Gas in urinary tract

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CharlieTuneA
Regular Member


Date Joined Aug 2009
Total Posts : 37
   Posted 8/26/2009 7:49 AM (GMT -6)   
Yesterday afternoon, I stood up, and passed gas, but from the front, not the back.
 
I called the doc, and the nurse I spoke with said that this may be the fistula acting up again. They are concerned and said that I may need to be re-catheterized. They're going to call me today and let me know.
 
Has anyone else ever experienced gas such as this, and if so, what happened? It doesn't hurt, but just feels weird.
 
-Charlie
 
 
Age at diagnosis 59, PSA 1.4
Biopsy 12/08 12 cores, 6 positive
Gleason 3+3=6
CAT scan negative.

DaVinci surgery 6/14/09 Catheter Out 7/17/09
After 10 days, cystogram revealed fistula
 
Still incontinent two months after surgery.


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4829
   Posted 8/26/2009 8:05 AM (GMT -6)   

Had to look that one up:

"In medicine, a fistula (pl. fistulas or fistulae) is an abnormal connection or passageway between two epithelium-lined organs or vessels that normally do not connect. It is generally a disease condition, but a fistula may be surgically created for therapeutic reasons."

http://en.wikipedia.org/wiki/Fistula

So what's the rest of the story with you and "fistula?"

 

 


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
05/14/09  - 4th Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


CharlieTuneA
Regular Member


Date Joined Aug 2009
Total Posts : 37
   Posted 8/26/2009 8:12 AM (GMT -6)   
Steve,

about a week after I had the DaVinci surgery (June 16), I was experiencing some stool in the catheter. (This was BTW terribly painful and distressing.) The cystogram indicated a fistula, which the doctor explained may have been caused by an internal suture that leaked. Consequently, I kept the catheter in for a whole month. I've been off catheter for about five weeks now, but am still incontinent.

The gas just occurred yesterday. I stood up, felt kind of a bubbling, and then out it came. I not only felt it but heard it. Good thing no one else was around!

-Charlie
Age at diagnosis 59, PSA 1.4
Biopsy 12/08 12 cores, 6 positive
Gleason 3+3=6
CAT scan negative.

DaVinci surgery 6/14/09 Catheter Out 7/17/09
After 10 days, cystogram revealed fistula
 
Still incontinent two months after surgery.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 8/26/2009 9:00 AM (GMT -6)   
A penis fart? That is the most bizzare thing I have heard in a while. Did it hurt any, or just feel weird? See you did some long catheter time too. Hope things improve for you.

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
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


CharlieTuneA
Regular Member


Date Joined Aug 2009
Total Posts : 37
   Posted 8/26/2009 9:03 AM (GMT -6)   
David,

Yes, a penis fart is exactly what it was. Didn't hurt, but just felt really strange.

-Charlie
Age at diagnosis 59, PSA 1.4
Biopsy 12/08 12 cores, 6 positive
Gleason 3+3=6
CAT scan negative.

DaVinci surgery 6/14/09 Catheter Out 7/17/09
After 10 days, cystogram revealed fistula
 
Still incontinent two months after surgery.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 8/26/2009 9:06 AM (GMT -6)   
Hard to imagine that happening, but then going number 2 through that would be unsettling too, but have heard of a case or two involving that. Hope they can pin down a fix for you soon.

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
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4829
   Posted 8/26/2009 9:38 AM (GMT -6)   
Let us know what the Doc says.
 
I had my cath in for five weeks and did 3 cystograms..
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
05/14/09  - 4th Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


CharlieTuneA
Regular Member


Date Joined Aug 2009
Total Posts : 37
   Posted 8/28/2009 12:04 PM (GMT -6)   
Well, the catheter's back in. After discussing it with the PA yesterday, we agreed to do this. Because of my PF (penis farts), they suspected that the fistula may have returned, and they wanted to send me for another cystogram.

So we went for the cystogram, and sure enough, though it's only a subtle appearance, it has returned. I've now gone back to the low-residue diet (no seeds, no nuts, low fiber, only canned fruits and vegetables, meats only well cooked).

I'll revisit the doc on Monday, we'll discuss a plan, and I hope remove this appendage to my appendage.

The one good thing about catheters is that you don't have to worry about pads while wearing one.

-Charlie
Age at diagnosis 59, PSA 1.4
Biopsy 12/08 12 cores, 6 positive
Gleason 3+3=6
CAT scan negative.

DaVinci surgery 6/14/09 Catheter Out 7/17/09
After 10 days, cystogram revealed fistula
 
Still incontinent two months after surgery.


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4829
   Posted 8/28/2009 1:28 PM (GMT -6)   
A cheerful attitude about the cath sure won't hurt tongue

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 8/28/2009 1:30 PM (GMT -6)   
Charlie, sorry your deal is still lingering on, but hopefully, there will be a practical solution soon.

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
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


CharlieTuneA
Regular Member


Date Joined Aug 2009
Total Posts : 37
   Posted 9/3/2009 1:39 PM (GMT -6)   
Hello everyone,

It looks like I'm going to have to live with the catheter again. The doc says that the best way to treat this fistula is to allow it to heal on its own, with the cather in place, and with a low-residue diet. With the first go-round it did heal, but the gas indicates that it hasn't completely closed up.

He wants to leave the cath in until the end of the month, when we'll do another cysto and evaluation. If this doesn't do the trick, he'll probably recommend colorectal surgery by another specialist. That would probably mean a temporary colostomy bag in addition to the cath. So I'm rooting for this approach to win, and avoid a second surgery if at all possible.

I'm trying to just take it a day at a time right now, without getting too depressed over it.

BTW, does anyone have a solution for the pinching and twisting of the cath tube? Mine is extremely annoying right now. I can't seem to sit for more than a half hour without it acting up.

