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Medical Forum / Diseases and Disorders / Prostate BPH / March 2006Bladder Emptying
Does one void more completely standing or sitting? > Does one void more completely standing or sitting? Paul...Good question. I have always found it "easier and more complete" while sitting, especially if you are having a bowel movement (and you can do the hot washcloth on the belly also - lol). It seems to be easier to urinate as you are having a bowel movement (ie you void and excrete at the same time). I believe that is intuitive, and is a simple function of straining (ie the brain doesn't separate the two as good while you're sitting on the toilet). Whereas when your standing, the brain tends to split up the functions so to speak, although I have strained to "pee" when standing, and I had to be careful not to "crap" myself. I assume you are talking about simple voiding while standing versus sitting on the toilet (but not having a bowel movement). But I thought my comments were related. They certainly relate to me. I assume everyone urinates at the same time they are having a bowel movement...Pete > > Does one void more completely standing or sitting? > [quoted text clipped - 12 lines] > were related. They certainly relate to me. I assume everyone urinates at > the same time they are having a bowel movement...Pete Pete actually i notice I am the opposite sitting slows me down heaps whereas I have no issues standing. Sitting is more start and stop while standing is constant flow. just my experience Tony >>> Does one void more completely standing or sitting? >> [quoted text clipped - 21 lines] > just my experience > Tony Very interesting Tony...I would think the muscles would be more relaxed in the sitting position, but I certainly believe you. Hell, when I used to have trouble voiding, it wouldn't matter much standing or sitting. Perhaps our Dr. Sancha can shed some light on this...Pete >>>> Does one void more completely standing or sitting? >>> [quoted text clipped - 26 lines] > have trouble voiding, it wouldn't matter much standing or sitting. > Perhaps our Dr. Sancha can shed some light on this...Pete I assumed that the prostate moves and blocks the passageway. Strange Peace >Does one void more completely standing or sitting? I've had a semi-blocked urethra now since July 2005 post a big blast of HDR Temporary Brachytherapy. My Prostate was 72cc = gm prior to the blast, and I had to wear a Foley catheter for almost 4 wks after leaving hospital. I'm also on 1 x Flomax/day, taken at bedtime. Luckily, I was/am still in the care of a qualified Continence Educator nurse who told me how to do Kegel exercises to assist me in peeing. She also gave me a bagful of self-cath kits plus a Foley for emergencies. She encouraged me to pee rather than resort to the kits, where I could be catheter-dependent and my bladder sphincter would become "lazy". So basically, to pee, I straddle the bowl STANDING, and then RELAX with the Kegel exercises. After a couple of minutes, at worst the stream starts, and dependent on what I've *eaten, it continues somewhat satisfactorily. * If I've eaten something that produces gas, the bloating in my colon, also causes me to rumble and fart, affecting the flow. I cannot pee sitting down, even during a bowel movement. I always have to stand up and pee a bit out afterward. I'm angling for a TURP come May-June this year. The Uros like to wait approx. 12 mths after the HDR Temporary Brachytherapy for the tissue to all grow back. I've had a recent Cystoscopy, where the tissue looked promising, and the Urethra had some part constrictions evident, but on a Flow meter I managed 14ml/sec (15 is TURP time), with a retention of 110ml. At nights my retention goes up to 250-300ml. So this is me. Everyone's different. -- Reader to complete... -- Please reply to this ng as my email adress is fake: -- Regards -- CC I think the peeing problem or experience is different for each person. I have better luck standing than sitting. I can't pee at all when I am lying down. This creates a problem in a hospital situation like when you have had an angiogram or especially an angioplasty where you are confined to the bed and cannot move the area where the catheter is inserted. I have to have a urinary catheter because I can't pee lying down. Others do not seem to have this problem. Having severe urine retention ever since I had radioactive seeds put in my prostate, I have a lot of experience with extreme difficulty urinating. I can only void by catheterizing myself. First, if anyone has difficulty urinating, especially if coupled with frequent urgency, then I would get checked for urine retention. Both symptoms could mean that you have some degree of urine retention. This could become very serious over