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Constant urgency comes and goes

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daniel96751
daniel96751

I started taking cialis for BPH about 2 1/2 weeks ago and noticed a significant improvement in my symptoms about 5 days into it.  Then all the sudden last night my symptoms came back with a vengance.  I had been sleeping through the night and had a great stream, however last night I had an almost continual urge to urinate and didn't sleep much as a result.  

I'm inclined to think it's a UTI, but am not sure if the meds just randomly stopped working.  

Any ideas?  

0 likes, 22 replies

22 Replies

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  • robert25492
    robert25492 daniel96751

    Posted

    Hi,

    Don't rely on everything you read here and don't rely on everything that doctors say either!  It is valuable to know what other sufferers have experienced in helping you to come to an overall view.

    My experience of BPH over a few years is that you are liable to get little mini infections that last a day or two or a few days and then everything returns to normal and you have a good run for a few weeks, and then perhaps it repeats.  In the short term don't panic or worry too much.  See how it goes and you may well find that things will settle down again.  The next time it happens that you have a bad night or a run of bad nights you will not worry as much knowing that next week it will be gone again.  Of course, you are always aware of the prostate in the background even on good days, but you live with it and find a way to deal with it.

    I have found this forum invaluable over the years in educating myself as to what procedures are available, other people's experience of them and from there you can do further research of your own, but never underestimate the value of what others have to say.

    Wishing you all the best.

    Robert.

  • stewarta
    stewarta daniel96751

    Posted

    I would be asking for a MRI and have the Urologist use it for recommended treatment. I had a MRI as part of a pre-operative process for a PAE in Sydney, only to find two things: 1) I need a MRI guided biopsy (no chance of infection) to see if I have cancer of the prostate that a low PSA and anal probes do not indicate; and 2) I have a bladers tone that is causing the nocturia, urgency and stinging when urinating.

    Urologist

    I saw the urologist this morning who I saw in 2002 when I had a small kidney stone blasted. He advised that based on the MRI, there is an 80% chance of some cancer, even though based on his anal probe he stated that it didn't feel like cancer.  I will have a MRI guided biopsy (no chance of infection) on 14 January at Como Hospital. Based on the results he will advise what treatment is recommended.

    The surprise was that the reason for the urgency and stinging is not because of the prostate but because I have a one inch calcification (stone) at the bottom of the bladder which he will blast when we know what is happening in terms of treatment for the prostate. 

     

    • derek76
      derek76 stewarta

      Posted

      Can I ask how they do an MRI guided biopsy when you are in a tunnel ?
    • stewarta
      stewarta derek76

      Posted

      The tunnel is only used to do the MRI in the first place. I had that done a month ago.

      For the biopsy, the urologist puts the image disc into a computer and uses that image to guide the needle into the prostate at the right spot(s). It means they do NOT have to do the biopsy through the anus and thereby run the risk of infection. 

    • nealpros
      nealpros stewarta

      Posted

      If they don't go in through the rectum, where do they go in for the biopsy?

      Neal

    • derek76
      derek76 stewarta

      Posted

      Thank you. I had an infection after both of my biosies
    • stewarta
      stewarta nealpros

      Posted

      The procedure I am having is technically termed a Transperineal Fusion Biopsy. It is guided by the MRI computer image and involves biopsies taken in an area between the scrotum and rectum, and is usually performed under general anaesthetic or sedation and locoregional anaesthetic. 

      It does not involve taking random samples, conducted in a 'blind' manner, but rather is very targeted to where the MRI has indicated there is/are a lesion(s).

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