Post Greenlight Laser Urination Issues

[edk1951]

I believe my urologist is dismissing my real concerns about how much I should be urinating after prostate laser surgery. My catheter was removed the day after surgery, and afterward could not pass urine. It felt like I was trying to pee against a wall. The nurse reinserted a Foley catheter and the doc said to leave it in 5 days and come back. After 5 days, I returned, urination was difficult, and with a weak stream and starting-stopping. My expectations were to be able to urinate reasonably within a short period. 10 days after surgery the ease of urination ranges from a 3 out of 10, down to a 1 out of 10. If my colon has not moved prior to trying, it's almost impossible to urinate...takes 15 minutes or more, at a trickle. My doc sent me home saying..."it just needs time to heal." Well, I'll grant him that, but my intuition tells me some other issue unrelated to my prostate may have been the source of my problems in the first place. Every time I try and urinate, I fear I won't be able to. I hate living like this. Am I being unreasonable wanting the doctor to follow up? Should I seek a second opinion? This Urology practice is very unsupportive and dismissive of my concerns.

[GuitarRox]

You never should feel bad about a second opinion.  I do think this is happens after prostate laser surgery to a lot of guys.  I read this which has a whole section on risks.  Your issues with peeing could be related to some of these. https://www.mayoclinic.org/tests-procedures/prostate-laser-surgery/about/pac-20384874.  Probably the reason they aren't doing or checking anything yet is because it can take days after surgery to get back to normal and you still may. That would be the best outcome.  Then they'll probably check you for infection otherwise.  And if not that, check to see if you have narrowing of the urethra.  

[edk1951]

thank you for the response. I feel like I'm on a desert island...very unsupportive Urology practice I'm dealing with.

[GuitarRox]

That's too bad. Doctors can make such a difference with their attitude.  I'd give yourself a chance to recover now.  Give it another month.  Sounds like a long time but try to do that  Their attitude may be because this is what they commonly see in other patients who had the same procedure you did.  If it is still an issue, then Id go ahead and schedule with a different practice.  Make sense?  Hope it clears up for you!