Re: Symptoms Much Worse At Night


"Ed" <ed@xxxxx> wrote in message
news:faglj113c5m0srai42qukamevb5gp7b12d@xxxxxxxxxx
> On 28 Sep 2005 05:23:39 -0700, "kap" <stevkaprel@xxxxxxxxx> wrote:
>
>>I started having urinary problems about seven years ago. About 3 l/2
>>years ago, I began to have "almost" acute urinary retentions at night
>>(almost completely blocked but going away in an hour or an hour and a
>>half). A month ago, I had my first AUR and catheterization.
>>
>>All of the "almosts" and the AUR occured at night. I am always ok
>>during the daytime, except for frequency.
>>
>>Is this experience typical? Does it suggest any kind of syndrome in
>>particular?
>
> I have had similar experiences. My problem is that my flow becomes
> slow when my bladder is nearly full, and flow stops altogether when it
> is too full. Very nasty... in other words, when I need to pee the
> most, I can't pee at all.
>
> In the first years I had retention only during the day, caused by such
> things as having to drink 4 glasses of water for an ultrasound. These
> days my problems are more at night... probably because I have
> developed some degree of urgency that ensures I pee in time when I'm
> awake (and I defy the radiologists by not drinking all that water
> before ultrasounds), and because my bladder size has become less. That
> latter fact means I get up two or three times during the night... but
> because I'm asleep, I might get up a bit too late, when my bladder is
> over-full. Then peeing is very difficult or (occasionally) impossible.
>
> When I'm critically full, typically I can (with great effort) produce
> a few cc's but can't sustain flow. So it stops after maybe 5-10 ccs.
> Then I temporarily feel great relief and no need to pee any more...
> even though I'm still critically full, with an aching bladder. I have
> to wait about 5 min before I can produce another batch, hopefully with
> more volume than before. In this way, with each 5-min session, I can
> increase the flow stepwise and rescue myself. This requires about
> 20-45 minutes total.
>
> Sometimes I just can't produce enough in these intervals to equal the
> inflow from the kidneys... and then I go into complete retention,
> unable to produce even a drop.
>
> So then it is time to go to emerg for a catheter. But my experiences
> there have been bad... each time having to wait 2 hours or so for
> relief. By then I have more than 1 liter in my bladder, and it is so
> over-stretched that the capillary blood vessels are bleeding and there
> is risk of permanent damage.
>
> Nowadays I do self-catheterization (against the advice of my first
> uro) ... no waiting and much less stress. If you want to do this,
> better ask your uro about it or do it at your own risk.
>
> My prostate is ~150 cc. I take Flomax and it has helped quite a bit to
> reduce the incidence of retention.
>
> Ed

Ed...as a follow up to my other messages in the thread, I want you to know
that my heart is with you on your problems. It sounds terrible. I have
trouble coping with my prostatitis/bph (mostly prostatitis) and can not get
any help, and live in 24/7 hell, and find it very difficult to deal with.

Your problem sounds very serious. What do your uro's say is causing the
retention problem you have. It doesn't sound like a urethral blockage
(including the prostatic urethra), since that would show up on a cystoscopy,
which I'm sure you've had. Is it a problem with your bladder muscles not
contracting or what. I am very concerned and do care...Pete


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