I had a PVP and flow increased substantially. I've noticed two strange
results UROs can't explain. I thought I would ask if anyone in this
group has heard of anything like this since I've learned a lot here.
1. I empty standing up, feel empty and relaxed, but if I sit down
immediately afterwards I can empty another 25 to 50 ml. Yup, I measured
it. I don't understand why position affects me. URO says there is a
clear channel.
2. Similar to above. I empty standing up, feel empty and relaxed, but
if I sit down and then have a bowel movement I can empty 100 to 125 ml
comes out. It doesn't feel like there is straining, it just happens
like an automatic nerve response. I wish I could control it but I can't
what muscle or nerves to train. Kegles don't work.
I can live with it, and it's much better than before PVP, but if I could
figure out a way to control it I would rather not have retention.
I've asked UROs about this without luck. Is this a reaction others have
had? (or am I just special)
Thanks,
TAP - 11 Mar 2005 04:17 GMT
Charles,
Here's a possible explanation. If you suffered from an obstructed bladder
outlet due to BPH for many years, your bladder developes "pockets", i.e. it
is not completely spherical like a balloon any longer. After PVP, the
outlet channel is now open but you do not completely empty these pockets.
You have to move around or try a second time to empty completely. It is a
little annoying but much much better than still having a bladder outlet
obstruction.
Patrick
>I had a PVP and flow increased substantially. I've noticed two strange
>results UROs can't explain. I thought I would ask if anyone in this group
[quoted text clipped - 18 lines]
>
> Thanks,
Ed - 11 Mar 2005 06:51 GMT
>I had a PVP and flow increased substantially. I've noticed two strange
>results UROs can't explain. I thought I would ask if anyone in this
[quoted text clipped - 4 lines]
>it. I don't understand why position affects me. URO says there is a
>clear channel.
It seems to be well known that you pee better sitting down. It relaxes
the muscles in that area. Makes it easier for the sphincter to relax
fully.
Most folks can't walk and pee at the same time. Seems to be hard to
isolate control of just some muscles from the other ones.
Ed
Steve - 11 Mar 2005 11:51 GMT
My URO also said you empty your bladder better by sitting down.
I have BPH but am working it out with Med's for now.
Steve
>>I had a PVP and flow increased substantially. I've noticed two strange
>>results UROs can't explain. I thought I would ask if anyone in this
[quoted text clipped - 13 lines]
>
> Ed
Zork - 11 Mar 2005 12:31 GMT
Had a PVP 3 months ago, major problem was retention, causing
infections. Flow is now much better, retention is less, but
still present. I also can void more completely during my morning
'constitutional'. Uro said this is normal, muscles relax in
a different way. Re: the retention, URO suggests double voiding.
Empty the bladder when necessary, wait and walk a couple of minutes
and repeat. This does work, Moving around must 'slosh' the remainder
around a bit and going again helps to get rid of what might be left.
As for the infection, Uro said to go on cranberry pills. In his
experience, they really do help.
We shall see.
Zork
-------
>My URO also said you empty your bladder better by sitting down.
>I have BPH but am working it out with Med's for now.
[quoted text clipped - 18 lines]
>>
>> Ed
Andy - 11 Mar 2005 13:29 GMT
How strange!
I feel the OPPOSITE. I do not feel going if I am sitting but as soon as
I stand, I have to go.
And I empty better standing than sitting.
Andy
c palmer - 11 Mar 2005 18:33 GMT
hi charles - the PVP had to do with the opening up of the restriction of
the urethra. what you are describing is something of a different nature
and i might be able to explain it.
this is what happened to me. my prostate had grown to twice it's size
and it seems like i could go the bathroom and be done, but if i bend
over or sit down i could go more. as you said, it's something you can
live with, but it is also something new that you've picked up along the
way on the road of life.
at the uro office, they had me lay on the table and did an ultra sound
on my bladder to see how much urine was inside. then they had me go to
the bathroom and empty my bladder the best that i could. i stood there
for over two minutes squeezing and doing everything i could to make sure
i got every drop out. now, i didn't bend or sit like i described in the
first paragraph. when i was done, i came back out and they did another
ultra sound on me and found that i still had over 30 mil of urine inside
my bladder. i asked, "how can that be?" and that is when i found out
that the prostate is so large that it pushed into the floor of the
bladder and causes a lagoon or pocket of urine to form. if you bend,
sit, or change angle to cause the urine to spill out of it, then you are
able to go some more. i ask, "well, how bad can this get?" and was
told that they have seen men holding back more than 200 ml.
this may or may not be the case in your situation but it was in mine.
hope the info was useful.
~ 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
Bill - 13 Mar 2005 05:57 GMT
I didn't have that one but I did have a couple of wierd things along
the
recovery.
One was about 2-3 months post PVP. The symptom was that whenever
I stood, I had to go something awful! Didn't matter whether it was
needed
or not. I was in panic!
Before I could get a consult, about a week, the symptom subsided.
I'd suggest you not get too worried. It's like having a teenager... no
two
days are alike and there's not much you can do or figure out.
Now there are no symptoms at all. Good luck. Bill Hale
Ed - 13 Mar 2005 08:43 GMT
>I didn't have that one but I did have a couple of wierd things along
>the
>recovery.
Bill,
You might want to quote some of the message you are responding to,
because otherwise it will be hard for us readers to know what you mean
by "that one".
Ed