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Bladder pain after prostatectomy

I had a robotic radical prostatectomy in Nov. 2008. The only problem I have now is when my bladder is full and I need to urinate and have been holding it for a little while like at night or no restroom close, I have a bad pain in the penile/urethral/bladder conduit. It is so bad that I have trouble walking to the bathroom because of the pain. I have a strong stream always, but this pain with a full bladder can come on quite suddenly if I have been waiting to void. Can anyone tell me what is going on with this pain? It is significant when if occurs. I still have minor stress incontinence. My urologist doesn't seem to want to comment much on this and says he has not heard much of this complaint.

Re: Bladder pain after prostatectomy

Sorry to hear of your problems, Wayne but I can't say I recall ever hearing of a similar problem.

I think your solution to the problem will start with moving away from your current urologist and finding one that has your best interests at heart.

Re: Bladder pain after prostatectomy

I would say that I have a mild form of the same thing. I definitely feel more pain now rather than pressure like before. I think your extreme pain may be coming from bladder spasms. I would try some of the old medication (oxybutynin) that they gave me when I went home after my operation just for that problem.

Of course you should go to your doctor to get the OK before you use any drug again that he has already prescribed for you ;-).

Re: Bladder pain after prostatectomy

Wayne, I have had that pain under the same circumstances. You can feel it build as the urine makes it's way along the urethra, then it peaks just as it starts to come out. I just stop, take a deep breath to calm down and try again. I avoid this by not letting my bladder get too full. If you are not waking naturally during the night to go, try setting the alarm. Perhaps if you empty before you get too full the pain will not occur.

Re: Bladder pain after prostatectomy

I had this problem at night, and was also. My oncologists also prescribed a muscle relaxer for my bladder, within a week I had no problems at night. When I wake I have slight discomfort. I have and do experience the pain you are talking about during the day if I have a couple of beers and can't get the bathroom as soon as I feel the urge, in one instance I did encounter the pain when walking, all was better once I went to the bathroom. My doctor stated it could be around for 6-8 months post surgery.

I also have slight incontinence, down from 4-5 pads a day to 1, my surgery was Decmber 2009. It is especially bad when playing the pipes and drinking beer, so today I have packed a few extra pads.

Happy St. Patrick's Day.

Bobby

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