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4 Things My Doctor Recommended For My Bladder Leaks After Prostate Surgery

The Last Thing Changed Everything For Me

Gary Dickson.
By Gary Dickson i
Post-RALP, 16 Months
Updates 2 days ago | 4 min read
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About Gary

Gary is a prostate cancer survivor who underwent RALP. He writes for Prime Men's Health and AARP, sharing real stories to help men navigate recovery — so no one has to go through it alone. Off the page, he's a weekend golfer and proud father and grandfather.

Title

After my prostate surgery, my urologist handed me a list of things to try. I tried all of them.

What I wanted wasn't complicated. I wanted to leave the house without a spare pad in my back pocket and a bathroom plan in my head. I wanted to go out to dinner with my wife and not count the steps to the bathroom the whole meal. I wanted to play 18 holes without leaving every other tee box. 

I'm 16 months post-RALP now. Some helped. Most didn't. Every guy's recovery looks different, so I'm not telling you what to do. I'm telling you what I tried, in what order, and what finally let me say yes to the things I'd been saying no to.

Summary: I'm still doing kegels, but the thing that really gave me the freedom to walk out the door without thinking about it was Menvault All-Day Protection Boxer Briefs. They hold a full day without leaking (about a soda can's worth), they look and feel like normal underwear so nobody can tell. Went from 4 pads a day to zero.

#1. Sticky Pads and Guards

This is where most of us start. The nurse sent me home with a pack of Depend Max guards. They shift when you walk. They roll up into a ball when you sit. They crinkle in the locker room. Stand up too fast and the wet patch ends up on the side of your leg, not the front.

I tried a few other brands after that. Tena Guards Level 3 (always bought them at Amazon) was the best of the bunch for me. "Comfortable" is generous. Less bad than the others is more like it. Even with Tena, 4 changes a day for almost a year. Checking the front of my pants every time I stood up. Couldn't leave the house without a spare in my back pocket.


And here's the thing. Even with all that, I never fully trusted them. Not 100%. So I started skipping the stuff I loved. Cancelled on the saturday golf with my buddies because I didn't want to disappear into the clubhouse every other hole. Said no to dinners with family. Skipped the long drive to see the grandkids because three hours in the car was too long to trust myself.


The pads were keeping most of the wet spots off my khakis. They weren't giving me my Saturdays back.

If you want to give them a try, here are is the link: Tena Level 3 on Amazon. You can also check your preferred shop to see if they carry them for a better price.

#2. Kegel Exercises

I started kegels about three weeks post-surgery. The video that helped me find the right muscles was the Dr. Rowe one. He walks through it specifically for men post-RALP. Different from the generic kegel videos online.

I still do them every day. They've worked, just slowly. Over months I went from heavy leaks to lighter leaks. Less volume. More control when I cough or sneeze.


But here's the thing. Kegels weren't going to get me to my buddy's 60th in Florida this fall without a back-up. Or through a 3-hour dinner without scouting bathrooms from the parking lot first.

It's a marathon. Kegels are part of the long game. They don't get you a normal Saturday next weekend.

 

If you want to start kegels, here's the Dr. Rowe video I used. Free on YouTube. Click here to if you want to see the youtube video

#3. The Wiesner Clamp

This one I'd skip.

I bought it because I was tired of saying no to things. The medical name. The hospital look. Figured if it sounded that clinical, it had to be the real fix. The thing that would let me play a full round again.
 

I used it during walks and around the house. Then I read the warnings. Urethra damage. Tissue trauma. Restricted blood flow. About two weeks in I had blood in my urine after a longer walk. That was enough for me. The blood stopped in a couple of days.
 

Some men use it short-term under medical supervision and it's fine for them. For me it was the worst experience on this list. And it still didn't let me wear it to a meal out or on a long flight. Medical-sounding doesn't mean safe for what your body looks like after surgery.
 

That one I learned the hard way.


If you still want to look into it, here's the Amazon link. Just talk to your urologist before you try anything with it.

#4. The Only That Actually Worked For Me: Menvault

Here's the honest part. My doctor didn't tell me about these.
 

I found Menvault on a prostate forum, posted by a guy two years post-op with the same surgery as me. Said they were the first thing that actually held up. I'd tried everything else on this list. Nothing to lose. 30 days money back.
 

What's different is the layout. 9 thin leak-proof layers in the front, inner-leg sides, and back. Where men actually leak. Not just the front-bottom like the women's template stuff. Holds 10 fl oz. Tested it myself with a full can of Coke Zero. It worked.
 

They hold up to washing too. Bamboo fabric, OEKO-TEX certified. Soft on the skin. Breathable. Especially in the Florida humidity I live in.
 

Week one I still carried a spare pad out of habit. Week two I forgot it, panicked, and was dry all day anyway. Week three I stopped checking my pants every time I stood up. Week four my buddies asked about 18 holes. I said yes without making an excuse. The week after that my wife and I drove four hours to see the grandkids. I didn't think about it once on the drive.
 

