Question about spincter

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New Member

Date Joined Apr 2008
Total Posts : 18
   Posted 5/16/2008 9:01 PM (GMT -6)   
Today seems to be my posting day! I have a question about how your doctors view your spincter muscle. I asked the doctor that did the cysto on my hubby how the spincter looked. He said he couldn't see that and in order to see the spincter he would need to open him up. Now, many of you have posted about your doc being able to see the sphncter, so I do not understand this. this is a very well known doc and I have to believe him, but I am needless to say, confused. Can any one out there shed light on this for me. Also, I keep saying my husband had a cysto and I think that is what it was called. He had the camera scope to see inside his bladder. Thanks.
Husband Age 61
PSA 2.32 1/06
PSA 4.98 9/07
Biopsy 12/07 results in hospitalization for severe sepsis infection
Infection causes congestive heart failure
Biopsy results: Gleason 3+3=6 10% of 1 of 6 cores on left 0 of 6 cores on left
Echo stress test 1/16/08 cleared for surgery- reevaluate congestive HF 7/08
RRP 2/26/08 blood transfusion needed
Adenocarcinoma Gleason 3+3=6 pT2c, NX. MX Clear margins Seminal vesicles no evidence of malignancy
Incontinence-bad -cysto 8 weeks post surgery for burning and incontinence-looks fine
ED-tried Cialsis(no luck) but worried about effect on heart-Now using VED for therapy
12 weeks post op incontinence still bad

Regular Member

Date Joined Feb 2008
Total Posts : 467
   Posted 5/16/2008 9:47 PM (GMT -6)   

I am not much help here, but I know that several here (kw and others) have had procedures done to try to add support to their sphincter muscles, but those procedures would probably be among those the urologist referred to when he talked of opening him up.

Hopefully others will have more info to share.

DanMan Bob

Danman Bob, Born 1951
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14; Biopsy result - 9 of 12 sticks showed cancer
Post-op pathology stated that cancer was confined to the prostate
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of late April 2008)
100 MG Viagra 3 times a week beginning December 2007
Osbon Erec-Aid Esteem manual pump for therapy beginning mid-February 2008
30 MG papaverine/1 MG phentolamine bimix injections beginning late April 2008
Five week post-op PSA 0.2, five month post-op PSA 0.1, next test August 2008

Veteran Member

Date Joined Nov 2006
Total Posts : 883
   Posted 5/16/2008 11:19 PM (GMT -6)   
Hey Nancy, Not sure what your Doctor meant. I have had one regular Cystoscope and 4 colligen injections. With each a camera probe is inserted. The Cystoscope has a articulating tip on it that once inside the bladder it can be turned to view all areas. The colligen injections are done using a rigid scope. But still, each time the doctor looked at the interior of the sphincter muscle. He even had to tighten up to see how it worked. I can only guess that your Doctor was talking about the external structure of the sphincter.
    43 at Dx and Surgery
    PSA 5.7, Biopsy 3 of 12 positive (up to 75%) all on left side of prostate, Gleason 7
    RRP on Oct. 17, 2006 - Nerves on right side saved. All Lab's clear. 
    Cathiter in for 28 days due to complications in healing. Removed Nov. 9, 2006
    First Post op PSA on Dec. 11, 2006  Undetectable 0.00.
    ED workable and usable with Viagra.
    Feb. 20th, 2007 - Feb. 4th, 2008  Cystoscope, Two Collagen injections,Second Opinion Consultation for Incontinance at OU Medical Center, Bio-Feedback training, Chiropractic, Accupuncture  to try to resolve ongoing incontinance (4-6 pads a day)  All PSA's 0.00.
    Feb. 22nd, 2008 - Surgery to install the AMS AdVance Male Sling.
    March 27th, 2008 - Sling not working, Little or no improvement.
    April 18, 2008 - Collagen injection.  Back to using 4-6 full pads a day within a week.
    May 14, 2008 - Another collagen injection to try to Band-Aid the leaking for our June cruise.  Will start making conusultation appiontments for AUS after we return.

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