Recurring Burning in Urethra Seven Months Out

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seeker44
New Member


Date Joined Feb 2008
Total Posts : 8
   Posted 10/6/2008 8:50 PM (GMT -6)   
Seven months after RP I've been having recurring bouts of mild burning in the urethra.  Lab tests do not show infection and antibiotics have no effect.  The only thing I can think of is the possibility of a stricture.  Has anyone else experienced burning, without infection, this far out from surgery?
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


KenW
Regular Member


Date Joined Mar 2007
Total Posts : 74
   Posted 10/6/2008 10:55 PM (GMT -6)   

Seeker44,

You probably are guessing correctly. I had burning like you mention for a good year. It was a stricture and was corrected by opening it up. Flow improved for 6months or so and has slowed up some, but no more burning.

I did not have surgery,but the problem is the same from irritating the urethra.


Diagnosed with a Gleason 4X3. Second opinion at Stanford came back as 3X4, 1 out of 7 samples, Left Side. DRE showed Normal. Before Biopsy Psa gradually crept to 10. Dropped to 6.4 with Alt. suppliments.
Proton Beam Therapy at Loma Linda 11-06. 1st PSA 4 Months 3.4, PSA at 8 Mo. 1.7. - 1 Yr. PSA 1.8 ( Different Lab ) 4 th PSA Slightly up at 2.19- Free PSA at .33 probably due to BPH. 1 year and 11 mo. Urologist discovered Scar Tissue in the uretha causing frequent urination with burning. Bladder not emptying completely.
Scheduled ( 12/17/07 ) to have the scar tissue sliced to open up the restriction. Good news is PSA is down to 1.14.
Urethrotomy performed. Flow much improved. No more burning.
PSA bump to 3.1. being checked at 3 months now.
New test result 9/29 dropped to 1.03.


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 10/6/2008 10:59 PM (GMT -6)   
Have you tried increasing your fluid intake -- at least for a few days, just as a test?
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 


Krica
Regular Member


Date Joined Apr 2007
Total Posts : 99
   Posted 10/7/2008 4:56 AM (GMT -6)   
Hi, i had a fistula in my small bowel into the bladder and my symtons were burning urine. At first, my general practice was treating me for urine infection, however my GI found out that i had a fistula. It was necessary a surgery to correct the problem. Take care!!!
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