Split stream when i urinate

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EnglishBob
Regular Member


Date Joined Jan 2011
Total Posts : 121
   Posted 1/19/2011 7:21 PM (GMT -6)   
Hi guys,

I hope someone has a suggestion or an answer to this.

When i stand up to urinate my stream is split into two and it is an educated guess where it goes, if i am lucky both streams hit the bowl otherwise i hit the edge of the bowl or worse still one of them misses and then i have to clean the bathroom floor. The only time it has happened to me prior to surgery was if i urinated with an erection or as it subsided.

I obviously know i can sit down to pee but then my bladder does not empty properly and i still have to stand to get rid of the last bit. This is so annoying as it only happened rarely before and at the moment it seems to be doing it most of the times i go to the bathroom.

Bob.
Age 58
Prostate problems since early 40s
Ed since early 40s
April 2007 biopsy & all clear
July 2010 prostate swollen more, psa up to 5.6 August 6.7
September Biopsy again
October 7th diagnosed cancer, Gleason grade 6 at 10% mass
December 13th 2010 open radical proctatectomy
Pathology results came back Gleason grade 7 at 12% mass BUT clear margins
Catheter out Jan 5th 2011

F8
Veteran Member


Date Joined Feb 2010
Total Posts : 3177
   Posted 1/19/2011 7:25 PM (GMT -6)   
Bob -- the split stream has been a problem on and off for me but i don't seem to have the problem lately.  most frustrating is when i pee all over my boxers at 3 a.m. while i'm half asleep cool .
 
ed
age: 55
PSA on 12/09: 6.8
no symptoms, no prostate enlargement
12/12 cores positive....gleason 3+4 = 7
HT, BT and IGRT
received 3rd and last lupron shot 9/14/10

tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2808
   Posted 1/19/2011 7:32 PM (GMT -6)   
I have been having a split stream while peeing for years (noted as a having a wide urethra) - and internal scar tissue prior to my RP.
Your split stream may be due to your surgery - the movement of the bladder and reconnecting to the urethra....
I would relax and let things continue to heal up - it has only been two weeks - but do make your doctor aware of your situation.
I would expect that in time - with your post-op penile rehabilitation in hand - your split stream may decrease in occurrence.
Wishing you all the best.
Bronson
Age: 55 - gay with spouse of 14 years, Steve
location: Peterborough, Ontario, Canada
PSA: 10/06/09 - 3.86
Biopsy: 10/16/09- 6 of 12 cancerous samples, Gleason 7 (4+3)
Radical Prostatectomy: 11/18/09
Pathology: pT3a -Gleason 7 -extraprostatic extension -perineural invasion -prostate weight -34.1 gm
PSA: 04/08/10 -0.05 -Zero Club
PSA: 09/23/10 -0.05 -Zero Club
PSA: 03/12/11 - TBA

Arch
Regular Member


Date Joined Jun 2010
Total Posts : 177
   Posted 1/19/2011 9:45 PM (GMT -6)   
I've had this for many many years, I just assumed evryone had it. I thought it was a dry spot in my urethra and as I pee it gets wet and gradually becomes 1 stream.
 
r
age 56
PSA 5.5
Biopsy, both lobes PCa
Gleason 3/4=7
open RP May 18, 2010
Pathology: 15% involved, lymph nodes and v. d. clear, margins clear
June 3-10 10-12 pads/day
2 months 8 pads/day
Aug 1, 2010 5-6 pads/day
Aug 20, 2010 3-5 pads per day
Aug 16, 3 month PSA: undetectable
Sept 22, 2 pads a day
Oct 12, PSA 0.03
Dec 1.5 pads a day
ED OK with no drugs Dec 2010

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 5799
   Posted 1/19/2011 10:34 PM (GMT -6)   
This started for me immediately after DaVinci - surgeon says it is scar tissue from the urethra re-connection.
 
