Bladder capacity 4 weeks post pvp 
Author Message
 Bladder 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


Fri, 12 Dec 2008 18:29:47 GMT
 Bladder capacity 4 weeks post pvp

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.



Fri, 12 Dec 2008 19:55:16 GMT
 Bladder capacity 4 weeks post pvp
Thanks, Temujin. Your input has been informative and supportive, as in
response to my prior posts.
Steve


Fri, 12 Dec 2008 20:10:32 GMT
 Bladder capacity 4 weeks post pvp
Thanks, Temujin. Your input has been informative and supportive, as in
response to my prior posts.
Steve


Fri, 12 Dec 2008 21:01:06 GMT
 Bladder capacity 4 weeks post pvp
Thanks, Temujin. Your input has been informative and supportive, as in
response to my prior posts.
Steve


Fri, 12 Dec 2008 21:47:13 GMT
 Bladder capacity 4 weeks post pvp


Quote:
> 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

Mine gradually improved from month three. You can help yourself by doing
Kegel exercises.
http://www.healthtouch.com/bin/EContent_HT/cnoteShowLfts.asp?fname=07...
Derek.


Sat, 13 Dec 2008 02:27:33 GMT
 Bladder capacity 4 weeks post pvp
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 {*filter*}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

Quote:



> > 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



Sat, 13 Dec 2008 05:39:03 GMT
 Bladder capacity 4 weeks post pvp

Quote:
>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



Sat, 13 Dec 2008 08:02:33 GMT
 Bladder capacity 4 weeks post pvp
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

Quote:

> 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



Sun, 14 Dec 2008 01:08:02 GMT
 Bladder capacity 4 weeks post pvp
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 {*filter*}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 ass 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."

Quote:


> >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



Sun, 14 Dec 2008 01:19:51 GMT
 Bladder capacity 4 weeks post pvp

Quote:

> 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

> 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.



Sun, 14 Dec 2008 07:10:14 GMT
 Bladder capacity 4 weeks post pvp

Quote:

>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 {*filter*}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 ass already,  so who's
>afraid of a goddam needle.

Richard
Thanks for the tips on Neurontin and Nitrobid, but I've got more {*filter*}
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 ass (DRE), and tells me I'm
doing OK. I already know this viz: PCa = Undetectable (I phoned the
Path Lab last week day after {*filter*} 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{*filter*}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



Sun, 14 Dec 2008 08:11:10 GMT
 Bladder capacity 4 weeks post pvp
You know, you could be right. I thought PVP was the generic term for
any kind of laser vap. of the prostate.
Quote:


> > 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

> > 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.



Mon, 15 Dec 2008 01:28:36 GMT
 Bladder capacity 4 weeks post pvp
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 {*filter*}-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 shit in your pants,
you can do anything.

You are one of my heroes by the way .

Quote:



> >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 {*filter*}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 ass already,  so who's
> >afraid of a goddam needle.

> Richard
> Thanks for the tips on Neurontin and Nitrobid, but I've got more {*filter*}
> 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 ass (DRE), and tells me I'm
> doing OK. I already know this viz: PCa = Undetectable (I phoned the
> Path Lab last week day after {*filter*} 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{*filter*}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



Mon, 15 Dec 2008 01:35:53 GMT
 Bladder capacity 4 weeks post pvp

<snip>

Quote:

>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



Tue, 16 Dec 2008 06:50:21 GMT
 
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