Gee, been a fun day.
Well, due to concerns from my Rad. Oncologist about how tender and sore I am becoming after 4 weeks of radiation, my Uro decided it would not be wise to do a hard dialation of my Bladder Neck. He said if I were that sore just from the radiation, then his procedure would just intensify the damage and increase my pain. He said we will have to delay it until at least until the radiation ends, but even then, he said it may continue to swell for weeks after. Moral of the story - before sure to communicate openly and honestly with your doctors, they are not mind readers. He told me he was glad I told him how sore it was, and the concerns my Rad. Oncologist had today about this planned procedure.
I may be the only one here, perhaps, that had an SP catheter changed out. No fun. I think it was only painful because of my current pain and swelling from the radiation. Fortunately, an SP cath is short ,compared to a Foley, the inside part at the most was about 4 inches. They deflated the balloon in the old one, that alone caused a spasm. Then the nurse slowly pulled it out, it burned all the way out. The new one, was pre-coated with lydocaine (?) was pushed in, perhaps 6-7 seconds max. Yes, it burned all the way in.
When he inflated the new baloon and positioned the cath just right, that hurt terribly, thought I was going to split, but fortunately, he was quick and experienced. To be safe, he had the nurse irragate the new one, and that was the most painful part, as I was already so sore, and the pressure of the water drove me to some serious hurt, all the way through the tip of my penis (even though its not a foley). Was so glad when it was over. He even lets me hold onto his arm/shoulder when he's doing something painful.
Back home, resting, on a Loratab, he says I should use them still to get through all what's ahead. But I am stingy with their use.
No advil, no aspirin, nothing that can cause the bleeding to increase.
This catheter is officially #9. He will replace this one again on December 7th.
He is still a fine doctor in my book, and his patient care toward me, and empathy towards pain, is outstanding.
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: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped 9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.