For the last several years I've noticed that my stream was getting weaker and weaker and I was basically just pissing all over the place like a showerhead and never feeling like I was finished peeing. Stop and start was very common and it got to the point where my wife would frequently beat me out of the restroom and ask me what took me so long. Add to that, that I never ever felt quite empty and started having to go all the time. I used to hold my bladder like a champ but now I was pissing as frequently or more often than my wife. Weird times.
So I'm 44 and in very good health, good weight, labs are great, no family history. I'm obviously concerned about prostate cancer but other than the obstructive symptoms I'm not having anything like back pain or blood in my urine or anything else so I'm keeping my fingers crossed for BPH (benign prostate hyperplasia). So I go see the urologist do a flow test (pee in a funnel that measures your start and stops), post-urination bladder ultrasound (to see how much urine I'm retaining) and then have the cystoscopy (camera up the urethra). That last part...not fun.
Doctor says I'm retaining about 25% of my urine after voiding but my bladder looks great, no abnormalities, he's showing me on camera and then as he backs out he shows me the opening through my prostate and tells me it's just "overgrown". This is typical BPH and common in men but mine is particularly obstructed and I'm a little young to be having symptoms this bad. Now you might ask, what's the big deal? It's just more trips to the bathroom. Part of it is just quality of life shit, like I don't like taking 2-4 minutes to pee sometimes and looking for bathrooms all the time. The other part is that this can get progressively worse and lead to UTIs and sometimes problems with your kidneys. So that's no bueno either.
So he recommends a procedure called a urolift where they take some suture wire and anchor the prostate to hold it open and relieve what is essentially a mechanical obstruction. I do some research and agree that this seems reasonable and I scheduled the procedure two days ago.
Procedure was simple enough as I was put under conscious sedation and I don't remember a thing. No catheter, just go home, take some antibiotics, ibuprofen and azo (for burning pain). That night I'm peeing but very little and mostly blood which is normal. But as the night goes on I'm peeing less and less despite drinking fluids and I can tell I'm getting fuller and fuller but no pee. So I talk to my urologist buddy and she says keep an eye on it, but if no pee more than 8 hours, get seen at the office or at the ER. I did not sleep at all. It felt like a long car trip where you're on the verge of pissing yourself but waiting to get to the bathroom but then when you finally get there, you can't go...for 6 hours. Miserable.
I went to my doc's office the next morning and they checked my bladder, it was 800mL of urine. A normal adult bladder is 400-600mL and you feel the need to pee around 200mL. My shit was distended and I was in a good amount of pain but managing. But I needed a catheter and that was probably the worst discomfort I've ever had in my life. Between the horribly full bladder and the swollen urethra, pushing that cath through the bladder neck was excruciating. But there was a good amount of relief once all that fluid came out. But now I had a catheter and had to wait 24-48 for the swelling to subside to have it removed.
If you've never had a catheter, it's something I have gained an entirely new respect for. The fact that there are people that live with them is insane. It feels like you are constantly pissing yourself. You're not. But it feels like it. Secondly, if you move the wrong way, you can feel the tube in your bladder. I swear it felt like one end was brushing against the back of my bladder. And that tube...shit is bigger than you think.
Anyway, went back this morning, catheter was removed, uncomfortable but much faster than the insertion and only minor bleeding (fun I know). Prior to the removal, the MA had filled my bladder with water through the catheter to ensure I could pee after the removal. She used cold water, which I think helps with the voiding but is a very, very weird sensation. She told me to try and pee which of course I had some trepidation about, and while it burned, it was also quite a relief and I was happy to be able to leave the office this morning without that fucking catheter.
So I've peed multiple times today, a few clots have come out along the way, which creates some pretty uncomfortable urethral spasms but better out than in I guess. I probably wont have complete relief of my symptoms for 2-4 weeks but I'm optimistic as I feel like now that the cath is out, my flow is already better than it was pre-op. Minus the searing, burning pain lol!
So if you notice you're having similar symptoms, probably a good idea to get the shit checked out. Most of these cases are BPH just like mine and are generally benign. But there are those cases of bladder/prostate cancer that could also be the cause and that's something you don't want to miss.
Sorry if I made anyone cringe. It hasn't been a fun experience.