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Defecating when urinating. Preemptive Aquablation?
I have BPH with my prostate being about 90 cc. I was wondering about 2 issues. The first is that it seems like when I go to pee, my colon wants to empty also….so I end up having to sit every time. Does the large prostate pushing on my colon/rectum cause this?
The other question is should I consider getting a surgical procedure like Aquablation preemptively? I have a slightly slower urination stream but don’t have to get up at night and I don’t think I am retaining urine. I just don’t want to all of a sudden have to go through the catherization route and then have to get aquablation.
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Addendum to above post….i am 71 years old.
Your enlarged prostate could certainly be affecting your bowels. A 90 gram prostate is quite large. Insurance companies insist on patients meeting certain criteria which by the time these symptoms are pronounced the bladder is often already damaged by becoming thickened from working harder than it should. Keep a voiding diary (date and time amount [get a calibrated container]) and work with a good sympathetic urologist. You might be surprised to learn how much urine you are retaining. I thought I was emptying my bladder but in fact still had 250 ml or more in my bladder after going.
@connect4321
So how does one know how much is retained without an ultrasound?
@plynhky
Determining pvr does require getting an ultrasound. After my primary care doc referred me to a urologist who does aquablation the urologist’s office did a screening that included a urine flow test that measured volume and flow rate followed by an ultrasound to test for pvr.
Based on that visit, the urologist scoped my prostate and also used a transurethral ultrasound to determine the size and shape of my prostate. Based on that scoping snd ultrasound he determined aquablation was appropriate.
Another simple thing to try to see if you might have a pvr is issue is to try double voiding. Wait 10 to 15 minutes and try going again. If you are able to go quite a bit, like a 100 ml or more, it might indicate an issue.