Went to see the Uro/Surgeon today for post-op follow-up, and to get results from a 2-month psa test. Good news in that the psa remains undetectable at <0.01. [Crowd Noise] The intake nurse updated my history, and asked if there were any complaints. I told her that within the past week my night-time urination stream got very weak, and had a burning in the head of my unit. She ordered the urine tested for infection. When the Uro came in I repeated the complaint, and he said we’d better have a look. So, checking my modesty at the door, the nurse had me remove my pants and get on the table, and cover with a drape.
She then lowered the table down, raised the drape, grabbed my unit with one hand and a large syringe with the other, and pumped a load of local anesthetic into the urethra. Then she clamped off the head, and said we’ll be back in a few minutes.
The Uro came back in with the nurse, and poked a cystoscope up my unit. When he got to the spot where the urethra was sewn together, he said, yep, scar tissue was bridging in there, and causing partial blockage. The nurse opened a package of 18” long plastic straws of varying diameters, and the Uro selected one, then inserted that in me, to try and rod me out. That hit a stop, so he withdrew, and took another that looked like a long needle and pushed that in. That one I could feel! He worked it around for a bit, withdrew it, then reinserted the cystoscope for another look. He withdrew that one, and told me to get up and take a leak.
Wow, what a difference! I passed some blobs of tissue, a little blood, but with the most powerful stream I have had since pre-surgery.
I am back home, 4 hours later, and in that time I don’t think I have leaked at all!
I report this to encourage you to have yourself checked out for blockage if you are experiencing difficulty with urination. The discomfort was well worth it.
All the best.
Age 67 at diagnosis. Treated for coronary artery disease (CAD) since 1998, and under control with medications.
2/6/09 Routine physical, with DRE and PSA Test. PSA 4.02. Referred to Uro
4/20/09 TRUS w/needle biopsy
4/23/09 Diagnosis PCa with Gleason 4+3 in 2/2 cores, Gleason 3+3 in 5/10 cores.
CT scan and Bone Scan both negative. Stage T2C.
8/27/09 DaVinci RP at WakeMed Cary NC with Dr. Tortora. Discharged 8/28.
9/8/09 Catheder removed. Path post-surgery confirms PCa, with Gleason 3+3 with scattering of 4. Positive margins in L & R posterior, R and L seminal vesicles, with perineural invasion. Stage pT3b.
9/30/09 PSA Post-Op <0.01. Met w/Uro/Surgeon to review surgery and path report. Referred to Prostate Oncologist and Radiation Oncologist. Appointments set for 10/8.
10/8/09 Met w/ both oncologists. Adjuvant Combination Therapy to begin ASAP.
10/21/09 First Lupron injection. 30 mg dose (4 month)
11/2/09 PSA 2-month <0.01. Cystoscope w/calibration and dilation to remove scar tissue from urethra. Big relief.
Initial incontinence pretty bad, starting w/6 Depends pants/day. Gradually getting better, with dramatic reduction in leakage around 9/20. Currently on 1 pad during the day and one at night (for security). Actually totally dry at night.
Post Edited (Opa N) : 11/3/2009 2:15:39 PM (GMT-7)