I had surgery on November 1 and had my catheter removed 4 we

I had surgery on November 1 and had my catheter removed 4 weeks ago on November 9. I'm a bit frustrated because other than staying dry at night (I do urinate 4-6 times each night), my incontinence hasn't shown any improvement. I leak frequently, especially when I'm active after urinating. I stay an extra 30 seconds to a minute to make sure I empty my bladder, but upon leaving the bathroom I find that I will continue to leak - sometimes a dribble but sometimes for up to a 3 second duration. I don't seem to be able to control this and it doesn't seem to be making any improvement. Could it be that my bladder is not emptying properly? Is this too soon to expect any improvement? I do the Kegels - 25 quick contractions and then 20 10-second contractions followed by 25 quick ones again. I do this twice a day. Is this sufficient/too much/too little? Physically I feel very good. I walk once or twice a day - 1/2 mile in the AM and close to a mile in the PM - at a pretty good pace. Is this too much? Can too much exercise and getting tired cause the sphinctor to tire and get weaker? Before surgery, my prostate was quite large and protruded into the bladder - can this have an affect on my incontinence? I even measured my leakage for 5 days by putting my penis in a 'container' in my Depends and then emptying the urine into a larger container. In fluid ounces, my leakage was 11, 12, 15, 13, 15 for the five days. Is there any significance to that? Thank you.

It is not unusual to have incontinence for up to 6 months after prostate cancer surgery so I think you are right on schedule. Any type of physical exertion can trigger urine leakage. So again, at this stage of your post-op period, your symptoms are very common. I suggest you continue to do the Kegel exercises as you describe them as they will build pelvic muscle strength so the muscle can support your sphincter. Do not dispair as I see many men after surgery and most get 'dry.' If you are concerned about performing the exercises correctly, ask your doctor for a pelvic muscle or continence specialist in your area as she can use EMG/biofeedback to show you how you are building your pelvic muscle