Re: Two weeks after PVP
- From: Ed <Ed@xxxxx>
- Date: Fri, 02 Jan 2009 13:48:29 -0700
On Fri, 2 Jan 2009 09:09:39 -0800 (PST), "Mr. B"
<rb7375@xxxxxxxxxxxxx> wrote:
On Jan 1, 4:03 pm, Salmon Egg <Salmon...@xxxxxxxxxxxxx> wrote:
It was just about two weeks ago when I was prepped for the procedure.
So far, everything has been uneventful and painless. I took my last
antibiotic dose last Monday. My peeing ends sharply as opposed to
dribbling to a stop. The only downside so far is that voided volume is
small. Even there, I believe I am seeing improvement. My volume started
out at about 150 mL. That is what it still is if I pee when the urge
first shows up. If I try to hold back a bit more, I now void about 200
to 250 mL. I am looking forward to getting up only once a night.
In short, It has been a piece of cake.
Bill
Comparing both of your experiences to mine has led me to some thoughts
on this. I'm now at 24 days since my TURP+laser, and I'm voiding up
to 600 mL each time .
By procrastinating, I inadvertently stretched my bladder. My PVR grew
from 115 mL to 825 mL in one year before the operation. My Uro was
very concerned about this because be said it usually leads to the
bladder becoming "leather-like" and losing its elasticity. One week
post-op, my PVR went down to 200 mL. It now seems like my brain
receives the "gotta pee" alert signal when my bladder is up to 800 mL,
which results in 200 mL PVR after voiding 600 mL.
Post-op, my flow rate was initially tremendous, but I'm told this is
because the bladder muscles were accustomed to pushing hard to void so
they instinctively pushed hard even when not needed. This makes sense
because my flow rate has steadily decreased unless I push hard on
purpose, which I do on occasion for entertainment such as pressure
cleaning public toilet bowls :)
My Uro says stretched bladders rarely come back, especially in older
patients (I'm 65 this month). It doesn't seem like procrastinating to
increase bladder capacity would ever be recommended, but it does
remind me of how the popular RK eyesight-correcting procedure was
accidentally invented - A Russian eye doctor removed glass splinters
from a patient whose vision improved once the eye healed.
http://www.bookrags.com/research/radial-keratotomy-woi/
I also noticed my flow ending sharply now with no dribble. My only
concern at this point is intermittent bleeding at the start of each
void later in the day (none in the AM). Seems to be worse the more
active I am. I've also been abstaining from sex because of
experiences I've read about on this site about sex too soon triggering
a lot of continued prostate bleeding and prolonged problems. Did
either of you have any experiences with bleeding?
Thanks for your report! I'm a procrastinator, and have been for at
least 6 years now, and I want to procrastinate some more.
I'm 66 and still working full time. My work involves travelling. I'm
planning trips to India in Feb, Holland in July, and Colorado in Sept.
(Home is Alberta, Canada.) I don't think you want to do travelling
like that within a couple months of a TURP.
My prostate is giant (measured at 150 g about 4 years ago), so the
TURP won't be an easy one... might have to be an open prostatectomy.
Nevertheless, my symptoms are not that bad. Up 2-3 times at night. I
produce about 120 mL per pee during the day, more at night. If I don't
wake up in time, bladder over-fills and that means much difficulty
peeing. Once every two years or so I go into retention because of
that. I relieve it by self-catheterization. That's stressful, but
probably a lot better than an operation.
Maybe next fall I will have a procedure done...
Ed
.
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