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Dry Overactive Bladder After Tvt Anyone??? Dry Overactive Bladder After Tvt Anyone???

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Unread 01-23-2006, 06:05 AM
Unhappy - Dry Overactive Bladder After Tvt Anyone??? Dry Overactive Bladder After Tvt Anyone???

i have put up several posts for advicr after my TVT in November has left me with urgency which the doctors are not treaing. Has anyone had an overactive bladder but not leaked??? I have heard of dry overactive bladder but my doctors say because I am not leaking I am not overactive but I feel like I need to pee all of the time. I can hold it and put it off but the eeling is unbearable and when I actually go out I do feel as thought I am going to wee myself and that it is actually coming out but it doesn't...does anyone else have/had this I am truely going mad.
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Unread 01-23-2006, 08:40 AM
Dry Overactive Bladder After Tvt Anyone???

It's possible to have the urgency and frequency issues and not leak. I think that it's very common to have the urgency problem after any sort of bladder surgery. There are meds to help with the feeling, Detrol, Driptopan and others. I had surgery in July and my bladder is finally feeling better. It's not 100%, but at least I can last about 2-3 hours without running to the bathroom. And I don't have to get up at night, which is awesome. Yesterday I only went 7 times which is a great improvement over 15-20 times a day. Talk to your Dr about the OAB meds. Good luck!
Unread 01-23-2006, 09:53 AM
Dry Overactive Bladder After Tvt Anyone???

Hi Diane thanks for the response.
When you say you can last for 2-3 hours do you still have the feeling that you need to go throughout those 2-3 hours or does the feeling of needing NOT come on you for about 2-3 hours. What is happening to me is that I go and then about 10 mins later I feel like i need to go again or that my bladder is full up when i know that it isn't...so i hold it and wait for as long as i can, in the meantime as I feel so full any walking or living during the waiting makes me feel as if I am going to leak. Then when i do let myself go I probably won't even have half a bladder full to do.
It's the relief feeling after voiding that i don't have or a natural urge as i have the urge feeling most of the day but am just holding it. Is this how you were and it has taken over 6 months to get better, if that is so I am happy to wait as long as there is light at the end of the tunnel. please advise Nnodg
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Unread 01-23-2006, 10:35 AM
Dry Overactive Bladder After Tvt Anyone???

Unfortunately I can't help you but I can relate - I didn't have a tvt - but I do have the almost constant feeling of having to go - I am currently working with my urologist to find out what is going on. I can make it about 20 minutes without the feeling - so I end up holding it and still go about 25 times a day. I tried Detrol LA - it made me retain urine but did make the urge go away somewhat. So now I am on my second bloodpressure medicine to try to make me empty better (Flomax) - I may be emptying better but the urgency is still there. I go tomorrow to discuss what to try next. My bladder has prolapsed since surgery - so I am hoping that is the problem - as I would like to have my bladder put back - it feels terrible.
Are you seeing a uro/gyn or a urologist - they should check to make sure you are not retaining urine - that is bad for your bladder. Keep me posted - I will let you know what happens tomorrow. I have to run to the bathroom again - lol. Hugs.
Unread 01-23-2006, 09:08 PM
Dry Overactive Bladder After Tvt Anyone???

I'm assuming that youve been checked for a UTI? If not you need to have a urine culture done to rule out infection.

Like someone else mentioned, have you been checked to make sure youre not retaining? Retention can sometimes be a problem after a TVT (though its rare) due to the tape being too tight. Your Dr can do a simple bladder scan (similar to an ultrasound) or cath you to make sure youre empty immediately after voiding; anything under 50cc's of urine left after voiding is considered normal........If youre PVR's have already been checked and are within normal limits then youre nect step would probably be medications to help with the urgency issue (by the way, just because youre not leaking doesnt mean youre not suffering from OAB). Medications such as Detrol, Detrol LA, Ditropan, Ditropan XL, Vesicare, Sanctura, and Oxytrol patch are just a few of the medications on the market to help with OAB. While these medications have an excellent tract record keep in mind that they can cause retention so its important to keep track of your intake/output when taking these meds.
Should these medications not work the next step would be to have a cystoscopy done to rule out anything more significant such as cancer, interstitial cystitis, inflammation, and other diseases.

