Tumt for BPH . How successful if you have undergone this?
Posted , 10 users are following.
I had this done 7 weeks ago and it made pee situation worse. I now need to void after 15 minutes but hold it for at least an hour. My urologist does not do surgery for BPH. only Tumt. I guess there is still small hope for improvement in the month ahead
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mark357 bob13864
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bob120 mark357
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mark357 bob120
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Thx for your feedback, But as for as I know is that I am still waiting for some test . But at the moment after I have been to the bathroom, it's as if I can feel my bladder filling up as I can start to feel the urge about 10 minutes later.
All this came about while I was in hospital. My intake was an average 1.7ltrs and my output an average 2.45ltrs. Every time I requested a bottle, I had to have two as I would fill one and a three quarters bottles a time and at night I had to have four bottles.
So you see I was holding that much and having to go regularly for as soon as I relieved myself, before I knew it I had to go again. I can't even go out unless I knew the location of the public toilets are in advance.
bob120 mark357
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I have had occasions when I have gone every 10 minutes for several hours. The most I've ever gone overnight was 2-3/4 liters. Over time that seemed to quiet down. I was very anxious at the time as once I went every 10 to 15 minutes from 3AM to 8AM. I wonder if anxiety may have influenced it, but I don't really know what causes it. I've also had occasions when anxiety has definitely caused it. About 8 or 9 years years ago I was nervous about doing my taxes and went 5 times in the 40 minutes it took to go over my taxes with my accountant. We would talk for 10 minutes and then I'd have to get up again. I had my TUMT in 2011 and my GL in 2012. For at least 5 or 6 years before my TUMT I was voiding every 40 minutes all day long. I knew where every bathroom in town was.
mark357 bob120
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You could be right about anxiety, as I am in remission with bladder cancer and a little concerned as to whether it may have affected the prostate. The way the hospital put it, the cancer had gone into the connective tissue and that is subconsciously at the back of my mind, as this is the second time that I have had cancer. The first being mouth cancer.
derek76 bob120
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I used to go to a barber with prostate trouble and he would go every ten minutes. I presume that was why he was found hanged in his shop one morning.
bob120 derek76
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In New York City where I worked, there are no toilets on the Subways or busses. I used to go past the edge of the platform or behind garbage dumptsters regularly. I had an hour and 45 minute commute and would go 2 or 3 times on the way home. Later on, when I drove, I pulled off the road to pee in a cup once or twice on a one hour commute, and empty it on the shoulder of the road.
Hanging oneself is pretty drastic though. The last time I was in hospital for the bladder neck resection, the man next to me was in his 80's and had worn a foley cath for several years. He had just had a Greenlight laser and couldn't pee. He was saying he wished he'd just kept the foley. A less intrusive solution for the barber would have been an external condom type catheter and leg bag. Deep sea divers wear them under their wetsuit as do other workers like transmission line repair men who can't stop what they are doing to get to a bathroom for long shifts.
I bought one but never used it as it only works well while standing. But it would have solved your barber's problems.
derek76 bob120
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We could never find a toilet in San Diego. When I said that to someone he said that the city has over 300 parks and every park has one.
Many American toilets are quite disgusting even in Train and Bus Stations
America does have one source of toilets that we did not used to have here in Public Libraries. Now quite a few have them.
I have peed in public places in America, behind a dumpster in a Miami car park and on a grass verge by a bus stop in Tampa.
bob120 bob13864
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Dudley71081 bob13864
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If you Google : ' what is a TUMT procedure ' you will find the Mayo Clinic site on this subject which is both 101% informative and, in easily understood language. From this you will see that your condition, whilst currently distressing, is by no means unexpected or unusual at this stage post-op.
Regrettably as it is subject to so many variables, the eventual outcome with anything to do with the Prostate cannot be predicted. But try to remain positively minded and optimistic.
Obviously though you need to know now, what it is best to do to help yourself. In that regard your Urolgist should be both advising you and helping to dispel any anxiety you may feel.
If for whatever reason you cannot get an early appointment then in the meantime you could try having a warm bath daily, hydrating fully, MOST IMPORTANTLY : PELVIC FLOOR EXERCISES and walking ( in tight circuit loops that incorporate easy access to a toilet ). Wearing unobtrusive Tena pads may also give you confidence and help to reduce anxiety.
Additionally, from my own experience anything you can do to either maintain or gain overall physical fitness will definitely help you get on top of it both physically and psychologically.
Good luck Bob
Regards
Dudley
sdporter999 bob13864
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I actually had a TURP last November, and as far as I know the potential side-effects are pretty much the same for both procedures - TURP and TUMT ... urinary frequency, bladder spasms etc. You don't really appreciate what urinary frequency means until you have a prostate procedure. It can be very disconcerting having to run off to the toilet every 30 minutes ... and sometimes within 10 minutes - and almost always having that constant urge to go. My systems got worse after about 4 weeks and were very disruptive up until about the 10 week mark when they started to improve. It can be quite depressing trying to find even a little improvement each day and it doesn't seem to come. But try not to worry, improvement will come and you will be glad you had the procedure. After about 10 weeks my urgency and frequency systems were about 90% improved. I'ts now 8 months and today I went for 7 hours without visiting the loo. I now sleep right through the night without having to get up. Try to stay positive ... improvement won't be far away.
All the best.
bob13864
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peter06554 bob13864
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maybe be time to look at options
best of luck
derek76 peter06554
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I asked the urology nurse who removed my catheter about this and she said that most of the blood comes from the urethra as it takes quite a beating from the instruments used and ends up like a blood filled sponge.
dave72557 peter06554
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I have a few questions, how long after your Laser treatment did this happen, is it working well now? and did you get any more clots after that ?
