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Medical Forum / Diseases and Disorders / Prostate BPH / July 2006Bladder capacity 4 weeks post pvp
Has anyone had problems post pvp or TURP with reduced functional bladder capacity resulting in greater frequency? While my stream is stronger, my maximum void has consistently been 100-120 ml. I'm still going 4-6 times a night. I'm 55 and it turned out that I had a normal sized prostate (21), but an enlarged medial lobe that was treated by pvp 27 days ago. Has my bladder shrunk or gone through other changes either through the surgery or by years of stoppage and precautionary voiding at every opportunity? Must I retrain my bladder to hold more? Will my bladder eventually regain it's "youthful vigor" on it's own? :~) Does the bladder improve and/or naturally heal itself, and if so, how much and how long? Any advice would be most appreciated. Thanks for your thoughts and experiences. Steve This is one of the things they don't tell you about. False urgency seems to be pretty common after PVP. I had the same thing until over two months afterwards and still, at over three months, am still not using my full bladder capacity, though it is now improving markedly. The theory I have developed is that the damage to the bladder neck allows urine to fill the reamed-out prostate, pushing against the primary sphincter, causing the false urgency. As the bladder neck heals and the prostate reforms back to its original size, things get back to normal. Unfortunately, this all doesn't happen overnight, as "they" would have you believe. Thanks, Temujin. Your input has been informative and supportive, as in response to my prior posts. Steve Thanks, Temujin. Your input has been informative and supportive, as in response to my prior posts. Steve Thanks, Temujin. Your input has been informative and supportive, as in response to my prior posts. Steve > Has anyone had problems post pvp or TURP with reduced functional > bladder capacity resulting in greater frequency? While my stream is [quoted text clipped - 9 lines] > your thoughts and experiences. > Steve Mine gradually improved from month three. You can help yourself by doing Kegel exercises. http://www.healthtouch.com/bin/EContent_HT/cnoteShowLfts.asp?fname=07195&title=K EGEL+EXERCISES+FOR+MEN+&cid=HTHLTH Derek. My experience is a little different but relevant. Age 63 1) Up every 1.5 hrs at nite, slow flow, few ml 2) Flomax provides relief, but feel like crap all the time 3) PVP -- Great result, easy recovery 4) Flow test after PVP: Urgent need to go: 450ML, flow off chart 5) PVP + 4 months: Have to pee urgently whenever standing up; goes away 6) Now PVP + 2 years: Urgent need to go in day -> 350 ml; at night awakened to void 100-150 ml twice per night; uro suggests bladder pushups Flow rate is great; inspection of prostate looks good; but have lower capacity than before it would seem. Bill Hale Loveland CO > > Has anyone had problems post pvp or TURP with reduced functional > > bladder capacity resulting in greater frequency? While my stream is [quoted text clipped - 9 lines] > > your thoughts and experiences. > > Steve >Has anyone had problems post pvp or TURP with reduced functional >bladder capacity resulting in greater frequency? <snip> I'm still in the recovery period from a TURP done June 06, 2006. Other factors were that 90% of the tissue removed was Scar Tissue left from HDR Brachytherapy I had mid July 2005, so therefore was inert. I was awake for the whole procedure and the Surgeon remarked he was taking out the lower bladder sphincter and leaving the upper one. He also informed me that I would still experience Nocturia with little production at night, plus some incontinence during the days for 2-3 months! I also have Irritable Bowel Syndrome (constipation) which impacts on the Urgency and the Flow. For this I'm taking Sorbilax and actually cutting back on the fibre, which was obstructing the flow. It's a desperate juggling act and I cannot be too far from a toilet or take long road trips without padding up and taking emergency underpants and trousers. My Prostate Cancer is well under control, but my Bladder is NOT! In a word, it's damn inconvenient! I'm 71 yrs old on July 11, 2006 and have a few other health issues. HTH -- Reader to complete... -- Please reply to this ng as my email adress is fake: -- Regards -- CC Clarence -- Hang in there my brother. I wanted to tell you that I (and a doctor) have concluded that Neuropathy (nerve damage) could account for a lot of the pain and pelvic area muscle dysfunction I am experiencing, so I am trying Neurontin. It seeems lime it might be helping with the pain. Check it out mate. i also use Nitrobid ointment around my rectum to help relax the anal sphincter and improve defecation. I am going to investigate a Botox injection to help relax it long-term. My view is that this has all been one huge pain in the a.s already, so who's afraid of a goddam needle. Richard P.S. There's a story told by the great film director Billy Wilder when he got a life-time achievement award well at the end of his long career. He gave his acceptance remarks, and then said " I will leave you with this story." Here it is: Old guy goes to see his doctor. Says: "Doctor, I can't pee." Doctor asks: "How old are you?" Old guy replies: "92" Doctor says: "92? .......... You've peed enough." > >Has anyone had problems post pvp or TURP with reduced functional > >bladder capacity resulting in greater frequency? [quoted text clipped - 28 lines] > > -- CC >Clarence -- > [quoted text clipped - 7 lines] >that this has all been one huge pain in the a.s already, so who's >afraid of a goddam needle. Richard Thanks for the tips on Neurontin and Nitrobid, but I've got more drugs here ATM than the local Pharmacist. I'm