Thanks to everyone for all the kind encouragement so far.

-Charlie
Age at diagnosis 59, PSA 1.4
Biopsy 12/08 12 cores, 6 positive
Gleason 3+3=6
CAT scan negative.

DaVinci surgery 6/14/09 Catheter Out 7/17/09
After 10 days, cystogram revealed fistula
 
Still incontinent two months after surgery.


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4829
   Posted 9/3/2009 1:55 PM (GMT -6)   
As I recall - they use something like 15 (i want to say 15ml's) worth of solution to keep the cath in place. My doc drained out one third of the fluid and it helped a LOT with sitting in an office chair like I do all day.

geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 9/3/2009 5:26 PM (GMT -6)   
Be sure to use lube on the tip of the penis-- my doc recommended KY and I used a Q-tip to apply it.

I also used jockey shorts to immobilize the catheter and added tape if needed. But nothing can make the cath fun.
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


CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 9/3/2009 6:28 PM (GMT -6)   
Greetings, Charlie.  Sorry you are having to go through all this.  Sounds like they have a plan - we'll trust that it will close off on its own and you won't have to have another surgery.  Hang in there my friend. David

Diagnosed Dec 2007 during annual routine physical at age 55
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 pos; 2 marginal
Gleason 3+3; upgraded to 4+3 post surgery
RRP 4 Feb 08; both nerves spared
Good pathology - no margins - all encapsulated
Catheter out Feb 13 - pad free Feb 16
PSA every 90 days - ZERO's everytime!
Great wife and family who take very good care of me


lewvino
Regular Member


Date Joined Jul 2009
Total Posts : 384
   Posted 9/3/2009 6:58 PM (GMT -6)   
Charlie,
So sorry to hear about your problem. I asked my wife who is a nurse working in Labor and Delivery about Fistula's. She was very aware of them and says it happens often in women after child birth.

Good luck and heal well fast.

Larry
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


divo
Veteran Member


Date Joined Jul 2008
Total Posts : 637
   Posted 9/4/2009 9:05 PM (GMT -6)   
Hi Charlie, I just happened upon your post. Pete had a fistula after his salvage surgery....He had a catheter in and all of a sudden we noticed that the bag was blown up like a balloon. Also it had a brown color... We called the doctor, and they suspected a fistula. This happened because he had had radiation before, and the healing did not take in that place. Luckily it was at the lower end, and we went to a wonderful colorectal surgeon, Dr. Wong at Sloan Kettering. He was an expert at fixing fistulas..Pete then had to keep the catheter in for several months , but no need for a colostomy bag...It healed and never came back...although he is afraid to have a colonoscopy, fearing that it will open again. Good luck to you. It sounds like you are on the right track. Diane
Husband Pete
dx Jan 2001 gleason 4 + 3 PSA 16.5
Seed implant and conformal radiation and Lupron from Jan 2001 to Jan2002
2005 Dec PSA began to rise from .5 to 8 within 6 months
Salvage surgery at MSK 9/06 Dr. Eastham
Fistula operation 2/07 MSK Dr. Wong
Many cystoscopies and ER visits with strictures
Catheter for one year....Catheter taken out Sept 07..
Total Incontinence since then....
PSA .52 3/08
AUS Operation at MSK Sept 8 2008 Dr. Sandhu
Activated Oct 28th Dr. Sandhu..MSK
Some difficulty with AUS arising Nov 10 2008
Meeting with Dr. Sandhu to discuss AUS problems and new PSA test Dec 11, 2008
PSA .6 12/08
AUS improving..only 2 pads a day and one at night
Complete hip replacement surgery Dr. Waters Gainesville, FL 1/9/09
Hip replacement total success..pain gone!!
PSA .7 2/10/09
PSA .9 8/29/09
waiting for new PSA 7/09


CharlieTuneA
Regular Member


Date Joined Aug 2009
Total Posts : 37
   Posted 9/5/2009 3:17 PM (GMT -6)   
Hi everyone, thanks to all for the encouragement. I'll keep you posted.
 
Diane, thanks for the info on Pete. It's good to know that I'm not alone. The doc first suspected fistula after the second cystogram, when I was having the symptoms you described for Pete. The third one showed that it was gone, but now it's back, only less so, as I felt the gas coming from #1.
 
This second catheter is something I'll just have to get used to for the next few weeks. With my first catheter, I hated the leg bag and just dragged around the overnight bag most of the time, while at home. Now I'm only wearing the big bag to bed.
 
Although I don't think I'd go all the way to S-K for fistula repair, there are a number of good colorectal surgeons here in the Rochester area, if necessary. There's a Dr. Chang at the U of R hospital who specializes in these also.
 
Thanks again.
 
-Charlie
 
 
 
 
 
 

Age at diagnosis 59, PSA 1.4
Biopsy 12/08 12 cores, 6 positive
Gleason 3+3=6
CAT scan negative.

DaVinci surgery 6/14/09
After 10 days, cystogram revealed fistula
Catheter Removed 7/17/09
Fistula still evident week of 8/24
PSA 0.03
Catheter Reinserted 8/28/09

Continence is a future goal.


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 9/5/2009 3:26 PM (GMT -6)   
I heard of this happening once before, but with my sister. She had difficulty at childbirth and required a surgery in her ueterus wall. And she had exactly the same issue and it required another surgery to fix it.

I hope that is not the case for you, but it does sound like a surgical intervention will be necessary...

Tony
 Age 47 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 16, 2007
Gleason 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!


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 9/5/2009 3:28 PM (GMT -6)   
divo,
Good to hear from you as always. I see the updates and great news. Tell Pete wa say hi...

Tony
 Age 47 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 16, 2007
Gleason 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!

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