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!
Votre jet d'urine est-il meilleur qu'avant ? Les choses sont-elles meilleures en dehors du nombre de fois où vous vous levez la nuit ? Votre médecin a-t-il effectué des tests pour déterminer si la fonction de votre vessie est inférieure à la moyenne, ou vous a-t-il prescrit ce nouveau médicament à l'aveuglette ? Votre médecin vous a-t-il examiné avant de pratiquer l'Urolift pour confirmer que l'HBP était le problème et que l'Urolift était la solution la plus susceptible de vous aider ?
Parfois, vous devez vous rééduquer ainsi que votre vessie pour des périodes plus longues - cela peut être votre cas si votre jet est meilleur. Si ce n'est pas le cas, il existe une longue liste de solutions possibles. Si l'HBP est votre problème, il existe d'autres procédures, y compris la répétition de l'Urolift. Les chances sont très bonnes que vos problèmes causés par l'HBP puissent être améliorés beaucoup. Les problèmes de vessie (si vous avez effectivement ces problèmes aussi) sont plus délicats.
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,
Espérons que les choses s'amélioreront avec le temps. La vessie doit normalement être vidée toutes les 3 à 4 heures en moyenne, avec un volume moyen d'environ 250 à 300 ml. Que se passe-t-il si la quantité d'urine restante dans la vessie après la miction (volume résiduel post-mictionnel) augmente ? Une plage intermédiaire de 50 à 100 mL est normale, mais des volumes résiduels post-mictionnels réguliers de 100 à 200 mL ou plus sont considérés comme un mauvais vidage de la vessie. Se lever une fois par nuit pour certains n'est pas inhabituel, cependant nous devons connaître la quantité de PVRV pour voir si peut-être (si vous prenez des diurétiques ou d'autres médicaments) comment ces médicaments pourraient augmenter vos réveils nocturnes.
Bonne chance, mon gars... prenez soin de vous
Bonjour Frank,
Votre médecin vous a-t-il déjà fait passer une endoscopie pour déterminer dans quelle mesure votre problème est dû à l'HBP ? Tant qu'ils n'ont pas vu à quel point votre prostate bloque votre flux, ils ne peuvent même pas hasarder une supposition quant à vos chances de retrouver une miction normale. Si votre médecin n'a pas fait cela, veuillez en trouver un autre qui vous diagnostiquera correctement avant de prescrire quoi que ce soit.
Il existe certaines procédures non invasives (Urolift en est une, Rezum et PAE sont les autres principales) qui peuvent aider considérablement avec l'HBP. Si vous avez également des problèmes de vessie, on ne sait pas à quel point le débloquage vous aidera - mais si vous êtes bloqué, vous n'avez aucune chance de vous améliorer. Il y a des personnes sur ce blog qui ont réhabilité leur vessie avec des médecins leur donnant des chances beaucoup plus faibles que 50/50.
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.