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Medical Forum / Diseases and Disorders / Prostate BPH / June 2007Nightime Urination:
Does anyone have any answers as to why PVP doesn't cure the many trips to the bathroom at night. I had PVP about four years ago and still go to the bathroom about four times a night. DP > Does anyone have any answers as to why PVP doesn't cure the many trips to > the bathroom at night. I had PVP about four years ago and still go to the > bathroom about four times a night. DP Do a Google search on nocturia. Derek. My uro says that in my case it is due to overactive bladder. On cysto, he says I have bladder trabeculation grade 2 (meaning that the bladder wall has thickened over the years due to the straining necessary to start flow). I have been on Detrol LA since Jan 1 and do think that it has helped the night visits. Where I used to go 3-4x a night, I am down to 2 and occasionally 1 per night. I find that the daytime urgency is diminished and that I can attend a 2 hr concert without concern of a bathroom interruption. That is a definite improvement. My flow is not that great and he wants to do another flow test in Oct. As they say, no perfect cures!! > Does anyone have any answers as to why PVP doesn't cure the many trips to > the bathroom at night. I had PVP about four years ago and still go to the > bathroom about four times a night. DP My URO said about the same thing except that I had grade 3 trabeculations. My flow isn't that great but I don't have much trouble during the day which is a tremendous improvement over pre PVP days. He also had me on Detrol LA after but I didn't stay on it long enough to find out if it would help. Thanks, DP > My uro says that in my case it is due to overactive bladder. On cysto, he > says I have bladder trabeculation grade 2 (meaning that the bladder wall [quoted text clipped - 10 lines] >> the bathroom at night. I had PVP about four years ago and still go to the >> bathroom about four times a night. DP > Does anyone have any answers as to why PVP doesn't cure the many trips to > the bathroom at night. I had PVP about four years ago and still go to the > bathroom about four times a night. DP Is each urination producing a significant amount? More, less,or the same as pre-PVP? If there is a lot of fluid in your body overnight it has to be evacuated - PVP or not. Jim W. Jim, I'm producing about the same amount as pre PVP days about 150 CC's at a time some times less. My peak volume at nightime post PVP was about 275 CC's, once I think I done 340. I don't really remember but I may have been on Ditropan KL then 10 mg. Thanks, DP >> Does anyone have any answers as to why PVP doesn't cure the many trips to >> the bathroom at night. I had PVP about four years ago and still go to the [quoted text clipped - 3 lines] > as pre-PVP? If there is a lot of fluid in your body overnight it has to > be evacuated - PVP or not. Jim W. Does anyone have any answers as to why PVP doesn't cure the many trips to the bathroom at night. I had PVP about four years ago and still go to the bathroom about four times a night. DP ====> hi DP - you didn't say how big your prostate was. the PVP has to do with increasing the flow by removing the restriction. if the prostate gland is pushing up into the floor of the bladder, it could well be forming a lagoon for the urine to be retained, thus, not causing an complete emptying of the bladder, but with less space for the next time, hence, more trips to the bathroom. it's not real scientific, but one of the ways you can tell is to empty your bladder completely and tip your body over, such as bending over to tie your shoes or lay down like doing a sit up. this will cause any urine in the lagoon to spill over into the bladder itself to be expelled. then, just get up - use the bathroom and see if you are still dry or do you have more urine than you should have for the short period of time after you just went. hope this info helps, ~ 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 Thanks for the information, as a matter of fact I've tried this without really knowing what was causing it but sure enough I did pass about 100 cc more urine. I don't know how big my prostate is at present but when I had the PVP it was about 90 grams. URO told me last year that it was huge and put me on Avodart. DP Does anyone have any answers as to why PVP doesn't cure the many trips to the bathroom at night. I had PVP about four years ago and still go to the bathroom about four times a night. DP ====> hi DP - you didn't say how big your prostate was. the PVP has to do with increasing the flow by removing the restriction. if the prostate gland is pushing up into the floor of the bladder, it could well be forming a lagoon for the urine to be retained, thus, not causing an complete emptying of the bladder, but with less space for the next time, hence, more trips to the bathroom. it's not real scientific, but one of the ways you can tell is to empty your bladder completely and tip your body over, such as bending over to tie your shoes or lay down like doing a sit up. this will cause any urine in the lagoon to spill over into the bladder itself to be expelled. then, just get up - use the bathroom and see if you are still dry or do you have more urine than you should have for the short period of time after you just went. hope this