Can’t empty before sleep...tried Rezum, but no positive result

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i started having an issue two years ago with needing to pee multiple times before being able to fall asleep. I just cant seem to feel empty and the sensation to pee is great even though only a small amount remains. Once I do fall asleep which can take 2-3 hours i am usually good till the morning.

Mt urologist had be on flomax with not much results then added oxybutyin (sp?) to ease the sensation but again, no improvement. He suggested the REZUM procedure. I had it done early this year and it has not helped. (I must say, Reading some of the REZUM posts here i did not have the blood and tissue passing others have commented on.)

I am going back to see the doctor soon as am seeking options to discuss with him.

Any advice is welcomed

thanks

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6 Replies

  • Posted

    Mike,

    If you had the REZUM procedure and it didn't help then possibly it isn't your prostate that is causing your issues, but rather, it might be your bladder. Your symptoms are typical of overactive bladder issues. I have the same thing - takes me about three tries to empty my bladder so I can get to sleep, then I wake up again after 1.5 to about 2 hours, then back to the bathroom for three more tries. On the second to third try very little comes out, so it's not retention that's the issue, but bladder over sensitivity. Your urologist may suggest various tests to find out what's going on - a PVR test (Post Void Residual), a cystoscope to see how open you are the condition of your bladder, and urodynamics test, to test your bladder function. I find that taking a Tylenol (some take Ibuprofen) helps to dull the bladder sensitivity to improve the sleep. It's worth a try.

    Tom

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  • Posted

    it sounds from your symptoms as if overactive bladder may be your main issue, not BPH. Ask your doc to prescribe a course of Myrbetriq. Its the best, lowest side effect med for that and may well solve your problem. Make sure you take it long enough to work.

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  • Posted

    If your post void volume is normal (it should be if the rezum procedure worked), you may just have stress related over active bladder. There are several OAB meds your doc can prescribe. There are some OTC versions as well.

    Just as an experiment, though, ask your doc about taking perydium an hour before going to bed. It reduces irritation in the urethra. Just a weird idea that is crazy enough to work. You can blame me if he laughs at you. Im not sure if you can take perydium every day.

    Also, it never hurts to get a second opinion from a different urologist. Good luck.

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  • Posted

    thank you all....great info

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    • Posted

      I googled pyridium (sold otc) and says: "Pyridium is used to treat urinary symptoms such as pain or burning, increased urination, and increased urge to urinate. These symptoms can be caused by infection, injury, surgery, catheter, or other conditions that irritate the bladder.Apr 10, 2019"

      Moderator comment: I have removed the link(s) directing to site(s) unsuitable for inclusion in the forums. If users want this information please use the Private Message service to request the details.

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  • Posted

    Mike,

    .

    I assume that before your Rezum, you have a PVR test, urodynamics test, and cystoscopy? These should tell you if the problem was prostate, bladder, or both. A post-Rezum cystoscopy and PVR test will help to tell you what the problem is now. If you still have high PVR's then either the Rezum did not work or it did and your bladder is damaged. Also, seeing another urologist may help too.

    .

    Steve

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