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Thread: Can you still pee after taking Toviaz or similar drug?

  1. #1

    Can you still pee after taking Toviaz or similar drug?

    I am C5/6 incomplete, can stand up, 25 years post injury. Do not do any catheders, but wear a condom cath at night.

    I have developed pain in bladder area the last few years, did tests with urologist who was not certain about cause of my pain but suggested I try toviaz to see if it would help. I was told I might have to do catheter after taking toviaz but urologist was not sure.

    does anyone have experience or advice after taking toviaz or other similar drug and can you still pee?

  2. #2
    Quote Originally Posted by AaronT View Post
    I am C5/6 incomplete, can stand up, 25 years post injury. Do not do any catheders, but wear a condom cath at night.

    I have developed pain in bladder area the last few years, did tests with urologist who was not certain about cause of my pain but suggested I try toviaz to see if it would help. I was told I might have to do catheter after taking toviaz but urologist was not sure.

    does anyone have experience or advice after taking toviaz or other similar drug and can you still pee?
    What kind of tests did your urologist order for you? Did you do a urodynamics study? Do you know how much urine you are retaining after you urinate? Did your urologist indicate that you were having bladder spasms?

    Fesoterodine (Toviaz) is an extended-release bladder control medication used in the general population to treat over active bladder (OAB). It is in the class of drugs known as anticholingerics. These drugs work by relaxing your bladder muscles. They also help prevent urine leaks by controlling bladder spasms. Have you started taking it?

  3. #3
    Senior Member
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    Not a medical pro, just a C3 incomplete sharing experience/opinion.
    I avoid anything that makes peeing more difficult and the use of catheters. Side effects of cathing is too much for me. Did it for 9 months, 4 UTI's.
    Infection from UTI gets in to brain = crazy/bad drunk feeling.
    Due to my complaint of bladder and urethra inner sphincter pain/irritation, I had the big bladder check (inserted camera up inside for a look). Feet in stirrups like a GYN would do.
    Awkward but worth it after "no cancer" remark from doc.
    Not sure what your test was but camera inside shows more than sconogram.
    My pain is right/front bladder and inner sphincter. Sphincter irritation makes peeing difficult which causes bladder pain due to not fully emptying = stagnant urine. Several years ago, due to surgery, I had a Foley cath.
    It wasn't inserted fully and injured inner sphincter. Peed blood for almost a year. Since then, I learned what I drink and meds have a big effect on my irritation/pain.
    Coffee, beer, multivitamins, B complex vitamins, and other things causes irritation.
    Due to irritation = (1)difficult to pee, (2)This causes bladder to not fully empty, (3)this makes for stagnant urine, (4) this causes more irritation, (5) this is where the circle connects to (1) and gets amplified each loop of this circle. Again, this is me, just something for you to compare with your situation.
    When I have issues, I go on a water only for liquids for a week. Symptoms get better.
    Real juices are not available in stores (most have lots of apple juice for extra sweet in addition to sugar).
    Old school remedies; PURE cranberry for renal (will have to make/squeeze it from berries but worth it for results).
    PURE blackberry (NO SUGAR so you'll have hard time getting/making this) cures most diarrhea and helps renal system.
    Herbal stores are not FDA regulated so trust with these folks is a gamble. Juices from grocery stores are a blatant marketing con.
    Again, my thoughts/experiences only, not a medically suggested direction. I only know what works for ME.

  4. #4
    Quote Originally Posted by Gearhead View Post
    Not a medical pro, just a C3 incomplete sharing experience/opinion.
    I avoid anything that makes peeing more difficult and the use of catheters. Side effects of cathing is too much for me. Did it for 9 months, 4 UTI's.
    Infection from UTI gets in to brain = crazy/bad drunk feeling.
    Due to my complaint of bladder and urethra inner sphincter pain/irritation, I had the big bladder check (inserted camera up inside for a look). Feet in stirrups like a GYN would do.
    Awkward but worth it after "no cancer" remark from doc.
    Not sure what your test was but camera inside shows more than sconogram.
    My pain is right/front bladder and inner sphincter. Sphincter irritation makes peeing difficult which causes bladder pain due to not fully emptying = stagnant urine. Several years ago, due to surgery, I had a Foley cath.
    It wasn't inserted fully and injured inner sphincter. Peed blood for almost a year. Since then, I learned what I drink and meds have a big effect on my irritation/pain.
    Coffee, beer, multivitamins, B complex vitamins, and other things causes irritation.
    Due to irritation = (1)difficult to pee, (2)This causes bladder to not fully empty, (3)this makes for stagnant urine, (4) this causes more irritation, (5) this is where the circle connects to (1) and gets amplified each loop of this circle. Again, this is me, just something for you to compare with your situation.
    When I have issues, I go on a water only for liquids for a week. Symptoms get better.
    Real juices are not available in stores (most have lots of apple juice for extra sweet in addition to sugar).
    Old school remedies; PURE cranberry for renal (will have to make/squeeze it from berries but worth it for results).
    PURE blackberry (NO SUGAR so you'll have hard time getting/making this) cures most diarrhea and helps renal system.
    Herbal stores are not FDA regulated so trust with these folks is a gamble. Juices from grocery stores are a blatant marketing con.
    Again, my thoughts/experiences only, not a medically suggested direction. I only know what works for ME.
    For what you have posted here, I don't understand how you manage your bladder. I assume when you speak about a "camera," you are talking about having had a cystoscopy. A cystoscopy doesn't tell the whole story. You may have to have urodynamic studies to check for bladder pressures and residual urine after voiding (however you may do that).

