SP Catheter Clogged - a painful scare

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Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 10/19/2009 12:24 PM (GMT -6)   
What a Monday so far.  Dressed and put on my leg bag and drove off to run a bunch of errands.  Two hours later, not a drop was in the bag.  Pressure was building up in my bladder and starting to hurt.  Get home, spent a lot of time on the commode, as pee was being forced by pressure under the catheter balloon and out my penis but only by small drips at a time.
 
Made arrangements for an emergency visit with my urologist and then suddenly, the bag filled like Niagra falls.  Most of the pressure and pain relieved.  Went and saw him, and he thinks some mucous or sediment must have blocked the inlet by the balloon.  Of all my 8 catheters, this has never happened before.  He looked at everything and my output and didn't want to disturb anything at this time.  He did give me an irragation kit and syringe, that way, if it happens again, my wife, being a nurse, can irragate the cath and get it flowing again.
 
He did inform me, that next Monday I am going to come in, and he is going to swap catheters for a new one  (hmm  #9) and sedate me and do another dialation in the bladder neck.  Tell me that doesnt sound like fun!
 
I made the mistake of asking him about the one day when we take out the SP cath, why wouldn't it leak?  The answer - yes it will leak after all that time, and to compensate for that, I will have to wear a foley cath for a couple of weeks even when this SP cath is out in December.
 
I swear, there is no end to all this.  And I still have to hope and assume after all that time, and all the radiation, that my bladder neck/urethra junction is still functional enough to be on its own.
 
And yes, the radiation clinic just called and due to an emergency on their end, todays treatment been delayed two hours.  Will report in later.  Still sore from this morning blockage.  Least it was somewhat short lived.
 
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.


GarthK
Regular Member


Date Joined Feb 2009
Total Posts : 74
   Posted 10/19/2009 2:41 PM (GMT -6)   
As Charlie Brown would say, "Good Grief!". Hang in there Purg, we're all rooting for you.

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)
9/8/09 < 0.014 (undetectable by machine)


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4106
   Posted 10/19/2009 3:35 PM (GMT -6)   
David I just don't know what to say. I am so sorry that you are having such difficulty.
Peace be with you my friend.

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


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 10/19/2009 3:40 PM (GMT -6)   
Truly a day from hell.
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.


Modelshipwright
Regular Member


Date Joined May 2009
Total Posts : 215
   Posted 10/19/2009 4:01 PM (GMT -6)   
Stay with us David, we are all here for you and share your frustration.

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 attribute to visualization techniques and a new vegetarian diet.
 
Post-Op:
 
Robotic Prostatectomy - 09/29/09, back home 10/02/09.
 
Pathology - 10/14/09  Gleason Score remained at 3+3 = 6 as it was when originally diagnosed. There were no positive margins. Tumors were found in both lobes and involved 3-5% of the prostate. There was no Seminal Vesicle, Perineural, Lymphovascular or Lymph node involvement, and the bladder neck was also cancer free. 
 
Continence
 
10/16/09 - 3-4 pads a day and working on pelvic floor exercises as prescribed.
 
Potency:
 
10/16/09 - Zip, nada
 
State of mind:
 
Excellent - always positive.
 
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 10/19/2009 4:48 PM (GMT -6)   
Thanks Bill, in r/l I dont vent anger and frustration either, but somedays, you reach your limits of patience and understanding. I am just as frail and human as the next guy, trust me.
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.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 10/19/2009 7:54 PM (GMT -6)   
Yep, Ohio. The uro gave me a sterile sealed irragation kit and 500 ml of sealed sterile water in case of an emergency. Real paranoid of being around people sneezing, coughing and gagging for the reason you mentioned. Thanks for thinking of that.
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.


brainsurgeon
Regular Member


Date Joined Jul 2009
Total Posts : 137
   Posted 10/20/2009 5:11 AM (GMT -6)   
I think that you have mentioned twice about emergencies affecting your treatments. If this is a dedicated radiation oncology department, can you ask them the exact and detailed nature of these "emergencies"? I did not know that radiation treatment emergencies occurred at all, and I am just nosy.
70 years old USA citizen
Prostatic carcinoma dxed June 2009 by PSA (7.0) and then Bx
PSAs yearly since 2001 ranged 1.52 to 7.0
Neg. CT and BS
4 of 8 biopsies positive (all right side) Gleason Score 3+4=7
Robotic assisted total prostatectomy and node excision July 2009 in Luzern, Switzerland by Dr. Mattei in the Kantonsspital
pT2c G3 pN0 (0/14)
Catheter out in 5 days (home in 3 days)
No incontinence
Potency: beginning tumescence??? at 3 weeks post-op. Still happens at 3 months PO
3month PSA less than 0.01


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 10/20/2009 6:45 AM (GMT -6)   
Funny you mentioned that. When I was with my uro/surgeon yesterday, I told them what they said at the radiation clinic, and he said, "how could they have an emergency, everything there is a planned event?" When I pushed at the clinic, all they would say is that they had a procedure on the IMRT machine that was suppose to take one hour, ended up taking 2 1/2 hours. Still doesn't sound like an emergency.
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.

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