Hi all. I just stumbled across this site so thought I’d add my story. I had neo bladder surgery 4 & half years ago now and I’m still on the right side of the dirt. I spent 2 weeks in hospital after surgery, lost 13kgs in that time and pushed myself to get back to work inside 6 weeks, which in hindsite was to quick and it quickly took its toll physically & mentally. My surgeons told me & my wife to be mindful of signs of depression as this can be common after major surgeries. Being a typical Aussie male, my reaction was “she’ll be right mate, I’ll be fine” but about a year and half ago, my wife, my GP of many years and myself, realized I had been in the dark recesses of depression for more than a year....I just hid it well but one day I just couldn’t hide it anymore. There were several contributing factors but without doubt, being diagnosed with bladder cancer and the dramatic changes that followed were and still are the major factors. Don’t get me wrong, when I’m not in those dark places, I am truly grateful that I am a survivor and can watch my 4 children’s achievements. But, battling continence issues not just daily but hourly everyday, setting my alarm to wake me every 2 hours during the nite (I still have to wear a pad during the nite for those accidents that do happen), and other associated issues have been a real mental drain. Due to the adhesions to my bowel during the bowel part of the surgery, my motions have either been diahorea often or constipation, which eventually caused an incisional hernia so I am no longer able to do Ab or core muscle excersises. I can say however that I am one of the lucky ones in as far as having 100% intimate functionality so there is always a bright side somewhere. One thing I realized very quickly that if you put on extra weight, it DOES effect your continence as it puts more pressure on your new smaller bladder. I’m 61yo and am on the road all day in sales and even though I have control during the day, I’m looking for public toilets all day which can be very taxing mentally & physically. Anyway, that’s my story in a nutshell.