Needing to costantly urinate after prostae removal

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timbom
New Member


Date Joined Jan 2018
Total Posts : 9
   Posted 1/2/2018 8:27 PM (GMT -6)   
Spent two months with catheter before surgery and month after prostate removal due to extremely large (132 grams) prostate. Have had catheter out for over two weeks now and only have control while sitting or sleeping.

Even then can only sleep for an hour and half or so before the urge to urinate requires immediate release either into pads or by getting up.

Anyone else had this problem and if so how did you increase your bladder holding capacity??

oldbeek
Regular Member


Date Joined Sep 2017
Total Posts : 160
   Posted 1/2/2018 8:49 PM (GMT -6)   
With out any complication like you had, at 2 weeks I was just about like you. Up every 2 hrs at night. Use bathroom immediately when getting up from sitting during the day. Travel 1/2 hr, get to destination, go immediately to bathroom. I went to physical therapy for incontinence and penile rehab. Do kegels every day. Use a special tens unit to stimulate Kegel muscles daily. Use penile vacuum device daily 10 minutes. Started using trimix at 8 weeks every 4 days. Be patient it will improve. 5 months and using one pad day just for dribbles that occurs during straining. PT prescribed a cunninghan clamp or ( mr dribble stop clamp). It is a penis clamp that holds the urine in to stretch the bladder. Used that for about a week in the beginning. Not a doctor,, ask your uro before doing any of these procedures.
76 very active. Physically fit. PSA 6, MRI Targeted biopsy 6/17 Gl 4+3 9%, Chose RP without consultation 7/28/17 Post RP <.02 PSA ,16 lymph nodes & nerves removed, pT3a, pin, negative margins, Total ED using bimix, still one pad a day

Saipan Paradise
Veteran Member


Date Joined Sep 2017
Total Posts : 509
   Posted 1/2/2018 10:04 PM (GMT -6)   
Having a Foley in for months probably shrunk your bladder substantially. Don’t be discouraged if you need more time for it to recover than those who only had a Foley for about a week post-RP. And perhaps talk to your urologist about what his expectations are for your continence recovery time under your particular circumstances.

jmadrid
Regular Member


Date Joined Sep 2017
Total Posts : 125
   Posted 1/3/2018 5:01 AM (GMT -6)   
I also had a large prostate but I did not required s cath before surgery. I had it 15 days later as a general rule of my surgeon.
I think control when sitting, sleeping, is good news, it was my case. I needed to urinate often in the first weeks, this is because bladder has shrunk because of cath. First days I leaked a lot, but after 8 week I am close to be continent, 15 g. per day. Probably you will follow a similar path, be patient.
67 years old.
PSA: 2008:2.8; 2012-2016: 4.5-5.5.
May, July 2017: 6.1, 7.6
mpMRI, July 2017: PIRAD5 5.
Dx August 2017,Gleason 3+3, 2 cores, left 5%, right 3%.
Prostate about 100 g. DRE +.
Manual LRP, november 6, 2017.
Pathological report: less than 20% involved. G 5+3. Clean margins, not other features.

Post Edited (jmadrid) : 1/3/2018 4:04:39 AM (GMT-7)


Skypilot56
Veteran Member


Date Joined Mar 2017
Total Posts : 573
   Posted 1/3/2018 6:41 AM (GMT -6)   
If you just had surgery two weeks ago you will have to give it time my only recommendation from my experience and others here if you are able start walking then do some more walking and then walk more a long with your kegals. For myself walking helped more than the kegals but I still do occasion kegals 10 months after surgery. Hang in there it will get better

Larry
Male 61 DX @ 60
Father had PC
2002. Psa. .08 Enlarged Prostrate
2014. Psa. 3.8
2016. Psa. 19
3-08-17 RP Mayo in Mn
Path Report: Gleason 9, pt3b, Seminal vessels and one nerve removed, neg.margins, 35 LN removed no cancer, Prostrate 45 grams
4-20-17 Incarcerated Umbilical Hernia
6-13-17 psa 0.13
7-19-17 psa 0.12 MRI clear
10-11-17 psa 0.16
10-12-17 Lupron
12-13-17 psa <0.10
12-18-17 SRT

john4803
Regular Member


Date Joined Sep 2017
Total Posts : 57
   Posted 1/3/2018 2:48 PM (GMT -6)   
timbom,

Don't know if you've read, Dr. Catalona discussion on what happens during surgery and what's involved in recovery (posted by a forum bro.) but it is very insightful in what we are going through. Recommend reading if have not yet:

www.drcatalona.com/quest/quest_spring03_2.htm

69yr,1948 Troy MO-W of St. Louis
PSA 3.2 7/08
PSA 51.2(7/11/17)
DRE hd lft, 31g 7/24
Biopsy8/11 No PNI GS 4-8s, 4-7s/12
NUC Scan/CT Urogm8/29-CLEAR
Prolaris 9/11 T2b, 3.8/10, 10yr Mort Risk 23.5%, Met Risk 29.6%.
Consult 9/11 Rec RT/Brh/RALP
MRI 3T Ca in gland?
RALP11/15
PATH11/16
T3b,GS 9
70G Pc 40%
PLN+Rt-1/1,Lt-2/6
+Marg-apex,ureth,blad nk,SV
Lupr/Cas11/21
Axumin 1/2/18 negative, RT 2/18?
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