I am 71 and active. I have been on BPH medications (Finasteride & Terazosin) for years. Going on 2 months since Urolift, and am still getting up 3-4 times at night, which is the same as before Urolift. Dr put me on 25mg Bethanechol 3 x a day, for 90 days (started taking 2/22/17) to retrain the bladder to push to empty. Dr says this is not uncommon after prostate surgery. I previously tried the "microwave treatment) and that did not work for me. I'm getting worried about this not working either. Am I doomed to continued nightly interruptions of sleep? Has anyone else had a similar experience (including taking Bethanechol or similar medication to improve bladder function)? Thanks.
Hey buddy. Alot of men have the same problem after doing it for so long. It's just habit. It will take you some time to relax and not getting up at night. I am a little younger they you Had the urolift done 2 years ago works fine. Just try to relax Ken
Had "greenlight" procedure last July. Still get up 2 to 3 times per night. Flow has greatly improved. Daily rate is about every two hours. No post-op drugs.
While your searching for something else, you may want to try CIC. I'm in total retnetion and do this before I go to bed and get up once in the middle of the night to do it. It takes 3 minites and you get used to it. It's certainly not ideal but it is so nice to know that I'm only going to have to get up once per night. Also, CIC, whil it seems wierd at first, is easy to learn. I have found coloplast compact male catheters to be the best.
Good luck!
Ist Ihr Urinstrahl besser als zuvor? Ist sonst noch etwas besser geworden, außer der Anzahl der Male, die Sie nachts aufstehen müssen? Hat Ihr Arzt Tests durchgeführt, um festzustellen, ob Ihre Blasenfunktion mangelhaft ist, oder hat er Ihnen dieses neue Medikament einfach so verschrieben? Hat Ihr Arzt Sie vor dem Urolift-Eingriff untersucht, um zu bestätigen, dass BPH das Problem ist und Urolift die wahrscheinlichste Lösung, die Ihnen helfen wird?
Manchmal müssen Sie sich und Ihre Blase darauf trainieren, längere Zeiträume auszuhalten - das könnte in Ihrem Fall zutreffen, wenn Ihr Strahl besser ist. Wenn nicht, gibt es eine lange Liste möglicher Lösungen. Wenn BPH Ihr Problem ist, gibt es andere Verfahren, einschließlich einer erneuten Urolift-Behandlung. Die Chancen stehen sehr gut, dass Ihre durch BPH verursachten Probleme deutlich verbessert werden können. Blasenprobleme (falls Sie diese ebenfalls haben) sind jedoch schwieriger zu behandeln.
Are you still on the Finasteride and Terazosin? I had a urolift on 2/20 and stopped the tamsulosin (Flomax generic), Was the urolift your first procedure? I had a TUNA (needle ablation) about 10 years ago. As my nightly trips to the bathroom increased last year, he first tried the tamsulosin. Then, 9 months later, we decided to try the urolift. Two weeks after the urolift, my doctor had me pee on a computer (not really - there are times when I wanted to pee on my computer), but they use a simple computer to measure flow/second). Then they quickly use ultra sound to measure whether the bladder is retaining any fluid. Did they do that with you? I am sorry, but I have no experience with Bethanechol. My trips to the bathroom are less frequent. I am sure you will find people on this site to help. Good luck.
Hi Guy, I have a simular problem,except i cannot pee,i have complete urine retention.I was told after my urodynamics test that if i have surgery i would have 50 0r 60 % percent of having to pee normal again. I was taking flomax ,and dutasteride ,didn't work .Now i'm thinking about Uro Lift. Did you have complete urine retention before you had Uro Lift?Now I'm doing CIC.It sure would be nice to be able to pee normal again.I have an enlarged prostate,and bladder problem
I'm 87 .
looking forward to your reply.
