urethral dilation

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wd40
Regular Member


Date Joined Jan 2008
Total Posts : 218
   Posted 3/2/2008 8:41 AM (GMT -7)   
I had the procedure done and the stream after two weeks has went form horse to a stream just below normal. Do you have to have this done more than once? There was only two rods he didn't do.
12/06/07 DaVinci and open prostate surgery after difficulties in breathing stopped the davinci.
Walked a lot
90% control the day the catherter removed.
pad only for a sneeze before the week was out
No pads most of the second week.


Paul1959
Veteran Member


Date Joined Nov 2007
Total Posts : 598
   Posted 3/3/2008 7:35 AM (GMT -7)   
I have a friend who has to have this done every few months. It doesn't seem to bother him that much.
Hope you don't have to go this route, but that's just one case.
47 at Diagnosis.
Father died of Pca 4/07 at 86.
1/06 PSA 3.15
1/07 PSA 4.6      (Biopsy 3/07 just suspicious)
10/07 PSA 5.06   (Biopsy 11/07  1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC  www.roboticoncology.com
Saved both nerve bundles.
Path Report:  Stage T2cNxMx
-Gleason (3+3)6
-totally contained to prostate,
-10% involvement in L & R Mid lobes
 
 


JodyJames
New Member


Date Joined Aug 2007
Total Posts : 6
   Posted 3/3/2008 7:58 AM (GMT -7)   
I have a similar problem (See "Urination problem 8 months post surgery" posted late last night or this morning depending on your time zone). I have had corrective surgery twice once in November and again in January. Problem was corrected, but returned in 1-2 moths. It is coming back again. Mine involved one-day surgery and then wearing a catheter for a week. It sounds like what you're doing is done out-patient and no catheter. Is that correct?

I wish I could tell you simple one-day surgery would correct your problem, but that doesn't seem to be the case for me.

wd40
Regular Member


Date Joined Jan 2008
Total Posts : 218
   Posted 3/3/2008 8:54 AM (GMT -7)   
Its done in the doctor's office and involves putting a series of rods in the penis with each rod being larger in diameter than the last. I think there were 8 rods and he did six. They put some deading fluid in first although I can't say it helped much. Right after it was done, I could fill up a specimen bottle in under a second.
I've got a call in the doctor's office to see what he thinks. I am guessing he will do it again.
12/06/07 DaVinci and open prostate surgery after difficulties in breathing stopped the davinci.
Walked a lot
90% control the day the catherter removed.
pad only for a sneeze before the week was out
No pads most of the second week.


Berb
Regular Member


Date Joined Mar 2007
Total Posts : 93
   Posted 3/4/2008 3:30 AM (GMT -7)   

I had dialation done in conjunction with a flexible cystoscopy in October, as there was some narrowing at the bladder neck.

It was done with the rods, which he wriggled and levered as if he was trying to get a tomato stake out of the ground.  Fairly aggressive action, it seemed to me.  Some hours later I was back at the hospital as my sphincter had completely closed and not a drop of urine was passing.  I required a foley catheter for 2 days.  I suspect that swelling from the dilation was responsible for the blockage.  Two months after the procedure, the narrowing has returned to what it had been before, so nothing in the end was gained.

Today I had a flexible cystoscopy from a new surgeon who will be installing the AMS in me in June, as he wanted to make sure the bladder neck was OK (you can't use a catheter after the AMS is inseted).  It is OK, and I was able to see it for myself on his telescope.  It looked like a black hole against the pink wall of the urethra, and beyond that was an ocean of dark fluid, which was the bladder.  I did a kegal while he shone the light there, and saw the  sphincter work perfectly.  He said that the active component of my sphincter works, but it simply won't hold in passive mode.  At 14 months post surgery, there's no chance of recovery from 8 pads a day at this stage, he said.  I asked him how come a normal looking sphincter could be so ineffective, and why it had occurred.  It looked to him as if the operation had been performed properly, he said.  He went on to say that if urologists knew why some people don't recover the use of the sphincter, they'd know what to do to fix it.  But they don't.
 
Berb
59 years old
Da Vinci surgery Jan 10, 2007, nerves spared, no cancer detected outside prostate
Pre surgery PSA 8, Gleeson 3+4=7, T1C, 3 out of 12 biopsies had cancer
Complication 1: urine favoured drain tube over catheter, extra time in hospital, catheter in for 2 weeks
Complication 2 - urinary tract infection - Citrobacter (hospital bug), 6 weeks antibiotics cleared up
Complication 3 - fungal growth on genitals (candida albicans) probably from antibiotics
Aug'07 Urodynamic study for continuing incontinence 8 pads per day; diagnosed bladder neck stenosis
Oct'07 CT scan indicated nothing abnormal; cystoscopy showed narrowing at anastimosis - dialated
Dec 07 averaging 9 pads a day, started acupuncture (no benefit after 10 treatments)
Feb'08 incontinence deemed uncurable - AUS scheduled for June
Post surgery PSA tests: all undetectable


wd40
Regular Member


Date Joined Jan 2008
Total Posts : 218
   Posted 3/4/2008 9:15 AM (GMT -7)   
Berb, I have to back tomorrow and see what he wants to do next, but he did tell me the first time he might have to be done again. Not looking forward to it since I know what it is like although the procedure goes pretty quick and the after pain is only when you pee for a day or so. I am one of the lucky ones and had countenance for almost the first day so after reading your post I have little to complain about.
12/06/07 DaVinci and open prostate surgery after difficulties in breathing stopped the davinci.
Walked a lot
90% control the day the catherter removed.
pad only for a sneeze before the week was out
No pads most of the second week.

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