Anyone with both bladder and PCa issues?

Diseases & Conditions Prostate Cancer
1
I am not able to fully empty my bladder so urine builds up fairly quickly. The doctor who tested me explained that the nature of my bladder is such that it does not squeeze very well and it’s generally stiff. He referred to my bladder as having poor compliance. My medical oncologist speculated that perhaps the prostate cancer has led the bladder to lose its elasticity over time.The good news was that I do not have any obstruction. Also my prostate is not very large (35 to 39cc). My priority, of course, is to treat my Gleason 8 prostate cancer as soon as possible either through surgery or radiation. However, in the process I would like to alleviate and not aggravate my bladder symptoms. Has anyone out there been in my shoes with these bladder issues? How did you alleviate your urinary symptoms? What PCa treatment did you finally choose?
2
Hi Siuberto Socarras, This is something that can happen to anyone especially men as they age. The older you get the more frequent the problem. I started having it in my early 40's due to degenerative disk disease. My urologist at the time convinced me to have a TURP which looking back wasn't the best idea nor was the Finasteride prescription since I had nerve damage. You’ll probably need intermittent catheterization to release the urine from your bladder unless the cause of your urinary retention can be address with medication.
I have done this 6 times a day for over 20 years. It isn't as bad as you might think and it will prevent your kidneys from shutting down. You can reuse the catheters using alcohol wipes. The key is washing your hands well each time.

68 yrs., marathon runner, PSA .012, 8.12.18, 1.42 June 18, 2018 (Lupron 5.21.18 & 8.15.18), 12.7 May 2018, 13.7 Jan. 2018, 2.1 May 2012. SpaceOar 9.6.18, testosterone <.7, 8.15.18, Tot Mayo 19 ng .17 testosterone Free 6.18.18, Gleason 3+4=7 involving 15% of the right apex and 15% of the right mid, 3+3=6 prostate cancer involving 5% of the left base. Pathology interpretations by John Hopkins, UNM Cancer, and SF Path 3+4=7 or 4+3=7 MD Anderson Proton Center w/o %. T3 MRI 1.8 lesion left side 5P, Neg. Bone Scan. Prolaris test 3.5 consistent with intermediate and a PTEN test negative. Father PC age 78 RT & ADT now 93 yrs. Neurogenic bladder due to lumbar disk disease and recurrent bladder neck contracture with urinary retention man. 20 years doing catheterizations. TURP & scaring 2003, Finasteride 5 milligrams daily since 2002.
3
Thank you. I really want to avoid intermittent catherizations. I have two herniated disks dating back to 2007. I never connected that to my urination issues so that is interesting. Looks like you chose radiation over radical prostatectomy am I correct? How did your urination issues factor into that decision?
4
I feel for you with first hand experience. I did have a stricture (obstruction) in the urethra remedied do to a flow issue. Found that with a cystoscope; showed me on the monitor; was not fun; glad he found it because I thought it was the PC causing it. Now I've been told to self cath once a day for at least the next month. While it's no fun, like Santa said, it isn't that bad especially when you consider the relief you get. I'm able to extinguish fires now from ten feet away and after what I had been dealing with I'll gladly do it to prevent recurrence. In my case, insurance is covering the catheters.
5
Thanks PontiacWild. It sounds like you are headed in the right direction now.
6
Prior to my RP surgery I had flow problems and had to get up at least 3X per night to pee and frequently during the day. I assumed that after surgery I would see great improvement with these annoyances. Well, the flow was much better and some improvement in frequency, probably because I was better able to empty my bladder. After having RT I found myself back to having to pee every two hours, day and night. My RO suggested the RT made my bladder less elastic.
Part I
2015 (Age 54) PSA: 20.8
Bx: All cores high volume G7 (4+3)
RALP & Adjuvant RT
Pathology: G8 (4+4), focal areas of 5; Positive margins; 3 LNs negative
PSA nadir: 0.1
Steady PSA increase. June 2018: 22.3

Part II
2018
Starting Lupron/Zytiga soon.
7
Siuberto Socarras, yes radiation was my only option as I already had scarring to the bladder neck thanks to the TURP and years of catheter use. So after a very successful PC surgeon said he wouldn't attempt it because it would be difficult to reattach the bladder with a high likelihood of incontinence, I started shopping for RT.
8
Has anyone suggested a penile clamp. I used a mr dribble stop. It holds the urine in and teaches the bladder how to stretch then relieve. My physical therapist had me use it for about 2 weeks. It cured my problem of needing to go frequently. This was right after RP operation.
76 very active. Physically fit. PSA was 6.8 MRI Targeted biopsy 6/17 Gl 4+3 9%, Chose RP, 7/28/17 ,16 lymph nodes & ALL nerves removed, pT3a, pin, negative margins, EPE focal, first psa<.1, 3-10-18 0.05psa, continent, implant at Keck, USC, Dr Boyd 4-17-18
9
Siuberto, yes I'm going the right direction with the flow issue, but still have to deal with the PC obviously.
And for reasons Santa brought up, I have been leaning toward surgery first.