off today for a 3 mth checkup/report on my PCa under the Clinical Trials Program. A shitload of paperwork, the same questions again by a Resident, who also gives me a poke in the a.s (DRE), and tells me I'm doing OK. I already know this viz: PCa = Undetectable (I phoned the Path Lab last week day after blood draw.) Plus get another packet of Flomaxtra at the Hospital Pharmacy for zero dollars ;) The big gamble here is to pad or not to pad for the 25 mile drive each way. The wife is driving, so: I'm gonna put a plastic sheet over my seat and carry a plastic bottle to piss in if required. (I find that padding up causes me to relax too much and I just SMILE and let it go, when I should be practicing Kegel exercises.) -- Reader to complete... -- Please reply to this ng as my email adress is fake: -- Regards -- CC Hey mate. You are entitled to relax and let it go SOME of the time!!!!! (You are talking to someone who sometimes can't defecate because of the radiation f.ck-up of my bowel, so I have to let #2 go some of the time while I am outside walking because that is the only time it will happen. I need the help of both gravity and motion. For others on this list, I too have had a year of the pencil-thin stools, etc. etc.) Talk about regressing to childhood. And damn but it kind of inhibits me when it comes to picking up one of the pretty women who walk around the same lake. But, hell, if you can be suave with sh.t in your pants, you can do anything. You are one of my heroes by the way . > >Clarence -- > > [quoted text clipped - 34 lines] > > -- CC <snip> >You are one of my heroes by the way . Maybe I'll be in a Comic Book LOL. BTW. Bladder survived the road trip sans incident :) -- Reader to complete... -- Please reply to this ng as my email adress is fake: -- Regards -- CC Hey mate. You are entitled to relax and let it go SOME of the time!!!!! (You are talking to someone who sometimes can't defecate because of the radiation f.ck-up of my bowel, so I have to let #2 go some of the time while I am outside walking because that is the only time it will happen. I need the help of both gravity and motion. For others on this list, I too have had a year of the pencil-thin stools, etc. etc.) Talk about regressing to childhood. And damn but it kind of inhibits me when it comes to picking up one of the pretty women who walk around the same lake. But, hell, if you can be suave with sh.t in your pants, you can do anything. You are one of my heroes by the way . > >Clarence -- > > [quoted text clipped - 34 lines] > > -- CC I doubt very much that it is your bladder capacity per se. I had a PVP 5 weeks ago and have the very same problems you describe. (I also void frequently and only about 100 --- altho it is now increasing.) I am told that all of this is to be expected and that both your capacity to "hold" more and the amount you void will improve over time. Everything is so sensitive down there now that you have the urgency to urinate when your bladder has less in it than you were used to from the past. One suggestion: Drink most of your fluids earlier in the day (and don't drink after 6 PM), but be sure you still get your 7 or 8 8 -oz. glasses. See if this helps you get up less frequently at night. Richard > Has anyone had problems post pvp or TURP with reduced functional > bladder capacity resulting in greater frequency? While my stream is [quoted text clipped - 9 lines] > your thoughts and experiences. > Steve > I doubt very much that it is your bladder capacity per se. I had a PVP > 5 weeks ago and have the very same problems you describe. (I also void [quoted text clipped - 11 lines] > > s Richard, Is the procedure you had really called PVP? I thought PVP referred only to Green Light laser and that the Holmium was called HoLAP. You know, you could be right. I thought PVP was the generic term for any kind of laser vap. of the prostate. > > I doubt very much that it is your bladder capacity per se. I had a PVP > > 5 weeks ago and have the very same problems you describe. (I also void [quoted text clipped - 16 lines] > Is the procedure you had really called PVP? I thought PVP referred > only to Green Light laser and that the Holmium was called HoLAP. Thanks for all the input. At 5 weeks+ post pvp, I'm still limited to a functional bladder capacity of 100 ml to 4 oz, with near hourly voiding during the day and 1 1/2 hour to 3 hour intervals at night. Taking Prosed/DS. It seems from all I've recently read that this limited bladder capacity is probably most likely due to thickening of the bladder wall from years of straining. Does any one have any idea of the prognosis for reversing bladder wall thickening, increasing bladder capacity? How much capacity can be improved? How long does it take? Are there any drugs, prescription or OTC, that can help with the healing and/or symptoms? Might bladder retraining help? While pvp seemingly opened up my stream and I've gone off Flomax, my output at 100 ml per void seems unimproved and my frequency is at night is even greater. Really appreciate the benefit of your experiences. My pre-PVP virtual capacity was 90 ml to a max of 150; after 2 years it is about 180 (urgency starts) to perhaps 330 (sell my soul to urinate). I don't think it will improve any more due to the factors you mentioned. I am very satisfied with these results since after the urodynamics test Dr. Te was not sure PVP would be able to improve my bladder at all but recommended the operation anyway on the hope. Jim W. improve my bladder > Thanks for all the input. At 5 weeks+ post pvp, I'm still limited to a > functional bladder capacity of 100 ml to 4 oz, with near hourly [quoted text clipped - 14 lines] > > Really appreciate the benefit of your experiences. |
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