Looking for options urinary retention after EBRT and brachytherapy

Posted by findingdirection @findingdirection, 2 days ago

My husband had 28 sessions of EBRT and brachytherapy following in January and is still dealing with urinary retention. He had a catheter on and off for 6 weeks. Afterwards had very low and frequent stream but off catheter. Doctor recommended Optilum for a small stricture close to the sphincter. Ended up worse off after procedure. Urodynamics study showed max voiding pressure 105 and post residual volume 142 ml. He had a super pubic catheter inserted due to extreme pain from all the catheters, procedures etc. Doctor thought he should try Rezum but was somewhat unsure it would help. We sought a second opinion, second opinion doctor said don’t do Rezum or turp, you will end up incontinent. Looking at the urodynamic report he advised trying physical therapy with biofeedback therapy to relax pelvic floor muscles. He was hopeful this would help and surgery might not be needed. This would be the first step and would try for 6 weeks. If physical therapy doesn’t work he thinks the next best step in his situation would be a Urolift procedure. We are still trying to get into a physical therapist who is certified and uses biofeedback. In the meantime we have heard from several people not to do a Urolift procedure. Has anyone had a similar situation or have any experience with Rezum or Urolift or maybe an alternative. Procedures he has tried have just left him worse off then before. We seem to get differing ideas at every turn and to top it off he is dealing with UTI’s and doctors telling him not to take antibiotics unless he gets a high temp, chills or severe pain. We did have a referral sent to a specialist but have not heard back yet. Getting into any doctor is like pulling teeth. Any ideas or experiences would be very much appreciated.
Thank you

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While you might have incontinence after having a Turp, it could be worth doing it To get this problem resolved.

The thing is, an AUS Can resolve the incontinence problems. I had one put in June 4 and in July it was activated and I am now 100% continent. That’s after using pads for six years. The devices work and they give you back The ability to go anywhere and do anything without having to worry.

Having a treatment that resolves having to use a catheter at all the time Can give you relief for this major issue.

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Profile picture for Jeff Marchi @jeffmarc

While you might have incontinence after having a Turp, it could be worth doing it To get this problem resolved.

The thing is, an AUS Can resolve the incontinence problems. I had one put in June 4 and in July it was activated and I am now 100% continent. That’s after using pads for six years. The devices work and they give you back The ability to go anywhere and do anything without having to worry.

Having a treatment that resolves having to use a catheter at all the time Can give you relief for this major issue.

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@jeffmarc
Appreciate your reply and sharing your experience, we will look into AUS. He definitely has to find something to resolve the catheter use.

Thank you.

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Can a male sling be an option after EBRT?

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Profile picture for diverjer @diverjer

Can a male sling be an option after EBRT?

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@diverjer
This was discussed by the urologist at the Mayo Clinic when he was talking about incontinence problems.

He specifically said the sling and ProACT Do not work well after a prostatectomy. The only real answer is the AUS.

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Profile picture for diverjer @diverjer

Can a male sling be an option after EBRT?

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@diverjer
Boy, I realized I put in the wrong word when I was talking about using the sling. I said that it was after A prostatectomy and that is wrong. The sling will work after a prostatectomy. It is after radiation that it does not work..

This was discussed by the urologist at the Mayo Clinic when he was talking about incontinence problems.

He specifically said the sling and ProACT Do not work well after radiation . The only real answer is the AUS.

Both devices do work after a prostatectomy.

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