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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Do Prostate Cancer And Prostatectomy Increase Urinary Frequency?

My partner/spouse (42 yrs. together) has had prostate cancer and had a radical prostatectomy in 2007. He has had ED and urine leakage ever since. Lately the urge to urinate and leakage has gotten very bad. He also has very bad Lumbar Herniated disc problems at the L4-L5 levels w/ spondelythesis. I am familiar with that part because I have had 4 spine operations, 1 in the exact lumbar area. Can his increased leakage be cause by the herniated disc? No one will operate on him (he has gone thru all the protocols, the epidural inj., PT, etc.) because has had MRSA twice. He also has 5 heart stents. He is 67. I am getting kind of worried. We boh have had our health challanges (me w/low grade lung cancer etc.), but I worry about him, because if its spine related does that mean emergency surgery?
Thu, 6 Aug 2015
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Urologist,  's  Response
Hello
Thanks for query .

During surgery of Radical Prostatectomy for cancer of prostate there is injury to the neurovascular bundle which controls urinary continence and erectile function .This injury of this neurovascular bundle is the cause of Erectile dysfunction and urinary incontinence after the surgery .

Normally it gets resolved gradually over a period of one year however if there is severe injury to this neurovascular bundle it may be a permanent complication and requires implantation of artificial urethral sphincter .

It is definitely not due to his spine problem .
Dr.Patil.
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Do Prostate Cancer And Prostatectomy Increase Urinary Frequency?

Hello Thanks for query . During surgery of Radical Prostatectomy for cancer of prostate there is injury to the neurovascular bundle which controls urinary continence and erectile function .This injury of this neurovascular bundle is the cause of Erectile dysfunction and urinary incontinence after the surgery . Normally it gets resolved gradually over a period of one year however if there is severe injury to this neurovascular bundle it may be a permanent complication and requires implantation of artificial urethral sphincter . It is definitely not due to his spine problem . Dr.Patil.