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Medical Forum / Diseases and Disorders / Prostate BPH / February 2008

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My BPH Story

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Robert E. Yorke - 30 Jan 2008 03:37 GMT
For about 7 years I'd been keeping moderate BPH at bay, using "natural
remedies" and some biofeedback principles.  I NEVER allowed my bladder
to get full; I obeyed that adage "An empty bladder is a happy
bladder".  However, I did have difficulty with starting a stream and
with intermittent flow.

In recent weeks I could sense I was losing it; the difficulty in
starting became worse, until one night (the 15th of January 2008) I
went to an ER.  They prescribed Flomax, which worked moderately well
for about 3 days.  Then it stopped and I began to stop.  I panicked,
which threw me over the edge into incipient lock-up.  Back to the ER
where a Foley catheter was inserted (It was HORRIBLE).  That was on a
Sunday night.  I was able to get to a Urologist on Tuesday for a
consult.  He fought like hell for me and was able to get me into
surgery on a Wednesday of the following WEEK!  Usually you have to
wait ~2 to 3 weeks for an appointment at a hospital.  Nevertheless I
spent ~ 1.5 weeks with that catheter; the pain was incessant and
relentless.  The urologist's office had neglected to CLEARLY advise me
that I could take Tylenol for relief, so I had NOTHING the whole time.

I had the PVP last Wednesday; it has seemed so far to got well, and
I'm now recovering.  I flow in a nice firm gush (for ~ 5 seconds most
of the time), but so far my bladder invariably
constricts/spams/contracts after the stream ends, which has been
inducing a rather hard ache in the privates.  This seems to be
subsiding a bit, at this time.

The WORST part about this is that the BPH accelerated on me before I
had a chance to plan, and then act rationally; everything was done in
an emergency mode.  I didn't even know the Uro who actually did the
job for me!  I do NOW, though; he is most DEFINITELY a most powerful
main man!

That's my sad little tale; any questions, please don't hesitate!
Stewart - 30 Jan 2008 21:42 GMT
I recently had a TURP operation for an enlarged prostate and did not find
the use of the catheter any problem.
My biggest fear was that it might be "interfered" with by my hormones
kicking in at nights and so causing an erection (not sexually stimulated).
It was not affected by this at all.
I had the operation done with an epidurial and the catheter appeared to
insert quite easily.  Its use caused me no disconfort at all and when it was
removed the nurse just told me "give a big cough please" and he slipped it
out without any real tugging and certainly no pain.

<snip>
<snip>
<snip>
Robert E. Yorke - 31 Jan 2008 03:43 GMT
Stewart:

When my catheter was first inserted there was no real pain either, I
could fell it slipping in, but that was it....Immediately, however, my
bladder spasmed, and it kept doing that  periodically  for the whole
week and a half....these spasms would induce a hard solid ache.  I
think that the presence of the balloon at the bottom of the bladder
was a probable cause.

When the second catheter (Installed after the surgery) was removed, it
didn't hurt at all!  It was the time I was waiting to get into surgery
that was so bad for me...

So far I've been wanting to go every couple of hours; the stream is
strong and duration so far is ~5 to 6 seconds....I assume things will
normalize quite nicely in a short period of time....I'm feeling better
and better as the days go by (It's been a week now).

>I recently had a TURP operation for an enlarged prostate and did not find
>the use of the catheter any problem.
[quoted text clipped - 9 lines]
><snip>
><snip>
Stewart - 31 Jan 2008 19:18 GMT
Robert, I was so concerned about the number of times I had to urinate after
the catheter had been removed that I kept a log.  I have tried to copy this
from excel but not very well.  The 4 columns are, day after operation, night
visits to urinate, day visits and total for the 24 hour period.  You will
see why I was concerned as going almost 30 times a day was unbearable.
There was a marked improvement 3 weeks after the operation (see day 22) and
since then the situation has improved immensely.  I have not printed the
last of the table but now the figures read; night visits - 1, daylight hour
visits - 5 giving a total for the 24 hour period of 5 or 6.  This is an
incredible difference from what I was experiencing before I had the
operation.
I hope this information will bring you some cause for optimism.

     Day
     after    op   night          day                total
     7 6 28 34
     8 4 26 30
     9 7 21 28
     10 5 17 22
     11 5 15 20
     12 4 14 18
     13 5 11 16
     14 4 15 19
     15 5 13 18
     16 5 15 20
     17 6 18 24
     18 5 14 19
     19 6 15 21
     20 4 11 15
     21 4 13 17
     22 3 7 10
     23 3 8 11
     24 3 9 12
     25 3 7 10
     26 4 8 12
     27 3 9 12
     28 3 7 10
     29 3 8 11
     30 4 6 10

> Stewart:
>
> When my catheter was first inserted there was no real pain either, I
> could
<snip>
<snip>
Robert E. Yorke - 31 Jan 2008 23:05 GMT
Stewart:

I too kept a log!  At least for the first night.  My experience was
the need to urinate ~every 1 to 1.5 hours; the stream duration was
almost consistently of ~5 seconds....Once after a couple of hours
sleep that night the stream duration was ~20 seconds....sometimes
during the days that followed I had to go so urgently that I actually
soiled myself a bit before I could get to the urinal, but that
occurred only twice.  In my case I conjecture that all the years I was
coping with this, I NEVER allowed my bladder to get full.  I ALWAYS
was careful to go, whether I could feel the need or not.  When I got
to where I was going, I also went regardless.  Anyway it's been 4 days
since the catheter was removed and I feel okay.  

