sphincter at the base of the bladder that
was designed to do this job, and it doesn't exist anymore.

But if you can now make it through the night, then you are on your way to
full control during the day.

David


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  #8  
Old 02-19-2008, 02:39 AM
Peter
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Posts: n/a
Default Re: Incontinency Question

Hello John,

My RLRP was on Oct 13, 07 and it was not for at least 6 weeks that I noticed
any difference during the day. At night around the 6 week mark I was able to
stay dry. Improvement came around 8 weeks and it was a very noticeable. I am
now (17 weeks) almost completely dry during the day except for a small leak
when lifting, coughing or other "stress" factors.
Check out:
http://palpable-prostate.blogspot.co...ontinence.html

find the graph and note the steep curve.

Best of luck down there... also down in Australia.
"J. O' Connor" <spamkiller@nowhere.com> wrote in message
news:aQ7uj.16344$421.11445@news-server.bigpond.net.au...
> On the 21 January I wrote:
>
> "After removal of the catheter, that day and the next, it was as if
> someone opened the tap and forgot to close it. Day three - 5 pads, day
> four - 4 pads and today I think I will be managing with only two pads."
>
> Well, unfortunately I celebrated too early. Now that I am back to my usual
> busy live routine, I am lucky to make it through the day with seven to
> eight very full dripping pads. I am o/k in the morning but from noon
> onwards it just runs straight thru.
> It is now just under four weeks since the removal of the catheter and
> there is no detectable improvement. I spoke to the Uro Nurse and she told
> me that although I had all my nerves spared, it is early days and not to
> despair. Yet I detected surprise when I told her of my status. She wanted
> to send me to a Physiotherapist to check if I am performing the exercises
> correctly...I declined as I did not think that throwing money at a
> Physiotherapist would teach me anything new. Heck, it is not rocket
> science to do Kegel.
>
> I followed the survey on this newsgroup about the 'long term' outcome of
> others, but would love to hear when you started to see an improvement. Was
> it after 1, 3, 6 or more month after RLRP? Am I to optimistic to expect a
> quicker reduction of incontinency?
>
>
> Best wishes,
> John from Australia
>
> 2006-3.4
> 3/2007-6.3
> 7/2007-6.7
> 8/2007 Biopsy: (40%)of one core = Gleason pattern 3+3=6, Stage T1.
> 12/2007-5.8
> 15/1/2008- RLRP of 54 gram. 3+4=G7,T3a. Perineural invasion + small focus
> of
> extraprostatic extension. Clear margins.
>
>


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  #9  
Old 02-19-2008, 05:27 AM
I.P. Freely
Guest
 
Posts: n/a
Default Re: Incontinency Question

David&Joan wrote:
> if you can now make it through the night, then you are on your way to
> full control during the day.


I almost never leaked sitting or lying down, but that apparently has
almost no predictive value for upright continence.

I.P.
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  #10  
Old 02-19-2008, 09:58 PM
djperry42@sbcglobal.net
Guest
 
Posts: n/a
Default Re: Incontinency Question

On Feb 18, 8:35*pm, "I.P. Freely" <fuhgheddabou...@noway.nohow> wrote:
> David&Joan wrote:
> > if you can now make it through the night, then you are on your way to
> > full control during the day.

>
> I almost never leaked sitting or lying down, but that apparently has
> almost no predictive value for upright continence.
>
> I.P.


I too never leaked from day one while lying or sitting. Looking at
the geometry of the plumbing and how the urine pools at the back of
the bladder, not the bottom, makes being dry while lying pretty
apparent. As for sitting, I think there is some pressure applied to
the urethra that is just sufficient to pinch things off a bit. For
me, standing offers a direct and open line to the exit.
Dave Perry
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  #11  
Old 02-19-2008, 11:27 PM
J. O' Connor
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Posts: n/a
Default Re: Incontinency Question

Thank you all for sharing your experiences, your comments and links. I have
found them very comforting and helpful
Obviously, my too optimistic expectations (fuelled by my uro's pre-operation
sales talk) have to be adjusted to reflect reality and a more patient
approach implemented.
I have not socialised (going to restaurants ect. with friends) since my
operation, as the feeling of having urine running down my legs from an
over-full pad would not conform to the ambiance. On my internet travel I
came across and ordered a gadget called 'SqueezerKlip'. Its purpose is to
close of the urethra without disturbing the blood circulation to and from
the penis. I am waiting for it to arrive any day now and if it works, will
use it only in situations like socialising, shopping, long travel ect.
Has anyone heard / used of this gadget? How did you find it? Did it work for
you?