time. As far as helping yourself to urinate, here is what I have learned over 8 months (I can now urinate some naturally but never can empty the last 200 ccs from my bladder). : Drink eight 8 oz.glasses of water a day. (At least six.) Walk a lot (gravity plus the physical activity both help) Learn effective relaxation techniques. (I mean beyond what we ordinarily mean by relaxing -- such as hypnosis, biofeedback) As one person here said, put something warm on your belly. Sit in warm/hot baths a couple of times a day (and don't fear going in the tub -- relax and let it flow) How do I urinate best? First, when my bowels are empty rather than full. Second, sitting on the toilet leaning far forward with my knuckles on the floor. (Well, you asked.) Otherwise, sitting in a hot tub or standing in a hot relaxing shower. >Having severe urine retention ever since I had radioactive seeds put in >my prostate, I have a lot of experience with extreme difficulty >urinating. I can only void by catheterizing myself. <snip> forgot to ask you in our previous email exchanges (cc as nevdev) With the permanent seeding, is there any possibility of a TURP or PVP due to the seeds still being resident? As you know, I had HDR Temporary Brachytherapy last July and possibly will be having a TURP this June/July. I've had a recent Flexi-Cystoscopy to inspect for scar tissue in the Urethra and it looked OK, excepting for some partial strictures. On the Flow meter after drinking 2 litres of water, I was tested at 14ml/sec with retention at 110ml. Night times I retain 250-300ml and haven't measured the flow but it's very poor. My frequency is hourly on bad nights and 2 hrly on better ones. I'm on 1 Flomax/day taken at bedtime. -- Reader to complete... -- Please reply to this ng as my email adress is fake: -- Regards -- CC Docsafari, I am sorry to hear of your retention problems post seeds for what I assume was prostate cancer. Could you tell us more of the pre and post conditions that led up to the seeds being implanted? For instance, were they palladium-103 or iodine-125 seeds, or would that have made a difference? I don't have reason to anticipate the need for seeds now, but I and others may have the need in the future. Did you choose seeds over other options such as surgery to remove the prostate? I don't mean to be intrusive, but any information is helpful to BPH and possible cancer patients. God bless and hang in there. My prostate was 55ccs. I had some difficulty urinating prior to seeds, but no real problem. I was on Flomax and only getting up once a night if that. Nothing compared to many of my friends. I was not on Avodart, however, to shrink the prostate prior to seeds. Three different tagged me as "ideal" for seeds. (Gleason 6, PSA 8.4) I did extensive research and chose seeds, confident that as all the doctors told me I would have 4 to 6 weeks of "discomfort." I do not know what kind of seeds (103 or 125), but whichever it was it seems I am a rare bird hypersensitive to radiation. I suspect they must have been the stronger ones. The most recent development is that two new doctors suspect I have Pelvic Floor Dysfunction, meaning that the nerves and muscles that control urinating/defecating are fried and the muscles have seized up. I am to be assessed at a clinic that specializes in that disoorder, but will also have another cystoscopy (under sedation in an OR) this week to also look for strictures (Urodynamics testing last week found I definitely have an obstruction but that my bladder works fine -- altho it pushes against a faucet that is screwed shut). If you get seeds, asked for barbed or strung-together ones that can't wander, ask about how they will be placed relative to the periphery of the prostate (and thus to surrounding tissues), ask what strength they are, how many are to be placed (I had 106) Here is a list of some things I was never warned/told about as possible side-effects: severe urine retention (and therefore the masochistic joys of self-catheterization), radiation proctitis (colon inflammation), anal sphincter thickening, severe lower torso spasms, Pelvic Floor Dysfunction, rectal hemorrhage (from Ibuprofen). CLARENCE/Neville : Yes, a TURP is possible after seeds. What is NOT usually possible is removing what is left of the prostate itself because the tissues have been so damaged that they might not heal. However, there are some microsurgery specialists who still do this, including one here in the US at the Cleveland Clinic (Dr. Kenneth Angermeier) in Ohio. Thanks, docsafari. I believe this kind of info is helpful to BPHers as well as those unfortunate enough to have prostate cancer. I especially appreciate hearing about the unsuspected results or the things that UROs may not tell us. |
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