Re: What to expect 1 wk post pvp
- From: "Pete" <pete@xxxxxxxxxx>
- Date: Tue, 6 Jun 2006 16:52:21 -0400
Steve...so sorry to hear about your dilemma. Best I can say right now is to
keep bugging your uro. Hot soaks in the tub are good for any kind of
prosatitis type pain or pelvic pain (CPPS) and I have soaked literally
thousands of times in my life. Problem is when you get out of the tub the
pain/discomfort may come right back. Heat increases blood flow and has a
nice relaxing way of taking the brain off the whatever is going on down
there. Heat is generally not a cure though, so don't be mislead.
BTW, Flomax is .4 mg (not 40 mg) :-) . I wish you the best and please keep
us informed as to the developments that take place with your uro, and I hope
you improve soon...Pete
steve wrote:
I wish I had discovered this ng prior to my pvp a week ago, 5/30/06,
so I would have had a better idea of the questions to ask my urologist
pre-op regarding realistic recovery expectations, as well as to
establish a pre-op baseline of various measures such as retention,
output and flow rate. The Laserscope Web site paints such a rosy
picture that it would seem that the procedure is little worse than
having a tooth pulled.
Unfortunately, I'm having problems and am having difficulty getting my
surgeon to get back to me.
Based upon a comment by the Resident at the hospital after my pvp
surgery, I suspect that median lobe involvement appeared to be more of
the problem than overall BPH. I was also told that a biopsy was done.
When I was de-catherized 24 hrs post surgery in the hospital, I
couldn't void but a few drops, so I was re-catherized until Friday
when I returned to his office. After several hours of voiding (little
spurts/drops at a time) periodically, I got down to retention of 135
ml from about 200+ and was allowed to return home without a catheter.
For the first 48 hours I still had great difficulty voiding, probably
only doing 10-20 ml at a time. By Sunday afternoon, I had gotten back
a weak, but steady stream, after some waiting and straining each time.
Urination was extremely painful at first; now it still hurts/burns
significantly, but not as badly as at first. Yesterday (Monday) and
today I am able to void 100 ml each time with a weak stream, but not
much weaker than pre-pvp. (i.e. my stream is probably nearly as strong
as pre-pvp, though that's not saying much.) Frequency during the day
depends upon how much I drink to accumulate the 100 ml I output.
The worst part is that overnight I'm waking up every 45-75 minutes
with the urge to void, but am voiding much less than the 100 ml I can
do during the day. It's always slow and painful in coming at night.
I am still on Flomax (40 mg at morning and 40 mg at night) and Cipro
500 mg. Also taking ibuprophen.
My prostate is a bit sore and I'm wondering if a non-bacterial
prostatitis might be the reason, or at least a contributing factor.
I've had prostatitis a couple of times in my 55 years, and some of the
symptoms seem similar. I also wonder if I'm not having some bladder
spasm type of issues intermittently. Might the fact that a biopsy was
done also be a factor.
I've read where acidity in the urine can be a major reason for the
pain during urination (not to mention the traumas of the procedure
and the catherizations). Would raising the ph of my urine, for
instance by taking a little baking soda with a glass of water, help
with the pain?
Are there any medications that are appropriate? Two I've read about
are Prosed/DS and Phenazopyridine. (The Prosed/DS, however requires a
low ph of 5.5 or below to be most effective.) What about possible
palliative treatment such as a hot sitz bath, sitting in my spa (103
degrees) or applying ice to the prostate?
While I am noticing very slow improvement, as indicated above, the
frequency (approximately hourly) at night is obviously really
disruptive.
While I gather that my progress is less than optimal, I am far more
concerned about the prognosis for continued improvement. How much more
function can I reasonably expect to regain (eg. output, frequency,
retention, etc.) and over what period of time. Thanks to anyone who
takes the time to offer their insight.
.
- References:
- What to expect 1 wk post pvp
- From: steve
- What to expect 1 wk post pvp
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