Supra Pubic Prartial Prostatectomy and burning pain on urination post op

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New Member

Date Joined Aug 2008
Total Posts : 1
   Posted 8/12/2008 4:29 AM (GMT -6)   
 My youthful and otherwise healthy 65 year old husband had a supra pubic open abdominal partial prostatectomy 4 weeks ago. He is very distressed since he is still having urge incontinence and burning pain with every urination. His physcian prescribed more antibiotics in case it is a low grade UTI. He still was passing a lot of blood at 3 weeks post op. He had consideral blood  loss during and after surgery which required transfusions. He had CBI (continuos bladder irrigations for 3 of the 4 days while hospitalized and came home with the catheter for a total of 7 days.
 We have read on the forum about the incontinence issue taking time to overcome. It gives him hope seeing that others did improve and that he just needs to be patient and to do the Kigels, which by the way, Doc never advised but only said it will get better. We would appreciate hearing from anyone else that may have experienced the burning pain for so long and how it was addressed. We thank you for sharing.  Ann

James C.
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Date Joined Aug 2007
Total Posts : 4462
   Posted 8/12/2008 9:43 AM (GMT -6)   
                                                        tongue    Hi ~Raphael (Ann) and Loved Ones,


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James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4462
   Posted 8/12/2008 9:47 AM (GMT -6)   
Welcome, Ann.  There's several others here presently having similar complaints, so you should get some responses soon.  I did note in your descriptive that you say he had a abdominal partial prostatectomy.  What does partial mean?  I must say I haven't heard of that one here.  Also, a signature with the deatils would be helpful for people responding... tongue
James C.
Co-Moderator- Prostate Cancer Forum

Age 61
4/19/07 PSA 7.6, referred to Urologist, recheck 6.7
7/11/07 Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07 Path report: 3 of 16 PCa, 5% involved, left lobe , GS 3/3:6.
9/24/07 (open) Retropubic Radical Prostatectomy performed
9/26/07 Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
10/15/07 ED- begin 50mg Viagra and Vacurect pump nightly, Fully continent
1/14/08 Caverject started/stopped, aching. 2/24/08 .5ml Bimix started-success
7/31/08 ED- Viagra, pump continues, no response- Trimix .10ml x 2 weekly continues
Post Surgery PSA's:  3 mts-0, 6 mts.-0, 9 mts.-0.

Veteran Member

Date Joined Jul 2006
Total Posts : 681
   Posted 8/12/2008 12:27 PM (GMT -6)   

Welcome to this helpful place.  I do not have the information to help you at this time.  I hope there are others who have more experience.

The supra partial prostatectomy apparently is not performed very often. It is an older method that has been replaced by newer more efficient prodedures.  I am surprised that your husband's surgeon is still performing surgery in this manner.  Where are you located?

Please let us know where you are and what your husband was being treated for.  Hopefully someone with more knowledge than me can help give you more information. 

PSA up to 4.7 July 2006 , bump noted during DRE
Biopsy 10/16/06
T2A, Psa 4.7
Gleason  4+4=8  right side
DaVinci Surgery  January 2007
Post op confirms gleason 4+4=8
No extension or invasion found
No continence problems
PSA 90 day -.01  , 6 month -.01 , 9 month +.02 , 1 year +.02
Using Bi-Mix or VED 

Veteran Member

Date Joined Nov 2006
Total Posts : 883
   Posted 8/12/2008 10:11 PM (GMT -6)   
Sorry you had to join us. I had some problems also so I understand your concerns. Just take you time and help your body heal. There is always someone here with information and support.
Hang in there.
    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.
    July 14th, 2008 - AUS consultation with Dr. Morey at UT Southwestern (Dallas).
    July 30, PSA 0.00.
    Aug. 22nd, 2008 - AUS Surgery by Dr. Morey

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 8/12/2008 10:32 PM (GMT -6)   

I have heard of this one.  My neighbors father had a partial prostatectomy.  But that's about all I know about it.  He still has half a prostate, but the worst of both worlds.  ED to the point of having an implant, and urination issues similar to what you described.  He's a good friend, so if you have a specific question I am certain he would answer it.  He is about 70, and he had the procedure over 25 years ago.  Interestingly, he did not have cancer.  The procedure was to relieve urinary issues caused by BPH.  Cancer was suspected but never found.



Age 46 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007 @ The City of Hope
Post-Op Pathology: Gleason 4+3=7, positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (May 9 '08): <0.1
I will continue HT until May '09. 
Years in Remission (3/23/07): 1
Visit my Journey at:
And at:

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