Good morning Guy's. Instead of hooking into another discussion I just did my own to tell you all what went on at my appointment. Some of you have been asking......................... Well things went well Was with him for about 45 minutes. First of all my bladder is good clips still in the same place so prostate is wide open.My problem is my sphincter muscle. Most of the time it get loose when you get older. My is to tight. He explained that when I pee the sphincter will open enough to go but my steam is small. But when they have to catheter or if I try to self cath my sphincter muscle put up fight. That is why it was so pain full in the hospital. He did had some trouble getting the scope in this morning. He also saw some scar tissue from when I did CIC. So what he wants me to do is go to Pelvic Health and Rehabilitation. For Pelvic Floor exercise. I ask if they were kegel but he said no. He told me what is was but don't remember. He is also putting me on Flexeril to help relax the sphincter. He want me to try it. When I get it I will have to see how he wants me to take it. He hope it will relax the sphincter. Going to read up on it before I take one. He hopes it will help my flow. He is also giving me ciprofloxacin 500 MG for 7 days so I don't get a infection. We will see. He told me if I have a problem to just e-mail him and he will get back to me. Nice guy. Well that's it for now. The last few days been the pits. Going to lay down and relax. Take care all and good health. Ken
Hey Ken hope it all works out for you. Flexeril isn't to bad just a bit over a hang over in the morning. Only I didn't like about it was after 3 days it gave me strange dreams. Good luck.
Jim
Hi,Ken. Good to hear that all went reasonably well. What about the Cipro? You are aware of the risks, aren't you?
Hang in, there. Best of health to you.
Regards, alan86734.
Thanks Jim Going to pick it up in a few. I will read the papers they give you. I don't need anymore strange dreams. Maybe I'll be different and have a few sexy ones. It been a while. Thanks again ken
Yes I have taking them before. The only thing it did for me is made my prostate smaller. We will see. It's only for 7 days. I have to call made a appointment pelvic place. This should be interesting. Thanks again Ken
Ken, I keep on warning people in all Forums about Cipro and Floroquinolones:
The moderator approved a link to it and Floroquinolones:
https://patient.info/forums/discuss/fluoroquinolone-toxicity-syndrome-427305
Google for the makers letter on conditions it should not be prescribed for.
"Letter from Bayer to Doctors Regarding Cipro and Avelox"
Thank you Derek Will read it now before I take my son to work Thanks again. Some pills you have to watch Ken
Hi Ken - good to hear things went well for you overall.
Which sphincter muscle is causing you problems - the external one or the internal one? My external sphincter is also very tight due to my BPH and causes me to wait a good minute or more when I CIC until the catheter can get in. I was also told that Kegel exercises which strengthen the external sphincter can make things worse so I am anxious to hear what your new exercises are so I can try it too.
Also why did he prescribe you CIPRO - for what?
Good luck Ken!
It is the external sphincter. He said that is is very tight for a my age I'm 62 I guess he does not see it to much. We had a laugh. I told him at lease something is tight and works good. When I go I will let you know what are the other exercise that I will be doing going to call later. I told him that I use to do kegel but he said that this is something else. After a scope they give you a antibiotic but when he was in he saw some scar tissue on the sphincter from when I did CIC a few weeks ago and I did have a lot of bleeding. There was some in the urine this morning. He is just playing it safe. Which is fine. I don't want to deal with a infection. Take care Ken
I think I have problem with external sphincter muscle tightness also. I think many of us have this as we get older. My main symptom is hesitation. It takes a while to start a stream, unless my bladder is full. Alpha blockers (specifically doxazosin) seem to help. I am not sure about Flexeril, if it was for relaxing external sphincter or not. I am hoping it will help you so can try out too. Hank
Hi Jim, what symptoms did you have that caused you to take Flexeril, and did it help ? Hank
They gave me tendonitis and neuropathy and I now have walking difficulties.and back pain due to my change of gait.
Hank, it wasn't for my prostate stuff. It was back issues. Just sharing my opinion on Flexeril..
I was hoping it was for prostate, so I can learn. Thanks. Hank
good luck with recovery my friend.......regards Syd
Yes that is what he thinks is the problem. Just got back from getting the pills. He wants me to take 3 a day. I don't know if I should or not. There are a lot of side effects. I guess I should do what he tell me and see how it goes. I can all ways cut down later. Just took my first one. I will try morning afternoon and before I go to bed. I am not on any other pill from him. When I had my Urolift I was taking off everything. My bladder is good but the steam is small. He is hoping this will give me more power and a bigger steam. Only time will tell Tahnk you Ken
Thank you very much Syd. Hope this works. He said that this is the first step. If it works fine if not we have to move on. He said the next step would be a surgery. Don't want to even think about it. Thanks Again Ken
I will call in the morning. We will see what they want me to do. Thanks Derek Ken
I know that when the internal sphincter muscle is damaged from many uro procedures like turp, holep .. then it is important to strengthen the external sphincter muscle to control incontinence. Ththese are the kegel routines.
But we have the opposite problem and need to relax the external sphincter as well as the pelvic floor muscles which grip the top of the prostate. I CIC 4 times a day and the catheter goes in easily for 6 inches till it hits the start of the prostate. Then I jus apply light pressure and repeat "relax, relax" until it opens which takes about 30 seconds. Then the catheter slips in the remaining 6 inches ok.
In my case part of the problem are the large side lobes of my prostate (no median lobe) which push the urethra closed at the start of the prostate.
I went to physio once who stuck his finger up my anus to teach me how to control the various pelvic floor muscles. It almost killed me and caused terrible bleeding so don't let anyone do that to you!!
I'll be anxious how those pills work. Good luck Ken. Howard
Yes Howard I will let you know. My doctor knows how I feel about Turp and Holep. So this better work because there will be no cutting Yes it's the one before the prostate. He told me when he put the catheter in when I was asleep he had no problem But I was out so my body let him do it. Everything else is fine so this one thing I will deal with. This may be a little personnel but First let me tell you I try CIC on Monday had no problem pulled up on the penis and it went right in. It was very easy. Will I tried it again yesterday to make sure. I was in so much pain that it got caught. He said I pushed it into the sphincter. It hurt a lot. Well I was home alone and I use a testosterone gel in the morning my night time I was a little in the mood. Put some porn on. Well when my orgasm hit. I wanted it stop. I was in so much pain.I could not believe it hurt so bad. Told my doctor he said it was from the CIC and the pelvic floor. He said try to hold off for a few days and let him know if the pain goes away. I have had my doctor for over 3 years and he has only did that once to me. I will not be doing that. Don't think that is my thing. I will let you know how things go buddy Take care ken