Question about blood in the urine.

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Modelshipwright
Regular Member


Date Joined May 2009
Total Posts : 215
   Posted 10/12/2009 4:14 PM (GMT -6)   
I am now post-op by 13 days and am having the catheter removed on Wednesday of this week.  The only issue I have had during this period is a slight pinkening of the urine after I return home from my daily walks. The walks are at a moderately slow pace and about 1.5 - 2.0 kilometeres long. It generally lasts about 2-4 hours and then clears up.  The urine is pink, rather than bright red, and there have been the occasional small bright red clots, although not every day. I was wondering what others have to say about this, especially those who had a Da Vinci procedure.
 
Keep well,
Regards,
Bill
 


Pre-Op:
 
Age 64. Diagnosed with Pca January 2009.
PSA 5.6, Gleason 3+3=6, T1c
 
Biopsy:
 
TRUS biopsies of prostate left adenocarcinoma of prostate involving part of 1/4 biopsy fragments, less than 10% of the surface area involved, CT scan clear.
 
Treatment choice:
 
Robotic Assisted Laparoscopic Prostatectomy - September 29/09. 
Pre-op PSA down to 5.28 which I atribute to visualization techniques and a new vegetarian diet.
 
Post-Op:
 
Robotic Prostatectomy - 09/29/09, back home 10/02/09.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 10/12/2009 4:19 PM (GMT -6)   
Bill, was an open surgery guy myself, but lots of experience with blood in the urine post surgery.

Saw my dr. today, like he says, it only takes a few drops to pinken the urine, I am still on a SP catheter, and yesterday was more than pink.

You are still healing, so I feel its normal for you to have some minor spotting or bleeding as you continue to heal.

The fact that it clears up, is a good sign. Be sure to let your doctor know the next time you see him ,or sooner if it is more than just pinkish n color.

good luck, brother.

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% cancer, 1 pos margin
Post Surgery  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, 8/9 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl.agree to start radiation, mapping on 9/21/9, 9/24 - mtg with uro/surg, 9/29- pre-op, 10/1 - 3rd corr. surgery - suprapubic cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 10/12/2009 4:39 PM (GMT -6)   
Bill,
I went back and looked at my old posts and saw this one dated 5 days after surgery. Clearly I was not thinking straight at the time.

"Mad at this stupid situation I decided I had to "get moving here!" I put on my leg bag for the first time since leaving the hospital and went for a fast walk toward the neighborhood park wearing one pound arm weights for extra effort. I got as far as 1/4 mile into the park and re-checked my plumbing to find the tubing full of old blood and chunks pasta bits. Those were pasta bits in there, weren't they? Rather than leave the gumbo mix, and my stomach contents as a donation to the neighborhood deer and horseflies, I turned around and came home for some recreational TV watching. "

So, yeah, you are not the only person to see a little pink in the bag after a walk.
Sounds like you are doing well.
Jeff

Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 10/12/2009 5:11 PM (GMT -6)   
Model, I can only tell you what the urologist told my husband after his da Vinci surgery - if you see any blood in the urine after the first 10 days, you're probably doing too much. My husband passed some major clots the first 2 or 3 days after surgery but was fine after that. He also had his catheter and staples taken out after 9 days.

Good luck with everything.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (extraprostectic extension in posterior left). Perineural tumor infiltration present. Apex margin, bladder neck and SV negative. Gleason 3+4 (no change from biopsy). PSA results: April 2008 0.1; May 2008 0.0; August 2008 0.0; November 0.0; February 2009 0.0; May 2009 0.0; August 2009 0.1; September 2009 0.3. Met with radiation oncologist and began process for salvage radiation. CT scan and bone scan done on October 8 (bone scan clean!).


Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 10/12/2009 5:15 PM (GMT -6)   
If you search the topic - which is frequently discussed here - I think you'll see that just about every one of who has gone through the da Vinci surgery has commented about blood in the urine when wearing the catheter and afterwards.  It's to be expected and can last, depending upon the patient, for several months.  Most of us, too, were worried or expressed concern about the coloration of the urine - so don't think you or your emotions are singular in concern.  Add this issue to the list of questions you'll prepare in advance of the visit to the physician/surgeon's office this week to have the catheter out and discuss it with the physician's assistant or the surgeon if you have the opportunity to speak with him.  Best wishes for a speedy recovery.

Age:  60 (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; 9/09: 0.0

 


Paul1959
Veteran Member


Date Joined Nov 2007
Total Posts : 598
   Posted 10/12/2009 6:43 PM (GMT -6)   
Blood in urine? OMG I think i was the king of that situation. First of all, it is normal for even 2 months out to still get blood, blood clots and weird stuff coming out. It is a bit unsettling, but perfectly harmless. You are supposed to pass blood clots. It is part of the healing process...just like a scab falling off.

