Post catheter blood clots?

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New Member

Date Joined May 2009
Total Posts : 1
   Posted 5/2/2009 3:22 PM (GMT -6)   
At age 57, I had a da Vinci prostatectomy.  Catheter for 6 days.
No significant bleeding or leakage after catheter removal.
Day 7 I had a dry ejaculation.  The next urination I passed a dark blood clot.  Subsequently for 2 days I have passed dark blood clots with most urinations. 
Anyone else had this symptom?
Read an article,, saying "You will notice blood in your urine on and off for 3-6 weeks after the procedure. You may also pass dark coloured  blood clots 10-14 days post operatively, this is normal and the dark colour means it is "old blood".This usually does not require any treatment."

Veteran Member

Date Joined Nov 2007
Total Posts : 598
   Posted 5/2/2009 4:10 PM (GMT -6)   
Shooting out blood clots provide some of the best post surgery entertainment there is. Of course, I overdid it week 3 and had, what looked to me, copious amounts of blood in my urine. My doc was very nonchalant. He said I ruptured a few capillaries. No big deal. As long as you keep passing blood clots, you are fine. It's when they block your urine flow that you must go to the hospital. I passed clots for almost 2 months. They were not at all concerned. It only looks frightening to us!
46 at Diagnosis.
Father died of Pca 4/07 at 86.
1/06 PSA 3.15
1/07 PSA 4.6 (Biopsy 3/07 just suspicious)
10/07 PSA 5.06 (Biopsy 11/07 1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC
Saved both nerve bundles.
Path Report: Stage T2cNxMx
-Gleason (3+3)6
-totally contained to prostate,
-10% involvement in L & R Mid lobes
PSA 0 at nine months.
Pad free on March 14 - (10 weeks.) Never a problem since.
ED - Took 100mg viagra every night. for several months
Totally usable erections at 10 weeks, which disappeared over the course of a month or two.
ED bounce is what they call it. Now, at one year, ED is fine with viagra.
One year PSA - undectable!

Elite Member

Date Joined Oct 2008
Total Posts : 25393
   Posted 5/2/2009 4:16 PM (GMT -6)   
I only remember passing tiny ones for about the first week or so after open surgery.
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

Regular Member

Date Joined Apr 2009
Total Posts : 133
   Posted 5/2/2009 6:37 PM (GMT -6)   
If they are bright red it may be adifferent issue and i would call my Doc.
Age 55, two teens, very fit cyclist (avg 2000+ miles per year) and weight, diet, etc. consistent with good habits. Stressful job as attorney; very supporting wife who is helping me through every stage of this war.
2006 PSA - 1.5
2007 PSA - 2.3
2008 PSA - 5.3 (18 mos.)
2009 Jan. 20 - Biopsy 12 samples
        Feb 3 Dx 2/12 samples positive, low volume  (5% and 7-10%)
Gleason 3+4, later downgraded by second opinion at Johns-Hopkins to 3+3, but "it's still PCa" as my Doc said.
Laproscopic surgery April 9,  University of KY Medical Center, Lexington, 3 days in hospital, catheter removal April 21.
Pathology: clear margins, no cancer in prostate: told that this is very rare and Doc has only seen it in 3 out of over 1400 cases; I rearched the concept of "vanishing cancer" and found a tumor classification of tP0 and asked Doc if it applied to me. He said that it was unlikely because if a pathologist had done a much more detailed analysis of the tissue, he would likely find more foci somewhere, and biopsy found "needle in the haystack as opposed to the tip of the iceberg"; Nevertheless, it is a blessing;
Regardless of the science, my family says "miracle."
Now working w/ post-surgery issues....

Veteran Member

Date Joined Apr 2009
Total Posts : 990
   Posted 5/3/2009 11:15 AM (GMT -6)   
After 50 or 60 years of getting used to how our plumbing works and being warned of the danger of having blood show up in our urine it is hard not to be seriously worried when it happens. I agree with the other responses that passing clots is well within the range of normal, but if it bothers you, call your doctor’s office. Remember that they would much rather you ask than have you wait too long and become an emergency case.

In my pre-surgical counseling the nurse practitioner told me that she would have to speak harshly to me if I called more than twelve times in the first week. (but she was smiling when she said it.)
Age at diagnosis 67, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3 + 4 = 7
CAT scan 1/09 negative, Bone scan 1/09 negative

Robotic surgery 03/03/09 Catheter Removed 03/08/09
Post surgical pathology report. Lymph nodes negative, Seminal vesicles negative
Surgical margins positive, Capsular penetration extensive Gleason 4 + 3 = 7

Regular Member

Date Joined Nov 2008
Total Posts : 30
   Posted 5/4/2009 2:00 AM (GMT -6)   
Hi Morgan,
From week 2 to week 3.5 after the surgery I too had some major clots come out whenever I urinated. My urine was also tinted very reddish at times, so when it first started I called my doctor and let him know and he basically said that as long as I was still urinating and it was not completely bright red blood that I was OK. Activity seemed to make it worse so for most of that time I just tried to take it real easy and I made sure to drink lots of water to keep everything flowing. It made me real uneasy to be urinating so many clots and so much bloody urine and it was a special and happy day when it finally stopped! So, bottom line: keep an eye on it and if it gets to be more than you're comfortable with, call your doc and let him know.
Best of luck with your recovery!

Age 52
PSA 3.1 fPSA 26% Dx: 11-07-08
1 of 12 cores with 5% adenocarcinoma
11 of 12 cores clear Gleason grade 3+3=6
Robotic laproscopic surgery 2-4-09
Dr. Garret Matsunaga, Torrance Memorial Hosp.
Free hernia repair! 2 day stay.
Pathology: pT2c NXMX
upgraded to 3+4=7 and <2% tertiary 5
negative margins
negative extraprostatic extension
negative seminal vesicle invasion

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