Your volume is very close to what I have experienced and similar
disappointment.  Over time it has increased and occasionally may be as
much as 400 mL.

That I suppose is mostly due to age.   I also get up once or twice a
night but on the bright side it is for only a few seconds instead of
three or four minutes to dribble out a few ounces.  If I should live
so long I hope to avoid the misery my 95 year old father in law went
through the last years of his live. He put off doing anything for
years (I'm getting along) and then got to where because of his age the
doctors would not consider TURP or PVP.    A convenience store clerk
in Phoenix answered the question "What is your best seller?":
Depends.  (Large box).

Comparing both of your experiences to mine has led me to some thoughts
on this.  I'm now at 24 days since my TURP+laser, and I'm voiding up
to 600 mL each time .

By procrastinating, I inadvertently stretched my bladder.  My PVR grew
from 115 mL to 825 mL in one year before the operation.  My Uro was
very concerned about this because be said it usually leads to the
bladder becoming "leather-like" and losing its elasticity.  One week
post-op, my PVR went down to 200 mL.  It now seems like my brain
receives the "gotta pee" alert signal when my bladder is up to 800 mL,
which results in 200 mL PVR after voiding 600 mL.

Post-op, my flow rate was initially tremendous, but I'm told this is
because the bladder muscles were accustomed to pushing hard to void so
they instinctively pushed hard even when not needed.  This makes sense
because my flow rate has steadily decreased unless I push hard on
purpose, which I do on occasion for entertainment such as pressure
cleaning public toilet bowls :)

My Uro says stretched bladders rarely come back, especially in older
patients (I'm 65 this month).  It doesn't seem like procrastinating to
increase bladder capacity would ever be recommended, but it does
remind me of how the popular RK eyesight-correcting procedure was
accidentally invented - A Russian eye doctor removed glass splinters
from a patient whose vision improved once the eye healed.
http://www.bookrags.com/research/radial-keratotomy-woi/

I also noticed my flow ending sharply now with no dribble.  My only
concern at this point is intermittent bleeding at the start of each
void later in the day (none in the AM).  Seems to be worse the more
active I am.  I've also been abstaining from sex because of
experiences I've read about on this site about sex too soon triggering
a lot of continued prostate bleeding and prolonged problems.  Did
either of you have any experiences with bleeding?

I had PVP several years ago and also noticed I was voiding small volumes at
first. This improved over the first 12-20 weeks to the point I was completely
happy.  One thing to consider though it may not apply in your case: When the
bladder sends a message to the brain that you need to pee it does not
necessarily mean your bladder is full to capacity, even though it feels like
it. PVP tends to irritate the nerves around the bladder for a while and
causes it to send the signal early. As the irritation disappears the bladder
should signal correctly and the amount voided should increase.

My bladder seems to be functioning very well now except for one odd and minor
thing, I get an urge to pee whenever I brush my teeth even when my bladder is
empty. Go figure.

Dave.

www.gemini-aquarius7.com

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