I'm still going in the same way (`5 second events), but I will tell
you it is delightful to actually GO when I want to, vice just standing
there and urgently trying to induce myself to relax the urethra enough
to pass.  I anticipate that my bladder will normalize in the same way
yours has, in a while...Evidently prior to your surgery you were
experiencing quite a bit of retention, I never allowed that to
occur...

At any rate, congratulations are due us; we DID it!  We're fixed!(At
least for ~10 years or so...)

>Robert, I was so concerned about the number of times I had to urinate after
>the catheter had been removed that I kept a log.  I have tried to copy this
[quoted text clipped - 42 lines]
><snip>
><snip>
willshak - 31 Jan 2008 23:43 GMT
on 1/31/2008 6:05 PM Robert E. Yorke said the following:
> Stewart:
>
[quoted text clipped - 18 lines]
> occur...
>  

Oh, for the days when I could go 12 hours in the summer without taking a
leak.

> At any rate, congratulations are due us; we DID it!  We're fixed!(At
> least for ~10 years or so...)
[quoted text clipped - 52 lines]
>>
>>    

Signature

Bill
In Hamptonburgh, NY
To email, remove the double zeroes after @

Robert E. Yorke - 01 Feb 2008 00:40 GMT
Wishak:

I do anticipate that the ability to retain for respectable periods
will indeed return; maybe not for 12 hours at a time, though!

Have you yourself gone through this stuff?  I assume you have...

Snipped
>Oh, for the days when I could go 12 hours in the summer without taking a
>leak.

Snipped
Derek F - 01 Feb 2008 09:14 GMT
Were you ever checked for retention? I also never allowed my bladder to
'feel full' but each time I was scanned for retention after urinating I had
200/300 mls residue. The potential for bladder/kidney damage from that and
the warning that I should be self catheterising was the clincher for me to
get a PVP.
Derek.
> Stewart:
>
[quoted text clipped - 72 lines]
>><snip>
>><snip>
Robert E. Yorke - 04 Feb 2008 08:04 GMT
Derek:

Over several years,every time I visited my Uro, the device used to
check for retention after voiding read ZERO (Meaning undetectable),
with the exception of the very first test which measured 17 mL.  The
last test I had done measured 11 mL.  I later made plans to change to
another Uro because the one I'd been going to had stopped using PVP
because he'd been having ~1 in 10 parients who had experienced
problems of one sort or another.  I'd made an appointment for another
Uro, but before I had a chance to talk with the new guy my problem hit
full force....

>Were you ever checked for retention? I also never allowed my bladder to
>'feel full' but each time I was scanned for retention after urinating I had
[quoted text clipped - 3 lines]
>Derek.
>> Stewart:

Snipped
Robert E. Yorke - 07 Feb 2008 00:48 GMT
This morning (2-6-08) I had to go through a bladder test.  The goal
was to be able to urinate ~115 mL into a container; I only made it to
~80 mL..  In went a catheter and water was injected to allow for a
repeat test.  The insertion was the usual nightmare, and the water
injection quickly resulted in an uncontrollable urge to let go.  That
part of the test was considered to be okay.  

Then I had to have a SECOND (albeit smaller diameter) catheter
inserted with another one up my rectum; then water was slowly again
injected up my bladder 'till I was allowed to flow again while a
machine did some measurements of what was going on....I'll know the
results of this morning's ordeal next week (2-13-08) during a
scheduled meeting with my Uro...The after effect of this was a high
spike of stinging at urination ~an hour later, but after a few hours
now that has seemed to disappear.  As well, the spasming both
immediately at the onset and end to urination seems to have moderated
to a spasm only at the end of urination.  I hope this keeps up....

>For about 7 years I'd been keeping moderate BPH at bay, using "natural
>remedies" and some biofeedback principles.  I NEVER allowed my bladder
>to get full; I obeyed that adage "An empty bladder is a happy
>bladder".  However, I did have difficulty with starting a stream and
>with intermittent flow.

Snipped
Robert E. Yorke - 25 Feb 2008 22:01 GMT
As of today(2-25-08), it looks as if my recovery fron the Green Light
Laser surgery is beginning to approach completion.  The consequences
of the surgery were episodes of incontinence (with a sream lasting
only ~3 to 4 seconds).  Any urination was followed by a hard spasm or
contraction, leaving a stinging/burning feeling in the privates.
Sitting seemed to aggravate the almost continuous discomfort in the
privates and lower abdomen.

Today the above symptoms seem to have mostly disappeared; the bladder
contractions still occur, but with no lasting sting/burning effects.
After over a month of putting up with this, it looks like I may be
getting back to normal (I hope to GOD this is true)!!

>This morning (2-6-08) I had to go through a bladder test.  The goal
>was to be able to urinate ~115 mL into a container; I only made it to
[quoted text clipped - 21 lines]
>>
>Snipped
 
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