Recovering normal urination after a bladder neck incision
Posted , 24 users are following.
Hey people
I had a bladder neck incision to help with my slow and strained flow but I steel feel like I have to pee constantly. Has anyone had and recovered normal urination after a bladder neck incision?
0 likes, 36 replies
nick21549 jack_94331
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Hi Jack, I had the same op about 12 weeks ago - I'm 49 - due to high and narrowing bladder neck. Took about 10 weeks for mild pain during urination to subside but, like you, I still feel I need to pee too often. Saw my uro last week who was impressed I voided 360ml at 26ml/s - but I was hanging on for dear life as he wanted me to have a full bladder! I'm usually averaging about 250ml at 17ml/s (I did some random samples so I could see for myself if things improve over time). Anyway, he told me things should settle down but prescribed Vesicare short term (10mg daily) which is usually given for an over active bladder. Not taken them yet as I'm hoping things will improve gradually on their own. Read about someone who had the same op a while back and he said it took months to gradually get back to normal, although flow improved instantly after the op.
Strange how I can go out and drink 3 pints in the evening before I need to pee, yet a coffee in the morning and I'm peeing within the hour! I'm currently going about 7-8 times a day and only occasionally once at night now. I suppose cutting that area is bound to upset some nerves which will take time to heal fully.
Hope things settle down for you soon.
jack_94331 nick21549
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Hey Nick,
Do you think your symptoms will resolve to normal; ie. before you had any problems?
I was quite a young man when I had this op done, 20. It didn't really resolve my issues and more recently I have developed a strong sensation of being on the verge of peeing all the time.
I am worried that the operation, for me, might have been a mistake and that I will always have this sensation of being in the verge. I haven't heard from anyone who's symptoms disappeared completely but that would help
Jack
nick21549 jack_94331
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I reckon things should settle down Jack. My uro recommended the op as he said they find it's successful for most men. We're all different of course, but I think my frequency issues are starting to ease a little now.
Here's a couple of posts from other forums which I saved about the BNI op:
'I've had this operation twice, once in 2007 and again in 2014. The first time I had a bad bout of prostatitis beforehand, which was kicked off because I ignored the warning signs for years. After the operation it took me 9 months to start feeling good again, and two years before the discomfort went away completely. The second time was also preceded by a bout of prostatitis, again because I ignored my gradually decreasing stream and increased straining. I felt good about 10 months afterwards, and am still improving to date. My case isn't typical - most cases resolve in three months - but I wouldn't hang about on this. Just make sure you are comfortable with the side effects, which your surgeon should have advised you about.'
and another...
'I don't think I would have got better if I hadn't had the BNI, because when the Uro did the op he told me that my bladder neck had become very overgrown. Obviously this process had been going on for a long time and had just reached a critical mass. All I know though is that for the first time in my life I voided like a racehorse, with no split stream or dribbling and felt empty straight away. I felt 50% better straight off and everything else calmed down over 8 or 9 months as the surgical wound healed and the prostatitis fizzled out as there was no longer any perpetuating cause. There were a lot of ups and downs along the way - some pretty bad days - but it settled down to a low grumble, where all felt was a slight tickle or raw feeling in the glans now and then and maybe voided every three hours (which was remarkable for me - I used to think 90 minutes to 2 hours was normal) and once at night sometimes. So I had 12 months of hell pre-op, 8 or 9 months of gradually improving symptoms with many ups and downs, maybe a year of feeling 85% and then 5 years of feeling 90-95%. All of which was freakin' awesome. I'd get a flare every year or so lasting a few days to two weeks, but usually about a week where I would feel like my urethra was swollen, I had suprapubic burning and I'd need to pee every hour to 90 minutes (but always felt empty afterwards). No biggie.'
