Blood in urine

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lewvino
Regular Member


Date Joined Jul 2009
Total Posts : 384
   Posted 8/21/2009 10:00 AM (GMT -6)   
today is 9 days post surgery and the cath comes out on Monday. Did one walk this morning 1/2 mile, Then just got back from a second 1/2 mile walk with my wife at a brisker pace then I usually walk. There is A LOT OF BLOOD in the Cath tube now. I'm still pushing the fluids and could float a sailboat. Dr. still says the blood is normal but I'm curious where it all comes from? I would think that since the urinary tract has been stitched back together that the blood would be minimal by now. Any thoughts?


Age at diagnosis 54, PSA 5.1
Father treated for Prostate Cancer in 1997 with Proton Beam - Still doing well.
My Stats
Biopsy 04/08 12 cores, 5 positive
Gleason 3 Cores at 4+3=7
              2 Cores at 3+4=7
Perineural Invasion Noted on biopsy

Robotic surgery 08/12/09 at Vanderbilt, Nashville TN. 
 
Post Surgery - Dr. Spared 100% of Nerves on the left side.
Estimated that 50 - 70% of the nerves were spared on the right side.
 
Final Path report
20% of the prostate Invovled
Overall Gleason 3+4 (7)
Lymph Glands Clear
Positive Margin Noted in Right Apex


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25394
   Posted 8/21/2009 10:03 AM (GMT -6)   
lew,
a lot of that blood is coming from where the catheter tube is rubbing against the bladder neck junction before it enters the bladder. it is common, and more some if you walk alot with a cath in place. most of the time i have bled with the many caths i have/am wearing, its always after i have walked a lot. a little bit of pure blood mixed into a leg bag in particular will make the whole bag look really bloody. the only cure is to walk less with the catheter in place.

david in sc
 Age 57, 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
 Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
2009 PSA   2/9 .05, 5/9 .10, 6/9 .11, 8/9 .16
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, 8/14 met with Rad Oncl, still talking option, 8/18 - had laser scope surgery to clear blockage, now on Catheter #7
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


lewvino
Regular Member


Date Joined Jul 2009
Total Posts : 384
   Posted 8/21/2009 10:11 AM (GMT -6)   
Catch 22, Walk or don't walk. I think I will keep walking but slow the pace down from that last one! my Wife is an avid walker and could walk circles around probably anyone on this forum! I've been trying to walk 4 times a day, 1/2 mile each time. But at my pace!
Age at diagnosis 54, PSA 5.1
Father treated for Prostate Cancer in 1997 with Proton Beam - Still doing well.
My Stats
Biopsy 04/08 12 cores, 5 positive
Gleason 3 Cores at 4+3=7, 2 Cores at 3+4=7
Perineural Invasion Noted on biopsy

Robotic surgery 08/12/09 at Vanderbilt, Nashville TN. 
 
Post Surgery - Dr. Spared 100% of Nerves on the left side.
Estimated that 50 - 70% of the nerves were spared on the right side.
 
Final Path report
20% of the prostate Invovled
Tumor graded at T2C
Overall Gleason 3+4 (7)
Lymph Glands Clear
Positive Margin 1.8 cm in length Noted in Right Apex


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 8/21/2009 10:39 AM (GMT -6)   
I think David said it best, a little blood goes a long way. It really is a natural part of the healing thing for at least 2 weeks, and by then you will have the rubber snake out of there !
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks due to anatomical issues with location of ureters with respect to bladder neck.  Try 3 tubes where no tubes are supposed to be for 2 weeks !
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25394
   Posted 8/21/2009 11:03 AM (GMT -6)   
My good doctor never seemed concerned when I mentioned it to him, he figures if it hurts, you will slow down the activitity and thus the bleeding. It's being flushed right out of you through one of your cath bags. Looks nasty, but if you keep the bags empty often and keep them clean, no foul. Goes back to listening to your body, listen closely. If I did that when I was younger, probably wouldn't be the old torn up buzzard that I am right now at 57, lol. If I could rewind a few years, definitely do some major health change and eating choice changes in my life. Makes me hungry for an authentic Philly Cheese Steak right now and a chunk of some really good German dark chocolate with marzipan in the center. My cancer cells are saying, Please! Please! Feed me!

