STRICTURE surgery

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

kreplerfp
Regular Member


Date Joined Oct 2008
Total Posts : 56
   Posted 12/31/2009 8:16 AM (GMT -6)   
I am 15 months past RP surgery and am having a difficult time passing urine. I have to push hard to keep my urine flowing or to even get it started. my DR. says I have a stricture
near or at the bladder neck and am booked for day surgery to have it opened up next Friday. He says that you have to be put out so that you don`t move during it, because the sphincter muscle is only a few millimeters away from where he`s working. I am supposed to have the catheder in for 5 days after. Can any others who have had this procedure done, give me some imput to any advice, problems or difficulties that they had before or after.

Thanks Fred

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 12/31/2009 10:24 AM (GMT -6)   
Hello Fred,

I have had that procedure done 3 times, twice as a day surgery, and once as an emergency procedure in the doctor's office.

You definitely don't want to be awake to have this done, trust me on that one.

The first time, I was put under, and the dr. opened the stricture with a blade. The entire procedure took about 20 minutes. So more time is used prepping you for the surgery and being put under then the doctor actually is touching you.

I awoke to find a foley catheter in place. My dr. left it in for 10 days, to allow healing. Much of that time, there was minor bleeding and clearing out of debris. For me, there was some pain issue during this time, and required low level meds.

When the cath was removed, I was able to pee better, but not like pre-surgery days.

Six months later, I was totally blocked up again. Talk about major pain, the dr. knew he had to open me up enough to at least get a catheter back in. So he did an emergency hard dialation procedure right in his office. To make a long story short, he ran into major difficulty, and I almost had to be admitted for an on the spot emergency op at the ER across the street. There was no time to sedate me, so that's why I said, you don't want to be awake. He got it in, and I had the cath for about 2 weeks while they set up another day operation.

The second op, took longer, about 45 minutes, as he used a laser to re-open me, and I left the hospital with another catheter, larger diameter to help keep it open. A week later, it was removed. There was less pain with the laser procedure in the healing process.

It opened me up pretty good, but unfortunately, barely a month later, was starting to close up again. As I was about to start Salvage Radiation Treatments, it was decided that the swelling associated with radiation would make things worse.

On October 1, had a third surgerical procedure, and they installed a suprapubic catheter (SP) in me. It exits beneath your belly button instead of through your penis. I have had this one in me now for 91 days. By mid-January, my dr and I will decided how to finally get me off of catheters.

I wish you the best in your situation. My story is a bit extreme and unsusual, but my body keeps producing excessive amounts of scar materials and thus it keeps growing back.

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
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA:
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 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 in place


pigeonflyer
Regular Member


Date Joined Nov 2009
Total Posts : 85
   Posted 12/31/2009 2:32 PM (GMT -6)   
hello kreplerfp. im neil. david has way more experience at these surgerys than i but am going to have a stricture removed in the begining of jan. i never could urinate good from the get go after surgery. i do believe i will have a long go at this thing just as david did. sometimes your body keeps making scar tissue. dont ask me why it just happens. maybe ill be luckey and it will not grow back. just start with the first surgery and take it from there. good luck with the surgery. neil
49 years
da vinci on 9/28/09
gleeson 3+3
psa before surgery 5.1
cather out on oct 5, back in on oct 5
two more trys for cather out, still in .
cather out nov. 13/09
cystocope nov.13/09      


KenW
Regular Member


Date Joined Mar 2007
Total Posts : 74
   Posted 12/31/2009 5:13 PM (GMT -6)   
I've had the same Knife proceedure. I was put out and really had no pain to speak of. Catheter was only in for about 5 days. I peed like crazy for about 30 days and then the scar tissue started forming again. I don't believe there is a proceedure that won't create scar tissue. Mine has not been bad enough to try it for the 2nd time. It would have to be pretty bad before I would as I'm sure it would scar up again. Wish you luck.

Ken
Diagnosed with a Gleason 4X3. Second opinion at Stanford came back as 3X4, 1 out of 7 samples, Left Side. DRE showed Normal. Before Biopsy Psa gradually crept to 10. Dropped to 6.4 with Alt. suppliments.
Proton Beam Therapy at Loma Linda 11-06. 1st PSA 4 Months 3.4, PSA at 8 Mo. 1.7. - 1 Yr. PSA 1.8 ( Different Lab ) 4 th PSA Slightly up at 2.19- Free PSA at .33 probably due to BPH. 1 year and 11 mo. Urologist discovered Scar Tissue in the uretha causing frequent urination with burning. Bladder not emptying completely.
Scheduled ( 12/17/07 ) to have the scar tissue sliced to open up the restriction. Good news is PSA is down to 1.14.
Urethrotomy performed. Flow much improved. No more burning. Flow restricted again due to scar tissue reforming. I'm just going to live with it.
PSA bump to 3.1. being checked at 3 months now.
New test result 9/29 dropped to 1.03.
Recent test now at .8.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 12/31/2009 5:45 PM (GMT -6)   
The laser, in theory, was suppose to creat less scar buildup, but in my case, in barely a month, it was closing right up again. We that deal with this are in an extreme minority, 1-4% range of patients. I am hoping my next procedure will be my last as well, but certainly no guarantee of that. Good luck to both of you as well.

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
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA:
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 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 in place

New Topic Post Reply Printable Version
Forum Information
Currently it is Friday, September 21, 2018 8:07 PM (GMT -6)
There are a total of 3,005,594 posts in 329,243 threads.
View Active Threads


Who's Online
This forum has 161784 registered members. Please welcome our newest member, Thunderdaytona.
269 Guest(s), 7 Registered Member(s) are currently online.  Details
SoMuchFun, Mind body spirit, acarined, Fegyduck7, Notime4lyme, Michael_T, FLBeachgal