He tells me to raise a flag if it worsens, but in general it is part of the "new normal". Really ugly if you pee in the pot and on the ceiling at the same time, but the "new normal" has a few flaws.
DaVinci 10/2009
My IGRT journey (2010) -
www.healingwell.com/community/default.aspx?f=35&m=1756808

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3217
   Posted 1/19/2011 11:38 PM (GMT -6)   
I'm glad you asked this. I thought I was the only person in the world with this issue. I discovered that I could make one stream if I pulled the sides back. It took some practice in the shower.
The catheter has only been out for 2 days since my sling surgery so I don't know what I'll have when it settles down. It's totally unpredictable. I might end up with a dribble or a fluidic spray nozzle.
Jeff

Arch
Regular Member


Date Joined Jun 2010
Total Posts : 177
   Posted 1/20/2011 7:57 AM (GMT -6)   
More clarity on this, when my bladder is full it comes out in 1 forceful stream, stronger than pre-surgery. If my bladder is only part full then its a split stream or spray.
 
 
r

Pocketman
Regular Member


Date Joined Aug 2010
Total Posts : 120
   Posted 1/20/2011 8:52 AM (GMT -6)   
Arch said...
More clarity on this, when my bladder is full it comes out in 1 forceful stream, stronger than pre-surgery. If my bladder is only part full then its a split stream or spray.
I experienced the very same phenomena ~5-6 weeks post surgery.  As you mentioned, there is considerable angst in trying to control two streams, each with their own misguided sense of direction.
 
I am now about 10 weeks post surgery and, until your post, didn't realize that this hardly occurs now.  Hopefully yours will also improve with time.

EnglishBob
Regular Member


Date Joined Jan 2011
Total Posts : 121
   Posted 1/20/2011 9:59 AM (GMT -6)   
Pocketman said...
Arch said...
More clarity on this, when my bladder is full it comes out in 1 forceful stream, stronger than pre-surgery. If my bladder is only part full then its a split stream or spray.

I experienced the very same phenomena ~5-6 weeks post surgery. As you mentioned, there is considerable angst in trying to control two streams, each with their own misguided sense of direction.



I am now about 10 weeks post surgery and, until your post, didn't realize that this hardly occurs now. Hopefully yours will also improve with time.


Well i too am 5 to 6 weeks post op and just like you, first thing in the morning it is a solid heavy stream like when i was younger, it is through the day that the split stream starts, just glad the bathroom does not have carpet on the floor

Bob.
Age 58
Prostate problems since early 40s
Ed since early 40s
April 2007 biopsy & all clear
July 2010 prostate swollen more, psa up to 5.6 August 6.7
September Biopsy again
October 7th diagnosed cancer, Gleason grade 6 at 10% mass
December 13th 2010 open radical proctatectomy
Pathology results came back Gleason grade 7 at 12% mass BUT clear margins
Catheter out Jan 5th 2011

c130j
Regular Member


Date Joined Jan 2011
Total Posts : 32
   Posted 2/26/2011 12:22 AM (GMT -6)   
Have the same problem, not so much as a split stream, but more of a spray pattern.  To solve the problem of peeing on the floor I use the urine container I got in the hosp when I void the bladder, then pour the urine in the toilet.  I can also monitor the amount in ml or cc that I void.  It seems that my bladder full indicator comes on at appx 100cc with urge to go.  6 months post and still leaking, stress & urge.

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3217
   Posted 2/26/2011 1:14 AM (GMT -6)   
Hey c130J

Welcome to Healing Well.

I have the scatter shot pattern too and it is difficult to control the random drips and squirts. I pee into a 16 oz cup that I use to measure my output. It is like killing three birds with one stone: I don't have to worry about aiming, I get to measure my pee, and I save water by pouring it down the sink (Don't tell my wife) and washing the cup.

I could make it 4 birds with one stone if I left the full pee cup on the counter and let the 18 BTUs of latent heat warm the room air. But then I'm pretty sure one of the stones I saved would be thrown at me by my wife. So in the interest of preserving my marriage, I reluctantly pour the 18 BTUs down the sink. I hope the US Department of Energy does not find out.

Jeff
Age: 58, Mar 35 yrs, 56 dx, PSA: 4/09 17.8 6/09 23.2
Biopsy: 6/09 7 of 12 Pos, 20-70%, Gleason 4+3 Bone, CT Neg
DaVinci RP: 7/09, U of Roch Med Ctr
Path Rpt: Gleas 3+4, pT3aNOMx, 56g, Tumor 2.5x1.8 cm both lobes and apex
EPE present, PNI extensive, Sem Ves, Vas def clear, Lymph 0/13
Incont: 200ml/day ED: Trimix
Post Surg PSA: 10/09 .04, 4/10 .04, 7/10 <0.01, 12/10 <0.01
AdVance Sling 1/10/11

