Bladder Neck Incision - Your experience?

How are you doing now, Pav?

Hey there my friend

Did your doctor talk to you about how many he is going to do. Have you talked about Retro Ejaculation

Most of the time if they only do 1 cut you will not get retro but if they do 2 to 3 you will end up wit retro. Is that a concern of yours. Do talk to the doctor. Have them do 1 at either 5 or 7. If it does not work you can also have the other done. Once it is done you can't go back

Good luck....Also it can take 6 to 8 week to heal.......Ken

Now i'm experiencing very slow flow, but very wide. Any ideas?

Hello pav886, how are you doing now? Are you still on medication?

Give us an update Pav. How are you doing now?

Hi all - has anyone got experience of

1. how long/days it takes for Betmiga (Mirabrgron) to work and
2. if they take it with either with Tamsulosin and/or Solifenacin,

thankyou for reading

Hi there guys,

not as I would like to be, but..

• bladder spasm almost gone
• stinging pain in bladder almost gone (now, very rarely occuring)
• frequency from 50 mins to 2 hours, sometimes getting worse after caffeine (volume not changed)

2 days ago i saved guy from choking.. I was sh*tting my pants and that was very emotional night and half of the day, i couldn't sleep and was peeing every 10-15 minutes. After i calmed down im back to 50 minutes - 2 hours.

However since month 9 i felt a little bit better.

To the buddy asking about betmiga.. There is no rule. For some immadietly, for others you have to take it at least month. If it's about tamsusolin I felt relieved after few days for some time. After all it stopped working.

for sure walking a lot helps me A LOT.

Thought I'd share my experience. I'm in my mid 30s with a 35g prostate and small median lobe. BPH early in life runs in my family, so I knew it was comine. I had been having increasing issues over the past 2-3 years with frequency, hesitancy, weak stream, and (more recently) bladder spasms and lower abdominal pain. I had undergone urodynamics which showed I was retaining around 175mL and having bladder spasms. Over the past 1-2 years I've been through 3 alpha blockers (tamsulosin and afluzosin caused terrible sinusitis to the point my teeth hurt, and I currently take terazosin) and finasteride (used it for 9 months, caused asthenia and fatigue, dropped PSA by 30-40% but didn't change BPH symptoms). I've h ad to CIC a couple times because of pain/fear of retention. I have been following with my urologist for the past year and considered Rezum, Urolift, TUIP, and TURP. Read all the studies I could find on BPH surgical interventions and finally settle on TUIP given how long it has been around, the level of improvement in the studies, and the relatively low incidence of serious side effects. I was more worried about bleeding risk and infections. Retrograde ejaculation was never really a concern for me or my wife.

Anyhow decided on the TUIP and had the procedure completed around 5 weeks ago. Had some mild anxiety leading up to the operation, but after the alprazolam kicked in I don't really remember much. I had general anesthesia for the procedure and it took around 25 minutes. Surgeon said he went from the bladder neck at the 6oclock position, down to the capsule of the prostate, and down the urethra to just before the verumontanum (as to preserve the ejaculatory ducts). I was able to immediately void following the procedure and left the hospital same day without a catheter. Urinary symptoms were immediately improved. I took Bactrim for a week and pyridium for 2 weeks. The burning was intense at times, but honestly much more palatable than bladder spasms. I had a follow-up with my urologist at week 3 and PVR was 0. I had one and off bleeding with occasional clots for the first 4 weeks. Over the past week the bleeding has all but stopped with only an occasional red tinge to my urine in the morning. My nocturia has decreased from 3-4 times per night to 0-1. I'm actually able to sleep, which my god! is amazing! I continue to have pain, especially in my perineal area and if I don't keep hydrate will have burning in my urethra that radiates to the tip of my penis. This can be particularly uncomfortable, but drinking a lot of water seems to help (seems related to the size of the void). My bladder is still not 100%, but I was told this can take many months to go back to normal. In the late evening, when I tend to hydrate less, I feel the urge to urinate and if I try to urinate I will void a small amount and then get shooting pain down the urethra to the tip of my penis. Over the past week, I have noticed I am having a weaker stream (taking longer to completely void). I'm not sure what to make of this yet, but it is a bit worrisome. The good news I expeirenced no retrograde ejaculation and erections seem to have improved since the surgery. I am concerned about the longevity of the procedure, but overall things have improved quite a bit from where I was. Here's to hoping things remain good or improve over the next several months.