TURP and urinary incontinence

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Hi! I am 76 and I had my TURP 6 months ago. The first few weeks were ok, but later I began developing urinary incontinence, at first only at night, but now it is all the time and I also feel pain in my groin.

Vasicare did nothing to me. I am oblidged to change pads several times at night. I don't understand this situation. The urge to urinate appears immediately when I lie down. If I walk, it is much better.

I sleep maximum one hour at time. When I go to bed, first I have at leats one hour of urges each 15 minutes. 

Also, I have developed pain in my groin and the feeling that all this region is tight and my bladder full of urine.

My stream, when urinating, is weak.

Does anybody here experiences the same? Do you have any explanation??? Thanks!

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  • Posted

    Here in the US, Costco is my friend, as they ship me cases of Depend pull-up and heavy pads.  I've used 5-8 of them per 24 hours, and they are generally saturated.  I sleep on my back, and am able to get through the night getting up only 3 or 4 times.  This all started with a botched (I have to assume) GreenLight laser procedure in March, followed by Gyrus TURP in May.  My bladder drains to the point of being empty when I'm up and about.  Currently, I'm using condom catheters with leg bags to let my scrotum and crotch be dry for awhile.

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    • Posted

      I'm sure that something went wrong with my procedures. The GreenLight laser was the start of my incontinence, and the Gyrus TURP that followed to clean up after the GreenLight didn't help.

      Fortunately, I am scheduled to have an artificial sphincter implanted two weeks from today.  That will be done in a nearby city by another doctor who does about 150 of these procedures every year.  The device is called the AMS 800 if you would like to look it up.

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  • Posted

    Hate that this is happening to you.  Regretfully, I have no other words of wisdon than to see your doctors.  

    The procedure I am having is different than TURP, so I can't offer any advice. I wish you well and hope your problems improve over time.  Be well.

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  • Posted

    Perhaps you could move forward with a different procedures?    Say perhaps a PAE or maybe even a urolift??   Even tho you had the TURP perhaps something went wrong or maybe just a little more of a different approach.  I hear of men getting the urolift twice in the same year!    What ever it takes to get that prostate to give clearance to your bladder!   However NO MORE TISSUE REMOVAL OF THE PROSTATE! You 

    Be strong!   Hang tough!

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  • Posted

    I am 73 and 12 months now since TURP and still incontinent day and night, but I have found I now hardly drink anything after 8 pm and can get through many nights with no problem. Am allowed one sleeping tablet every other night so get one good nights rest and can sleep through, the other night little sleep and although I sometimes want to go, can't pass water when I go to the loo. I have continued urine infections for 2.25 years since Sepsis and still have E/D and prostatitis ongoing. Now struggling to walk as pain from groin area has moved down and now have Osteoarthritis in one knee.   Get your doc to check if you have any urine infections by culture as dipstick test is not sensitive enough.

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    • Posted

      Well, we are in a similar positions...Have things evolved in any way for you during those 12 months? I, if anything, am getting worse. No cure for this pain? Do you have frequent urges during the day?
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    • Posted

      Waiting to see another Specialist as no further forward, with me I know until the NHS sort out my urine infections I am getting nowhere. I have said on here before I wish Cancer was my major problem as they know some of the answers how to deal with that, and with me whilst it is there it does not present a major problem.  Am getting better in the day but keep doing Pelvic Floor Exercises which help with main control but do nothing for endless dribbles, but I do hold back a little on liquid consumption.  We will win have no fear.
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    • Posted

      That is correct and they threaten you with everything, but I still drink a reasonable amount and try and find a happy medium which I am at just now, and only have an emergency about once every two weeks, but dribbles seem uncontrolable. I now only use smallest pad at night, but in daytime still frightened to risk it yet.  Try and get a specialist Physio who deals with incontinence as  they really help and can check your Pelvic muscles plus how much urine you retain or not.
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    • Posted

      I spent nearly 3 months doing all of the exercises witht two different  physical theraphy incontinence specialists.  I even spent two months doing electrical stimulation delivered via an anal probe, and zero improvement.  I then went to see a urologist who is a professor at a university hospital.  He concluded what I had long suspected, that the GreenLaser procedure had damaged my extermal sphincter, and that I was never going to have bladder control again.  You speak of dribbles.  My incontinence at 8+ months after GL (and 6+ after Gyrus TURP cleanup) is such that I can go through as many as 8 Depends pullups in a day, and they can have 8 oz or more of urine at each changing.   Often, I also put a heavy duty pad inside the depend, and that allows me to go an hour or two before changing.  As I sleep on my back, I will accumulate enough urine to be awakened 2 or 3 times per night.  I sometimes will have 300 ml in the bladder when I rush to the toilet, but the pullup is also wet, so I do middle of the night washups and changes.)

      Help is around the corner though.  My new doctor is implanting an artifical sphincter in less than two weeks, so by mid January, I hope to be dry, or at least, mostly dry.

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