EnglishBob
Regular Member


Date Joined Jan 2011
Total Posts : 121
   Posted 2/26/2011 6:51 AM (GMT -6)   
Hi guys,

I am 11 weeks post op now and things are settling at last, i am dry through the night now and if i do have a drink late at night my bladder does wake me up to go to the bathroom. I wear a pad during the day but this is more for assurance than anything as i still get the odd squirt when i pass wind or if i get cold, as its still winter in the UK :(

The split stream is settling now as well, because my bladder control is getting better, i tend to get the signal to pee when my bladder is fuller and then its a solid stream. However if i get cold it seems to confuse the signal and dash to the loo thinking it is urgent to find it is not a full bladder and then i do get a split stream but not as bad as before and both streams do go in the bowl, no more floor cleaning tongue

Hope all of us improve the same for the sake of our wives annoyance and new bathroom flooring

Take care, Bob.
Age 58
Prostate problems since early 40s
Ed since early 40s
April 2007 biopsy & all clear
July 2010 prostate swollen more, psa up to 5.6 August 6.7
September Biopsy again
October 7th diagnosed cancer, Gleason grade 6 at 10% mass
December 13th 2010 open radical proctatectomy
Pathology results came back Gleason grade 7 at 12% mass BUT clear margins
Catheter out Jan 5th 2011
Caverject for penile therapy 22nd Jan 2011
Dry at night since 1st Feb 2011

wd40
Regular Member


Date Joined Jan 2008
Total Posts : 218
   Posted 2/26/2011 7:07 AM (GMT -6)   
Guys I noticed awhile ago that this problem was attributed in my case to dehydration. The more liquids I drink, the less this is a problem.

I also noticed it is easy to get in the habit of not waiting long enough to pee. less flow equals split stream.

Skate
Regular Member


Date Joined Oct 2010
Total Posts : 420
   Posted 2/26/2011 10:37 AM (GMT -6)   
Exactly my response wd40
Bob, this has been my experience since RP almost three years ago.  I never found it a problem though, as long as I piss like a race horse.
 
Jack

Ger42
Regular Member


Date Joined Apr 2010
Total Posts : 189
   Posted 2/26/2011 10:46 AM (GMT -6)   
I sit unless there is a urinal was doing it before surgery stream was weak and aim wasn't good. If I could attach a scope to peter I might try standing again.
Age 68 weight 185 height 6'
Samples taken 4/19/2010 sent to Bostwick
3 out of 12 samples cancer
1) gleason score 3+3 involving 65%
2) gleason score 3+3 involving 65%
3) gleason score 3+3 involving 10%
PSA 3.5 Mar 19
PSA 2.5 Apr 4
Bone scan clean CT scan clean
Da Vinci 10/12/2010 DR Paul Kahn all nerves spared
Home 10/19/20
Cath out 10/22/2010
Prostate 56 gm. Gleason grade 3+4 = 7
2 MO PSA 0.0

zaphed
New Member


Date Joined Feb 2011
Total Posts : 2
   Posted 2/26/2011 10:55 AM (GMT -6)   
Hi guys,

I used to have multi-split stream as a child . My mom discovered i was spraying all over the bathroom. She watched me once pee and suggested that I pull up my foreskin to expose the head of my pennis. It worked!!! try it. By the way i am not jewish or muslims and
in my cutlure, thanks the stars, we do not circumcise the boys.

Mackattack
Regular Member


Date Joined Jan 2011
Total Posts : 78
   Posted 2/26/2011 12:30 PM (GMT -6)   
So that old wives tale about finding a penny heads up being good luck might be true after all!
PSA 3.9 - October 2010 at annual physical
PSA 4.1 - November 2010 after a month of antibiotic, DRE Normal
Age 41 in December 2010 at Dx of 6 of 12 cores positive T1C and Gleason 3 + 3

open RP on 2/14/11 at Mass General

Post Surgery Pathology Report: Gleason 6, T2, Cancer in 35% of Prostate, All Margins Clear

MikeS24
Regular Member


Date Joined Oct 2010
Total Posts : 131
   Posted 2/26/2011 1:04 PM (GMT -6)   
Has anyone had this experience?   Urinating while sitting is far easier than standing.  I thought that was implied by Ger42's comment.  I pee standing but if I am sitting for a BM after I urinate sitting I tend to keep squirting a bit here and there as I finish up my business.  That body position seems to make me loose all urinary control.  When I stand it is much better in terms of control. 
Anatomy is complicated!???
 
