Initial PVR Success, Then Backwards

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I covered some of this on my Aquablation thread, but I want to seek input from anyone who has had TURP or any other procedure. It concerns PVR and specifically the 75 cc/ml or lower PVR that the doctors are looking for. Here is my PVR history:

Dec 2021 - 163 cc

Jun 2022 - 600 cc

Aug 2022 - Aquablation performed

4-days post surgery - 63 cc

5-days post-surgery - 47 cc

Sep 2022 - 80 cc

Jan 2023 - 254 cc

Feb 2023 - 282 cc

So, to summarize, five days after surgery I seemed to be in the promised land at 47 cc, but I have been going in the wrong direction since. I should also mention that I had bleeding off an on for 4 months post-surgery.

If anyone else encountered this, I would appreciate your advice/thoughts.

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3 Replies

  • Posted

    Hi Michael. After my TURP 2 years ago, my PVR was also in the "target range" but then at my last checkup, it was in the 200ml range. Being an engineer, I thought about why the bladder may not be draining and thought about the bowel pressing on the prostate in a way that restricts flow. My gastroenterologist confirmed that since my prostate had a lot of tissue removed, it is more "floppy' and therefore can be squeezed by a full bowel. I would think that with less tissue in the prostate, the force from the bowel would be worse for flow but he said with less tissue to "push back", the bowel has that effect. I've been able to feel different flow (and in theory then larger PVR measurement) when I eat a lot of burgers and less salads for example.

    Are you feeling constipated when you have your PVR tests? Just a thought....

    • Posted

      This is an interesting theory. I had a TURP 4 years ago. At my 90 day post-op check, my PVR was 0 (it was only about 50 pre-TURP). I haven't had a PVR test since and I don't have the feeling of not emptying my bladder like I did before the procedure. This theory may explain why I sometimes have to pee a few minutes after I have a bowel movement if a full bowel is restricting the flow.

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