Burning and Stinging after Catheter is Removed

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New Member

Date Joined Sep 2008
Total Posts : 7
   Posted 9/23/2008 1:10 PM (GMT -6)   
I had a radical prostatectomy on August 28, 2008.  The catheter, which caused excruciating bladder spasms for the entire 14 days post-surgery, was finally removed on September 10, 2008.  Two weeks later I still have moderate to severe burning and stinging when I urinate (and often the burn is there all the time, whether urinating or not).  This is very uncomfortable and is often debilitating since I can't concentrate on anything else because of it. 
My question is this:  When is this burning/stinging going to go away?  And what in the world can I do to minimize the discomfort in the meantime? 

Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4839
   Posted 9/23/2008 2:42 PM (GMT -6)   

I had my catheter in for five weeks. Was placed on an antibiotic at the end of week two to avoid infections.....I'd suggest that you call your DOC as soon as possible.


I had a mild discomfort when urinating for many weeks after the cath was removed.

Age 53   - 5'11'   205lbs
Overall Heath Condition - Good
PSA - July 07 & Jan 08 -> 1.3
Gleason - 6
(biopsy done March 4, 2008-> 2 of 12)
06/25/08 - Da Vinci robotic laparoscopy

Regular Member

Date Joined Apr 2008
Total Posts : 270
   Posted 9/23/2008 2:50 PM (GMT -6)   
Sorry you are having such nagging problems. I had bladder spasms that were painful for a short time but only had moderate burning on urination. I am sure you have contacted your doctor (that is first and foremost). My only comment would be to watch what you are drinking. I would stay away from carbonated beverages, beverages with caffeine, and of course alcohol. I drank a considerable amount of gatorade.

I suspect that this will pass and hope it does soon. All of us are different and there has been a lot of "radical" stuff happen to your plumbing. I wish you well!

Age 61
Original data - pre-operation
PSA: 5.1
T1C clinical diagnosis, Needle biopsy - 10 cores, Gleason 7 = 3+4 in 1 core (40%), 7 cores Gleason 6 = 3+3 ranging from 5% to 12%
All scans negative
Lupron administered 4/9/2008 for 4 months (with idea I would undergo external beam radiation followed by seed implants - then I changed my mind).
Robotic DiVinci surgery - Dr. Fagin (Austin) May 19th
Post operative - pathology
pT2c NX MX
Gleason 3+4
Margins - negative
Extraprostatic extension - negative
seminal vesicle invasion - uninvolved
1st Post PSA .04

Regular Member

Date Joined Mar 2007
Total Posts : 93
   Posted 9/23/2008 5:02 PM (GMT -6)   

Hi Codger.  I had burning for weeks followong prostatectomy, also awful discomfort and leaking around the catheter. After the cathater was removed at 2 weeks, I had a urine test which confirmed a had a bug called citrobacter, which required 6 weeks of antibiotics to clear up.  This bug at its worst caused skin removal from the penis.  But even after the bug was gone, for many months I found myself burning from the urine much of the time.  The only cure I found was to drink more water which diluted the urine.  This worsened my pad usage, but was the better of the two evils.  So try drinking more water.


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

Veteran Member

Date Joined Apr 2008
Total Posts : 847
   Posted 9/23/2008 5:07 PM (GMT -6)   
Common advice is to drink lots of fluid to keep your urine dilute. I drank/drink lots of weak tea.
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 

New Member

Date Joined Sep 2008
Total Posts : 7
   Posted 9/23/2008 5:28 PM (GMT -6)   

Thanks for the responses!  I've been drinking almost nothing except water--and have upped my water intake quite a bit--but can't see that it makes much difference.  Then again, drinking more water helps the economy by keeping the pad makers in business, so it's not all bad, right?!  :-)


Regular Member

Date Joined Jan 2008
Total Posts : 276
   Posted 9/23/2008 7:52 PM (GMT -6)   
Some burning can be expected because you still have tissue healing where the connection was made between your bladder and urethra, but it should subside and I can't remember mine being bad enough to command my constant attention, be sure your Doc knows, could be an infection. Any temp ?? or cloudy urine??, both could represent infection, which can be treated. Keep us posted.

46 you when diagnosed, now 47
Pre-Op PSA 9.9
1 of 12 cores positive, Gleason 3+3
DaVinci on 9/5/2007
Post-Op Gleason 3+6, Negative Nodes and Margins
Less than 1% of prostate involved with CA
3 Month PSA 0.01, 6 Month PSA 0.01, 9 Month PSA 0.01
Incontinence resolved 9/15/2007, one day after cath removal
ED showing significant improvement.
Cialis 5 mg every night.
Success with BiMix

New Member

Date Joined Sep 2008
Total Posts : 7
   Posted 9/24/2008 1:05 AM (GMT -6)   
I have no fever, no infection and my urine is clear. But it still stings--very much like it did when the catheter was in place. I know it has only been two weeks since the cath was removed and I don't mean to be impatient but sometimes it flat out stings to the point of distraction. I'm going to put in another call to my doctor tomorrow as a precaution.

