That's the protocol Dr. Couto recommended for Pearl.
She doesn't have incontinence, but her cancer was really hot and grew way too fast in just 2 weeks post splenectomy. Her liver tumors were growing faster than 1 cm a day.
She had her chemo on Monday, but is not responding.
However her sister Diamond had chemo for OS during Nov and Dec. It was only Doxyrubicin, not the VAC protocol. She had quite a bit of incontinence after the first chemo, but it's abated. She's back to one proin a day. She used to be one every 2-3 days, but after chemo I had her on twice a day.
We're back to once a day with a few misses here and there.
I'm glad she's feeling fairly well. I hope you are lucky with the chemo.