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night problems

User
Posted 23 Apr 2022 at 10:42

Hi,

I had RP two years ago, but over time I have been getting up more and more over night I am at up at least 4 times a night and sometimes when I urinate it feels like I'm pushing against something.

I have contacted my oncologist where I have been booked in for a CT scan, has anyone else suffered this sort of problem and if so is there a form of treatment (I am already on tamsulosin) because I would to have a decent wee.

User
Posted 23 Apr 2022 at 15:54

There is a surgical procedure called TURP that usually effectively rebores the passageway through the waterworks.

Alternatively you could learn to self cafaterise once in the night or before bed to get rid of surplus pee .This is because you are not voiding your bladder fully and retaining much pee in your bladder.A ultrasound at the urology clinic at hospital can establish how much pee is left after urinating to inform best way ahead.

Regards

Norm

User
Posted 23 Apr 2022 at 19:17

Hi Norm,

I had this funny feeling that a Cafater might be the answer,  my specialist nurse said all the time I am able to wee then they will not put me on one, personally I don't want one because it will mean I cannot work due to the natural of my employment and I also like my golf.

Just have to see what happens with the scan.

User
Posted 23 Apr 2022 at 19:33

Hi Chris. Self catheterisation is surprisingly easy. You can insert it, empty your bladder and withdraw it in just two or three minutes. They come in handy pocket sized packs. Certainly preferable to having an in dwelling catheter. Chris 

User
Posted 23 Apr 2022 at 20:21

You do not  have to have a full time cafater which many find unpleasant and restrictive.

With self catheterization you merely insert and withdraw it your self to drain the surplus urine as required.Its takes about 5 mins .A nurse will show you how to do it and it's painless.

Regards

Norm

User
Posted 23 Apr 2022 at 20:33

Originally Posted by: Online Community Member

Hi Norm,

I had this funny feeling that a Cafater might be the answer,  my specialist nurse said all the time I am able to wee then they will not put me on one, personally I don't want one because it will mean I cannot work due to the natural of my employment and I also like my golf.

Just have to see what happens with the scan.

Is tamsulosin the right medication, ? I will have a suprapubic catheter life , it would stop you getting up at night but would not solve the problem once removed again and could make your bladder lazy . My bladder capacity shrunk after treatments and a catheter was the only option. I take trospium chloride which is used to treat an over active bladder or in my case bladder spasms. 

How much can your bladder hold, do you urinate more often at night than during the day.

As you say avoiding a catheter is ideal, especially a urethral catheter, i do manage quite well with my catheter, but physical work does sometimes create issues.

Self catheterization may help if you are not voiding a large amounts of urine.

Hopefully your investigations will find an answer.

Thanks Chris

 

Edited by member 23 Apr 2022 at 20:35  | Reason: Not specified

User
Posted 24 Apr 2022 at 08:03

Thank you guys,

You have put my mind at ease about self catheterisation I always thought it was a permanent fixture, hopefully I should know a bit more after the scan tomorrow, I will also ask my specialist nurse if I can have a flow test and go from there.

Will keep you all posted.

Cheers Chris

User
Posted 24 Apr 2022 at 08:30

Juat a note that you cannot have a TURP after RP simply because the pricedure is a resection/reduction of the prostate gland. I had one and it worked a treat in relieving my peeing problems, but it did make my subsequent RALP, 5 years later, more complex. 

 
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