Healing Process?

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snuggleup
Regular Member


Date Joined Mar 2009
Total Posts : 43
   Posted 4/9/2009 7:54 AM (GMT -7)   
Good day all.. My husband just had his RP on Feb, 17.. after about 3 weeks or so, he was urinating ok until now. He has noticed that when he does have the urge to go, its very, very weak with alot of dribbling. He feels hes taking 10 steps backwards. Is this a normal part of the healing process? Your suggestions would be greatly appriecated. Mari

Jstars
Regular Member


Date Joined Oct 2005
Total Posts : 489
   Posted 4/9/2009 8:13 AM (GMT -7)   
Snugg,
I too thought that I might be taking a step back in the streams department a few weeks ago where, except for overnite urinations (which were always firehose gushers) that the daytime streams were slowing down (sometimes to BPH-style piddles). Then I started deliberately drinking a lot more during the day to retrain my bladder to expand more (at least that was my thought -- Mr Bladder has his own ideas on when enough is enough). So although I might not be holding any more than before when urgency sets in, I now only go when I have 8-10 oz every time and that too gushes out just fine all the time. The only time I might have to really push is if I am trying to eek out the last drops. I might add that even with more drinking I can now go 3-4 hours easily between urinations -- up for an hour or two at the beginnings.
I have a theory that us guys, at early IC, tend to not drink a lot and try to go a lot more just to try to keep things dry (and get bragging rights on getting over IC in a week - hah).
But that might be counterproductive as far a training the bladder to work normally again.
I also wonder about if a surgeon laces up the bladder and urethra fairly snug to start with that it might allow a guy to get over IC really quickly, but later on as the scar tissue contracts a bit you could get a slower stream as time goes on. (Anyone care to comment on this one theory??). I will ask my PA/Uro next time if they deliberately try to leave some slack when lacing up that area.
Age 58, 195lbs, 6'4", 57 at DX, PSA Aug2008 7 4 ... June2007 4.7 (BPH + LUTS)
Biopsy Nov2008 1 of 12 cores 5%, Gleason 3+3 - Sona showed 140+ cc (110 grams post op) prostate size.
02/03/09 open RRP surgery , Nerve sparing both sides, 1 day in hospital, Day 4 first BM,
Pathology Report: All margins clear - No Invasive spread - no change in Gleason score.
02/18/09 Cath out, passed a 1cm STONE within hours.
Using pump (encore) daily since catheter out - working good with 2 rings.
04/01/09 Was Oxalate stone -- usually from kidneys -- X-ray Kidneys @ next PSA).
03/06/09 Started Levitra 20mg rehabbing -> no real effect yet (04/01/09) . (Same for Viagra @ 100mg)
04/01/09 PSA <0.1 (And starting Cialis rehabbing @ 5mg). @ 1 pad/day on IC side.


snuggleup
Regular Member


Date Joined Mar 2009
Total Posts : 43
   Posted 4/9/2009 9:04 AM (GMT -7)   
Thanks Jim..I might add, that my husband would also deliberately drink lots of fluid, in order to push urine out, due to intense pain in his pelvic area. Once out, he'd be very relieved. He went to see his doctor who gave him antibiotic meds in case of infection. I also have the same curiousity as yourself. How is it, that some men recover from Incontience within a day or two after cath removal, to wearing pads, months to years after RRP? Even with the expertise of a master surgeon, I really see no difference in incontinence outcomes. P.S Not an expert on subject, but would be curious on you point of view.. TC all.. Mari

hb2006
Regular Member


Date Joined Nov 2008
Total Posts : 299
   Posted 4/9/2009 4:18 PM (GMT -7)   

I really think it can depend on the experience of the surgeon and maybe just plain luck. My surgeon was Head of Surgery for a number of years and has had only one case of incontinence continuing after 12 months. Of course, his words. But I was completely dry in two months after the "open Surgery".

I wore pads for two weeks after I no longer needed them (just in case) and because I had purchased a package of 50 prior to the surgery. I hated throwing so many away but what else to do with them. Also hardly ever used more than one a day after the catheter came out.


Age 60
PSA 2007 4.1
PSA 2008 10.0
Diagnosed April 2008
Biopsy: 6 of 12 cores positive
Gleason 4 + 5 = 9
CT and Bone Scan negative
Open surgery at Shawnee Mission Medical Center May 21, 2008
Right side nerves spared
Radical prostatectomy and lymph node dissection
Cather removed on June 3rd, totally dry on July 9th
pT2c
lymph nodes negative
PSA Sept 28, 2008 0.00
PSA Jan 22, 2009 0.00

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