I have been reading a lot about bladder spasms recently on this forum - thanks to those who have explained this complication in a way we can understand and relate to. My question follows.
Is it usual to be put on medication pre-op (ie. at time of surgery) to prevent this happening? Or do most Doctors wait to see if it is a problem with post op bladder spasms, and then treat with medication? If so, how long does it take to "kick in" and ease the discomfort? Also can anyone tell me what medications are used to treat this complication in your experiences?
I am familiar with a medication called oxybutynin, but have only seen this used with people who have a paralysed (neuropathic) bladder and experience bladder spasms. People with certain types of paralysis are generally on this drug long-term with good effect, but I have not seen it used in the short-term for any other condition, and not sure if this is still a key drug for managing bladder spasms in other contexts.
Therefore, is this medication oxybutynin, still used, and/or what alternative drugs have others found helpful in treating and/or preventing these post op bladder spasms?
I would appreciate any names of the medications as this is something I'd like my husband to discuss with his surgeon when he is admitted in a few weeks. We did not discuss this earlier with the Surgeon, as we were not aware it was so common (and painful), inconvenient and also an expected complication for many people after surgery. Therefore to summarise my questions again,
1. Has anyone got any advice on particular medications used for bladder spasm post prostatectomy? What was the name of the medication? Is oxybutynin used?
2. Are these medications ever prescribed as a preventative measure to prevent this happening, or do you have to actually suffer from spasms before you get put on an anti-spasmodic drug?
3. Finally, is this something I should email my husband's Surgeon about now? He (Surgeon) is happy to respond to emails from patients coming up for surgery if questions arise. This is the first thing that has really come up since we last saw him which I have been thinking of emailing him about.
Thank you for any comments or ways to manage this complication of surgery if anyone has any ideas which they found helpful.
Just starting another post here, as mine was a bit lengthy as well. We have been "settling in" to the forum for a few weeks, reading and sometimes posting, but this is actually my first real question to others!! Many thanks for any suggestions and advice, and you are all in my thoughts and prayers everyday as always.
Kind regards, Lana (with CJ)
Husband diagnosed 8/12/06 on his 49th birthday. 1 (5%) core of 12 positive. Gleeson 4 + 3 = 7 according to biopsy. Routine PSA (Nov 06) 3.5. Awaiting RP (open) scheduled 17th April 07.