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Stinging whilst peeing

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User

Posted 02 Jan 2025 at 10:44

I finished 5 weeks of radio therapy in Nov 23, after having Brachytherapy to my prostate, lympth modes and seminsl vessels.

PSA reduced from 33 to 0.04 (my last test was 2 months ago).

So all in well in that regard, but I'm getting constant stinging pain when peeing. I'm on tamsulosin daily, which I take in the morning, but also struggle to pee during the night as the tamsulosin wears off - I'm up 3-4 times a night peeing. Urine tests confirm no infection is present and my last visit to the consultant they mentioned a possible TURP procedure, which I'm extremely reluctant to have.

To try and combat the nightly toilet visits I stop drinking at about 6 in the evening, I've also just switched to cafinee free tea, but as yet with no positive results.

Has anyone had similar and can suggest possible remedies?

User

Posted 02 Jan 2025 at 21:27

Andy, fortunately I never had the frequent night visits, I only had to get up once a night. Is cutting back on fluid intake actually beneficial or does it make the urine more acidic.

I find what I drink affects the out put more than how much I drink. A small amount of alcohol reduces my night time output. Your issue could be a late effect of the RT. Are you passing any blood.

Thanks Chris

User

Posted 03 Jan 2025 at 06:25

Hi Andy.

I had surgery. I've got no stinging when peeing, but I'm often up two or three times during the night.

Like you, I rarely drink much after 6pm.

Of all the side effects I've had, I think nocturia is perhaps one of the worse. Not having a solid nights kip has often left me feeling tired during the day and it can get me down at times.

Often I find it difficult get back to sleep after having to get up for the nightly wees. Which is why you'll often see me posting on here in the early hours.🙂

The problem has become so bad and to avoid disturbing my wife's sleep, we now sleep in separate rooms. I also use a urination jug as it disturbs both our sleeping less than me traipsing to the loo.

I hope that yours is only a temporary problem, mate.

Edited by member 03 Jan 2025 at 06:34 | Reason: Additional text

User

Posted 04 Jan 2025 at 00:06

You might try taking the Tamsulosin later in the day. Most brands have to be taken with food, so perhaps lunchtime or last meal of the day. Tamsuloson typically lasts around 16 hours (less if not taken according to instructions), so if you're most in need at night time, taking it so it's still working then might be a better approach.

You should check this with your doctor. Tamsulosin like some other drugs also lowers blood pressure, and sometimes such drugs are spaced during the day rather than taking them all together.

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User

Posted 02 Jan 2025 at 21:27

Andy, fortunately I never had the frequent night visits, I only had to get up once a night. Is cutting back on fluid intake actually beneficial or does it make the urine more acidic.

I find what I drink affects the out put more than how much I drink. A small amount of alcohol reduces my night time output. Your issue could be a late effect of the RT. Are you passing any blood.

Thanks Chris

User

Posted 03 Jan 2025 at 06:25

Hi Andy.

I had surgery. I've got no stinging when peeing, but I'm often up two or three times during the night.

Like you, I rarely drink much after 6pm.

Of all the side effects I've had, I think nocturia is perhaps one of the worse. Not having a solid nights kip has often left me feeling tired during the day and it can get me down at times.

Often I find it difficult get back to sleep after having to get up for the nightly wees. Which is why you'll often see me posting on here in the early hours.🙂

The problem has become so bad and to avoid disturbing my wife's sleep, we now sleep in separate rooms. I also use a urination jug as it disturbs both our sleeping less than me traipsing to the loo.

I hope that yours is only a temporary problem, mate.

Edited by member 03 Jan 2025 at 06:34 | Reason: Additional text

User

Posted 04 Jan 2025 at 00:06

You should check this with your doctor. Tamsulosin like some other drugs also lowers blood pressure, and sometimes such drugs are spaced during the day rather than taking them all together.

User

Posted 11 Jan 2025 at 12:15

Thanks for replies guys, and apologies for the late reply.

I wondered about the acidic side of it Chris, and you may have a point. I'm drinking 3 cups of caffeine free tea and a glass of cranberry juice a day, and last night I was up every 2-2.5 hours. And the last couple of times I'm really struggling, having to force it out.

I've switched to taking the Tamsulosin at 1pm which has improved things slightly. Initially, when first diagnosed in April 2023, I was taking it at 8:30pm but this really did have me up about 6-7 times a night. I'm thinking of trying it at 6pm now and see how it goes.

I think that ultimately I'm going to have to have the Turp procedure, or as a friend mentioned to me, the alternative the Holep laser treatment which he paid for privately.

It's weird though as I just can't correlate how the 'blockage' further up, as the prostate is clamping my ureatha is causing stinging at the very top of my penis - if that's what's happening. My local urology department (whilst usually brilliant) hasn't been too forthcoming with any answers really.

One thing I forgot to mention is that I did have a camera inspection of my ureatha a few months ago and nothing was found of note - how uncomfortable is having this done, don't think I've ever been in so much discomfort. They said they use numbing cream but the needn't have bothered... 🤣

Think I'll hang on to my next 6 month check up in May and see what they say.

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