Again "Thank You" again to all who contributed to my thread.

Best wishes,
John from Australia

2006-3.4
3/2007-6.3
7/2007-6.7
8/2007 Biopsy: (40%)of one core = Gleason pattern 3+3=6, Stage T1.
12/2007-5.8
15/1/2008- RLRP of 54 gram. 3+4=G7,T3a. Perineural invasion + small focus
of extraprostatic extension. Clear margins.


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  #12  
Old 02-19-2008, 11:57 PM
I.P. Freely
Guest
 
Posts: n/a
Default Re: Incontinency Question

J. O' Connor wrote:

> I have not socialised (going to restaurants ect. with friends) since my
> operation, as the feeling of having urine running down my legs from an
> over-full pad would not conform to the ambiance. On my internet travel I
> came across and ordered a gadget called 'SqueezerKlip'. Its purpose is to
> close of the urethra without disturbing the blood circulation to and from
> the penis. I am waiting for it to arrive any day now and if it works, will
> use it only in situations like socialising, shopping, long travel ect.
> Has anyone heard / used of this gadget? How did you find it? Did it work for
> you?


Here's my take on the ActiCuf http://www.gturological.com/index-4.html
version of the SqueezerClip, sent to my uro and to the ActiCuf's
manufacturer. (Realize that these devices hold only an ounce or three,
wheras a Depends diaper will hold cups and can be boosted with Depends
booster pads.)

Test report on the ActiCuf incontinence pouch, as posted by me on
alt.support.cancer.prostate:

First impression out of the package:
Nice, small, flat, low-profile; it’s going to hide easily.
It’s a soft, light, flat, paper, squeeze-mouthed, coin purse.
There’s no thick foam padding like what I expected, and it takes some
serious squeeze pressure to open it; clamp it on two stacked fingers and
it feels TIGHT! If you think I’m sticking THIS into THAT and releasing
the bear trap, you’re nuts. I want to catch any stray dribble, not cut
off circulation and, ultimately, what’s left of my manhood.
But what the hell … the website says it’s comfortable, and we KNOW
websites don’t lie.
So after a couple of stiff belts, I squeeze the bear trap open wide,
insert all the way, take a deep breath, release the bear trap
slooooooowly, and … holy cow; I don’t feel it at all. It’s all in the
geometry of the “bear trap”; it can exert a lot of “pinch” pressure when
wide open, but the pressure isn’t even noticeable down at operational
range. And I’m guessing most guys needing these things only THINK their
operational, slightly compressed diameter is going to challenge it.
Bottom line: BEYOND comfortable. In fact, I couldn’t even feel it a
minute after clamping it on. No, it didn’t leave me numb; it just didn’t
pinch.

Slip test:
If it’s that comfortable, won’t it slip off accidentally if it gets
heavy with leakage? Tug … tug … yep, it sure could … but only if you
plan on carrying a pint of urine in that 3-ounce pouch while you go
jogging. It takes some serious tugging to get it to slip AT ALL –
nothing you’d ever experience unless your family dog gets a good grip on
it – and even when it does slip, there’s no discomfort at all. This
thing is SECURE. Ånd, LORDY, but it feels good to get back into boxer
shorts!

Blood circulation test:
Now, it’s great when a penis fills to the bursting point with blood;
everybody involved enjoys it … unless it doesn’t empty when the time
comes. If this pinching action lets blood in but not out again, we have
a problem, Houston. So let’s give it the acid circulation test now that
I’ve had it on for an hour or so: give the business end a goose to test
its senses ... strictly as a clinical circulation test, I swear: OOOOOH
… that felt GOOD! It passed that test, too ... and I’ll be back in a few
minutes.

The Potty Test:
Ya squeeze the clamp, remove the pouch, take care of business, reverse
the procedure, and walk away. Anyone who notices in a public restroom is
watching WAY too closely. Three hands would help (you’re holding three
things unless you’re sitting down), but it works fine with two. And it’s
small enough to conceal adequately with your hand if you walk over to
the trashcan to throw it away. If even that’s not discreet enough for
you, just use a stall.

