BURNING AND PAIN

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Old Sailor
Regular Member


Date Joined Aug 2009
Total Posts : 207
   Posted 8/25/2009 8:11 PM (GMT -6)   
I am having pain and burning at the catheter during defecation,  particularly if I strain at all to defecate  There is no blood but there is a little clear fluid at the head of the penis on the catheter.  Will this go away after the cath comes out in two days (will be a total of 14 days) and how can I deal with this.  The catheter is definitely the worst part of the RRP, so uncomfortable and irritable.   Wouldn't need any pain pills if not for the catheter. 

DS Can
Regular Member


Date Joined May 2009
Total Posts : 195
   Posted 8/25/2009 8:21 PM (GMT -6)   

Hello Old Sailor,

The catheter is a necssary evil that will hopefully become a very distant memory for you very soon.  I don't miss mine at all.  You should expect some symptoms for a while after it is removed though.

Keep healing,

Dan


PSA 01/07 1.2, PSA 01/08 1.9, PSA 01/09 2.5
BIOPSY 02/24/09  PCa DX age 52
Right: 3+3=6, 3/6 cores 10% involved,PNI-Y
Left:  3+3=6, 1/7 cores <5% involved,PNI-N
LARP 04/09/09 nerve sparing. Final pathology:
GS 3+4=7, Margins uninvolved, 2 lymph nodes negative
Catheter out 04/17,1st no-pad day 05/03
25 mg Viagra nightly;100 mg:not ready for prime time
Followup PSA 05/28/09, 08/20/09 <0.1
 
 


Galileo
Veteran Member


Date Joined Nov 2008
Total Posts : 696
   Posted 8/25/2009 9:52 PM (GMT -6)   
Don't strain. If you don't have stool softeners, get some!

It's normal to pass a little urine around the catheter during a bowel movement.

Ask the doc if you can have some lidocaine gel to put at the tip, where the catheter enters. It will anesthetize the spot temporarily. Or use antibiotic ointment to lubricate--but ask first before putting anything there.

When in doubt, call the urologist. Make him earn his pay! I bugged mine about every little thing, even at 6:30 one morning when a big clot shot out (it was okay, by the way). My uro's practice has someone on call around the clock for emergencies, so I used him.

It'll be over before you know it.
Galileo

Dx Feb 2006, PSA 9 @age 43
RRP Apr 2006 - Gleason 3+4, T2c, NX MX, pos margins
PSA 5/06 <0.1, 8/06 0.2, 12/06 0.6, 1/07 0.7.
Salvage radiation (IMRT) total dose 70.2 Gy, Jan-Mar 2007@ age 44
PSA 6/07 0.1, 9/07 and thereafter <0.1
http://pcabefore50.blogspot.com


Old Sailor
Regular Member


Date Joined Aug 2009
Total Posts : 207
   Posted 8/26/2009 7:52 AM (GMT -6)   
Thanks for the advice, I get the catheter out tomorrow morning (can't wait). Also will get the pathology report from surgery.  Doctor said all looked good at surgery but of course, the path report could change that optimism  I have started on the stool softeners and am taking Mira Lax.  Hopefully this will work. The Mayo Clinic has a urologist or a resident urologist on call 24/7 and I will call if I have problems.

Old Sailor
Regular Member


Date Joined Aug 2009
Total Posts : 207
   Posted 8/27/2009 9:59 AM (GMT -6)   

Got the catheter out today (amen) and the final pathology report.  I consider myself a very fortunate man and feel "somebody" up there was looking out for me because my gleason went from 4/4 to 4/5 on final pathology. Both sides of prostate involved.   It also says "perineural invasion,  and areas suspicious for lymphovascular invasion but no definitive invasion seen.  Bladder neck and apical margins negative for tumor.  There is no extracapsular tumor.  Lymph nodes negative (0/3), tumor size greatest dimension 1.8 cm, primary tumor (pT) pT2c bilateral disease.  Regional lymph nodes pNO, distant mestasis cannot be assessed.  Margins - benign glands at surgical margins, margins uninvolved by invasive carcinoma. Extrarostatic extension absent, seminal vesicle invasion absent, lymphatic (small vessel) invasion (L) indeterminate.

Dr. Igel, my urologist at the Mayo Clinic Jacksonville, was very optimistic about the report and felt that my decision to have surgery as quickly as possible a definite plus.

I am now continent and hoping for continued progress in that area.  The fortunate old sailor.

 

 


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 8/27/2009 10:41 AM (GMT -6)   
That's great news. Now to continue the next steps in your recovery- continence, zero psa's, and erectile problems solved.

Are you leaking or what? after the catheter removal?
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP 110gms.- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
22 mts: ED- 50 mg Viagra 3X week, pump daily,Trimix 30/1/20-.05ml 2X week continues
PSA's: .04 each test since surgery


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 8/27/2009 11:30 AM (GMT -6)   
sailor, good news you got there, glad you got that nasty catheter out of you. if you still have burning around the tip or while urinating, ask for the pyridium. it really works, but be warned, it will dye your pee a glowing orange color and will stain any clothing or objects your pee is in contact with. but it does eliminate the burning and its a generic cheap drug if needed.

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, 8/18 - laser scope surgery to clear blockage, now on Cath #7, 8/26 - cath removed
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


Old Sailor
Regular Member


Date Joined Aug 2009
Total Posts : 207
   Posted 8/27/2009 12:22 PM (GMT -6)   

I am not leaking but I know that it could start and is not uncommon.  I am getting the burning and I will ask about pyridium.

I don't think I have ever disliked anyone more than "Mr. Foley."   The old sailor


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 8/27/2009 2:37 PM (GMT -6)   
Sailor, you have no idea how much I understand that last remark about "Mr. Foley". I cringe at the thought of one after all I have been through with 7 caths spanning a total of 100 days. Hope I never see one again the rest of my lifetime.

David in SC. The pyridium works fast and well, I had used it twice before.
 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, 8/18 - laser scope surgery to clear blockage, now on Cath #7, 8/26 - cath removed
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

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