More Frequent Night Urination after RRP...

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Regular Member

Date Joined Jun 2008
Total Posts : 89
   Posted 6/20/2008 9:25 AM (GMT -7)   
I had robotic surgery on 5/28/08 and had the catheter removed on 6/5/08. Since that time I noticed more frequent urination at night. I never was a "get up to go guy" at night prior to the surgery (I had NO symptoms of a "bad" prostate before the elevated PSA), but since having the catheter removed I am getting up two or three times a night to urinate.

Is this normal and common?

Also, I'm curious about how soon after RRP I should be able to "attempt" sexual activity. It's been three weeks, have not really tried anything in earnest, but "strongly suspect" I have ED.

Any insight is appreciated. Thanks...
Husband and father of two (current ages 4 and 6).
Age when diagnosed: 47 (current)
Biopsy showed cancer only on left side.
Pre-surgery PSA: 13.7
Pre-surgery Gleason: 4+3=7
Pre-surgery Staging: T2
CT Scan, Bone Scan, PET Scan: Clear
Robotic Surgery on May 28, 2008, at Barnes Hospital in St. Louis
Catheter for 8 days with infrequent "stress" leaking.

Regular Member

Date Joined Feb 2008
Total Posts : 467
   Posted 6/20/2008 10:35 AM (GMT -7)   

Frequent urination at night, especially early on, is common.

I suspect your doc would say to try sex when you feel like it, especially if you are continent.

Good luck.

Danman Bob, Born 1951
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14; Biopsy result - 9 of 12 sticks showed cancer
Post-op pathology stated that cancer was confined to the prostate
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of late April 2008)
100 MG Viagra 3 times a week beginning December 2007
Osbon Erec-Aid Esteem manual pump for therapy beginning mid-February 2008
30 MG papaverine/1 MG phentolamine bimix injections beginning late April 2008
Five week post-op PSA 0.2, five month post-op PSA 0.1, next test August 2008

Regular Member

Date Joined Apr 2008
Total Posts : 158
   Posted 6/20/2008 10:38 AM (GMT -7)   
hey there i had my divinci 1 day after you,it is normal to get up alot during the night, i got up 2-3 times a night it does get better,drink less fluids toward the end of the day, i only get up once now, i cant speak for the doc you have, but i had sex 2 days after cath removal with meds  i was very careful your gonna be fine , i feel pretty  good now, talk t ya soon

Diagnosed November 2007   (43 years old )
PSA 3.9 / Gleason 6 / TC1 6 cores 1 shows 25%
Sugery scheduled 5/29/08 - City of Hope - Dr. Mark Kawachi
 "First show of the day"
 and now for the new ive been waiting for
 FINAL PATH REPORT:gleason upgraded to 3+4 T2c bilateral disease,tumor involvment 5%
extra prostatic extention:absent
seminal vesical invasion :absent
pathological staging:pTNM pT2 ORGAN CONFINED
margins free of carcinoma
usable erections ;6-6-08 with little blue pill
continence; 1 pad a day, dry at night

Veteran Member

Date Joined Oct 2006
Total Posts : 621
   Posted 6/20/2008 11:46 AM (GMT -7)   
Bob was up 2 and 3 times a night for several weeks after surgery and catheter removal. He also wasn't a "get up to go guy" . . . . as the continence issues resolved, so did the night time visits. Now at just over the 18 months post surgery mark, he never has to get up and doesn't even restrict evening liquids. At around the 18 month mark day time visits seem to be further apart. . .showing that this is a continual healing process even long after we think we're all healed.

Good luck to you.
;o) Linda & Bob
Bob (62) - Laproscopic Prostate Removal Sept 27, 2006 at age 60.
2 of 12 malignant biopsy samples - gleason 3 + 3 = 6.
Pathology - Gleeson 3 + 4; stage T2; cancer completely contained, even a second more aggressive, previously undetected cancer) PSA UNDETECTABLE Nov 2006; Feb, May, Oct 2007; May 2008.  WHOOO HOOOO! 
Bob also has two secondary conditions -- Polycythemia (elevated red & white cells & platelets) and . . Myelofibrosis) -- If anyone has experience with or information on these, please email us.

Tim G
Veteran Member

Date Joined Jul 2006
Total Posts : 1879
   Posted 6/20/2008 12:10 PM (GMT -7)   

I had no prostate issues prior to being diagnosed with prostate cancer, but usually was up once a night to make my bladder gladder.  I liked having the catheter bag because I never had to get up at night.

I was up a little more at night after the catheter removal, but it resolved  quickly, as did the incontinence. ( I didn't make it thru an entire box of Costco incontinence underwear).  If I cut back on liquids a few hours before sleep, I usually make it thru the night fine.

ED for most of us takes longer to resolve.  I require penile injections because the oral meds didn't work.  Nonetheless there have been improvements over time.

Age 59  PSA quadrupled in 1 yr (0.6 to 2.5) 
DRE neg  1 of 12 biopsies pos (< 5%) 
Open surgery June 2006 
Organ confined pT2a  Gleason 5 (3+2)  PSA's < 0.1  

Regular Member

Date Joined Jan 2008
Total Posts : 218
   Posted 6/20/2008 3:24 PM (GMT -7)   
Same here on the three times at night but before long it will be two times then, then once and sometimes none.
If your sex drive is coming back that is a good sign.
12/06/07 DaVinci and open prostate surgery after difficulties in breathing stopped the davinci.
Walked a lot
90% control the day the catherter removed.
pad only for a sneeze before the week was out
No pads most of the second week.

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