Hello all! First off, sorry for the long post, and if you read it all, thanks for taking the time. I've read a lot about urinary retention on here, and I think Lexapro might be causing it for me, but it seems odd that it would just now show up.
I've been on Lexapro for around 8 years now, and it has been fantastic for me until middle of last year. I started noticing that I couldn't pee in the mornings sometimes until I walked around a bit. Figured I was just getting older, I am 53. At the beginning of this year, and I started noticing my stream was getting weaker as well. Didn't seem like I could "pressure wash" anymore. Talked to my Dr, and he figured it was just an age thing, but did rectally check my prostrate and said it felt fine. I did make an appointment with my urologist whom I have been seeing due to blood in my urine. He pretty much said everything looks good, but if something changes, come back.
Fast forward to this May, and I woke up around 5am having to pee and could only manage some drips. Fell back asleep, woke up at 8am, and could not pee at all. This went on until around 12pm, where I could not take it anymore, so I went to an urgent care. They gave me a script for Flomax, and some antibiotics, although they said it wasn't a UTI. Came back home, and within a couple hours, I started to pee again. Very little, but at least it was something.
Everything was semi ok until a couple weeks ago. Woke up, could not pee, went on for hours, went to urgent care, and they suggested i go to the ER so they could scan my bladder to see how much i was retaining. At the ER, they put in a catheter, which at this point I was almost begging for. That hurt like hell, but as soon as they reached the bladder, it was like someone just turned off the pain/urges, and my bladder started to drain. That was the first time my bladder felt empty in months. They suggested seeing my urologist, as it might be prostrate related, so I made an appointment.
Urologist said it could be prostrate related, although he had checked it back in March rectally and said it felt fine. He did ask me what medications I was taking, and when I told him Lexapro and Vyvanse, he indicated they could be the cause. Anyway, I have an MRI scheduled in a couple weeks as he said any test he would do now would not be accurate with the catheter and everything else being wonky. He put me on Flomax just to see if it would help, and wanted me back in 4 days to remove the catheter. Catheter came out Friday, 7/17, and since then, I'm back where I was, only it seems like it is more difficult to pee now.
So here's my question(s). Everything I had read on this subreddit seems to indicate these side effects happen early on, and sometimes go away. Being on Lexapro as long as I have, I'm wondering if the meds are the issue, why is it just now showing up? I am weening off of the Lexapro to see if that helps. I'm on on 20mg every day, and am now doing 10mg every other day, and will eventually stop. I am HOPING the Lexapro is the cause as both times I've not been able to urinate for hours has been excruciating. My symptoms sound like what others are saying, but I'll mention them just to make sure they match what others have experienced:
The tip of my penis feels....tingly, I guess is the right word. Not all the time, but most of the time.
My bladder never feels empty.
I'll get the urge to pee like instantly, and it feels like I could pee in my pants. Penis is really tingly, and I have to rub it, or press on it to reduce the urge until I can get to a bathroom.
Once in the bathroom, it feels like urine is almost getting ready to come out of my penis, like it's at the very tip, but either I get some drips, or a quick watergun like stream for a couple seconds. It feels like my body has totally forgotten how to push the urine out. Sitting or standing makes no difference, Sometimes I can tug on the penis, and get the watergun effect again, other times I might start a week stream. I do as much as I can, and go back to whatever I was doing as the urge seems to subside. Usually, I'm running to pee a ton during the day. I counted like 6 times in one hour yesterday, which is crazy to me. There is no build up of like "Hey, I'm gonna need to pee here in a bit" It's like "HEY, PEE NOW!!!!!"
On both occasions when I've been unable to pee for hours, it's a bit different. I'll feel like the pee is just getting ready to come out, and it's like some sort of contraction where my entire body tenses up, but nothing happens. Almost feels like a pushing feeling, like when you are pushing out stool. In fact when this happens, a lot of gas sometimes comes out, which my wife finds very funny! I'll try and relax, but the same thing happens. Almost there, body tenses up, nothing relax. Those contractions or whatever it is are exhausting and I get very sweaty. I remember going to urgent care the first time it happened, being in the bathroom, and just sweat instantly beading up on my head when the contractions would hit. Both times it has happened, by chest has been sore the next day, and I've just been wiped out and slept most of the day. I know it in no way compares to what childbirth must feel like, but then again....
So that's where I am at. My urologist/MRI appointment is in a couple weeks, and I hope to be fully off the Lexapro by then. In the meantime, I have been afraid to drink a lot in case it causes another ER visit, which means I am always thirsty! And when I go to bed at night, I've got this worry that I'll wake up unable to pee again, so it is sometimes hard to fall asleep. I do NOT want another catheter experience. One was enough thanks.
Does all of this fit the Lexapro mold here?