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Daily Mail Carol Davis update: at 18: 38 on May 25, 2009, thousands of men developed incontinence due to surgery, radiotherapy, or accidents.
John Winson, 65, a retired engineer whose grandfather was from Hartford, received a new technology to treat the disease.
Here, when his surgeon explained the operation, he told Carol Davis his story.
When you are told that you have prostate cancer and need surgery, you do not really consider the risk.
I have been warned that surgery to remove the prostate may cause incontinence, but at this point this is the last thing I am worried about.
I had surgery on March 2004.
Fortunately, the whole tumor was successfully removed;
Unfortunately, the prostate supports the valve that controls the bladder-the urethra.
Removing it means that the valve is drooping and tongue-opening, so it's hard for me to control the bladder.
The pelvic floor muscle exercises I accept are no different.
As a result, I leak dozens of times a day.
When I sit down, cough, and even climb the stairs.
This is completely unpredictable.
I feel like a child again.
I had to wear a suction pad and I even had to change myself at night because the location change on the bed seemed to make it better.
When I pay attention to hygiene, I am worried that I will smell it.
I had given up my job when the cancer was diagnosed, so I spent all my time indoors and building miniature steam trains. Although PSA (
Prostate specific antigen
The test confirmed that I didn't have cancer, it was great, the leak made my life difficult and sometimes I felt very low.
My surgeon, Mr. Greg busted, told me that he could try to inject a kind of leavening agent around the urethra, such as a tube coming out of the bladder;
This will effectively support the valve so the urine does not leak.
I had an injection in June 2006, but the leak came back even though it worked for about a month.
Then Mr Boustead told me a "tilt" that could be installed under the urethra to support it and the valve ".
It's kind of like a mini kids swing with wires on it, not a rope.
The "seat" position is located under the urethra and is connected to the bladder;
To prevent leakage, it grabbed the urethra.
The wire is fixed on a plastic regulator in the abdominal muscles.
The sling is adjustable, so if it leaks back, they can simply tighten it under local anesthesia.
I took this opportunity.
By that time, I had desperately wanted something that would restore my quality of life.
I had surgery four months later.
I woke up dizzy with a dressing and a catheter about 15 cm below my navel.
I took painkillers so there was no pain.
Three days later, the doctor injected salt water into my bladder through a catheter.
Then he asked me to stand up.
As it flows, he puts a special key in the regulator part they reach out from my belly.
He locked this on the wire and tightened it.
It feels strange but not painful.
Just like turning off the tap, the current stops immediately.
He adjusted it until the flow was controlled, but I could also voluntarily empty the bladder.
He then took out the tube and covered the wound with a dressing.
I went home the next day and I was relaxed the previous few weeks, but I quickly climbed the stairs and walked gently.
Although I already have strange little holes when I suddenly want to go, the difference is huge --
Finally, I can sit in a restaurant or climb the stairs and even play football with my grandchildren with confidence.
Surgeon Greg Bowstead is a urological consultant at the Stefanich rest hospital.
He said: among men under the age of 65, there is about incontinence, which has risen to 10-
Of the men over the age of 65, 15.
From a few small leaks to a lot of leaks that cause huge pain, some of them turn into virtual recluse because they worry about a noticeable leak or start to smell it.
Prostate problems, dementia, overwork can lead to incontinence
Uncontrollable active bladder, or neurological problems like MS or Parkinson's disease.
It may also be caused by accidents or damage to the bladder, anus or valve after radiotherapy.
More often, this happens after radical prostate cancer surgery.
About 4,000 men undergo prostate removal surgery each year, with up to men having severe incontinence after surgery requiring further surgery.
The prostate is wrapped around the lower part of the urethra and bladder valve, and they may be damaged during surgery.
In most cases, the situation returns to normal after this operation, but sometimes the leak persists.
One of the reasons is urinary system infection, which can be solved with antibiotics.
Otherwise, patients can be consulted with an expert Bladder Clinic or urologist to find the cause of the leak and to identify the best treatment options, including pelvic muscle exercises.
Small leak pads are also available for men.
However, if the leak is serious enough, we can support the muscles by injecting a special swelling agent into the urethra.
But natural leavening agent (
For example, fat cells of the body itself)
Eventually absorbed by the body
Repeated treatment is required
Synthetic therapies such as collagen will not be reabsorbed, but will not last for a long time.
We can also install artificial anus.
For opening and closing the urethra manually-
But it's expensive, and there's a lot of repetition.
As the age increases, the rate of surgery;
The urethra becomes thinner over time, and then a part of the device needs to be replaced.
For decades, thick straps used to press the urethra and limit the flow of urine have been present, but they often fail due to aging and require further surgery.
A big advantage of the new Sling is that the male re-
The adjustable system, invented in Spain about six years ago, is that it can be adjusted as the human body changes without the need to operate.
The sling itself consists of a piece of about 31/2-
4 cm long, 1 cm wide, suspended on two wires. In the hour-
For a long time, I will take 3-
Make a 4 cm longitudinal incision on the skin behind the scrotal surface.
I cut the fat and put the mesh around 1 cm under the skin, right under the muscles under the urethra.
After that, I made a level of 21/2.
3 cm incision above the pubic bone, separate the fat to reach the muscles.
Then, two small needles pass through the muscles and down through the sling.
I twist the lines on both sides of the grid and pull them back so they are about 12-15cm long.
They are attached to a plastic regulator that is subsequently located in the abdominal muscles;
I wrapped them tightly around the regulator and fixed them in place with a locking screw, just like a thread wound around the fisherman's reel.
The tube drawn from the regulator sticks out the skin.
This allows us to go back and tighten the wire further with a special "key.
The mesh holes are then stitched in place so that the urethra can be permanently supported.
Finally, close the two cuts with soluble stitches.
When the bruises subside, the patient has a catheter around the first day, so he does not leak and infect the wound.
Then we fill the bladder with a solution of up to 350 ml salt water (
Can accommodate up to 600 ml)
Through the catheter, take out the catheter and let him cough, causing incontinence.
When the liquid flows, we tighten the wire through the regulator.
This forces the mesh hole to compress the urethra to prevent an involuntary leak, but also makes it loose enough so that he can empty the bladder when he chooses.
We will watch John and check that his cancer has not returned yet.
If there is a change in his body and another problem with incontinence, we can simply use local anesthesia to tighten the regulator further.
The business costs between £ 5,000 and £ 6,000 on both private and NHS.