Does Medication clear obstruction?
Posted , 10 users are following.
I've using the CIC method for the last 6 months and I'm glad I didn't rush into the suggested TURP surgery. I'm heading to a different URO this week and would like some suggestions on what to ask to see if I'm improving. I had a stretched bladder with an obstruction in the lateral lobes, prostate size was 25 cc. PSA test was low so other than asking to check the size of the prostate and maybe the size of the bladder, is there anything else to know?
I also know that he will ask if I stayed on the generic Flowmax that was prescribed 6 months ago and I didn't stay on it long. My theory was that it's my bladder causing most of the problem and I didn't think the drug would clear the obstruction. From what I read, it relaxes the muscle and I didn't feel anything was changing but I was only on for a month.
Should I be asking for a different prescription? Is there anything that can help a stretched bladder, other than exercises and time? Or anything that can clear an obstruction, other than surgeries? And does it make sense to do a surgery for the obstruction, if the bladder is stretched? I'm thinking I need to rehab the bladder before fixing the obstruction.
0 likes, 47 replies
pluff_mud tom6446
Posted
I have been performing CIC for 14 months and also have an enlarged bladder. I cath 4 times per day and have no natural voids. I was on Flowmax for a year before I started CIC and about 6 months after. I was also given a prescription for finasteride shortly before I started CIC. My urologist had me stop taking it a few months ago. I don't notice any difference in performing CIC since I stopped taking the drugs. I haven't had a doctor visit since I stopped the finasteride, so I won't know until my next visit in October whether anything has changed.
kenneth1955 tom6446
Posted
Tom I think you should do what Cartoonman said get a hold of JimJames for you help with your bladder. He will be able to help you. Don not rush into any surgery before the bladder is taking care of. That may be all you need. You do have a small prostate. I can't believe a doctor wanted to do a TURP on that small of a prostate. Good luck Ken
kenneth1955
Posted
tom6446 kenneth1955
Posted
cartoonman tom6446
Posted
Yes, it takes time. I'll offer this thought: TAKE NOTES! Record your amounts, where practical. I kept a gradated measuring device in the loo for a couple of years, and recorded amounts peed, plus PVR, each time, missing very few. And I'm NOT the meticulous type.
I found the amounts were my "cheering squad," and kept me honest. I recorded the diminishing amounts of PVR, and those times I missed, and had larger quantities. I did this recording of amounts for about 18 months. I established a number for my stream, and know that (on average) I void 100cc/10 seconds, so I now just count while voiding, and while cathing, so I know what I'm carrying in my bladder. I also pay closer attention to my body's signals. As mentioned, 4 years ago, I had NO sensation of needing-to-void, even with 900cc in my bladder. Today, I'll get the alert with as little as 150cc, and certainly with 250/300cc.
Good luck!
Guest cartoonman
Posted
Without going back are you getting some NV's now? I started CIC at 2x a day a year ago and moved to 4 x a day in April 2018. Only get small NV's in AM when CIC at 8:00 and previous CIC was night before at 9:30. So distended bladder with diverticulum and guess tight small prostate.
Actually feel like NV's have gotten less. When discovered went over a year trying triple voids and things stayed the same. My Uro does support that bladder muscle can rehab but not all do.
Just looking for some positives and hope. I see you are 4 years in. Have you seen some light?
THX