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betelgeuse 10-16-2010 11:32 PM

Bladder Neck incision (TUIP)
 
I had a bladder neck incision 10 days ago and I am still unable to urinate. The doctor says it is because of inflammation in the prostate in which he removed part of. He won't prescribe any more anti-inflammatories. I was expected to begin urinating after the indwelling catheter was removed 48 hours after laser surgery. Although the swelling has gone down slightly, I still have to self-cath. Has anyone else had the problem of not being able to pee after this surgery? Everything I have read indicates I should have been peeing by now. I am an otherwise very healthy and fit 46 year old. My doctor and his nurses are not very helpful or sympathetic. Please reply if you have any info or experience with this.

vinkim70 11-06-2010 03:29 PM

Re: Bladder Neck incision (TUIP)
 
I just had it done 5 days ago and called my doctor to ask why I still can't pee. I have to push really hard to get any out and it is still not a lot at once. I have some pressure and think that there is some swelling maybe in my prostate area. How have you recovered so far? Oh and I am 39 and was told I am too young to have these problems. They expected me to be fine after the catheter was removed but I was sent home with some self caths. That still doesn't work very well. I think there may be too much swelling and causing the cath to collapse partially. I would appreciate any information you may have to help me.

betelgeuse 11-07-2010 10:26 AM

Re: Bladder Neck incision (TUIP)
 
It sounds like your experience is similar to mine. However, after about 2 weeks my swelling finally started to go down and I was able to start peeing on my own. The problem was that it hurt a lot. I had my post op appointment a week ago and it was determined that I had a strep infection in my bladder. After antibiotics, pain is lessenning and peeing is feeling more natural. At my appt., the residual urine left in my bladder was 77cc's and the doc expects that to get better over the next two months. I think the recovery time takes much longer than what they originally tell you. I hope that helps.

vinkim70 11-07-2010 10:56 AM

Re: Bladder Neck incision (TUIP)
 
Thank you for your feedback. I figured out that this procedure is much more traumatic than I was told. I knew that someone else had to have better information about healing than a doctor who hasn't experienced this himself. Thanks again.

betelgeuse 11-07-2010 11:15 PM

Re: Bladder Neck incision (TUIP)
 
It seems to be the trend of doctors to downplay the recovery time. It's frustrating but I just hope in the end we get the intended result. Good luck with your recovery and just remember to keep taking deep breaths during those caths. They're brutal!

IanLobe 01-20-2011 12:03 PM

Re: Bladder Neck incision (TUIP)
 
I had a bladder neck incision 3 weeks ago. It all went pretty well and almost immediately the moment the catheter was removed I was able to pee like an elephant (which was extremely alarming at first!! - but very welcome).
It did sting slightly but after a couple of days that went away and everything works perfectly (including the retrograde ejac' which did not occur).

I am not posting this to gloat but for someone waiting to undergo a bladder incision surfing the net for information and reading the above posts it would be rather unsettling.

I hope things have settled down for you guys since.

betelgeuse 01-20-2011 12:40 PM

Re: Bladder Neck incision (TUIP)
 
Ian Lobe,

Glad you had a positive experience. I, too am now peeing like an elephant. It sounds like the difference was that you had a catheter in for 3 weeks, giving the bladder time to heal. My catheterr was in for 48 hours, not nearly enough time. BTW, no retrograde ejac. for me, either. Good News! Thanks for replying.

Betelgeuse

kjluege 04-13-2011 08:39 AM

Re: Bladder Neck incision (TUIP)
 
Hello:

This is my first time posting. I guess I'm turning to this type of forum because of a need for some type of support, understanding, hope, and comfort in knowing that others have similar experiences and have are doing better or have tried other things that have helped their symptoms simliar to my own.

I recently had a bladder neck incision on March 1, 2011. Leading up to the surgery, I experienced frequent urination and difficulty urinating. For a long time, I thought my difficulty urinating was due to a bashful bladder. I would urinate at night, 6-8 times and sometimes 25+ times in a day. Urinating in public places would be sometimes next to impossible. Even in the comforts of my own home I would stand for 5-10 minutes before starting a stream. I was on numerous medications from terazosin, oxybutnin, flomax, rapaflo, uroxatrol, etc. to help with these symptoms. I received very little relief from these medications. The decision for surgery was easy. I had urodynamics done which indicated the TUIP surgery would provide relief.

