Prostate cancer surgery is one of the most common contributing factors to incontinence and bladder control problems in men.

Based on the data presented at 31st Congress of the Societe Internationale D’Urologie in Berlin, October 2011, 40-50% of patients developed incontinence immediately after prostatectomy; 10% developed long-term incontinence (over 12 months); and 30% developed over active bladder and  30% had sphincter damage. The level of the incontinence as measured by absorbent pad usage could vary from 1 pad a day to more than 10 pads a day.  The bladder control issues include increased urinary urgency and frequency after surgery.

The current medical treatments for male incontinence and bladder control issues have been quite limited in terms of side effects, low success rates, and lack of long-term.  Those options are not desirable to men of all ages who are still living an active life style.

There are some courageous men who dare to try different approaches to solve their problems. Today I am going to cite two letters from such men.

A letter from Bob R. (86, improved bladder control after prostate cancer surgery)

 “I had advanced prostate cancer surgery 5 years ago. Ever since then I had to get up 7-8 times a night to urinate. I ordered 4 BetterMAN early last month and have been taking 4 capsules a day.  Last night I slept 5 hours and 20 minutes before I had to get up! I haven’t gotten that much sleep at one time since my surgery 5 years ago. I have tried many other natural remedies, none of which worked. I was on Detrol for quite awhile and it did not help me either. I am glad I finally found BetterMAN.”

 A letter from Rick P. (64, improved bladder control after prostate cancer surgery)

“I had prostate surgery 10 years ago. At that time, I tried BetterMAN for one year in conjunction with vacuum erection device to regain my erectile function. After 10 years, I decided to use BetterMAN again. I am now 64 and wanted a little boost. Also my urologist does not know why, I had a problem with frequent urination which is common for people who have had prostate surgery. What a great product you have!  I now urinate less frequently, and my erections are stronger and more long lasting. Thanks for doing the research. You should be very proud of BetterMAN.”

My thoughts:

If you are not satisfied with your current state of bladder control, you should not stop there and give in to the adult pads. Give BetterMAN a try. Make sure you give the product enough time. If you had prostate surgery before, your recovery time may take longer than the average 2-3 months recommended to general public. Be patient and be persistent. You should see dramatic improvements in the quality of life down the line.

We are very much interested in your feedback, questions, comments, or stories.

To your health,

Peipei Wishnow, PhD

PS: As always consult your healthcare professionals before taking any new supplements.

Recently I attended the American Urology Association Annual Meeting in Washington DC and learned many new developments in basic research and clinical studies related to bladder control problems. I will be selectively reporting information I think you may find interesting. Let’s call it Frontline Report.

Nocturia – Frequent Nighttime Urination

Frequent nighttime urination, or nocturia- the need to urinate more than two times a night, is mostly related to aging.

But why?

An enlarged prostate seems to be the common culprit for many men.  However, studies have shown that for a majority of the men with enlarged prostate, nocturia remains to be a problem even after their prostate surgery. In addition, many men who have no prostate issues are also experiencing the annoying nocturia problems.

Now, how about women? No prostate! But millions of women have nocturia issues.    

Studies have shown that for both men and women 50 years and older, the average number for nighttime urination is three times. This number tends to increase as people get older.

But why?

According to Dr. Jeffrey R. Weiss, MD, Professor and Chair at the Department of Urology SUNY Downstate College of Medicine, Brooklyn, NY, one of the key reasons for nocturia is that the kidney produces more urine at night as people grow older.  This is caused by decreased levels of Anti-Diuretic Hormone -ADH.  

ADH is a powerful hormone that regulates water metabolism in the body. It has direct impact on the amount of the urine the kidney produces. The lower the ADH levels, the more urine will be produced.

In people 60 and older, the nighttime ADH level becomes barely detectable. For them, the urine volume produced at night (average 8 hours) is about 34% of the total volume for the entire day. The more urine produced, the more often you need to void.

As a comparison, younger people’s ADH level increases at night. The urine volume produced at nighttime in people younger than 25 years old is only about 14% of the total volume for the entire day.  This means for young people, urine production is drastically reduced at night.  That’s why their bladders can easily hold urine for the whole night.

Nocturia and ADH

So the older one gets, the less the ADH, the more urine production at night and so the nocturia.

To your health,

Peipei Wishnow, PhD.  

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