Wear test:
I’ve worn it for several hours in my first trial, including a moderate
exercise and physical therapy routine with extensive stooping and
bending. Once again, I forgot I was wearing it. If the instructions
didn’t say not to wear it to bed, I would have. It may as well not be
there, it’s so comfortable. What else can I say?

The leak test:
Most of my leaking is in the evenings, standing around doing nothing.
Frequent very small squirts, just enough that I need a little
absorbency. Pads provide that, but provide no assistance in preventing
the leaks.
The modest squeeze of the Cuf assists a little in detecting and averting
these small leaks.

The ultimate test: The Gym.
Today it went to the gym for my triweekly, four-to-five-hour, full-tilt,
non-stop, gut-busting workout involving most types of equipment in a
HUGE gym. (Darn RIGHT I took a diaper in my gym bag as backup, but I had
no need for it.) Once again, I forgot I was wearing it … until I
dropped trou in the locker room: “So what are YOU staring at, buddy?
Here … catch!” ;-)

Or maybe you could scream, “AAAAAAGH! What the hell’s THAT?” (Paint some
little beady eyes and glue a little fur and a tail on it if you want to
try that one.) Or just surreptitiously remove and discard it with a wave
of the hand, as I did; it requires much less explanation.

And finally the street test: how obvious is the Cuf?
Anyone who can spot this device in a pair of slacks or shorts is looking
at my crotch WAY too closely. It’s just not visible . . . unless, of
course, you’ve oriented the bear trap fore’n’aft rather than sideways,
which is likely to trigger all sorts of commentary, partly because this
gadget’s pretty small.

Unless you guys can think of something I missed, I rate this the ActiCuf
a 9.5 in performance (if it had PREVENTED leaks with its pinch action,
as its instructions almost imply, it would have gotten a 10). It
definitely would not have worked in the days when I was completely
flooding the Depends Tsunami model 2-3 times a day, but it’s neither
intended nor advertised to handle major incontinence. But at $5 EACH --
10 times the cost of a 24-hour diaper and 20 times the cost of a pad --
you’d better have a really, really good motivation to avoid pads or diapers.

Let’s compare the ActiCuf directly with its competition. What advantages
does it have over pads or diapers?
Easier and more discreet than pads or diapers to change and dispose of.
(Try cramming a diaper in a restroom fliptop trashcan without
self-consciousness or touching the lid!)
Dryer than pads or diapers if you don’t overfill it. I could wear one
ActiCuf now for 24 hours in comfort and confidence as long as I check it
whenever I go to the bathroom. (It turns pale blue when damp with urine,
so you have some degree of indication how you’re doing on the current
refill.)
Speaking of confidence … most pads have a fallout risk; these don’t.
Wherever you go, it follows, unlike a pad which demands your presence
front and center to do any good.
And speaking of comfort … these are certainly more comfortable than
diapers, and even more so than pads since pads require Jockey shorts.
BOXERS RULE!
It doesn’t show beneath your clothes, as diapers may.
No more sweaty groin in warm weather or rooms.
You can carry a few of these in any pocket unnoticed; they’re far less
bulky than packaged pads.

ActiCuf disadvantages?
A TINY bit more hassle at the urinal until you master the one-handed
abra cadabra (you’ll master it in two days). In the locker room I just
turn my back to others, but it might pique your cell-mate’s attention in
jail.
Five bucks a pop – 10 times the cost of a diaper and 20 times a pad’s cost.

Unless you’re totally satisfied with less expensive pads in every
scenario you face, this Cuf is a great addition to your arsenal. I think
it’s a wiener … er, a winner … if you ever wish to pay $5 for any or
all of that impressive list of advantages for an hour or a day. But I’m
guessing the price of these great products will come down when demand
increases, as I’m sure it will. They WORK!

I.P.
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  #13  
Old 02-20-2008, 02:51 AM
J. O' Connor
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Posts: n/a
Default Re: Incontinency Question

Thank you I.P.
Loved your descriptive and humorous test and critique of the ActiCuf. I
viewed the website and unfortunately, as I am at the flood rather then the
dribble stage, feel that it is not suitable. Perhaps later and I did save
the web address.

