Post RP Scar Tissue

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New Member

Date Joined Jul 2009
Total Posts : 3
   Posted 7/12/2009 7:55 AM (GMT -6)   

A bit of history and a question~

October 4, 2008 PSA 32.9  Confirmaton PSA October 21, 2008  34.8

December 17, 2008 Biopsy Gleason 3+4=7   T2a

December 30 2008 Bone Scan and CT Scan Negative

February 23,2009 RP Surgery

Surgical Pathology Report    

Lymph Nodes No Carcinoma

Extraprostatic Extension Present

Tumor invaded Seminal Vesicles (removed)

Perineural invasion

Tumor extends to surgical margins at apex and at bladder neck margin.

Pathological Stage: T3b NO MX

Catheter removal March 10, 2009

April  Mid - Experienced Difficulty with urination  April 24 had Cystoscopy found scar tissue blockage at bladder neck.  Doc opened and then inserted foley for a week.

May 11, 2009 planning session and CT scan with Oncologist prepping for   radiology.  Doc tempted to insert cath – not able – more blockage at bladder neck.

May 27, 2009 Laser to remove scar tissue at bladder neck.  Used foley till June 2, 2009

Peed like a race horse for a few weeks!

Began experiencing weak stream again late June.

June 29, 2009 PSA 5.36  Another  - July 7, 2009 4.78

July 10, 2009 another cystoscopy and found more scar tissue blockage at neck of bladder.

Doc opened again. Trained me in self cath. Gave prescription for catheters and antibiotics.

Instructed to self cath twice a day now through radiation sessions.

July 14, 2009 have another planning session and CT with oncologist with radiation to begin the following week for 2 months.

Anyone have a similar experience?

Elite Member

Date Joined Oct 2008
Total Posts : 25394
   Posted 7/12/2009 9:55 AM (GMT -6)   
Hello and welcome, Cathman.

Wow, that is some painful story to read. Sounds like you have really been having a go with your fight with PC.

I went through a period of similar blockages after my surgery. I was on catheters for 63 days, a total of 5 caths. Never had to self cath, still not sure how one could even do that, it's bad enough having a regular cath inserted, as you know, while you are concious.

A corrective surgery through a "scope" finally ended the portion of misery for me in mid January of this year. The down side, even after 6 months later, I can no longer pee like a race horse like I did all my life, my pee events are always very slow, sometimes painful, and never easy, but at least its flowing.

Please keep us posted and stay with us. You have a lot going on there, want to make sure you are alright.

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, 6/9 .11, July 13 - meet with radiation oncologist

New Member

Date Joined Jul 2009
Total Posts : 3
   Posted 7/13/2009 6:54 PM (GMT -6)   

David in SC:

Thanks for your reply and support.

It has been a crazy time.  Will post an update as things progress.

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