Catheter Question

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mikey1955
Veteran Member


Date Joined Dec 2008
Total Posts : 672
   Posted 5/13/2009 12:54 PM (GMT -7)   
 
I had an open RP 8 days ago. I am supposed to have staples, catheter removed on the 21st...and receive path report.
 
I still have a small discharge of gooey blood at the catheter tip (usually after I wake up) that crusts up around the opening on my penis and on catheter tube.  It's not much, but is this normal after 8 days? Is this coming from where the urethra was sewn back together or could it be residue from surgery coming out from under the catheter balloon in the bladder?
 
Some comments would be appreciated.
 
Mike 
Lower left groin hernia: mesh and large scar: surgery early 2006
Nov/Dec 07 and March 08 and now Dec 08: Severe perineal pain (between scrotum and rectum). Septra/Bactrim for 8 months (Nov 07-Jun 08) for diagnosed prostatitis.
PSA start of 2008: 5.3..... PSA June of 2008: 7.3
14 DRE all benign or nothing felt
TRUS Biopsy Nov 08: Got copy of pathology (see below). Prostate about 40 cm sq.
General Health: pretty good, 5' 10", 180 lbs, slim.
Bone scan Dec 08: Negative
Barium enema X-ray (March 09 due to several days of blood in stool)
MRI with endorectal coil (April 09 as part of a study)
3D advanced TRUS (April 09 as part of a study)
CT (April 09 as part of a study)
Biopsy Pathology: 5 of 8 cores positive, adenocarinoma in both lobes. 30%-65%. One core perineural invasion. 2 cores "foamy" and suspicious. All +ve cores, 3+3 GS 6.
Open RP surgery: 1st week of May 09.
Physical State: 10 miles brisk walking per week (border collies), 20 minutes/day hard weights plus 5 minutes per day elliptical trainer (target before surgery is 20).
Mental State: Mostly good. Sometimes questionable. 
 


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4813
   Posted 5/13/2009 1:18 PM (GMT -7)   
Sounds normal to me. Just keep the area clean with ol morning shower.
Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
 
06/25/08 - Da Vinci robotic laparoscopy
Catheter in for five weeks.
Dry after 3 months.
 
10/03/08 - 1st Quarter PSA -> less then .01
01/16/09 - 2nd Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.
 


Radical
Veteran Member


Date Joined Mar 2009
Total Posts : 739
   Posted 5/13/2009 2:13 PM (GMT -7)   
Hey Mikey, yeah thats the norm mate, just make sure you keep if clean, so the tube can slide easily in and out, so as not to cause any discomfort. Good luck Mate.

Age 51yrs
DX 11/11/08
6 out of 8 cores positive 3 X 60% / 3 X 10%
PSA 4
Gleason 3+4=7
Stage T1c
Robotic Surgery 24/12/08
Upgrade Gleason 4+3=7
Stage T2c
Three small foci total volume 10%
Neg Margins and Nodes
Nil - Extraprostatic Extentions
Dry less than 1 week (unbelievable)
ED- taking Meds/ No results yet/still "NotHard"
PSA 28/1/09 0.03
PSA 24/2/09 0.03
"Everyday in Everyway I get better"


CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 5/13/2009 2:26 PM (GMT -7)   
Hi Mike.  Yes, it sounds fairly normal.  Just make sure you keep the tip of your penis and the tube well lubed.  David
Age 55
Diagnosed Dec 2007 during annual routine physical
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 positive with 2 marginal
Gleason 3 + 3 = 6
RRP 4 Feb 08
Both nerves spared
Good pathology - no margins - all encapsulated - Gleason 4 + 3 = 7
Catheter out Feb 13 - wore pad for couple of days - pad free Feb 16
Great wife and family who take very good care of me


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25353
   Posted 5/13/2009 4:57 PM (GMT -7)   
Mike, sounds like all good advice there. Interestingly, I never once lubed anything the entire 63 days I was on a catheter, no one ever told me too from the medical community. Never had any problem with oozing, bleeding, etc. When I would have all those terrible spasms, it would try to force urine under the balloon inside, but just in minute amounts. Be happy for you when they take out the snake from you.

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, 5/9 .10 doubled in 3 months, new test in six weeks, then possibly off for salvage radiation
 
 


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 5/13/2009 5:28 PM (GMT -7)   
Mikey,
I wonder why your surgeon wants you on that catheter for so long, though I have seen it before for that long. I had mine 8 days and everything healed up. I only had dribbling for a couple days and never looked back. I would call the office and let them know you are experiencing these symptoms.