I'm not sure if you can add external links on this site so I hope the authors of the above won't mind me posting these. It's always good to hear positive stories from others!
jack_94331
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nick21549 jack_94331
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Hi Jack. Yes, my symptoms have improved a lot during the past couple of months and it seems my BNI op was a good idea after all! No problems now for well over a month and the prostatitis has improved dramatically since the op. I guess my uro knew what he was talking about when he said most men find things improve significantly. I hope you manage to get some relief soon. We're all different and it is difficult knowing what to do for the best. Best of luck mate.
peter071084 jack_94331
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Thanks for your reviews on the BIN. I will be having one on Wednesday. After nearly life long voiding issues at the ripe age of 33.
Wish me luck. The surgeon is very confident that it should be a success.
Did you guy experience many issues in the first few days/weeks post surgery? Any issues with incontinence?
Thanks in advance
JoelP peter071084
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I am supposed to go in for a BNI and am kind of scared. How did yours go? Any problems afterwords, how lng was your pain and recovery. What about your flow? Thanks for taking the time. I am a bit scared and put this offer for years. I am 39 and my flow is about a 9.
peter071084 JoelP
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Hi Joel.
If I hadn't of had two uti's before the procedure things would have been alot better, the antibiotics have messed up my digestive system and I have C. Diff infection.... But apart from my tummy trouble, now I am currently two months post surgery and my last flow test was 27ml/s and a residual of 40ml. Let's say I can pee freely. I still have retrograde ejaculations although reduced volume and sensations, the Dr said it will take time to adjust. During the day I now focus on filling my bladder up and getting a good strong urge before I void.. Remember to keep drinking.
The surgery went well and the pain was moderate. Was given endone in hospital and valium at home. The first 6 weeks are the worst, you will still have all your old habits and be worried that something is going wrong. But try to relax and have faith in your doctor.
Good luck.
peter071084 JoelP
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Joel I wish I had of had mine done years ago. I was on tamsulosin for years and having uti forced the surgon to act. But I really do wish I had it done along time ago. But we can't turn back time.
Go get it done. You will not regret it.
JoelP peter071084
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Hi Peter,
I chatted with you a few years back when you first had your bladder neck incision. Hi
Would you share with me your outcome and if any complications now that some time has gone by? Did you get the results you were looking for? Would you do it again knowing what you know now. I followed you when you first posted this years ago and I have put the surgery off for almost 7 years now. I am 41 years old and had a qmax score of 6 without any meds and 12 with meds. My bladder is becoming damaged and am again considering the surgery. Please share with my your experience. I see some people have good flow after the surgery but then find out a few weeks later their slow flow comes back. Thank you for anything you can share as I would like to make a decision soon.
george72382 jack_94331
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Hi all,
I had BNI and Plasma button procedure 7 weeks ago. (73 yrs. old) This was 2nd procedure as I had a green light PVP about 7 years ago. Initially flow volume improved however for the last 8 days it seems I am back to square one with week stream, start & stop and feeling of not emptying bladder, much worse at knight. I went back to Uro doc. Ultrasound revealed 135 ml. of residual urine. which was about normal for me prior to having procedure. He stated that he thought this was due to weak bladder mussel and to give it more time to heal. Follow up scheduled in 30 days. I am concerned that scar tissue is already forming restricting flow. He may do another cystoscopy to see what is going on if things don't improve.
Have any of you gentlemen had similar situation after BNI . Any suggestions or advice is appreciated.
Thanks.
peter071084 george72382
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George.
Are you drinking enough? I had a lot of trouble because I wasn't drinking but i was always thinking I needed to pee. But in fact I didn't need to pee because I hadn't drunk enough water.
It takes a lot of time to to recover especially at your age. Take it easy try to relax and do some meditation
john93409 peter071084
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john93409 peter071084
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john93409 peter071084
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peter071084 john93409
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Hi John
I'd give it a while. If you don't start to see improvements in two weeks I'd ask your doctor. But it can take up to 8 weeks to heal.
Make sure you drink plenty of water and urine alkalizer
Tucsonjj george72382
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Just my opinion, but 135ml of residual doesn't seem like a lot... I doubt if any guy over 60 fully empties their bladder when urinating... maybe your discomfort is from having more residual than YOUR usual?