I'm still doing kegels every day. Still have bad days now and then. But for the first time in 16 months I leave the house without a backup plan. Yes to dinners out. Yes to Saturday golf. Yes to the road trip.
 

At my last follow-up I told my urologist about them. He'd never heard of them. Two visits later he was recommending them to other patients.
 

Not a cure. Just a solution that gives you the freedom to do what you want without thinking about it.

 

How many to buy? Depends on how often you wear them. I started with 4 pairs because they had a bundle discount at the time. Not sure if it's still on. I'm at 7 now.

If you want to give them a try, here's the link to Menvault. They're only sold direct so you won't find them on Amazon. The 30 days money back is what got me to try them in the first place.

One thing worth knowing: they go out of stock. I've seen them unavailable for weeks at a time. If they're in stock when you're reading this, I wouldn't sit on it.

BUY IT HERE

15 Comments
  1. Douglas Simmons says:

    Thanks for this review @Gary Dickson. I'm about 1 year post-surgery and honestly so glad I tried Menvault instead of sticking with disposables. I was going through 2-3 Depends Guards a day and the cost was adding up fast. Switched to the Menvault boxer briefs about 3 months ago and haven't looked back. They handle my moderate leaks throughout the day no problem, and I actually feel like I'm wearing normal underwear again. My wife noticed I seem more confident too, which is huge. The reusable aspect means I'm saving probably $50-60 a month compared to what I was spending on disposables. If you're on the fence, I'd say go for it — they're not miracle workers but they're way better than living in disposable pads.

  2. Richard M. says:

    Good insights and a helpful comparison. 7 months out from RALP dealing with moderate stress incontinence. I was using Northshore Guards but decided to try Menvault boxer briefs around month 4. Really glad I made the switch. I coach so I'm on my feet all day, and these hold up through a full 8-hour shift without issues. What surprised me was how normal they feel compared to wearing a pad. My only regret is not trying them sooner, saved me a few hundred bucks. Definitely worth it if you're looking for something reusable that works. Hang in there guys.

  3. James McConaghy says:

    Are Menvault boxer briefs easy to wash? Because others did not...

    1. Gary Dickson
      Gary Dickson says:

      Hi @James, yes, I just wash them cold or warm with regular detergent. Line dry, they dry very fast. I have been using them for over a year now and they still work great.

  4. Paul D. says:

    54 years old, 5 weeks post-RALP. Still in the heavier leakage phase but my urologist says things should improve significantly around month 3. Found this article while researching because I flat out refuse to spend the next year in adult diapers. Ordered a 4-pack to try. Will report back — but reading through these comments already made me feel less alone in this than I have since surgery. Didn't realize how many men are navigating the same thing.

  5. David S. says:

    Using Menvault for 6 months now. Wife has no idea they're any different from my regular underwear. That's exactly what I needed.

  6. Alan K. says:

    Something nobody seems to mention — how do the Menvault briefs look under dress trousers? I wear business clothes to the office and that was my main hesitation. Zero issue. Completely flat, no visible line, nothing. My colleagues have no idea and that's all I needed. Getting back to normal at work after surgery did more for my head than I expected.

  7. Frank R says:

    Do they work for overnight protection? And second, do they hold moderate leaks?

    1. Robert Henderson
      Gary Dickson says:

      @Frank Yeah, I wear them at night too. They give me peace of mind, and honestly my wife likes them better than what I was using before haha. They handle moderate leaks really well. If you're dealing with really heavy incontinence though, you might want to look at Depend incontinence underwear instead.

  8. Mike T. says:

    Quick question before I order — how does the sizing run? I'm usually a 34 waist but I'm between sizes on most brands. Last thing I want is to order and have them not fit right.

    1. Robert Henderson
      Gary Dickson says:

      @Mike good question. In my experience they run true to size, but if you're between sizes I'd go up — you want them snug enough to stay in place without being uncomfortable. There's a size guide on the product page worth checking. And they have the money back guarantee so if it's not right you can sort it out without being out of pocket.

  9. George L says:

    How many pairs do I need?

    1. Robert Henderson
      Gary Dickson says:

      @George I started with 4 pairs to try them out — that's enough to get through the week if you're washing every couple of days. Once I knew they worked I picked up a few more so I always have clean ones ready without thinking about it. They have a money back guarantee so starting with 4 is zero risk.

  10. Terry B. says:

    I'll be honest — I was pretty cynical about these. Figured it was marketing targeting men going through a rough time. Bought them anyway because I was fed up with pads shifting around all day. That was 4 months ago. I was wrong. They stay in place, they're comfortable, and from the outside they look completely normal. Still doing PT and improving slowly, but in the meantime these have made daily life a lot more manageable. Glad I ignored my own skepticism.

  11. William P says:

    I hate these posts as a vision into my future. I love these posts for being ready for my future. Very helpful!!

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