Mild Burning in Urethra

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seeker44
New Member


Date Joined Feb 2008
Total Posts : 8
   Posted 9/13/2008 1:01 PM (GMT -6)   
Has any member treated with RP experienced burning in the urethra six or seven months out from surgery?  I went to urgent care with mild and constant (not only with urination) burning.  Lab did not find infection, but doctor gave me antibiotics anyway (Doxyclycl), which I've been taking.  The burning was mild (4 on a scale of 1 [zero feeling] to 10 [worst]) and has subsided a little, but still is there for two weeks.  I will be seeing my urologist at end of month for psa and exam, but wished to know if any of you post-RP folks have had a similar symptom. Thank you.

Born: 1944
Nov 2007 - PSA 6.2
Biopsy Nov 07:  Three of 12 cores positive for adenocarcinoma; Gleason 3+3=6 at left apex, right lateral mid and right lateral base.
Open Surgery (RP) Feb 2008
Path Exam of Tissue:  Gleason 4+4=8
Tumor confined to prostate gland
Staging: (pTNM): pT2c pNX pMX
Margins:  Free of Tumor
Extraprostatic Extension:  Absent
Seminal Vesicle Invasion:  Absent
No perineural space invasion identified
CT Scan:  No metastasis found
1st postop PSA:  <0.10; 2nd: <0.10


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 9/13/2008 5:41 PM (GMT -6)   
My numbers are quite similar to yours. Six months out from surgery, I haven't had any burning problems. I don't think burning is a common problem after RP -- your problem may be something else unrelated to the surgery.
Age 63. Other than cancer, in good health; BMI 20
Pre-op: No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores
7 March 2008, RRP, non nerve sparing
Two nights in hospital; catheter and staples out after 7 days
Continent, no pads needed from the get-go
Post Op: Stage pT2 M- N-; clear margins and lymph nodes; Gleason 4+4=8; prostate weight: 37gm
6-week PSA: 0 


Berb
Regular Member


Date Joined Mar 2007
Total Posts : 93
   Posted 9/14/2008 1:03 AM (GMT -6)   
I found that even 18 months after surgery (I was still severely incontinent then), I would experience buring if my urine became too strong. Drinking more water solved the problem every time. The doctors want to you to minimise your fluid intake in order to reduce the number of pads you use. I tried this but the buring was the greater of the two evils, so I drank more.
Berb
59 when diagnosed, now 60 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)
Jun'08 AUS fitted
Aug'08 AUS activated - highly effective
Post surgery PSA tests: all undetectable


seeker44
New Member


Date Joined Feb 2008
Total Posts : 8
   Posted 11/4/2008 12:23 PM (GMT -6)   

In case this might be useful information for someone, I had a cysto to investigate this constant and mild burning in the posterior urethra six months out from my RP.  The doctor told me that strictures (narrowing of the urethra) normally present themselves around the six-month mark.  However, the scope showed good healing, no stricture, and no other pathology.  Labs indicate that I don't have any infection.

Doc's conclusion:  the mild burning is part of the post-op healing and adjustment going on in the area of my RP.  I'm willing to go with that since no pathology has turned up in other tests.  The burning is mild and can easily be lived with.


Born: 1944
Nov 2007 - PSA 6.2
Biopsy Nov 07:  Three of 12 cores positive for adenocarcinoma; Gleason 3+3=6 at left apex, right lateral mid and right lateral base.
Open Surgery (RP) Feb 2008
Path Exam of Tissue:  Gleason 4+4=8
Tumor confined to prostate gland
Staging: (pTNM): pT2c pNX pMX
Margins:  Free of Tumor
Extraprostatic Extension:  Absent
Seminal Vesicle Invasion:  Absent
No perineural space invasion identified
CT Scan:  No metastasis found
1st postop PSA:  <0.10; 2nd: <0.10; 3rd: <0.10

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