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Difficulty urinating: What helps with urination reluctance?

Posted by thankshal @thankshal, Feb 17 9:59pm

Age 65. PSA rose steadily over several years. Biopsy revealed grade GG2. I opted for LAPR, which took place 2 weeks ago. Pathology upgraded to GG3, negative margins, no metastases found. Catheter was removed after 7 days after surgery, then reinserted the following morning after experiencing pain due to urine retention. Removed again 2 days later. It's been 5 days since, and I am voiding urine consistently, but the rate is quite slow/weak, say roughly 20-25% of my flow rate prior to prostate enlargement and removal.
There is much discussion about incontinence in this group, but I don't see much about men with the problem of urination reluctance. Anybody else experience similar flow issues after RP? Did it resolve with further intervention? How long did it take? Thanks.

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thankshal | @thankshal | Feb 22 1:31pm
In reply to @beachflyer "I assume you are continent based on your comments. I spoke to my surgeon about it..." + (show)
Profile picture for beachflyer @beachflyer

I assume you are continent based on your comments. I spoke to my surgeon about it and he had me drinking a lot of water to keep things working down there post surgery. The reconstruction of the bladder neck after prostate removal is really significant. Seems like there is a balance (surgically speaking) that the surgeon must strike when stitching things up so that there is no leakage. I attributed my restricted flow to surgical technique and swelling.

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@beachflyer Yes, my surgeon seems to have done the 'no leakage' part right. I still have tenderness and noticeable swelling, so it remains to be seen if he succeeds at striking the balance. I am drinking lots of water - more than ever before. Thanks for your insight.

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