Hi guys, I wanted to introduce myself and get some input from some of you if possible on laser TURPs. I'm a 41 year old male, do not have prostate cancer...yet ( I say yet because my grandfather and father have both had it, father made a full recovery, grandfather passed away in 1996). I couldn't find a "urology" forum on here so felt this was probably an appropriate place to post.
I have apparently been suffering from many years of chronic urinary retention due to a tight bladder neck. In late July he found I was retaining around 1300ml urine after voiding and sent me home with a catheter to let my bladder rest a week or so and then followup with urodynamics testing and cystoscopy. After 4 days I was able to get in for the urodynamics and pretty much had normal bladder sensation when around 200ml were in, but was unable to void anything. The test did show I was having bladder contractions with a few uncoordinated spasms.
When the urologist did the cystoscopy a couple weeks ago he said the inside of my bladder looked like it belonged in an 80 year old man with a prostate the size of an apple. He recommended doing a TURP and/or bladder neck incision and felt like things could improve from that.
Long story short, I had the laser turp last Tuesday, he did try the bladder neck incision first, but didn't get enough of an opening, so he did remove a lot of the prostate tissue also. Went home with a very large (to me anyway) catheter, and went back last Friday for a voiding test and the nurse was able to get 200ml in there before I started needing to go. Didn't have a strong flow, but was able to eliminate around 110 ml of that. Doc was fine with that and sent me home cath free ! First time in a month, it felt soooo goood !!!!!
Friday night into Saturday morning, things started locking up again, felt like I had to pee every 5 minutes and was getting really uncomfortable. Went to the ER, had another cath inserted and drained 650ml. I have a followup scheduled with my urologist tomorrow.
I've been reading a lot on the internet about post- op swelling, etc, especially with laser turps. Seems my urologist (as has been my experience with a lot of doctors) doesn't really inform patients what to expect. I'm hoping this little episode with retention the other night is due to swelling and isn't going to be a life long thing. I really don't enjoy the idea of self-cathing several times a day, but at this point am willing to try so I can get my life back and get rid of this darn tube and leg bag! I'm so used to being active, running or biking almost daily and haven't been able to do any of that for the past month. It's actually getting me depressed...
Anyway, as another poster has just posted, I'm glad, but sorry, that I found you guys. PCa definitely stinks and I wish no one had to go thru what my father and grandfather had to endure.