Re: Not Recovering from TURP


ok,pete here is what you have to do.
you probably need cipro,500 mg 2 times aday for 1 day,cut back to 250
mg for
2 times a day for 3 or 4 days then stop it.
take 1 150 mg zantac 2 times aday with lots of water.
take gas-x the strongest they make with every meal..and at bed time
take lactaid digestive enzymes with every meal and at bed time.
do not drink any carbonated sodas or alcohol
do not eat any gas forming foods.
take your oxycodone early in the morning.it isn't worth *** at night.
call me tomorrow morning.
> Hi everyone,
>
> I am 57 years old, and at the end of my rope, and don't know what to
do. I
> just had a TURP 16 days ago to hopefully increase my urine flow and
help the
> constant urge to pee all the time, but I could not go (my retention
was not
> that bad though), and now I am worse than ever. Along with a little
bit of
> BPH, and a stricture from previous surgery, I also had non-bacterial
chronic
> prostatitis pain and discomfort, and have been on antibiotics for
months on
> and off (bactrim/levaquin/bactrim - for prophylactic effect, or in
case
> there may be some infection). I also took Doxycycline for 10 days
following
> the TURP. I went back on the bactrim since I can't stand the
discomfort and
> can't risk an infection with my serious T4 cell deficiency (non-
HIV). Pain
> pills do very little except constipate me and the same applies to
> amitriptilyne. I was taking 10 mg of oxycodone at bedtime (i.e. just
once a
> day), and had to stop because of the blockage (it also makes it more
> difficult to urinate). I am very familiar with prescription drugs.
>
> I kind of have two uro's (the surgeon who did my TURP and the PA in
the
> practice, who I see for other visits, including massages - its kind
of a
> screwed up deal). I have written about this in the prostatitis
newsgroup
> previously (before the TURP), so I don't want to go into details
again.
>
> I have been in constant pain and discomfort since the surgery with
the
> constant feeling I have to pee, but I don't. The surgeon said he was
going
> to remove some scar tissue from my previous bladder neck surgery in
1995
> (another town), but he ended up doing a TURP, which he told me when I
woke
> up. The catheter pain and discomfort (3 days) was unbelievable with a
super
> strong feeling like you have to pee (non stop). I told him I couldn't
stand
> it and I wanted it out and he said no way, I had to suffer, and I
did.
>
> I had the catheter removed 3 days later and felt some relief (the day
it
> came out only) and was trying to be positive. But each day after
that, I got
> worse it seems, and I am worse off than ever. I can pee in the mid
day (I
> get up late) after drinking some stuff (water, juice, milk, and one
coffee
> only), but later in the day I can hardly pee at all and I have this
> tremendous urge even right after I go. I keep a microwave heating pad
on my
> belly/groin throughout the day and go to bed with an electric heating
pad,
> but I don't sleep. The only thing that helps is soaking in hot water
and
> then its right back to the way I was when I get out of the tub. I
believe
> some of the pain and discomfort is from the surgery and some from the

> prostatitis which I already had and still have. I believe the surgery
just
> compounded it, and I must be all raw and inflamed down there. I also
have
> pain and pressure in my rectum.
>
> I went back to the surgeon about 10 days after the surgery and told
him all
> this and he said it would take some time to heal and I just have to
wait. I
> specifically asked him if the surgery could be causing the terrible
urge to
> go all the time, and he said yes. Plus I have non stop pain along
with the
> urge feeling. The urge feeling and the burning/gnawing and pressure
feeling
> is hard to live with. You have to experience it.
>
> The doc told me to come back in 3 months (no way). I will make an
> appointment with the PA soon, although I don't know what he can do
except
> put the dipstick in my urine and check it under the microscope. He
> previously told me my massage secretions and urine had no evidence of

> bacteria, but never did any cultures.
>
> I am worried I am not going to get better and that I may not be
healing
> properly (and that there may be a chunk of cut tissue caught in my
urethra -
> is that unlikely), and I will lose my ability to urinate. I know it
takes a
> long time for surgery to heal (two months or more), but I don't think
I
> should be feeling this bad, and I don't understand why I felt better
when I
> had the catheter taken out and then I got worse. I am taking bactrim
on my
> own, like I said. I don't think I have an infection because I don't
have a
> fever, but it is definitely causing malaise (I feel sick), besides
the pain
> and discomfort, and it is more difficult to urinate later in the day
and at
> night.
>
> Please tell me I am not the only one that has gone through this, and
is
> having the trouble I am having. I think something may be wrong. There
are no
> more uro's where I live (they are all in the same room - you know how
that
> works), and I don't think I could tolerate another scope right now,
or god
> forbid some kind of corrective surgery. Could this pain and
discomfort I
> have last for 4-6 weeks or am I totally abnormal, and will the damn
constant
> feeling I have to urinate get better. Thanks for your time in reading
this,
> and I apologize for the length. I live by myself and it is hard to
deal with
> this.
>
> Pete

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