Lazy bladder after RRP

Met someone at my support group who recently had a RRP. A few days after the catheter was removed he just could not pee, so the catheter went back in then out then in again and finally out. The result of this catheterising meant that he as lost all pressure when voiding the bladder.

Voiding in the "standing position" is normal for most males; however, this is no longer possible as there is no pressure and it trickles down his leg. His new normal is the "seated position" and it takes quiet a while as its a trickle feed. This had been going on for 3 months since the operation.

I hope to see him at our next get together before we have any our Christmas break. His PSA < .01. Any suggestions!

Another possible reason for the "trickling" could be that he has strictures (scarring) from the surgery. That would be even more likely if he has had RT, but he probably hasn't had that yet.

Does he have a full flow first thing in the morning? The bladder becomes more or less dormant at night so it fills up. With 400 to 500 mls, he should have a full flow.

As Peter says, incontinence also results in bladder degeneration. I am at the point where I have a strong urge to pee when there is only 150 to 200 mls present. A normal bladder wont get the need to void until there is 400 to 500 Mls.

It is possible to train your bladder, but it takes a lot of effort and discomfort. You just have to keep hanging on until the last possible moment, but that doesn't really work if you are incontinent.

The only way to fully know the cause of a weak flow is by cystoscopy or a Urodynamic study. The cystoscopy is predominently to show strictures, but the full study can also identify weak sphincters, weak bladder etc

Chas

It's not normal to not pee like a racehorse after RP. His urologist should check this out for stricture.
Bob