info helps, ~ 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 >Does anyone have any answers as to why PVP doesn't cure the many trips >to the bathroom at night. I had PVP about four years ago and still go to [quoted text clipped - 14 lines] >dry or do you have more urine than you should have for the short period >of time after you just went. The bladder does not work like a gasoline tank with liquid on the bottom and air above. There is no air. It's completely filled with liquid just like a water balloon. You can pee standing up or lying down or standing on your head, the same way water escapes from a water balloon no matter where the outlet is. But it can help a lot to wait a few minutes and then try again. That can produce a lot more urine. Ed I have the same problem DP, but in my case it's caused by water retention in my lower body. When I weigh myself at bedtime and again on arising I see four pounds difference. Four quarts of water weighs four pounds. Won't hurt for you to try it out. Gene > Does anyone have any answers as to why PVP doesn't cure the many trips to > the bathroom at night. I had PVP about four years ago and still go to the > bathroom about four times a night. DP Sorry, 4 quarts of water weighs 8.345 pounds, maybe you mean pints. >I have the same problem DP, but in my case it's caused by water retention >in my lower body. [quoted text clipped - 6 lines] >> the bathroom at night. I had PVP about four years ago and still go to the >> bathroom about four times a night. DP Thanks Gene, I'll try weighing at nighttime and again in the morning, actually I've done that and I think their is about a two to three pound difference but I'll try it again. DP >I have the same problem DP, but in my case it's caused by water retention >in my lower body. [quoted text clipped - 6 lines] >> the bathroom at night. I had PVP about four years ago and still go to the >> bathroom about four times a night. DP DP, as has been mentioned, PVP is not a miracle cure. It will remove an obstruction but will not in itself improve the function of the bladder. If your bladder has become inelastic then it may take some time to recover fully if it actually can. Improvements can be seen up to two years after surgery provided the channel remains unobstructed. As for your prostate now, it is possible that it has grown back substantially since your PVP. From looking at this board and some of the scholarly articles it seems that the effects of PVP do not last as long as the more invasive TURP. Of course, there is the trade off that PVP has less perioperative complications but it is important to be clear of what a particular procedure can offer. Its been about four years since I had PVP. It probably has grown back to some degree. I have been on Avodart for almost a year so who knows what is next but I think that my flow and volume has decrease since I started on Avodart. However I have no frequency problems during the day time but it is possible that I'm retaining fluids during the day time. Thanks, DP > DP, as has been mentioned, PVP is not a miracle cure. It will remove > an obstruction but will not in itself improve the function of the [quoted text clipped - 8 lines] > that PVP has less perioperative complications but it is important to > be clear of what a particular procedure can offer. It's possible - you mention you have grade 3 trabeculations which are severe. (grade 0 = normal, grade 1 = mild, grade 2 = moderate, grade 3 = severe). These coud be stopping your bladder from stretching out to its natural capacity. If I may ask, how old are you? Bladder thickening (which is really all trabeculation is) kind of happens naturally the older we get anyway. Patrician, I'll be 70 next month. I don't understand why I have no problems during the day. Before I started on Avodart I urinated at nighttime 250 to 300 CC's as measured in a urine bottle which I always use at nighttime now I'm down to about 100 CC's a time. If I wait for a couple minutes and go again then I may get 225 CC's total. Thanks for the valuble information. DP > It's possible - you mention you have grade 3 trabeculations which are > severe. (grade 0 = normal, grade 1 = mild, grade 2 = moderate, grade 3 [quoted text clipped - 4 lines] > all trabeculation is) kind of happens naturally the older we get > anyway. >Patrician, > I'll be 70 next month. I don't understand why I have no problems >during the day. Before I started on Avodart I urinated at nighttime 250 to >300 CC's as measured in a urine bottle which I always use at nighttime now >I'm down to about 100 CC's a time. If I wait for a couple minutes and go >again then I may get 225 CC's total. Thanks for the valuble information. That is a big difference. You should always take the extra few minutes then. On average, we produce 1 cc of urine per minute. It varies a lot of course, but if it is average, then if you can squeeze out another 60 cc, that's another hour of sleep before you have to get up again. In your example, you bought yourself 2 hours of sleep just for waiting a few minutes. Ed Ed, Thanks for the valuable information. I'll try to remember that when I'm over the Pee bottle and half asleep. Thanks again, DP >>Patrician, >> I'll be 70 next month. I don't understand why I have no problems [quoted text clipped - 13 lines] > > Ed |
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