Persistent urgency even after urinating, 3 months after prostatectomy
My prostatectomy was 3 months ago. My incontinence has been complicated by an unrelenting urgency to pee. Oddly, it's most acute right after emptying my bladder. Throughout the day I can't help feeling the need to rush to the toilet, so I think about it all the time. I fall asleep only with a sleep medication. It seems to be getting worse. It's debilitating. I never had this problem prior to surgery. I've been told this kind of urgency is not normal. My urologist performed a cystoscopy but found no physical cause and had no explanation. He recommended I double my dosage of Mirabegron for an overactive bladder. I'll do that, but frankly I've noticed little, if any, relief from this med. He also suggested seeing a pelvic floor therapist (I've already been doing kegels) and considering botox injections for the bladder. Has anyone else had a similar experience? Did you find a way to get some relief? Should I seek a second opinion from another urologist?
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@navyvet15
I’ve had both knees replaced and one hip. I walk a mile twice a day as fast as I can, plus other walking. My knees have nothing to do with it. I was actually running a mile twice a day up till about three weeks ago. One of my orthopedist told me I’m going to need to replace my hip much sooner if I keep running..
When I had my second knee done, it took almost a year and three months before it was finally healed. At that point for the first time in at least a decade, I was able to run without falling on my face. I just never considered Any of activities keeping my knee Secure. How is it? You feel that it makes any difference in your knee?
I do the walking into offset the effects of ADT and for cardio Health.
Hello BCER
I was in the same boat at 3 months post RALP with bladder urgency. No incontinence , but feeling the need to pee even after peeing and getting up countless times a night. Urologist ran some tests and ultrasound and said nothing wrong. She said my bladder had been through a lot and to give it time and avoid caffeine, alcohol, and spicy foods. Also drink a lot of water. I did that and things started slowly improving. Sometimes I almost feel normal in the day, but I still get a bit of urgency when I go to bed, but things come down soon although I still get up 4 times a night, but day time seems OK.
It has been 18 months now and things are improving.
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1 Reaction@jeffmarc I have always just walked. When using a tredmill I will go at a pace of 4 mph for 60 to 90 minutes. I'm afraid the pounding on my knees would cause problems if I ran. I exercise this way not only for my knees but my GAD and type 2 diabetes.
@navyvet15
That’s more than enough walking. I set my treadmill at 3.1 Because I’ve got replaced knees and hips, and they are gonna need replacement sooner or according to my orthopedist if I run.
I walk 2 miles a day 1 mile at a time in the morning and afternoon. I would imagine if I had fatigue problems from the drugs I would walk even more
@navyvet15
I’m a little puzzled about your 4 mph. If I set my treadmill to four, I have to run to keep up with it I can’t walk. You really are able to walk with that highest speed or am I confusing me 3.2 or 3.1 with miles per hour/
For the last 3.5 years I have averaged 5.75 miles a day a day. I started with walking on the sidewalks to treadmill. Medicare pays for my gym membership because I have to pick my times on the sidewalks due to the danger of kids using the walkways for speed tracks on their E- bikes. The walking began for my GAD, but I know that it is keeping my 14 year old knees strong. Then came the cancer, which keeps me walking for the GAD. The runners at the gym set their treadmills to 6.5. The highest I have walked at is 5mph. That's when I worry about my 70 year old hips.