I'm 7 weeks post PVP. I started having frequency & urgency issues about two
years ago. Decided on the PVP when flow rate was 7mL/sec, the scope showed
a trabiculated bladder and a "salt and pepper" prostate and an ultrasound
showed prostate stones along the urethra. Urgency and frequency and lack of
sleep were becoming more and more of a problem.
For background, I'm 45 and exceptionally heathy (race mountain bikes, avid
skier, very outdoorsy lifestyle). I've suffered IBS for 10 years and had a
divirticulum removed from my lower-right abdomen 10 years ago.
Recovery was predicatble for the first few weeks. As of a week ago my flow
is about 23mL/sec with volumes a little low (200-300mL) at times but every
now and then it's great. So far as I know I'm voiding well - I don't still
feel like I have to urinate after my stream ends although I still have
freq/urg issues depending on how much fluid intake I have.
A couple of weeks ago I started having general nausea, abdominal bloating,
slight cramping around the bladder, ringing in the ears, some blurred
vision, general weakness, almost mild flu-like symptions. My URO's PA told
me that at this point we treat the symptoms which mean 400mg Ibuprofen 3x
daily. Some days are better than others but some days are just plain
torture and I don't think I can go on feeling this way.
Being 7 weeks out I'd have thought I should be back to my normal healthy
lifestyle. Instead it seems like I'm counting the hours until my next
Ibuprofen or just being downright frustrated that I can't get on my bike
and ride like I used to - even when I had peak frequency/urgency issues.
Has anybody else experienced these bloating symptons? I've been told my my
uro's PA my prostate is angry and has done a good job of making the rest of
the plumbing angry. Unfortunately for me that just doesn't seem good
enough. Is this taking too long and do I need to worry about thing? -
that's a question I keep asking myself.
Sorry to vent. I just needed to get this off my chest. I just want to feel
normal again and it seems to me that I'd rather have the freq/urg issues I
had before the PVP because they were more predictable than I would have the
nausea and abdominal pain I am experiencing now.
I get to talk to my URO about this next week.
Magna - 22 Apr 2005 22:16 GMT
Did you have Ciprofloxacin for antibiotic cover for the pvp? I think
it can cause these sort of symtoms sometimes occuring a time after
stopping the drug.
DirkSV - 22 Apr 2005 23:00 GMT
I was on a 4 day course of Levaquin at four weeks because my symptions
suggested an infection. Culture indicated no infection though. I went into
URO (talked to PA) because of these symptions in addition to burning during
urination, and was given Levaquin (for possible infection) and Flomax (for
burning). The Flomax helped the burning which went away in a week and has
not been an issue lately - so I quit the Flomax (didn't dig its side
effects).
I'll check the thread on Cipro. I'm also wondering if this is my bladder's
way of responding to the change in pressure. My URO told me that he saw
significant trabiculation when he took a peak in there.
Magna - 22 Apr 2005 22:23 GMT
Should have added -See "reaction to Cipro" thread 14th April
Dave Cory - 23 Apr 2005 00:12 GMT
The symptoms you mention including almost flu-like symptoms and ringing in
the ears could be an ADR to levaguin, an antibiotic in the family of
quinolones.
This site may help you to identify or eliminate levaquin as the cause:
http://www.drugvictims.org/
I had all the symptoms you mention after a month of Cipro in 1998. If your
symptoms develop into muscle and joint pain do not allow your doctor to
prescribe steroids without first researching the possible complications.
Post quinolone reaction plus steroids can cause very severe reactions.
Another relevant site:
http://www.medicationsense.com/articles/july_sept_03/reactions_cipro_other.html
Also, most doctors are not up to date on this problem.
Dave
DirkSV - 23 Apr 2005 16:13 GMT
I'm not going to buy into the ADR vortex. These are problems of my own and
I'm going to accept them as my issues. I'm not going to whine about drug
manufacturers hiding behind glossy marketing and high-priced lawyers. I am
responsible. I have much hard work ahead of me and I am accepting it as
part of my healing.
It took me two days of scratching the seamy underbelly of Internet
discussion forums and free expresion to realize this.
It's not the easiest thing I've ever done but if it was easy it'd be boring.
One comment on the quinolones forums and web pages. They're bad.
Lewis M. Dreblow - 26 Apr 2005 13:06 GMT
DirkSV,
I tried to send you an email directly but your address is hidden behind
the MedKB forum. I have been a reader and infrequent poster on the
BHP newsgroup for about 4 years and also a satisfied PVP patient.
Like you I have had other pelvic/abdominal area problems. I actually
attribute my diverticuli to the pressure associated with urination prior
to resolving it all with the PVP procedure. My gastro doc wants to
remove the section of my colon that has the diverticuli. I was intriqued
by your post that said you had "divirticulum removed". Can they just
remove them or did you actually have a section of your colon removed?
Please fell free to email me directly at dreblow@muskingum.edu
Lewis.
> I'm 7 weeks post PVP. I started having frequency & urgency issues about
> two
> years ago. Decided on the PVP when flow rate was 7mL/sec, the scope
showed
> a trabiculated bladder and a "salt and pepper" prostate and an ultrasound
> showed prostate stones along the urethra. Urgency and frequency and lack
> of
> sleep were becoming more and more of a problem.
>
> For background, I'm 45 and exceptionally heathy (race mountain bikes,
avid
> skier, very outdoorsy lifestyle). I've suffered IBS for 10 years and had
a
> divirticulum removed from my lower-right abdomen 10 years ago.
> ...rest removed...