Thanks
bob120 dave72557
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derek76 bob120
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It must have been a scary experience
dave72557 bob120
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derek76 dave72557
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bob120 dave72557
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I had been cathing about once a month to keep scar tissue from forming. Two days after the cath I had some burgundy colored urine but it happened once and didn't repeat. I had a urologist appointment on Friday and didn't give it much thought. On Thursday night I started hemmoraging. I went to the hospital and they put in a foley cath and it seemed the heavy bleeding had stopped. In the early hours of Friday, the foley stopped up. I removed it and it was filled with clots. I got in the shower and told my wife to call an ambulance. I removed it, cleared the foley and reinserted it about 10 times. By this time I had discarded the tubing and bag. At the hospital they put me on a three way cath to flush me out with saline. By Sunday night I passed out and my Hemoglobin had gone from 15 to 6, so the flushing out with the three way cath was disguising the fact I was bleeding out. They started giving me whole blood and scheduled me for emergency surgery Monday morning. My urologist cauterized three bleeders on my prostate and bladder neck, cleaned out all the clots which had filled my bladder, crushed and removed bladder stones, and did a resection of my bladder neck. I had gotten 6 pints of whole blood before the surgery and then two more afterward. My urologist said the hematuria could have been caused when a vein was weakened during the GL, and possibly gave out when I cathed. But I researched hematurias online and in about 25% of the cases a cause cannot be found. They see them a lot in hospitals due to men being on blood thinners, but I never was. This all happened last Dec., and I have been OK since. When I came home from the hospital I had a foley in for a few days and they gave me a large plastic syringe the size of a turkey baster, which they had used to clear clots from the foley in the hospital, and which I continued to use for a few days. After about three days I removed the foley and have not seen any blood since. But I also stopped cathing.
bob120 derek76
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See the details of the incident and possible cause on my response to Dave below. I have always been able to keep my head in an emergency. Can't say it scared me, but it scared the bejesus out of my wife. When she came home and had to clean up the shower stall and bathroom where I had been clearing and reinserting the foley cath, she said it looked like a murder scene.
dave72557 bob120
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You have had your share of trouble but now hopefully your in the clear.
As for me, I just got off the phone to the hospital where I had the TURP done, they said the very bloody substance I passed a few days ago was debris left over from the operation that was being stored in my bladder and good that's it out. This leads me to another question, have you at any time pushed a lot of fluid through your system since your operation?
I had about twenty 15oz glasses of mid strength beer at a function the night before I blasted out those clots. I'm trying to work out wether in the end that is a good thing or not! The doc did say it was ok to have a few beers and very important to keep irrigating.
As this is only day 20 for me, I'm not counting my chickens just yet.
bob120 dave72557
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I can't remember ever having drank 10 liters of any liquid in a day. After my surgery I kept track of my output for a couple of weeks, and the most urine I ever passed in 24 hours was a bit over 4 liters. Normally I drink and pass between 2 and 3 liters of liquid a day.
It sounds to me like your incident was a good thing. It also sounds like you are doing very well to be able to store a large enough quantity to generate a very forceful stream. SO all in all I would say it was a good thing.
On another forum I read of one person who was blocked up and had one last try before going off to the ER and said he shot out a piece of tissue the size of the tip of his thumb. During the turp the debris gets washed into the bladder, and I guess some of the larger pieces don't readily come out right away.
My GL laser used the XPS 180 watt, which vaporizes everything. But I did get quite a few stringy object come out the first couple of months after the GL anyway, so I guess they were some sort of clots mixed with debris that had been gfloating in my bladder.
All in all, it sounds like you are doing very well.
Bob
dave72557 bob120
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What use to take several minutes now takes several seconds, I just hope it stays that way.
Actually today is the best I've felt since the surgery, maybe it has something to do with my body expelling all that gunk a few days ago...It cant be a good thing with dead debris still in our bladders for extended amounts of time....and how would you know it was there unless we asked to find out? I think we are not told the whole story and probably with good reason, but when those clots shot out in very dark coloured urine without warning, my mind certainly did start racing.
I hope you stay well.
Dave
mark357 dave72557
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I have been told that I have an enlarged prostate and been told that I will have to go through some tests to determine the severity. I am also taking Vesicare.
My query is. What are these abbreviated letters (tests) that you are referring to and have I got them to look forward to?
dave72557 mark357
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I was however I have refered to the actual surgery that is GL - green light and Transurethral resection of the prostate (TURP) is the surgical removal of all or part of the prostate gland.
Does that answer your question?
mark357 dave72557
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In the past I have had a bladder resection as part of the treatment in relation to bladder cancer which I think the enlarged prostate stems from.
But I think that I am right regarding the Vesicare medication, in that it doesn't help regarding the prostate.
derek76 bob120
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bob120 derek76
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derek76 bob120
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Can pieces that break off get through the bladders two sphincters ?
Although in retro ejaculation:
" In retrograde ejaculation, the muscle that shuts the bladder does not function normally. This allows all or part of the semen to travel backward (retrograde) into the bladder at the time of ejaculation. When this happens, less semen comes out the tip of the penis."
bob120 derek76
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I have no idea. There's very little actual info about the GL posted on the internet. All the medical sources seem to quote the same text and simplified theory of how it should work. I didn't have retro (to my knowledge), but how would I know if I had 10% retro or 25%? Maybe the debris is in the prostatic urethra and breaks off as you urinate. If so, the story about debris in the bladder might not be the whole story. Maybe the big and small debris is in the ragged remains of what was turped, and just breaks off as the urine hits it. Again, good luck in finding an explanation posted. Seems like all the official medical sites stick close to the cookbook party line, and anyone else is just guessing.