August 17, 2017
The brilliant physiotherapist Stuart Doorbar-Baptist, who is applying a causal analysis to post-prostate surgery incontinence
Chanced upon this video which provides an EXCELLENT causal analysis of what might be happening with heavy incontinence, and how to fix it.
I’ve had heavy (100 per cent) incontinence since the catheter was removed. I was very impressed with his argument that the bladder needs to be kickstarted by filling it up, in order to get the external catheter to activate. I’m sure in that lies a key solution to my case.
See also his paper: “Having low BMI and being seen pre- operatively predicted motor skill attainment, accounting for 46.3% of the variance. Significantly more patients trained pre-operatively acquired the skill of pelvic floor control compared with patients initially seen post-operatively (OR 11.87 95%CI 1.4 to 99.5 p = 0.02)”.
His coaching of patients:
Since 2008 when I had robotic surgery to remove my cancerous prostate,I have not regained full continence which means I have to wear a pad everyday. Sometimes I have to change up to two times a day depending on my work or any activity which involves a lot of movement. I am now 71 years old and I do enjoy having cold beers. I found the information I read here very interesting and informative. Is there something new that can be done to correct this problem without having the artificial sphincter installed?