At 3 weeks, I felt great and on a Saturday held auditions in NYC and on Sunday road a bus for 2 hours and conducted a concert. Well, at midnight that night, I was passing ropey strands of blood and chunks. Bright read, thick gross. I called the Dr. in the morning. He told me I had popped a capillary and it was absolutely no big deal. Only if I could not pee - because blood clots were clogging up the plumbing - was I to go to the hospital. He assured me it looked far worse than it was, told me to take it easy for a a few days and it would go away. Well, for most of a week, I would be fine in the morning but by nighttime was passing more scary blood and guts. I drank lots of water and by 3"00 AM every night, I was running clear. Well, eventually it went away and I was just fine. Again, the Dr. told me to worry ONLY if I could not pee. A tiny bit of blood turns urine pink. A half teaspoon will look like Sweeney Todd was there.

Relax. Don't worry. drink lots of water and pee a lot. If it scares you, get over it. It is all perfectly normal.
Paul
46 at Diagnosis.
Father died of Pca 4/07 at 86.
10/07 PSA 5.06 (Biopsy 11/07 1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC www.roboticoncology.com
Saved both nerve bundles.
Path Report: Stage T2cNxMx
-Gleason (3+3)6
Pad free on March 14 - (10 weeks.) Never a problem since.
ED - at one year, ED is fine with viagra.
One year PSA - undectable!

ED Website: www.FrankTalk.org - frank discussions of Erectile Dysfunction - check it out.


Doc
New Member


Date Joined Sep 2009
Total Posts : 18
   Posted 10/12/2009 7:15 PM (GMT -6)   
Bill -
Assuming that you have a Foley catheter (comes out the penis, rather than the abdominal wall), this is not uncommon. The Foley has a 20cc balloon at the end which is inflated with water. This balloon stays in the bladder, and keeps the drainage tube part of the catheter from pulling out of the penis. With vigorous activity, this balloon gets tugged on, and rubs against the bladder lining. This can cause erosions and some bleeding from the bladder mucosa (like a rug burn). As others have mentioned, this is nothing to worry about.
Best wishes,
Doc
PCa Dx 07/09: 3+3 in 2 cores
Age at Dx 54
daVinci RRP 09/17/09
Final path 3+3, <5%, margins neg, pT2a.
 


TeddyG
Regular Member


Date Joined Apr 2009
Total Posts : 133
   Posted 10/12/2009 8:19 PM (GMT -6)   

Perfectly normal and on cue. Next step, letting go of the appendage and flying on your own. It is a great feeling to be able to take a shower, go for walk, do everything without being tethered. Best wishes in the next chapter...pads and kegels.

Ted


Background:
Age 55, two teens, very fit cyclist (avg 2000+ miles per year) and weight, diet, etc. consistent with good habits. Stressful job as attorney; very supporting wife who is helping me through every stage of this war.
Stats:
2006 PSA - 1.5
2007 PSA - 2.3
2008 PSA - 5.3 (18 mos.)
2009 Jan. 20 - Biopsy 12 samples
        Feb 3 Dx 2/12 samples positive, low volume  (5% and 7-10%)
Gleason 3+4, later downgraded by second opinion at Johns-Hopkins to 3+3, but "it's still PCa" as my Doc said.
Laproscopic surgery April 9,  University of KY Medical Center, Lexington, 3 days in hospital, catheter removal April 21.
Pathology: clear margins, no cancer in prostate: told that this is very rare and Doc has only seen it in 3 out of over 1400 cases; I rearched the concept of "vanishing cancer" and found a tumor classification of tP0 and asked Doc if it applied to me. He said that it was unlikely because if a pathologist had done a much more detailed analysis of the tissue, he would likely find more foci somewhere, and biopsy found "needle in the haystack as opposed to the tip of the iceberg"; Nevertheless, it is a blessing;
Regardless of the science, my family says "miracle."
Now working w/ post-surgery issues....
 


Modelshipwright
Regular Member


Date Joined May 2009
Total Posts : 215
   Posted 10/13/2009 6:40 AM (GMT -6)   
Thank you to all who replied to this. I was not overly concerned as it cleared up between walks and I assumed it might be from activity. Just wanted to hear what others experienced.

And yes, I am looking forward to the catheter removal tomorrow, although, it may be a case of watch what you wish for, as the next stage begins with bladder control exercises and pads. Oh well, it is a positive step on the raod to recovery and I am looking forward to it as well as the pathology results.

Keep well,
Regards,
Bill
Pre-Op:
 
Age 64. Diagnosed with Pca January 2009.
PSA 5.6, Gleason 3+3=6, T1c
 
Biopsy:
 
TRUS biopsies of prostate left adenocarcinoma of prostate involving part of 1/4 biopsy fragments, less than 10% of the surface area involved, CT scan clear.
 
Treatment choice:
 
Robotic Assisted Laparoscopic Prostatectomy - September 29/09. 
Pre-op PSA down to 5.28 which I atribute to visualization techniques and a new vegetarian diet.
 
Post-Op:
 
Robotic Prostatectomy - 09/29/09, back home 10/02/09.


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4088
   Posted 10/13/2009 7:06 AM (GMT -6)   
Bill, Good luck on the next stage. Keep us posted. I know you will be glad to be free of you buddy.

Jeff T
Jeff T Age 57
9/08 PSA 5.4, referred to Urologist
9/08 Biopsy: GS 3/4=7
10/08 Nerve sparing open RRP- Path Report: GS 3+3=7 Stg. pT2c, margins clear
3 mts: PSA .05 undetectable
 10th month  PSA <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next

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