    How do you manage your bladder?

  5. #5
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    Quote Originally Posted by gjnl View Post
    For what you have posted here, I don't understand how you manage your bladder. I assume when you speak about a "camera," you are talking about having had a cystoscopy. A cystoscopy doesn't tell the whole story. You may have to have urodynamic studies to check for bladder pressures and residual urine after voiding (however you may do that).

    How do you manage your bladder?
    I had to be cathed for about 9 months, after that I wet the bed for 2 years (not every night), continent for 5 years, leak a little if I hold it too long. Travel; i pee before leaving, then don't drink unless I know location of bath room and will I be near it when urge occurs.
    The camera (cystoscopy) was for my concerns of bladder pain in one spot (rt/frnt, size of quarter) at times. Coffee and beer makes me feel it. No prob found.
    Bladder management is basically controlling what I drink. 3.7 swollen prostate = I have to sit to pee most times. Not able to completely empty bladder based on several tests so I make sure to add water till i'm forced to pee. Stagnant urine is my enemy, keeping it diluted with water is all I can do. Currently on Flomax and recently started a med that is supposed to shrink prostate (docs words).
    December PSA test and backside probe will tell if new med is helping. If not, doc says (basically) cutting a grove in prostate to relieve pressure on urethra (my layman's understanding) is next step.
    I go many times a day. 16 oz water = 3 - 4 trips to pee. No liquids, legs elevated above heart = pee each hour or two.
    I got many bad UTI's from cathing. Crazy in the head dementia stuff. I'll opt for a bag before life time cathing if/when that situation occurs again. That's just me, not suggesting anyone do the same.

  6. #6
    Quote Originally Posted by gjnl View Post
    What kind of tests did your urologist order for you? Did you do a urodynamics study? Do you know how much urine you are retaining after you urinate? Did your urologist indicate that you were having bladder spasms?

    Fesoterodine (Toviaz) is an extended-release bladder control medication used in the general population to treat over active bladder (OAB). It is in the class of drugs known as anticholingerics. These drugs work by relaxing your bladder muscles. They also help prevent urine leaks by controlling bladder spasms. Have you started taking it?
    bladder spasms started a few years ago and have been getting worse lately. had a cycso (camera) by urologist recently and all is good, have not done urodynamics as inserting anything is extremely painful which is why i hope to avoid doing IC. uroligist gave me option to do urodynamics.

    i pee/void only a few times during the day, and regularly have 1000ml to 1200 ml in overnight drain bag. I know to limit fluids late in day but also know to drink enough fluid to flush bladder. after peeing i retain about 100ml or less. after speaking to dr's i have a good knowledge into how to manage fluids

    i used to do 1 cath at night to empty out bladder(residual was always less than 100ml) , but was getting reoccurring uti, so at dr advice said stop the 1 night cath, since i stopped i have not had a uti in 3 over years.

    taking flowmax and daily cialis to help weak stream. pain is in bladder area, perineum, adductors and psoas. but pain goes away when active but returns after being active as tone/spasm builds. basically sitting makes the pain worse. trying daily CBD 20:1mg , has helped a bit, but has only been 1 week.



    i am an asia d, full sensation, active, wheel chair, used to be able to walk with hand crutches before pain started, now it is tough to stand due to tight groin area.

    back to my original question, can anyone still pee after taking toviaz?

  7. #7
    I'm sorry to hear about your pelvis pain, i have it too and its horrible.

    the pelvic pain started 4-5 years ago - perineum, adductors and psoas all ache and very tight due to increased tone/spasticity. when active pain level lowers, when non active pain comes back just like spasticity does. also pain lowers when pain areas get massaged(thanks to my gf) I had cysco(camera) by urologist recently and all is good, thankfully.

    doing a IC would really hurt right now as i already have pain in bladder area, as i have very good sensation(asia D)

    i pee/void only a few times during the day, and regularly have 1000ml to 1200 ml in overnight drain bag. I know to limit fluids late in day but also know to drink enough fluid to flush bladder. after peeing i retain about 100ml or less. after speaking to dr's i have a good knowledge into how to manage fluids

    back to my original question, can anyone still pee after taking toviaz?

  8. #8
    Understanding your bladder pressures and residual urine is absolutely and extremely important. It is just one test and skilled urologists can help make this procedure at least tolerable. If you don't have the information from urodynamics studies, you don't know anything about what is going on with your urinary system. Find a urologist who can get this very important information for you without having you suffer.

  9. #9
    Senior Member nevada's Avatar
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    i have been Toviaz now for 10 years and I have no problem with urination. I am a C 6/7 incomplete and intermittent cath myself whenever I feel the need to urinate just as before I fell. This is just my experience but taking Toviaz has stopped my leaking and has greatly reduced my number of caths in a day. It has been a life saver for me

  10. #10
    You should be able to pee after being on the toviaz. If not, you may need to add a little more fluids to your intake. If you are unable to pee, then you need to let your urologist know and maybe a dose agjustment may help.
    ckf
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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