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Medical Forum / Diseases and Disorders / Prostate Cancer / January 2006post op bladder spasms
hi folks - any body else have this problem. before surgery, i had BPH and the problems it caused. one of them was making frequent trips to the bathroom. after surgery, i had excessive scarring and complications from the RP. in a nutshell, it left me going to bathroom 16 times in a 90 minute span - 24/7 - for a period of about 6 months. the good news - the last surgery cut the lesions loose in the bladder and bladder neck. they did a hydrostretch of the bladder at that time. now - 2 1/2 years have past since the RP. but i still get these urges that i need to go 10 - 15 minutes after i just went and i have very little in the bladder. the feeling is can best be described as having a really full bladder and trying to hold it. they come on fairly sudden too, like you didn't know you had to go until you stood up type feeling. in november, i was dx'ed with multiple hydrocels and cysts. the rad. ask me if i had UTI's. not to my knowledge, yet, the ultra-sound was showing debris in the hydrocels from UTI's indicating past UTI infections. so, i had a urine analysis ran for infection because i thought that these sudden urges would be related to the UTI's. but the analysis came back clean. yet, i still get the urges to go. then, it dawned on me that they might be bladder spasms. i find them most annoying when i go to bed, you lay down and 10 minutes later, feel like i need to get up again. but i can tough it out, the urges go away and i can sleep most of the time without getting up. now, these spasms don't happen all the time. i might get 3 or 4 times in one day - the urges that i've described. other days, i don't have any and can go quite a while between bathroom breaks. am i by myself on this one? i'm not heard anyone bring this topic up so late after surgery. i'm going to follow up with my urology clinic. ~ curtis knowledge is power - growing old is mandatory - growing wise is optional "Many more men die with prostate cancer than of it. Growing old is invariably fatal. Prostate cancer is only sometimes so." http://community.webtv.net/PALMER_ENT/doc I have what you describe typically once per day, usually about a half hour after my first emptying in the morning. When I go because of this urge, I dump a fair amount of urine into the bowl but not as much as other times when I have no urge to go. I had something similar for a few years pre-op and was told it was due to the bladder muscles being stretched during the evening as the bladder filled during those eight hours and that they were unable to completely empty the bladder on the first urination in the morning. Maybe the same thing is happening now, maybe the doc who told me this was full of it. Anyway, that's my experience. Dave Perry I had RP and then salvage radiation and have experienced bladder spasms ever since. I also had a stricture, which surgery corrected. The bladder does not like to expand, and what I eat and drink does have a big effect on the spasms, caffeine being one huge no-no. On average I will need to void every two waking hours, but very frequently get another urge just 10-15 minutes after voiding. And again, and again. I pretty much fight the urges until I feel that I really do have enough in the bladder to justify a trip to the can. During the night, 1-3 trips to the bathroom are the norm. I have been on one medication designed to reduce bladder spasms for about 4 months now with minor success and my urologist just put me on a stronger one last week. It seems that there are many stages of medication that they can try. I have only been on this new one just a short time and there has been considerable improvement already. Time will tell. I have had the benefit of an AMS 800 artificial sphincter for about 10 months now and it has not had any effect on the spasms, nor should it I guess, but it does help reduce the leakage that the spasms sometimes produce. It sounds like medication should take care of this urge thing, the spasms. I have read, enjoyed, and benefited from your posts for a long time now. I hope that my experiences and reply can be of benefit to you for a change. Best of luck to you with getting rid of this major inconvience. > hi folks - any body else have this problem. > [quoted text clipped - 45 lines] > invariably fatal. Prostate cancer is only sometimes so." > http://community.webtv.net/PALMER_ENT/doc |
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