The question of what to use is the only question after your prostate removal, because you will need to use something to protect your clothing, your furniture and save yourself a whole lot of embarrassment while you recover from urinary incontinence. I am kind of vain and so the idea of wearing pull ups was my last choice. I did not want to be walking around making that noise of the diaper or pull up rubbing. Also I did not want the world to know I had something on by the bulging of the pull up showing either in the front or in the back and so my mind was blocking out the possibility and the pros of wearing the pull-ups. I have 5 grandchildren and 2 daughters whom I have diapered and have put pull up training pants on and so my mind just refused to see me in them, it just did not seem right, it seemed like regression to me. I have seen seniors in them and thought that they had no choice, that they needed them because whatever was ailing their bladder forced them to pee in their pull up and I was not ready to admit that I would not get my bladder under control right away. I guess I was looking at putting on the protective pull up as giving in to my lack of bladder control and that somehow using them was final and once I started using them I would somehow be unable to stay dry and would become depended on them like a person using too many or too much narcotics too long for pain.
Another option was the full protective pad for men that gets stuck to the front of your briefs much like a woman who uses Kotex pads. Right away I, Mr. Macho was having a problem grasping this concept, but the idea of having my own briefs on while being protected at the same time was appealing to me. I tried these regular protective pads, but I was having a couple of problems right off the bat and they were problems that I would not be able to get around. The 1st was a problem of comfort and feeling normal and for me this never happened. I am a pretty active guy and the more I moved the more ineffectual the pad became, because it was stuck to the briefs and moved with it and not necessarily where it was needed causing me to leak into my clothing, which is not good for your clothing and very embarrassing, whether in public or in the confines of your own house. Waking up in pee, or looking down while walking and seeing the tell-tale spot of darkness is so depressing and demoralising and can happen without warning. The pad is easy to change, but if you make a mistake it often means changing your pad, your briefs and your pants and praying that the place to change is not far and nobody else is around to see the mess that your lack of bladder control has made of things. The other problem I found with these full protective pads is that they are uncomfortable on a penis that has just had a catheter removed from it. I found that it chafed the tip of my penis and once when it moved I ended up having to peel my penis from that glue side. I can only describe the pain that, this caused me as what I can imagine a fly would feel trying to extract itself from some fly paper. So although this was my first choice to deal with my urinary incontinence, it was not working out for me and after a couple of accidents I could not get comfortable with them, or get a safe feeling, or a sense that I was protected in them.
Another option for me was the thin protective pads, like a womans’ panty shields and depending on how fast you are gaining back control is not a bad idea altogether, but you have to be very careful because very often what is considered a small leak from your bladder will overflow that thin liner and the extra urine will get into your clothing and onto whatever you are sitting on. This option should be used I found out the hard way once you have your bladder 99.9% under control and in situations where you get the occasional very small drop leaking, or I can guarantee that you will have a problem.
I found the worst time of urine incontinence to be at night when you are sleeping, because you are not able to do the things that you were taught to control the bladder. The sphincter that would have done this for you automatically is no longer there and your untrained lower sphincter will take a while to do this for you automatically so sleeping leaves you kind of open to accidents no matter what you are wearing. It is recommended for the first week to set your alarm clock to wake you up twice during the night so that you can urinate before you have a bed wetting in your sleep.
I suggest that you buy one package of the full protective pads and one of the protective pull-ups for men and see what best suits your needs and comfort. I caution you from personal experience that you should not give up one thing for the other because you will be very sorry and will not feel comfortable getting on with your life as normal, before your operation. I opted in the end for the protective pull ups, because they are as normal to wearing briefs and being fully protected as I feel I need to be. They are to me very comfortable and unnoticeable through your clothing and they are silent. The key for me is comfort and protection while feeling that I am wearing nothing extra.
I also had to come to terms that it is not the pull up that would have had me giving into my urine incontinence but that it would have been me giving into it. Pull ups are like wearing briefs, so if you would not stand , or sit down and pee your briefs why would you do it in your pull ups? One good thing that they all have is odor control, so that if you do have an accident you will not have to worry about the smell. For obvious reasons whatever choice of protective wear you decide to use during your time of urinary incontinence you should change them as required. The last thing you are going to want is an infection in your urinary tract.
Lastly if you were given exercises to do to help train your lower sphincter do them, they work and will help you to recover your control faster and shorten the time that you will need these protective measures considerably. I am well on my road to gaining full control of my bladder, but it was not without error, or confusion and so I pass on what I have learned worked and did not work for me in hopes that you may benefit. Please remember that we are all different so what worked for me, may not work for you. If you are suffering from temporary urinary incontinence I hope that you have a quick and uneventful recovery.
Please remember that the end goal is to not wear any protective wear at all, or as little as possible and this will only happen with practice. I found that if I was wearing even the least of protective wear I had a tendency not to watch for the signs that should have sent me to the toilette, because without thinking my body and mind were saying no problem you have protective wear on and there was always a little urine in the pad. My solution was to wear none at home and put protective covering where I sat instead, like a towel or pk. I found that after just one day I was able to judge better when I needed to go and that the time between going was increasing in length. My confidence had grown tremendously and that is the key.
- How To Deal With Urinary Incontinence (healthadel.com)
- At Work With Incontinence (webmd.com)
- Prostate Surgery – What is a Radical Prostatecomy (prostatehealthnews.org)
- Post Prostate Removal Blues / The Road To Recovery (archemdis.wordpress.com)