Post surgery cath removal

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crewa2
Regular Member


Date Joined Jun 2009
Total Posts : 43
   Posted Today 2:36 PM (GMT -6)   
Just wondering if anyone has experienced a weak stream after the cath removal? I had mine removed yesterday. Since it came out, it's been hard to get the urine flowing. After about 30 seconds it starts flowing at a greatly reduced rate and burns the whole time. It is also hard to fully empty the bladder. Hopefully things will improve with time.
Age 44
5/6/2009 1st ever PSA 4.3
Referred to Urologist
DRE: Nodule felt on left side
6/19/2009 Biopsy done, 10 samples
6/25/2009 All 5 left side positive Gleason 3+3=6 40-60% Another lab: 3+4=7
RRP performed 9/17/09 Dr. Vipul Patel Orlando, FL


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4849
   Posted Today 2:42 PM (GMT -6)   
Report it to your surgeon.
 
Are you on any meds for bladder control /anti spasm or anything else?
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.


crewa2
Regular Member


Date Joined Jun 2009
Total Posts : 43
   Posted Today 3:06 PM (GMT -6)   
Thanks Steve
I called and they said if it wasn't better by Monday to check back. No meds
Age 44
5/6/2009 1st ever PSA 4.3
Referred to Urologist
DRE: Nodule felt on left side
6/19/2009 Biopsy done, 10 samples
6/25/2009 All 5 left side positive Gleason 3+3=6 40-60% Another lab: 3+4=7
RRP performed 9/17/09 Dr. Vipul Patel Orlando, FL


CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted Today 3:27 PM (GMT -6)   
Greetings, Crew.  This is something you want to stay on top of.  One hint about emptying the bladder - I found that if I sat on the toilet rather than stood, I could do a much better job of emptying my bladder.  Seems to work for me.  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


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted Today 3:46 PM (GMT -6)   
I think for a day or 2 or even 3 it is somewhat nomal. The sphincter has been abused a little with the catheter. The other possibility of course is that you have a mild bladder infection, hence the visit to the doctor is in order.

I think it's great that you are able to stop and start. Hopefully, you will have to train your sphincter to open. Most of us had to train ours to close.

Good luck !
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
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)
5 month PSA <.03 (undetectable)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted Today 3:51 PM (GMT -6)   
Hey Crewe, know that problem too well.

If the burning continues, ask your doctor for pyridium, really helps. I have had slow flow from the day of my surgery last Novemeber, and the root cause of my other lingering problems. Hopefully yours will pick up in a day or two. Real important: don't de-hydrate yourself, its tempting not to drink as much water, etc. thinking it will be easier to control your bladder. Drinks lots and lots of water by day. Avoid caffine, soda, and achlahol as much as possible during this phase. And walk as much as you can.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20%, Contained in capsule, 1 pos margin
2009 PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/09 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl., agreed to start radiation, does not rec. HT at this time, mapping on 9/21/9


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted Today 4:09 PM (GMT -6)   
I had a weak stream -- about 25% of normal, for months. At three months I wondered if I would need further treatment but my uro said I was still healing and that he intentionally made the urethra a little tight because he knew that it would expand as I healed. Now at five months things are much better, I am up to at least 60% and if that is as good as it gets, I can live with it
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


crewa2
Regular Member


Date Joined Jun 2009
Total Posts : 43
   Posted 9/24/2009 8:03 AM (GMT -6)   
Thanks everyone for the replies. Geezer, I'm hoping for the same kind of thing. It seems that if my bladder is very full I can get more flow going and it burns a lot less. I'm hoping some of this is due to an inflamed urethra from the catheter. The good news is that it takes so long to get things flowing that I've had no leaks since the cath came out.
Age 44 (43 at diagnosis)
5/6/2009 1st ever PSA 4.3
Referred to Urologist
DRE: Nodule felt on left side
6/19/2009 Biopsy done, 10 samples
6/25/2009 All 5 left side positive Gleason 3+3=6 40-60%
RRP performed 9/17/09
Catheter out 9/22/09 Final path PT2c Nx Mx Organ Confined, Clear Margins

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