Bladder neck Contracture due to Scar tissue

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webstergl
Regular Member


Date Joined Mar 2009
Total Posts : 25
   Posted 3/23/2009 2:19 PM (GMT -6)   
I am scheduled this Friday for TUI (Transurethral incision) to clear some scar tissue from where the reconstructon was done during the prostatectomy, I was told by my doctor that I am at a 11F - 12 F and the opening should be at 16F, this has caused a voiding problem and several urinary track infections over the past several months.
 
Going to the bathroom is abot a 5 minute ordeal so it will be nice to get some flow back, After this is done I will be looking at a male sling or Artificial sphincter to get the  Incontinence under control I wish it could be the other way around but have to fix the scar tissue first) I use 2 pads a day occassionally 3, this part has been the most trying part of the whole process I can not remember what it is like to be dry anymore.
 
At any rate my questions are:
 
1. Has anyone in the forum had a TUI, I am curious about if it is very painful afterwards
 
2. Any information or good websites that compares male slings or artificial sphincter so I can research these options
 
I do have a great doctor (Dr. Allen Morey UT South western Dallas Tx) who specializes in correcting post prostatectomy issues 
 
Thanks in advance for your assistance
  

Age 54 (Dx age 52)

11/06 severe prostate infection PSA was at 52

2/07  4th PSA still at 6.2

3/07 Biopsy

4/07 5 of 12 core samples positive with Gleason at 6 -7

6/07 Robotic Radical Prostatectomy

Pathology showed Cancer was organ contained

Last 3 PSA’s 0

11/08 Dx with BNC (Bladder Neck Contracture) due to scare tissue

3/08 Scheduled for TUI, as well either an AUS or Male sling not sure at this point which one


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25369
   Posted 3/23/2009 3:31 PM (GMT -6)   
Hello and welcome Webster, glad you found us here at HW.

I had the same correction done for the same reason on January 13th of this year. This was on day 63 after my open surgery, I was on a total of 5 catheters. Twice they were removed, and twice I had total blockage within hours. One cath was put back in at my drs office, the other was through local ER which was a terrible experience. I was put under completely, my choice, didn't want a spinal, and my dr opened me up. He left me with my 5th and final catheter, a real thick one for 6 more days to heal from the correction. After he took it out, I have been able to void, though not like the race horse I was pre-surgery. My dr had a difficult time during my main surgery connection the urethra back to the bladder neck, so it complicated things for me. I hope yours goes well for you. My dr. even gave me colored photos of before and after, so I could see the difference with the opening.

David in SC
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery   2/9 .05, 6 month on 5/9
 
 


webstergl
Regular Member


Date Joined Mar 2009
Total Posts : 25
   Posted 3/23/2009 4:25 PM (GMT -6)   
Purgatory, thanks, I guess I am a little nervous mostly since I leak some now, my Dr. told me once they open it up I may leak more, they did a test and it appears that I have about 75% control. once the TUI has healed (about 8 weeks) pretty much I have been told to get dry it will take something to assist so I am trying to get as much info as possible on my options so I can make a decission on the best route to go.

the incontiences is a drag, but it sure beats the hell out of having cancer

Age 54 (Dx age 52)

11/06 severe prostate infection PSA was at 52

2/07  4th PSA still at 6.2

3/07 Biopsy

4/07 5 of 12 core samples positive with Gleason at 6 -7

6/07 Robotic Radical Prostatectomy

Pathology showed Cancer was organ contained

Last 3 PSA’s 0

11/08 Dx with BNC (Bladder Neck Contracture) due to scare tissue

3/08 Scheduled for TUI, as well either an AUS or Male sling not sure at this point which one


GerhardL
New Member


Date Joined Apr 2009
Total Posts : 1
   Posted 4/3/2009 8:50 AM (GMT -6)   
webstergl

I too have had a bladder neck contracture. At first Dr tried to expand it which worked briefly. I then had the TUI and the contracture was corrected although I did have quite a bit of leaking afterword. Dr advised 2 x a day self-cath. After about 3 weeks the contracture returned and I went in for another round of TUI. It has now been 7 weeks since the last TUI and things have finally begun to work as expected. Little or no leaking (0 pads). PSA=0. Still self-cath 2 x a day. Go to 1 x a day in 3 weeks. I would hold off on the artificial sphincter and see if things clear up on there own.

__________________________________________________________________________________
Age 59
Surgery 9/05/2008 PSA 5.2
Biospy only 1 needle out of 12 with 1% cancer cells.
Organ cancer contained.
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