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Had BNI 16 days ago and decided to share my experiences as I found this forum very helpful before the surgery. Maybe this will be helpful for others.
I am 34 years old, for last 10 years my flow has been gradually slowing down when two years ago I also started having significant increase in frequency during the day and also getting up 2-3 times a night. As a result, I became constantly tired and my life became quite miserable.
Went to 3 different urologists, all said that my prostate looks perfectly normal and small (15 ml).
Last one did a bit more extensive diagnostics with flow measurement and cystoscopy. My Qmax was 10.8 ml/s and through cystoscopy and shape of my flow curve he again confirmed that everything is fine with prostate, but I was diagnosed with high/tight bladder neck and a small stricture in bulbar urethra. PVR after voiding variated between tests and was between 50 and 100 ml, which was not ideal, but still OK according to him.
For a year I lived with Tamsulosin, which increased my Qmax to 14-15, however it did not help at all with my frequency during the day or night.
This winter I went for a regular check up. My Qmax was still 14.8, but my PVR raised to 200ml and my doctor now recommended to perform BNI.
I was informed about risks, especially about retro. But since I already have kids without a plan to have more and I felt what it is to have retro with Tamsulosin, I did not feel this is a big issue for me.
Day 1 - very stressful. First surgery in my life. However, I was under general anesthesia, so I just woke up in recovery room with everything already done. First feeling was that I had a lot of pain in the head of my penis, I looked at it and there was blood (not bloody urine) coming out, which was unexpected for me, but doctor explained it that it's due to trauma from resectoscope, gave me some morphine and within 30 minutes I was feeling very well. I hope he did not f**k up and made a stricture in my urethra.
Another surprise was that I did not have any catheter. Seems like doctor decided to see if I can pee on my own and if I can, then just let me go home without catheter.
I got to drink a lot of water and after ~1 hour I tried to pee. Flow was quite bad, but I managed to pee out 250 ml of very bloody urine and after check with ultrasound it seemed that I fully emptied my bladder. I did that again within an hour and had quite similar result, just that my PVR this time was 70ml. Doctor said that it's good enough and I can go home. So I checked in to hospital at 8am and left at 1 pm. Very different compared to experiences I read online.
Day 2 - Living on paracetamol and ibuprofen according to doctors prescription. I got to combine these two and use them for at least for 3-4 days with max dosage. A lot of pain in urethra while peeing even with all the pain killers. Urine is still very bloody.
During the day flow started to reducing from a very thin and slow stream to only a dribble by the end of the day. I called doctors office and he said that I should go to ER if I it's very hard to pee and to see how much PVR I have. If it's above 100ml, then I should get a catheter.
Went to ER. Had 450 ml of urine before, then took around 8 minutes to squeeze out everything I can and after that I had 110 ml. Doctor at ER, said that it's too small margin to 100 ml "limit" to put catheter in, considering that my urethra has been already traumatized. So we decided not to do anything and if it gets worse to come back to ER.
Day 3 - The night was quite ok, got back to thin stream, but in the morning my urine totally stopped.
Back to ER.
However, before getting to doctor I went one last time to the toilet pushed a bit and suddenly a couple of blood clots went out. From that moment urine stream has slightly recovered and I left ER without seeing a doctor. A couple of next urinations had a lot of blood clots in them and after each urination my stream has improved.
Day 4 - 8 Pain in urethra has started subsiding and finally disappeared. Stream has increased and became better than before surgery. Urine become clear without any blood. Frequency is still the same as before surgery. At least not worse...
Day 8 - 12 Sometimes some clots and blood shows up. Stream is not improving anymore. So at the moment it's definitely better than before surgery, but no where near what I had 10 years ago.
Day 12 -13 Some new things. Urine started smelling quite bad and I started to get a very annoying itch in my urethra. No pain or fever, so probably not an infection. However after a couple days smell went away and I was left only with an itch, which is driving crazy.. cause well it's impossible to scratch.
Day 15 Itching is gone also. Urine stream is the same. Frequency during the day seems to be the same, but it has improved during the night. Last 3 nights I only got up once, which has not happened in probably more than 3 years.
Day 16(today) - Reduced flow and split stream. A bit scary.. hopefully just another clot coming out soon.
BTW. 16 days without any sex or masturbation is driving me crazy... My doctor and everything online suggests no sexual activity for at least a month. Anyone knows why and what would happen if I would not follow this recommendation? I understand that sex can put some strain on abdominal area and bladder. But how about masturbation?
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