Episode Details

In this episode of The Penis Project Podcast, Melissa sits down with Don and Clare, a couple who have lived through the messy, emotional and often under discussed reality of prostate cancer recovery. 

Don was diagnosed just before his 65th birthday after his PSA rose from around 4 to over 9. A biopsy showed aggressive Gleason 9 prostate cancer, and within six weeks his prostate was removed. His PSA is now undetectable, which is the result everyone hopes for. But, as Don and Clare explain, being “cancer-free” did not mean life went back to normal.  

After surgery, Don experienced severe ongoing urinary incontinence. Despite doing all the pelvic floor exercises and following instructions, he was still incontinent 18 months later. Eventually, after further review, he was referred for an artificial urinary sphincter, which has made a huge difference to his quality of life.  

This episode is about more than leakage, pads, clips and surgery. It is about what happens when a man feels lost in the medical system. It is about the emotional toll of prostate cancer on both partners. It is about the importance of honesty, asking questions, changing teams if needed, and remembering that there is a person attached to the prostate. 

In This Episode, We Cover: 

• The emotional impact of severe urinary leakage  

• Why pelvic floor exercises do not fix every case of incontinence  

• What can be done when continence doesn’t recover 

• Clare’s perspective as a partner watching Don struggle  

• How hormone therapy affected Don’s mood, personality and relationship  

• The importance of being told the full picture, not just the “curative” plan  

• Why some men need an artificial urinary sphincter  

• The importance of second opinions and finding a team that sees the whole person  

• Why prostate cancer recovery is a couple’s issue, not just a man’s issue 

Key Takeaway: An undetectable PSA is wonderful, but it is not the whole story; quality of life matters. 

Key message from Don and Clare:  

People need honest information. 

Don and Clare do not regret the cancer treatment. Don says the surgery likely saved his life. But they both wish they had been told earlier that his continence recovery was unlikely to happen without further intervention. Clare explains that people may not want bad news, but they do want the truth. 

That truth gives people options. It helps them plan. It helps them understand that they are not failing. And it can prevent months, or even years, of unnecessary suffering. 

Resources & Links: 

• Book a telehealth consult with our sexual health nurse practitioners at Restorative Health Clinic 

• For more information check out our websites www.rshealth.com.au , www.makehardeasy.com.au and www.melissahadleybarrett.com.au  

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Connect With Us 

 We love hearing from real people navigating penile health. If you’d like to share your journey or ask a question, get in touch.  

Email: admin@melissahadleybarrett.com 
 

Websites: 

https://rshealth.com.au/  All genders 

https://makehardeasy.com.au