Is this true for others as well?
 
Mike S.

Pocketman
Regular Member


Date Joined Aug 2010
Total Posts : 120
   Posted 2/26/2011 5:13 PM (GMT -6)   
MikeS24 said...
Has anyone had this experience? Urinating while sitting is far easier than standing. I thought that was implied by Ger42's comment. I pee standing but if I am sitting for a BM after I urinate sitting I tend to keep squirting a bit here and there as I finish up my business. That body position seems to make me loose all urinary control. When I stand it is much better in terms of control.
Anatomy is complicated!???

Is this true for others as well?

Mike S.

Same experience for me. I think it involves relaxation of the pelvic floor muscles to facilitate the BM, thereby removing control over the urine flow.

cupcake25
Regular Member


Date Joined Jan 2011
Total Posts : 24
   Posted 2/26/2011 7:05 PM (GMT -6)   
My husband had a robotic radical prostatectomy Jan 10 2011. After his surgery he had a split stream which was weird to watch. One stream would go in the toilet and the other would go hit further up the toilet which was a mess. He no longer has a split stream and his stream now is better and goes in the toilet. He still has quite a bit of leakage. I would think this would get better with time.

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3217
   Posted 2/26/2011 8:56 PM (GMT -6)   
Hey cupcake,

At least you are a witness. You know he is trying. I actually had part of my stream shoot behind me! My wife couldn't imagine how it was possible. You have to see it to believe it.

For all other women lurkers out there wondering how the heck he managed to spray the seat cover and the floor... We're trying! Believe me, we're trying!
Jeff
Age: 58, Mar 35 yrs, 56 dx, PSA: 4/09 17.8 6/09 23.2
Biopsy: 6/09 7 of 12 Pos, 20-70%, Gleason 4+3 Bone, CT Neg
DaVinci RP: 7/09, U of Roch Med Ctr
Path Rpt: Gleas 3+4, pT3aNOMx, 56g, Tumor 2.5x1.8 cm both lobes and apex
EPE present, PNI extensive, Sem Ves, Vas def clear, Lymph 0/13
Incont: 200ml/day ED: Trimix
Post Surg PSA: 10/09 .04, 4/10 .04, 7/10 <0.01, 12/10 <0.01
AdVance Sling 1/10/11

John R
Regular Member


Date Joined Sep 2010
Total Posts : 53
   Posted 2/26/2011 9:06 PM (GMT -6)   
Buy an oil funnel at Pep Boys, works great.

wd40
Regular Member


Date Joined Jan 2008
Total Posts : 218
   Posted 2/28/2011 6:00 AM (GMT -6)   
I read somewhere, it could have been here, that the pee stream is twisted by the penis to make the urine spin making the flow be a solid stem.

An evolution thing I guess. The cavemen that didn't form a stream probably pissed on their feet, then got ate by dinosaurs that tracked the pee smell on the poor guys feet. Well, it could be true.

:)
12/06/07 DaVinci and open prostate surgery after difficulties in breathing stopped the davinci.

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3217
   Posted 2/28/2011 7:27 AM (GMT -6)   
That or their mates refused to sleep with them and they didn't reproduce. I wouldn't have lasted two minutes.
J

purrna2go
New Member


Date Joined Dec 2012
Total Posts : 5
   Posted 12/15/2012 9:54 AM (GMT -6)   
PROSTATE VS NEUROGENIC BLADDER VS PSYCHOLOGICAL: I have a 60-year-old gent renting a room and sharing our bathroom. I noticed he smelled sometimes of urine, then grabbed his groin area, and splatters on bathroom floor. He uses the bathroom many times a night. He also has insulin in his room. We spoke to him about "aiming", but the past two mornings, there has been a river on the floor next to the toilet. Since we have a cat, I gave him the benefit of the doubt. But after reading here, I am convinced he has some issues. The puddles were not splashes, but rivers along the tiled wall, two feet away! Is this some sort of psychological thing? Or a combination of psychological/pathology? He is meticulous in his appearance. But I am going to hand him the mop tomorrow. He needs a private bidet in his room. Please email me some advice anybody. I liked the previous posting of using a jar--I could get one from a hospital, perhaps...
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