frank,
Hoffentlich werden die Dinge mit der Zeit besser. Die Blase sollte normalerweise alle 3 - 4 Stunden im Durchschnitt entleert werden, mit einem durchschnittlichen Volumen von etwa 250-300 ml. Was passiert, wenn die Menge an Urin, die nach dem Wasserlassen in der Blase verbleibt (postvoidales Restvolumen), zunimmt? Ein mittlerer Bereich von 50–100 ml ist normal, aber regelmäßige postvoidale Restvolumina von 100–200 ml oder mehr gelten als unzureichende Blasenentleerung. Einmal nachts aufstehen ist für einige nicht ungewöhnlich, jedoch müssen wir das PVRV-Volumen kennen, um zu sehen, ob möglicherweise (wenn Sie Diuretika oder andere Medikamente einnehmen) diese Medikamente Ihre nächtlichen Wachphasen erhöhen könnten.
Viel Glück, Mann... pass auf dich auf
Hi Frank,
Hat Ihr Arzt Sie jemals untersucht, um festzustellen, wie viel Ihr Problem auf BPH zurückzuführen ist? Bis sie einen Blick darauf werfen, wie sehr Ihre Prostata Ihren Fluss blockiert, können sie nicht einmal eine Vermutung darüber anstellen, wie hoch Ihre Chancen sind, wieder normal zu urinieren. Wenn Ihr Arzt das nicht getan hat, bitte gehen Sie und suchen Sie einen anderen, der Sie richtig diagnostiziert, bevor er Ihnen etwas verschreibt.
Es gibt einige nicht-invasive Verfahren (Urolift ist eines, Rezum und PAE sind die anderen Hauptverfahren), die bei BPH sehr helfen können. Wenn Sie auch Blasenprobleme haben, kann man nicht sagen, wie sehr das Freimachen helfen wird - aber wenn Sie blockiert sind, haben Sie keine Chance auf Besserung. Es gibt Menschen in diesem Blog, die ihre Blasen mit Ärzten rehabiltiert haben, die ihnen viel niedrigere Chancen als 50/50 gegeben haben.
As others note, the initial assessment should include a PVR measurement or , even better, a number of them over some time period and a cystoscopy that includes the bladder interior. There are bladder conditions that affect treatment decisions as well as influence perceived 'success'. Hopefully the bladder condition was assessed.
One of the 'sensations' that took a bit of getting used to was that of starting to need to go but learning to understand that it could wait a bit because, pre-Urolift, if I got too far behind and didn't go, it could take 3-4 tries over 20 minutes to get done. That disappeared within 10 days post procedure.
Best wishes for you.
Hi Frank,
If you don't have an enlarged median lobe you may want to consider the PAE procedure.
Good luck!
Yep, zero benefit for me as well with the Urolift. And not a fun experience. In fact caused some other issues. Still on two medications.
Good luck.
Lester Sorry that it did not work for you. The Urolift opens the prostate. Sure your problem is not the bladder. My prostate was closed together had it done 2 years ago Still open and going good. Take care Ken
Doc did the lookyloo and I was a candidate, or so he said. My luck.
Good for you, glad you benefited, would have been nice.
Best
How many implates did you have put in. I had 4. Maybe you need more. I know Chuck on here had it done the first time only 4. Had it done again and had another 4 put in. And hes good to go Ask you doctor Good luck Ken
I believe 3 but could have been 4.
Hi Frank, no I did not have complete urine retention.
Hi,Where do you find these docs, who helped people rehabilate there bladder?
Jim got lucky ,after years of CIC, I had a cystoscopy ,an the Uro wanted to do a turp,without even doing a urodynamics test. That would been a big mistake. I failed the this test because of bladder problem.
frank,
Hi Bayliner, Do you check your bladder content after you void? I have complete urine retention,i was thinking i would like to know after CiC if or how much is left in my bladder? A ultra sound is what they use.Any info on this,cost Etc?
Thanks
frank
My doc told me that anywhere from 0-20 cc's are left after cc'ing.
My insurance covers all but 10% plus the deductible.