blood in urine after surgery

buckeye42

New Member

Joined : May 2009

Posts : 12

Posted 5/28/2009 5:09 AM (GMT -7)

Good morning .I had my surgery 5/13/09.the cath was removed 5/22/o9.dr.gave me 3 levaquin for infection.I have blood in my urine then but was cleared up after antibiotic.they told me that some blood in urine is normal after surgery.it has been 15 days postop and I had blood in my urine after stopping the antibiotic .Is this a normal thing to have blood in urine after surgery?thanks

Sephie

Veteran Member

Joined : Jun 2008

Posts : 1804

Posted 5/28/2009 5:24 AM (GMT -7)

Based on my husband's experience, blood in urine for a week or so after surgery is not uncommon. Alot has been done to your "plumbing" and the healing process takes a couple of months. Scar tissues and small clots will pass through for a while. Your surgeon should have given you a fact sheet about what to look for after surgery. Our doctor told us blood in urine, no problem. Difficulty urinating is a problem as is a fever or increased pain. If you are concerned, I would suggest speaking with the surgeon.

Wishing you a quick recovery!

Husband diagnosed in February 2008 (age 57). Cancer discovered during routine annual physical. Clinical Stage T1c, Gleason 7 (3+4), with 2 out of 10 cores testing positive. Perineural invasion identified on biopsy. DRE was negative.

Robotic surgery in March 2008. Pathological stage upgraded to T3a, Gleason still 7 (3+4). Miniscule invasion into prostate capsule but no cancer found outside capsule (surgical margins and seminal vesicles were clean).

1st PSA 3 weeks post op: 0.1; 2nd PSA 7 weeks post op: 0.0. PSA remains at 0.0, and will continue to be checked every 3 months for the first 2 years due to capsular penetration.

Took Enablex for urinary issues with good results. Currently not taking any medication for incontinence and continues to make progress in this area. Continues with 50 mg. of Viagara 2 to 3 times a week with good results there as well.

mikey1955

Veteran Member

Joined : Dec 2008

Posts : 673

Posted 5/28/2009 5:43 AM (GMT -7)

I had surgery the first week of May. Catheter and staples removed May 21. For about 4 days after catheter removal, the very start of my urine stream had a small amount of blood every 3 or 4th pee...like the first couple drops were pink. My surgeon said this was not completely unusual and told me to limit activity. I am day 7 after catheter removal and it has cleared up.

I would ask your surgeon.

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.

DS Can

Regular Member

Joined : May 2009

Posts : 195

Posted 5/28/2009 7:49 PM (GMT -7)

Hi, Mike,

I still had a tinge of blood or small clots up until 3 weeks after surgery. It's been fine since then.

PSA 01/07 was 1.2, PSA 01/08 was 1.9, PSA 01/09 was 2.5.

BIOPSY 02/24/09, adenocarcinoma DX at age 52

Right:GS 3+3=6, tumor 3/6 cores, 10% involvement,PNI-Yes

Left: GS 3+3=6, tumor 1/7 cores, <5% involvement,PNI-No

LARP 04/09/09,nerve sparing. Final pathology:

GS 3+4=7, Margins uninvolved, 2 lymph nodes negative.

Catheter removed on 04/17. First no-pad day was 05/03.

ED treatment is 25 mg Viagra nightly.

First followup PSA results on 05/28/09: <0.1,undetectable!

Jeff M

New Member

Joined : May 2009

Posts : 10

Posted 5/29/2009 7:47 AM (GMT -7)

I had blood in my urine after my bag was removed. I had a sever bladder infection and they treated it with leviquin (if I'm spelling this wrong, I apologize)....several days later by bladder locked again, with the same infection. . They did another culture and the leviquin didn't work for that type of bacteria, They put me on another antibiodic. Long story short, in the end, I ended up on IV antibiodics for 2 days.....

I would get to your doctor right away and get another urine culture done, if you haven't already.

Jeff

Mavica

Regular Member

Joined : Jun 2008

Posts : 407

Posted 6/1/2009 8:59 AM (GMT -7)

I had blood in my urine a month or so post-op and my Urologist told me it was to be expected, in some patients - because the "old blood" was sitting somewhere in a "pocket" and dislodged by my increasing movements. The physician's assistant told me they can tell, on first look, whether the blood in the urine is "old blood" or the result of new bleeding. If in doubt, pay a visit to the doctor's office.

Age: 59 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's: 3+3, Tertiary 4

Margins: Free

Bladder & Urethral: Free

Seminal vesicles: Not involved

Lymphatic/Vascular Invasion: Not involved

Tumor: T2c; Location: Bilateral; Volume: 20%

Catheter: Removed 12-days after surgery

Incontinent: Yes (1/2 light pads per day)

Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08

Returned to work 9-29-08 (18-19 days post-op)

PSA test result, post-op, 10/08: 0.0; 12/08: 0.0; 4/09: 0.0

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