The gadget I ordered works on the principal of squeezing the urethra shut
while it is on. (Another bear trap? smile) No absorption or reservoir at the
once only cost of US $95.00.
http://www.squeezerklip.com/

I'll let you know if it works when/if I receive it.
Best wishes,
John


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  #14  
Old 02-20-2008, 02:51 AM
I.P. Freely
Guest
 
Posts: n/a
Default Re: Incontinency Question

J. O' Connor wrote:
> Thank you I.P.
> Loved your descriptive and humorous test and critique of the ActiCuf. I
> viewed the website and unfortunately, as I am at the flood rather then the
> dribble stage, feel that it is not suitable. Perhaps later and I did save
> the web address.
>
> The gadget I ordered works on the principal of squeezing the urethra shut
> while it is on. (Another bear trap? smile) No absorption or reservoir at the
> once only cost of US $95.00.


Be aware of the precautions for penile clips. They also clamp off blood
flow, squeeze nerves, and, with recent surgery, counteract our
continence recovery efforts.

I.P.
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  #15  
Old 02-20-2008, 05:15 AM
J. O' Connor
Guest
 
Posts: n/a
Default Re: Incontinency Question

Thank you for your warning I.P.
Do you base your statement on actual test based facts or is this your
opinion?

Best wishes,

John

"I.P. Freely" <fuhgheddaboutit@noway.nohow> wrote in message
newsiMuj.103$Br.90@newsfe07.lga...
> Be aware of the precautions for penile clips. They also clamp off blood
> flow, squeeze nerves, and, with recent surgery, counteract our continence
> recovery efforts.
>
> I.P.



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  #16  
Old 02-20-2008, 05:15 AM
I.P. Freely
Guest
 
Posts: n/a
Default Re: Incontinency Question

J. O' Connor wrote:
> Thank you for your warning I.P.
> Do you base your statement on actual test based facts or is this your
> opinion?
>
> Best wishes,
>
> John
>
> "I.P. Freely" <fuhgheddaboutit@noway.nohow> wrote in message
> newsiMuj.103$Br.90@newsfe07.lga...
>> Be aware of the precautions for penile clips. They also clamp off blood
>> flow, squeeze nerves, and, with recent surgery, counteract our continence
>> recovery efforts.


I encountered those comments when looking up the SqueezerKlip and
ActiCuf sites and penile clamps in general (they've been around since at
least the 1800s). In particular part ...

From http://www.renewintimacy.org/pdfs/UIbookSample.pdf :

"Usage Considerations, Instructions, and Precautions
PLEASE READ THIS SECTION CAREFULLY!
Follow all instructions carefully to avoid injury or leakage.
􀂾 Clamps must be released every 2–4 hours to empty the bladder.
Allowing urine to
remain in the bladder for prolonged periods increases the risk of
urinary tract infections.
􀂾 Do not use a clamp in conjunction with other incontinence devices
(except absorbent
pads), with indwelling catheters, or with implanted penile prostheses.
􀂾 Contact your doctor immediately if any swelling, bruising,
discoloration (change in
color), or sores develop on the penis while using any clamp. In many
cases some simple
adjustments and additional practice using the clamp will alleviate the
problem.
􀂾 Do not use near open sores. After sores are completely healed, the
clamp may be used
again.
􀂾 Patients with altered mental status should not be allowed to wear a
clamp.
􀂾 Do not hesitate to contact your physician if you have any concerns or
questions about
using a clamp.
If a clamp is not properly positioned, secured too tightly, or left on
too long it can cause
swelling, bruising, and ulceration (sores) on the penis. If these signs
are ignored, deep tissue
necrosis (destruction of the tissues inside the penis) may occur; this
damage cannot be seen.
Because of these potential complications, doctors and other health care
professionals may be
hesitant to recommend clamps to their patients. Not only are they
concerned, and rightly so, a

And there it ends. For more, we must buy the book it's from. But you get
the gist: putting meat, blood vessels, nerves, skin, the urethra, etc.
in a clamp requires precautions.

I.P.
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  #17  
Old 03-20-2008, 06:46 AM
Junior Member
 
Join Date: Mar 2008
Posts: 2
Default incontinence

Incontinence after prostate surgery on Squidoo

perhaps this link may help you sir/sirs.
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