Question to general practitioner Maarten: Incontinent after prostate laser treatment

Maarten Vasbinder lives in Isaan. His profession is general practitioner, a profession that he mainly practiced in Spain. On Thailandblog he answers questions from readers who live in Thailand.

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Dear Martin,

I am a man of 85 years. Three years ago I had surgery on my prostate with Holep laser. No doctor had discussed the possibility of incontinence. Could it be that they hit a nerve in my sphincter?

Can you tell me what I can do about that incontinence?

Many thanks for your answer.

Regards,

V.

******

Dear V,

Your observation is correct. Something went wrong during the operation. Incontinence up to 6 weeks after such an operation is normal. 3 years not.
I'm afraid there's not much you can do about it.

What you can do is:

• At fixed times, for example, urinating every two hours.
• Stop drinking two hours before going to sleep.
• Pelvic floor muscle exercises under the guidance of a physiotherapist.

However, there is no guarantee that this will solve your problems, but it is worth a try.
Level

Yours faithfully,

Dr. Maarten

Do you have a question for Maarten and do you live in Thailand? Send this to the editor: www.thailandblog.nl/contact/ It is important that you provide the correct information (see list at the top of the page).