Tony
Age 46 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 16, 2007
Geason 4+3=7, Stage pT3b, N0, Mx
Positive Margins (PM), Extra Prostatic Extension (EPE) : Bilateral Seminal vesicle invasion (SVI)
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (May 11, 2009): <0.1
 
My Journal is at Tony's Blog  
 
STAY POSITIVE!


Ralph Alfalfa
Regular Member


Date Joined Nov 2008
Total Posts : 469
   Posted 5/13/2009 6:04 PM (GMT -7)   
Mikey,
Keep the tip of the penis, as well as the tube, lubed with Neosporin. It faacilitates the movement of the tube in the constant motions of getting to your feet, walking, sitting, etc. Do this at least three times a day and after showering.
Bob
 AGE:57
 Dx: October,27(the day after my birthday)
 Psa 14.5
 Gleason:(4+3) 7 T1c
 Bone scan:Negative
 Cat scan: Negative
 Biopsy: 4 of 12 positive, left side, pre-cancerous on the right.
 Confined to prostate.
 DaVinci Jan. 19th, No lymph node involvement, all margins clear.
 8 week PSa <0.01
 Gleason downgraded to (3+4)7
 Fully continent...ED progressing as expected.


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2455
   Posted 5/13/2009 6:47 PM (GMT -7)   
That is normal. I had the same thing. You may consider putting some lubricant at the tip of your penis so the blood doesn't dry up.
Age: 67
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
Dx 12/30/08
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09
Surgeon: Dr. Randy Fagin, Austin TX.
Pathology report:
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Bilateral 10-20% involved
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx
Negative margins
seminal vesicles clean
Lymph nodes: not dissected
1st PSA test 4/7/09 result <0.1


mikey1955
Veteran Member


Date Joined Dec 2008
Total Posts : 672
   Posted 5/14/2009 4:39 AM (GMT -7)   

Tony...Thanks. I will call and let them know. 14 days after discharge is normal for this surgeon to remove catheter. I remember asking that. Seems a bit long for getting staples out, too, but that's what I was told.

Ralph and others...thanks for the lube recommendation. I keep that area pristine clean twice a day....and the lube has sure helped with that huge zing I'd get at the end of my penis. Nurse recommended Polysporin...works well in small amounts...thanks.

Mike


Lower left groin hernia: mesh and large scar: surgery early 2006
Nov/Dec 07 and March 08 and now Dec 08: Severe perineal pain (between scrotum and rectum). Septra/Bactrim for 8 months (Nov 07-Jun 08) for diagnosed prostatitis.
PSA start of 2008: 5.3..... PSA June of 2008: 7.3
14 DRE all benign or nothing felt
TRUS Biopsy Nov 08: Got copy of pathology (see below). Prostate about 40 cm sq.
General Health: pretty good, 5' 10", 180 lbs, slim.
Bone scan Dec 08: Negative
Barium enema X-ray (March 09 due to several days of blood in stool)
MRI with endorectal coil (April 09 as part of a study)
3D advanced TRUS (April 09 as part of a study)
CT (April 09 as part of a study)
Biopsy Pathology: 5 of 8 cores positive, adenocarinoma in both lobes. 30%-65%. One core perineural invasion. 2 cores "foamy" and suspicious. All +ve cores, 3+3 GS 6.
Open RP surgery: May 5/09 Surgeon spoke to my wife and was very positive. Said both nerve bundles spared and not damaged. Bilateral lymph node dissection performed. Discharged 48 hours after surgery. Staples out, catheter out and pathology sheduled for May 21.
Physical State: Home office in basement. Up and down 10-20 times a day. Walking lots of circles around inside of house and back patio. Bit sore but coping very well so far.
Mental State: Pre-surgery anxiety gone. Now waiting for path report, cath removal and staples out. 
 


gtmriviera
Regular Member


Date Joined May 2007
Total Posts : 338
   Posted 5/14/2009 12:01 PM (GMT -7)   
Even after the tube and bag are removed you may have clots pop out for the next few weeks.  I did.  Here's something that will take care of itself.  If you hang the bag on something while you are brushing your teeth or whatever, and you forget about it and start to walk away, it will automatically remind you.  Happened to me a few times.
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