Severe urine bladder retention after I had a prostate biopsy.

Posted by christophers @christophers, 4 days ago

I had a prostate cancer scare almost 4 years ago and I had a prostate biopsy done. Overnight after the biopsy, I could never empty my bladder again. My urine retention is absolutely awful. I can squeeze and strain, but only a little comes out. I have tried Kegel exercises, Flomax pills and nothing works. I have to self catharize daily, it's an absolute nightmare. I can retain nearly 2 liters before feeling like I have to empty my bladder.

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Sorry for your trouble but I'm right there with you. The only difference is I had severe urine retention prior to biopsy. Ended up in the hospital in renal failure. That's how they found PCa. I used to be able to squeeze some out but that ended after RT. I just cath every 4-5 hours and forget about it. It's just part of life now. Could be a lot worse. On the bright side, I don't have to look for a bathroom if out and about. I just cath before I leave the house. What does your urologist say about the cause of the retention?

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What does your urologist have to say? Is this something where a Turp could be done to resolve the problem? It might make sense to find a urologist that specializes in incontinence issues. If you can’t get help from the urologist you are working with it might just be they are not specialized in that area.

You could ask your PCP for a reference to somebody that specializes in that area.
.

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Hello,
What is a TURP? My urologist has no clue what to do with this problem. I tried the interstem device which did no good. She says I have an overstretched bladder which does not have the power to maintain it's elasticity there fore I have to cath daily several times. This problem however happened overnight after my prostate biopsy and that doctor is saying there is nothing he did wrong. It's horrible.

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Hey christophers, So sorry for your situation! I have heard of this but not in relation to biopsy.
A friend suffered with urinary retention for years and went to many different Uros - none who could help.
Finally, a young female urologist said his problem was that his bladder was so stretched out after years of retention, that it had lost its ability to signal/sense when the bladder was full.
She performed a bladder reduction surgery and almost instantly he was able to urinate like a normal person. I’m sure there is a technical -ectomy or -otomy for this but I don’t know it!
He too was forced to catheterize many times daily and he told me that he was seriously contemplating doing himself in if no one could help him. Thankfully, this surgeon had the guts and skill to basically save his life…
Hope you can find someone who can do this for you…Best,
Phil

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Profile picture for mjp0512 @mjp0512

Sorry for your trouble but I'm right there with you. The only difference is I had severe urine retention prior to biopsy. Ended up in the hospital in renal failure. That's how they found PCa. I used to be able to squeeze some out but that ended after RT. I just cath every 4-5 hours and forget about it. It's just part of life now. Could be a lot worse. On the bright side, I don't have to look for a bathroom if out and about. I just cath before I leave the house. What does your urologist say about the cause of the retention?

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@mjp0512 Hello,
My urologist has no clue what to do with this problem. I tried the interstem device which did no good. She says I have an overstretched bladder which does not have the power to maintain it's elasticity there fore I have to cath daily several times. This problem however happened overnight after my prostate biopsy and that doctor is saying there is nothing he did wrong. It's horrible.

REPLY
Profile picture for christophers @christophers

Hello,
What is a TURP? My urologist has no clue what to do with this problem. I tried the interstem device which did no good. She says I have an overstretched bladder which does not have the power to maintain it's elasticity there fore I have to cath daily several times. This problem however happened overnight after my prostate biopsy and that doctor is saying there is nothing he did wrong. It's horrible.

Jump to this post

@christophers
Did you try searching the web for it?

TURP, or transurethral resection of the prostate, is a surgical procedure to treat an enlarged prostate gland (benign prostatic hyperplasia or BPH) by removing the inner part of the prostate that is blocking urine flow. It is performed through the urethra without any external incisions. This is one of the most common prostate surgeries, used to relieve symptoms like a weak stream, frequent urination, and difficulty emptying the bladder.

It really does sound to me like you need to find a different urologist. Look for one that specializes in incontinence and bladder problems. There are quite a few of them out there.

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Thank you. I would love to fix this.

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Profile picture for heavyphil @heavyphil

Hey christophers, So sorry for your situation! I have heard of this but not in relation to biopsy.
A friend suffered with urinary retention for years and went to many different Uros - none who could help.
Finally, a young female urologist said his problem was that his bladder was so stretched out after years of retention, that it had lost its ability to signal/sense when the bladder was full.
She performed a bladder reduction surgery and almost instantly he was able to urinate like a normal person. I’m sure there is a technical -ectomy or -otomy for this but I don’t know it!
He too was forced to catheterize many times daily and he told me that he was seriously contemplating doing himself in if no one could help him. Thankfully, this surgeon had the guts and skill to basically save his life…
Hope you can find someone who can do this for you…Best,
Phil

Jump to this post

@heavyphil Thank you! Is there any way you can find out who this person/doctor is? I would love to talk with them.

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