A newer phase in my Systemic treatment now with metastasis in bone

Thanks for the opinion.

I never heard about such late side effect from surgery. The oncologist commented about a side effect from radiation as it tends to be progressive. My wife says that it is aging.

I believe that this is a cause of the low count of testosterone/androgens in circulation. The problem may be more prominent due to the missing urethra sphincter (or part of it), dissected in the prostatectomy of 2000. The bandit was detected this time at three tiny tumors at the urethra which tissues are now in a "dormant" status.

Regarding kegels, the bladder holds about 400cc so that I force 5 or 6 stops each time I pee. The ocasional incontinence occurs when standing, when I feel it passing at the tip of the penis, leading me to contract the pelvic floor muscles. Sorry, to late.

I have no urgency during the day and at night I get up about 3 or 4 times but I am dry when sleeping.

Ths

Thanks Dave, it seems that I could adapt better to ED and annoying fatigue than to this most inconvenient situation.

Apart from the clip that gives me the assurance of being dry while walking or caring about my veggy garden, I use a pad. The clip tends to uncuff when seating and the penis retracts. Difficult to adapt.

Smelly or not, I will survive.

I would like to inform those following my story that I continue with the Zeros. The PSA in December was again undetectable (<0.01 ng/ml; T=14 ml/dL).

I have noticed some interaction among the pills that I have been taking, particularly between the antiandrogen Erleada (apalutamide) and the blood pressure blockers that increased the numbers over the 170/105.

The annoying incontinence continues. I was told again, this time by an urologist, that the radiotherapy of 2006 could be the cause as radiation tends to be "progressive" (a late side effect). However, the issue seems to be neurologic, related to loss of sensation to contract (automatically) the muscles of the bladder sphincter. They work when seated or in lying position.

Well, in the ancient practice of the mystical "Numerology", 2025 is a number of zeros. 2+0+2+5=9=0=nothing

In the next year we will have to be content with what we are today. 😁😇

The new year, according to Chinese tradition, will be full of mysteries. It's the year of the 🐍 snake. The year of the introverts.

Those who believe or think they know everything.

From Portugal, I wish that the new year brings to everybody here, and their families, healthy new adventures.

Best wishes for a Happy New Year.

VGama