Wednesday, July 23, 2014
Friday, July 16, 2010 Sc, Community Member, asks

Q: Frequent urination after pvp laser surgery

I HAD GREENLIGHT LASER SURGERY NEARLY 9 WEEKS AGO AND MY RATE OF URINATION IS STILL HIGH ANY TIME I HAVE EVEN A SMALL AMOUNT OF WATER.  SOMETIMES I NEED TO URINATE 4 OR 5 TIMES WITHIN 45 MINUTES.  IM AVERAGING ABOUT TWICE AN HOUR DURING THE DAY.  DURING THE EVENING WHEN IM SLEEPING, AND NOT DRINKING WATER, I NEED ONLY GET UP ONCE, USUALLY.  BUT EVEN AT A REDUCED RATE OF DRINKING WATER - NO MORE THAN 3 GLASSES A DAY, I STILL URINATE THIS FREQUENTLY.   FREQUENCY WAS NOT MUCH OF A PROBLEM FOR ME BEFORE THE OPERATION.  ALONG WITH THE FREQUENCY HAS COME HESITATION; SOMETIMES I MUST WAIT 15-20 SECONDS BEFORE THE FLOW BEGINS.  MY FLOW IS GENERALLY GOOD, BUT WHATS CAUSING THE HIGH FREQUENCY?  MY DOCTOR SAYS ITS JUST PART OF THE HEALING, AND IT WILL IMPROVE MARKEDLY.  BUT IT HAS ALREADY BEEN NEARLY 9 WEEKS.  IS THIS NORMAL?  I DID HAVE SOME BLEEDING AND BLOOD CLOTS A WEEK AGO, SO I PRESUME SOME HEALING IS STILL GOING ON.  IS IT POSSIBLE THERES SOMETHING IRRITATING THE BLADDER?

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Answers (2)
Jay Motola, Health Pro
8/ 2/10 11:19pm

After laser surgery, many patients will experience similar symptoms, that an last many months.  If the symptoms are very bothersome, you could discuss this with your Urologist and perhaps use an anticholinergic drug.  These drugs should help diminish the frequency that you are experiencing.

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Hank, Community Member
11/18/11 7:26am

Had PVP 3 days ago. Frequency is still present as before but I am drinking far more fluids since PVP. In the last 12 months I had drastically reduced my fluid intake to cope with the "compressed" bladder capacity.

 

The bladder, post PVP, has to readjust, and recalibrate - it was compressed by the enlarged prostate and had to "pump" harder to expel urine. Now that the prostate has been lasered down in size, the bladder is still applying the same pressure against the now shrunken prostate. It will take time for the bladder to readjust, to this change. Until then, frequency will still be there but you should be able to drink much more, with the same frequency as before PVP.

 

 

Depending on how long one has had this BPH problem, i.e. for how long has one's bladder been compressed by enlarged prostate, different people get over the "frequency" problem post PVP, at different rates. I think if one has encountered "retention problem" before PVP, this could lengthen the time for "frequency" problem to subside.

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By Sc, Community Member— Last Modified: 07/23/13, First Published: 07/16/10