Who knew that this would be so much fun?! :- )

Regular Member

Date Joined May 2008
Total Posts : 260
   Posted 9/24/2008 7:05 AM (GMT -6)   


.....myself, not really stinging after cath removal, but, it just wasn't or didn't feel like I'd imagined. I had read on here how it would flow like a sixteen year old!!  It didn't hurt but was real uncomfortable upon urination.......things are still healing even at four weeks. At probably five, six weeks........no problem, it flows like I was sixteen again!!  Every morning I impress the **** out of myself!!  whahoooo... :-)

   age: 53
   Pre-0p PSA  Feb. 08, 5.0
      4.22.08, 4.1
      PSA  spiked once about 8yrs ago to 5.0 three months later
      back to 2.9...then into the 1.2 range until my re-scheduled 
      "missed" appointment this past Feb.
      Biopsy 5.1.08 
      5 of 15 cores positive
      Da Vinci scheduled..7.29.08..as I read somewhere on this 
      site....."the first show of the day"
       DaVinci completed 7.29.08, Bladder Sling installed, hernia repair 
       completed during surgery.    
        Sent home 30hrs,  JP drain in place 7days,
       Path report "cancer fully contained"....Margins clear
        Cath removed 8.8.08(ten days)...one lightly used pad 24 hours
        ED therapy begins 8.9.08. 100mg viagra three times a week,
        pump everyday and hold for ten minutes.
        8.16.08 switched to Levitra 20mg.......whahoo, got lucky...
        immediate results..... 
        9.15.08 pad free at night, one thin (light) pad during the daytime
        hours. Just because I'm chicken..!
         9.18.08 1st post-0p-PSA-Undetectable...Zero's!  Yes!
           ..."just tryin' to reason with hurricane season"..

Regular Member

Date Joined Jun 2008
Total Posts : 407
   Posted 9/24/2008 9:39 AM (GMT -6)   
My prostate was removed two-weeks ago today and the catheter came out Monday of this week - 12-days after surgery.  The catheter was a non-issue for me and I actually appreciated having it for that period. 
The catheter removal went well, hardly felt a thing and I've had no irritations since (or when it was in).  My doctor started me on Cipro the day before the catheter came out and today will be my last dose - a three-day supply.  I'm urinating well, still some blood from time-to-time ("old blood" says the physician's assistant) and the incontenence is an issue I still need to get under control. 
The 24-hours following the removal of my catheter I went through maybe 10-pads and had very little control, yesterday fewer, and, hopefully, even fewer pads/leaking today. 
I want to return to work next Monday, but that decision will depend upon the degree of incontenence.  I felt good before the operation, felt good after the operation, and still feel good post-op. 
Best wishes for a speedy recovery.

Age:  59 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

Bladder & Urethral:  Free

Seminal vesicles:  Not involved

Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%

Catheter:  Removed 12-days after surgery



New Member

Date Joined Sep 2008
Total Posts : 7
   Posted 9/26/2008 1:55 AM (GMT -6)   
Just a quick update.

I talked with my doctor about the burning/stinging I've been experiencing in my urethra after the catheter was removed two weeks ago. He prescribed a 7 day course of Cipro antibiotics and after only two days the burning in my urethra has all but vanished. I cannot tell you how much better I feel today--this is the absolute best I've felt since surgery and most definitely the best I've felt since the catheter was removed.

The incontinence is still a problem but it, too, has slowed a little since beginning the antibiotics. I'm quite pleased.

Thanks for your thoughts, suggestions and support. This forum is a fantastic resource. SKB

Regular Member

Date Joined Jan 2008
Total Posts : 276
   Posted 9/26/2008 8:37 AM (GMT -6)   
Good news Codger, I'm glad you have gotten some relief. Good Luck in the future, the hardest part is over, now you can concentrate on getting well!!!
46 you when diagnosed, now 47
Pre-Op PSA 9.9
1 of 12 cores positive, Gleason 3+3
DaVinci on 9/5/2007
Post-Op Gleason 3+6, Negative Nodes and Margins
Less than 1% of prostate involved with CA
3 Month PSA 0.01, 6 Month PSA 0.01, 9 Month PSA 0.01
One Year PSA 0.01
Incontinence resolved 9/15/2007, one day after cath removal
ED showing significant improvement.
Cialis 5 mg every night.
Success with BiMix

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