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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Facing A Incomplete Urinary Incontinence After A Radical Prostatectomy

I had radical prostatectomy in 2007 which resulted incomplete urinary incontinence. In 2010 I had the implantation of the AMS 800 artificial sphincter and it has worked extremely well, but I have frequent trips, more than desirable, to urinate. I have been on VesiCare on and off for about 3 years at the lowest dosage and experienced constipation, even with supplements to prevent it. Recently I tried the Oxytrol patch and have found them to work very satisfactorly. Now after about 1 month of use, I find that I am having loose stools and some diarrea. How is it that one anti-cholinergic gave me constipation and another diarrea?
Fri, 28 Sep 2018
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General Surgeon 's  Response
Hello,

It can happen after prostate removal, it is due to nerve injury during the procedure.

Consult a urologist and get evaluated.

It can be managed to some extent by exercises and drugs, I symptoms are severe continuous catheterisation is required.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Shinas Hussain, General & Family Physician
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Facing A Incomplete Urinary Incontinence After A Radical Prostatectomy

Hello, It can happen after prostate removal, it is due to nerve injury during the procedure. Consult a urologist and get evaluated. It can be managed to some extent by exercises and drugs, I symptoms are severe continuous catheterisation is required. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician