Acute Urinary Retention after Catheter Removal? WAS No Subject

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oldmenrule
New Member


Date Joined Jul 2009
Total Posts : 3
   Posted 7/9/2009 11:06 AM (GMT -7)   
Has anyone experienced acute urinary retention after having the catheter removed? Cath removed 10 days after RP, had to be reinserted.
 
 
 
 
I changed the title from No Subject to enable better archiving and searching,
James C.

Post Edited By Moderator (James C.) : 7/9/2009 4:04:52 PM (GMT-6)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 24401
   Posted 7/9/2009 12:58 PM (GMT -7)   
Welcome to our group, and sorry you have the need to join us. Glad you are here, you will be among brothers of the PC and friends.

Yes, my story is epic here, I was on series of caths for 63 days after my surgery. I was on 5 different ones, two had to be put in during emergency situations. In the end, my surgeon had to correct the problem with a scoping operation to enlarge the bladder neck opening, I have been cath free since Jan. 19th, but where I use to pee like a race horse, I now pee with a greatly reduced flow, and by the end of the day, it can hurt a lot up inside near the bladder neck. My surgeon was afraid to mess with it any more, in case he caused me to be incontinent. I have been 100% dry for several months now, so that is the good news.

I hope your situation won't be as severe, sometimes in your case, the 2nd cath does the trick and allows a little more healing time, and all is well after its removal.

David in SC
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery   2/9 .05, 5/9 .10, 6/9 .11, July 13 - meet with radiation oncologist
 
 


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4135
   Posted 7/9/2009 1:28 PM (GMT -7)   

My cath was in for five weeks.

Ask your surgeon about doing a cystogram before removing it next time.

cystogram is an x-ray used to check for problems of the bladder and lower urinary tract.


Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 24401
   Posted 7/9/2009 3:14 PM (GMT -7)   
PS Mine was the result of a very difficult surgery where the bladder neck attached to the urethra, the original catheter was in for 30 days, and that is before the rest of the problems developed.
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery   2/9 .05, 5/9 .10, 6/9 .11, July 13 - meet with radiation oncologist
 
 


wd40
Regular Member


Date Joined Jan 2008
Total Posts : 218
   Posted 7/9/2009 4:08 PM (GMT -7)   
My urine flow slowed everyday for a week after removal of the cath then it stopped. Not good. The URO jammed rods of every increasing size up the old winnie. Pissed like a horse after that
12/06/07 DaVinci and open prostate surgery after difficulties in breathing stopped the davinci.


DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 671
   Posted 7/9/2009 6:01 PM (GMT -7)   
old,

Right after I had my catheter removed, I was able to dribble on command. For about 8 hours. Then, nothing. Wife had to take me to an ER in the middle of the night. After another week, they did a cystogram to make sure there was no leakage, and had me take ibuprofen to reduce swelling. Been basically OK ever since.

DJ
Diagnosis at age 53. PSA 2007 about 2; PSA 2008 4.3
Biopsy September 2008: 6 of 12 cores positive; Gleason 4+3 = 7
CT and Bone scan negative
Da Vinci surgery at City of Hope December 8, 2008
Radical prostatectomy and lymph node dissection
Catheter out on 7th day, replaced on 8th day, out again 14th day following negative cystogram
Pathology: pT2c; lymph nodes negative; margins involved; 41 grams, 8% involved by tumor; same Gleason 4+3=7
PSA 1/22/08 non-detectable! 8-)
4/23/09 still undetectable!


RacingOyster
Regular Member


Date Joined Aug 2009
Total Posts : 31
   Posted 8/2/2009 7:42 PM (GMT -7)   

I had my Foley catheter out at 9:00 AM 14 days after radical retropubic prostatectomy. By 4:00 PM that same day I was back to my doctor’s office to have another Foley catheter inserted (second) since I had not been able to urinate at all. It came out again after 3 more days, and this time I had some leakage into a pad, but I was in the emergency room at midnight on the second day to have a new Foley inserted (third). Once again the doctor removed it after a couple of days, and I was back in the emergency room at midnight again to have another Foley reinserted (fourth). After one day, my doctor taught me how to self-catheter and sent me away without a Foley, but a supply of one-time use catheters that I could use myself. For 12 days more I used the self-catheter method to drain my bladder, then I started emptying on my own. In all, it took 34 days after surgery to be finally rid of all catheters.

 

In all this time my doctor said the problem was that my sphincter was not releasing, and that I simply needed patience. He said there was no blockage or other problem.

 

So far, it seems like patience has paid off. Not all urinary retention is a sign of a problem.

 

It's been 10 days now urinating without a catheter, but most of the fluid goes into a pad and not the toilet. I'm dry at night but have no control when walking or doing any physical activity. I'm doing Kegel exercises and hoping for some improvement soon.

Diagnosis at age 55: PSA 4.6 Gleason 3+3=6 positive biopsy 3 of 12 cores

Radical Retropubic Prostatectomy with bilateral lymphadenectomy 6/18/2009

PSA at 4 weeks after surgery <0.01

Currently using 3-4 pads during the day, dry at night


Jeff M
New Member


Date Joined May 2009
Total Posts : 10
   Posted 8/3/2009 9:48 PM (GMT -7)   

Yup.  It happened to me twice after I had my cath out.  The first time about 3 days after it was removed.  My bladder locked and the pain level was almost untolerable.   I was recathed at the ER.  It turned out I had a severe bladder infection.

I had that cath taken out after a week, and lo and behold....36 hours it locks again.  Another trip to the ER and a new cath.  It turns out I still had the bladder infection.

Good luck!

 


Chodan
New Member


Date Joined Sep 2010
Total Posts : 2
   Posted 9/23/2010 10:36 PM (GMT -7)   
My 2nd cath was in for a week after I had a bladder tumor removed and the original one was removed the next day but I couldn't pee enough and it was mostly blood. It was removed this morning and when I went to pee I had increasing pain along the left side of the base of the penis and as a result very little came out. The Doc did an ultrasound after I peed a bout 3/4 cup and my bladder was still half full. The pain trying to start the pee makes it only squirt out in dribs. He gave me Flomax but I just had 1 so far. Should I take Detrol which is an anti spasm drug. I am afraid I will lose continence and be in real trouble. Should I expect the spasms to lessen in time or am I stuck with this forever?

Chodan
New Member


Date Joined Sep 2010
Total Posts : 2
   Posted 9/27/2010 8:10 PM (GMT -7)   
update on Chodan's post. Feeling much better and pain when peeing is down to a manageable amoun. But it's like there's a narrowing which I think is a swollen prostate squeezing my urethera. The doctor reported that I had an enlarged prostate but I think it's also more swollen from the poking around in there. Anyone have experience like that?
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