[Guest]

My 56 year old brother had a TUR about 4 months ago. Since then, he has had a big problem with dribbling - especially with sudden movements, coughing or/& sneezing. Actually, it's plain old incontinence. Is it possible that the bladder sphincter was damaged in the procedure? How common is this? Can anything be done?

Thank you. SallyR1235@aol.com

[Guest]

Stress urinary incontinence is an uncommon, but possible, complication of TURP. It often improves with time and Kegel’s exercises. Further surgery can also be done if needed.
See below:

Kegel Exercise
Kegel exercises strengthen the pelvic floor muscles (the pubococcygeous muscle group) to improve bladder control for people suffering from stress incontinence.
Success of these exercises depends on their proper execution. First, the muscle group must be located by the patient:
• Begin urinating and try to stop the flow of urine without tensing the leg muscles.
• Slow or stop the stream of urine. The muscles holding the urine are the correct muscle group.
OR
• Squeeze the rectal are as if to prevent gas from passing.
There are two types of Kegel exercise:
• Quick contractions—rapidly tighten and relax the sphincter muscle
• Slow contractions—contract the sphincter muscle and hold to a count of 3, gradually increasing to a count of 10
Exercises should be performed several times, every day. Whether the goal is to improve or to maintain bladder control, exercises must be done regularly over a period of 6 to 12 weeks to be effective. Exercises should not be performed while urinating, because urine could be retained.

[quote] My 56 year old brother had a TUR about 4 months ago. Since then, he has had a big problem with dribbling - especially with sudden movements, coughing or/& sneezing... [/quote]