david in sc
 Age 57, 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
 Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
2009 PSA   2/9 .05, 5/9 .10, 6/9 .11, 8/9 .16
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, 8/14 met with Rad Oncl, still talking option, 8/18 - had laser scope surgery to clear blockage, now on Catheter #7
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


GarthK
Regular Member


Date Joined Feb 2009
Total Posts : 74
   Posted 8/21/2009 11:47 AM (GMT -6)   
Sorry David, the rules for a long life are as follows:

If it tastes good, don't eat it; if it feels good, don't do it.

Other than that, Enjoy life to the Max! :-)

See ya,
Garth
Vitae:
DOB: Q4'46, HT: 5'9", WT: 180
PCa:
PSA: <2.5, DRE: Slight enlargement, one node
Biopsy: 12/08
Cores: 4 of 12+ positive, Gleason: 3+3
Surgery: RRP on 1/21/09
Catheter: 15 days
Pathology:
Adenocarcinoma occupying 5% of prostatic volume (right posterior aspect)
Gleason: 3+2, No extraprostatic extensions, Perineural invasion within prostate only
No angiolymphatic invasion, No seminal vesicle invasion, Clear margins
AJCC: pT2a
Post-op PSA's
3/10/09 < 0.014 (undetectable by machine)
6/10/09 < 0.014 (undetectable by machine)


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 8/21/2009 12:01 PM (GMT -6)   
I definitely agree that just a little blood can make a whole bag look frightening. Especially since we have been taught that blood is not supposed to come out of there.

By the way both German chocolate cake and pomegranate martinis are going to be added to the GFMPH list real soon now.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25394
   Posted 8/21/2009 1:35 PM (GMT -6)   
German chocolate in my unofficial studies shows a 99% improvement in dealing with attitudes related to prostate cancer, its treatments, and its side effects. Should be FDA controlled, so chocolate junkies like me don't go nuts.
 Age 57, 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
 Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
2009 PSA   2/9 .05, 5/9 .10, 6/9 .11, 8/9 .16
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, 8/14 met with Rad Oncl, still talking option, 8/18 - had laser scope surgery to clear blockage, now on Catheter #7
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 8/21/2009 2:18 PM (GMT -6)   
I, too, was concerned when I saw the blood in my bag, post-op.  So concerned that I made an appointment to visit the Doctor's office for the Physician's Assistant to take a look.  The Assistant smiled at me and said, "It's normal."  Normal for her, maybe - but not for me (or you).  I learned afterwards, however, that the blood would be evident for some weeks, from time-to-time.  It was explained to me by my Urologist that they (the professionals) could take one look at the blood in the bag and know if it was "new" or "old" (resulting from the surgery and stuck someplace until it was dislodged by walking, exercise, etc.).  I had blood in my urine after the catheter was removed, also.  Over time this subsided and I haven't seen blood in the urine in a very long time now.  Congratulations on your surgical procedure and best wishes for a full recovery.

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

 


coxjajb
Regular Member


Date Joined Nov 2008
Total Posts : 184
   Posted 8/21/2009 8:02 PM (GMT -6)   
Thanks David! Now I'm hungry for a German Chocolate cake! tongue
Age 51
Pre - Op PSA, 4.3
Gleason 3+4=7
Stage T1C
da Vinci Prostatectomy 8/1/08
No issues with incontinence since day 1 after catheter removal
Mild ED. Levitra works well for me
PSA 0.00 at one year post op


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25394
   Posted 8/22/2009 11:57 AM (GMT -6)   
cox. there's 3 good german resturants in my area, so come on down, and I will you a mega slice, it will be good for your pc and morale
 Age 57, 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
 Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
2009 PSA   2/9 .05, 5/9 .10, 6/9 .11, 8/9 .16
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, 8/14 met with Rad Oncl, still talking option, 8/18 - had laser scope surgery to clear blockage, now on Catheter #7
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

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