I am at 750ml+ residual, Green Light procedure scheduled for later this month.
hank1953 Tucsonjj
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Tucsonjj hank1953
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I will try cathing more and drinking less.
Tucsonjj george72382
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IF your Green Light worked well, have you considered a repeat? Seven years seems like a very good result...
george72382 Tucsonjj
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Best of luck with your condition and choice of procedures. It seems each Uro Dr. has their favorite method.
George.
Tucsonjj george72382
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Thanks for the feedback, George... all the different procedures... very confusing... did your Green Light procedure address the bladder neck when you had it done? I think I have a BN problem, and for a LONG time (since my mid-late 20's, I am 62 now)... Not sure if meaningful, but I feel a lot of resistance at the bladder neck when I cath... a fair amount at the prostate too, but nor nearly as much...
I'll do some homework on the plasma button (button TURP same thing?)... thanks again... I see my new UroDoc next week.
george72382 Tucsonjj
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Good luck with your new guy. Hope all works well for you.
Tucsonjj george72382
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Thanks, George, Odd, I would have thought that since your Doc was already "up there"... why not do a BN incision or two? Yes, unfortunately, my new UroDoc will probably want to do a Cysto... I've had several and even though cathing does not cause me much discomfort at all, Cystos DO... I know, man up. ;-)
I think my BN got worse over the years too, but I am a little bummed that I always used to be able to pee normally, but weakly... then it got very slow, pretty suddenly... now, once I began cathing, I can't really pee at all... is this normal? I hope my dang prostate didn't suddenly get a major growth spurt!
BTW: I hope he will ask for an MRI and that insurance will approve it... I think that is the best way to really see what's what... I have been having some very unusual abdominal distension too... same time I slowed way down in peeing... probably related... maybe not... sure like to get both fixed!
I am now cathing 3X/day... getting some good volumes, though still don't have a measuring vehicle... maybe a bit too much... hate to have to go to 4X/day! Thx again!
john93409 peter071084
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peter071084 john93409
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Time and plenty of water are the key.
Scar tissue may come back but I guess it depends on what was the cause in the first place. Once I hit the 8 weeks all pain and issues had resolved. I'm still getting used to using my bladder correctly but at least I'm emptying fully.
Best of luck with your recovery.
george72382 peter071084
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I had BNI procedure along with plasma button turp 10 weeks ago. Went home with catheter that was removed next day. First few weeks was passing some blood and small clots. Peeing flow rate improved and felt like I was emptying bladder pretty good. Only getting up twice per night. However things went downhill from there with some good days and bad days. bleeding has stopped. Now I am back to week stream , Getting up 4 or 5 times at night, No sleep. always feel like bladder is full.. I have been back to Uro Dr. 3 times, Bladder scans show residual urine ranging from 135 ml. to 200 ml. He thinks it is a week bladder muscle not pumping urine out. and that healing from procedure could take up to 6 months? I am frustrated to say the least. Starting to think procedure was not a success.
Maybe new scarring or a stricture is blocking flow. Have another Dr. visit tomorrow
Thanks for listening or should I say reading.
john93409 george72382
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Tucsonjj george72382
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Hi, George, another question, if you don't mind... I had a couple of failures in using the 16 caths... I finally realize, I am too tight in urethra and prostate areas to use the 16's... even had a little blood last try... even the 14's I use successfully seem a little tight... should I try a 12?I assume the smallest diameter cath is the best... IF it does not leak... and with my tight bladder neck... I doubt if it would. thanks for your help!
JoelP george72382
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Hi George,
I was following you a few years ago when you first had your BNI. I know you metioned some issues with voiding even after. Did they clear up and did your voiding get better? Would you share with me your outcome and if any complications? Did you get the results you were looking for? I have put the surgery off for almost 7 years now. I am 41 years old and had a qmax score of 6 without any meds and 12 with meds. My bladder is becoming damaged /thick and am again considering the surgery. Please share with my your experience. I see some people have good flow after the surgery but then find out a few weeks later their slow flow comes back. Thank you for anything you can share as I would like to make a decision soon.