Hopefully some of this information proves helpful to you. Keep us updated.

good luck
Unread 01-23-2006, 09:23 PM
Dry Overactive Bladder After Tvt Anyone???

Nnogd, I agree with the other sisters that you do need to make sure that you are not retaining. If your bladder is still half full, you will feel the urge to go still. My urge to pee does come early sometimes, but the longer I hold it, the better I am getting. The OAB meds did help a little but only to a point. I was still having to run to the bathroom about 12-15 times a day. I'm now on Elavil, which is a very old antidepressant. It's a wonder drug for me. My bladder would get irritated very easily and would cramp. I've been tested for intersticial cystitis several times, all neg. This drug helps the bladder pain and my OAB symptoms. It keeps getting better with time. I started with OAB three years ago and it only got worse with my TVH and sling. I am feeling the closest to normal that I have in a long time. You should really seek a second opinion with a uro or uro/gyn. Good luck!
Unread 01-24-2006, 06:24 AM
Dry Overactive Bladder After Tvt Anyone???

hi have just got back from my GP doctor today who has said to try the OAB meds even though my surgeon does not know about it. When my surgeon checked a few weeks ago I was not retaining, i did do input/output charts a few weeks ago WHICH NOONE EVEN LOOKED AT??? and I don't really know what to be looking for myself, what should my output be if I'm drinking say 1800mls a day? surely even if these OAB drugs work then if they retained that would make you feel the need to wee even more ...wouldn't it?
anyway I tried one last night and had terrible sickness, dry mouth and dizzness i was also up in the night which i haven't been on my antidepressants for a while ( they have been knocking me out to help with the sleeping and to try and relax my bladder) The doctor has said to stop the antidepressants ( also old sort that help with peeing) and to try Tolterodine which is what i think you guys in the US call Detrol?? How long before you noticed any effects....please don't get back to me and say there were none!!!
Am hoping that tonight when i take it I don't feel so bad and that i can actually get to sleep. Nnodg
Unread 01-24-2006, 07:26 AM
Dry Overactive Bladder After Tvt Anyone???

Often it does take some time for OAB meds to start to work. Also, some people tolerate some better than others. Detrol started working for me at about a week or two and it wasn't until a month when I felt the full effects. I was also on Enablex, which gave me terrible headaches and made me go even more. I stopped that one real quick. Don't take the Detrol with an antidepressant that affects the bladder. You will retain and also it can be harmful. I'm not on the Detrol right now. The Elavil (amytripaline) is working great for me. If all else fails ask for this one. It's very inexpensive. Three months supply costs less than my prescrip co-pay. My Dr says I'm a cheap date. LOL!
Unread 01-24-2006, 08:53 AM
Dry Overactive Bladder After Tvt Anyone???

Did You Mean That You Retain On Detrol Or That You Retain If You Take It In Addition To Antidepressant? How Many Of You Have Retention On Detrol How Do You Know.....do You Not Feel Like You Need To Pee More Often If You Are Retaining...now I'm Really Scared To Take It Tonight. Also Do You Take It At Night Or In The Morning 4mg Dose?
If It Does Make You Retain Does This Effect Stop When You Stop Taking The Detrol? I Wish I'd Asked These Questions At The Doctors. Thanks For Any Response Nnodg
Unread 01-24-2006, 09:19 AM
Dry Overactive Bladder After Tvt Anyone???

Retention can be an issue if you are on an OAB med. It is also a potential side-effect of the anti-depressant that I am on. My dr doesn't want me on both at the same time. The AD works much better for me than the Detrol did. With the Detrol, I still got the pressure, feeling like I had to go most of the time, but I could hold it longer. Now, once I void, the feeling doesn't come back for about 2 hours or more, unless I drink alot of course.

I took the Detrol in the morning. I don't know if it makes a difference whether morning or night. I take the Elavil at night, because it does make me sleepy.

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