Post TUIP recovery has been very difficult. One good thing is that I can urinate on command; public places, home are no longer a problem. However, the feeling of having to uriniate is present all the time. I had a frequent urniation problem before the TUIP surgery and now I REALLY have a frequent urination problem. I feel like I could go all day if I wanted to. I try to hold it so I am not giving in to my urges all day. I keep telling myself that things will get better and this type of surgery causes this reaction. My urologist thought I would be doing much better, but also agrees that it can take longer for the bladder to calm down due to the nature of this type of procedure.

I currently take 2 oxybutnin er once a day and some Ibprofen for the pain. I have another urology appointment this week and have started acupuncture treatments. I feel more comfortable when sitting, although do get sore in the pelvic area after long periods of time. I enjoy running and lifting weights, but any movement, especially when attempting to jog, is next to impossible because of the strong urge to urinate.

I could write all day on this topic, but will not go on at this point. I've had a range of emotions such as depression, anxiety, anger, and hopelessness. Thanks for reading. Look forward to anyone who can share their experiences and/or advice.

betelgeuse 04-13-2011 08:22 PM

Re: Bladder Neck incision (TUIP)
 
[QUOTE=kjluege;4729437]Hello:

This is my first time posting. I guess I'm turning to this type of forum because of a need for some type of support, understanding, hope, and comfort in knowing that others have similar experiences and have are doing better or have tried other things that have helped their symptoms simliar to my own.

I recently had a bladder neck incision on March 1, 2011. Leading up to the surgery, I experienced frequent urination and difficulty urinating. For a long time, I thought my difficulty urinating was due to a bashful bladder. I would urinate at night, 6-8 times and sometimes 25+ times in a day. Urinating in public places would be sometimes next to impossible. Even in the comforts of my own home I would stand for 5-10 minutes before starting a stream. I was on numerous medications from terazosin, oxybutnin, flomax, rapaflo, uroxatrol, etc. to help with these symptoms. I received very little relief from these medications. The decision for surgery was easy. I had urodynamics done which indicated the TUIP surgery would provide relief.

Post TUIP recovery has been very difficult. One good thing is that I can urinate on command; public places, home are no longer a problem. However, the feeling of having to uriniate is present all the time. I had a frequent urniation problem before the TUIP surgery and now I REALLY have a frequent urination problem. I feel like I could go all day if I wanted to. I try to hold it so I am not giving in to my urges all day. I keep telling myself that things will get better and this type of surgery causes this reaction. My urologist thought I would be doing much better, but also agrees that it can take longer for the bladder to calm down due to the nature of this type of procedure.

I currently take 2 oxybutnin er once a day and some Ibprofen for the pain. I have another urology appointment this week and have started acupuncture treatments. I feel more comfortable when sitting, although do get sore in the pelvic area after long periods of time. I enjoy running and lifting weights, but any movement, especially when attempting to jog, is next to impossible because of the strong urge to urinate.

I could write all day on this topic, but will not go on at this point. I've had a range of emotions such as depression, anxiety, anger, and hopelessness. Thanks for reading. Look forward to anyone who can share their experiences and/or advice.[/QUOTE]

betelgeuse 04-13-2011 08:29 PM

Re: Bladder Neck incision (TUIP)
 
Sounds like a frustrating experience all the way through. I don't know how long it has been since your surgery, but it took over 3 weeks for the swelling to start to go down for me. At that time, I felt a lot of urgency to urinate. This went on for at least a few weeks but steadily subsided. I didn't have the other symptoms you mentioned but I like to jog and lift weights too so I know it must be difficult to not be able to do those things. I don't know much about this whole thing but the recovery took a lot longer than I was led to believe. Just ease back into it so you don't cause more problems than you already have. Good luck to you!

tet1963 05-03-2011 10:18 AM

Re: Bladder Neck incision (TUIP)
 
[QUOTE=IanLobe;4665534]I had a bladder neck incision 3 weeks ago. It all went pretty well and almost immediately the moment the catheter was removed I was able to pee like an elephant (which was extremely alarming at first!! - but very welcome).
It did sting slightly but after a couple of days that went away and everything works perfectly (including the retrograde ejac' which did not occur).

I am not posting this to gloat but for someone waiting to undergo a bladder incision surfing the net for information and reading the above posts it would be rather unsettling.

I hope things have settled down for you guys since.[/QUOTE]

I had a BNI about a week ago, everyones reacts differently as the nerves can take a while to settle down, it can take up to 4 weeks to begin to urinate normally, at the moment i am peeing 2-3 times at night and every 2-3 hours during the day albeit the flow is weak and not for long, it can take 2-3 weeks for bleeding to stop completely and your specialist may prescribe drugs to help you recover. Best advice is get a good consultant and if in doubt go see him, bear in mind the more information you can give him, the better his advice will be, keep a diary of your recovery to help you.


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