r/ProstateCancer

Hope someone can share some insight.

Had successful prostatectomy June 2024. Completed 25 radiation treatments in April 2026. Started Orgovyx right before treatments and have been on it since. Until the last month I needed only 1 pad for incontinence mostly "just in case". I could do yard work, housework, go to store etc. without a pad. I mostly wore it to golf, bowl and when I work part-time at a golf course and am on my feet all day.

A month ago, I started leaking horrendously and going through 2 pads just while working. My Medical Oncologist referred me to my urologist who thinks it's an overactive bladder and wants me to "trial a medication called Myrbetriq or mirabegron that can help with overactive bladder or urinary leakage." I'm a bit concerned about the side effects - " This medication would require you to monitor your blood pressure at home as one of the side effects is the potential to increase blood pressure. Other side effects can be GI upset, headaches, however it is usually generally well tolerated. If you experience urinary retention (unable to urinate) on the medication you would want to stop the medication. If you are unable to urinate at all and developed bladder pressure/pain, it is recommended to proceed to the ER for further evaluation"

I know when I always sat on the toilet I would drip was told this was normal because there is nothing there to stop the pee. When this sudden onset of incontinence started, I thought perhaps because now that my penis has shrunk so much because of Orgovyx that is just hangs there in my underwear and leaks just like it does when it hangs on the toilet.

Has anyone else experienced a sudden onset of incontinence after such long time after treatment or was diagnosed with an overactive bladder this long after radiation?

Thanks