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LenB
Regular Member


Date Joined Jul 2009
Total Posts : 102
   Posted 1/2/2010 10:31 AM (GMT -6)   
Well guys, I am moving along hopefully toward dry.  I am using 3-4 pads during the day and one at night with almost no leakage. My question is about the urine stream. Since the catether was removed, I pee like a sprinkler, I have no steady stream. Can anyone tell me if and wen the steady stream wil return.  I have to sit to pee otherwisw I will be cleaning the bathroom every time I go.
 
Thanks for your insite.
 
Len rolleyes

Age: 65
DX: 7/10/09
Gleason: 7
Biopsey: 2 chips with some cancer cells out of 30.
Robotic Surgery: 9/10/09
Cath out: 9/23/09
1st post op PSA: 10/20/09: <0.0
 
 


Jstars
Regular Member


Date Joined Oct 2005
Total Posts : 489
   Posted 1/2/2010 10:40 AM (GMT -6)   
Len,

Yeah I can remember early on after Cath that there was a sprinkler effect going on at times -- usually when bladder was not so full but it was giving the GO! signal anyways.

But for the most part (and especially in the last 6 months or more) it's just been one firehose gusher after another. So that's one GOOD benefit of surgery.

I had BPH for years before the PCa came along so I for one really appreciate the On-Demand method of peeing now. None of this waiting for the darned prostate to give the final signal anymore. In some respects (like that) Prostates are highly overrated and a nuisance.

Jim
Age 58, 195lbs, 6'4", 57 at DX, PSA Aug2008 7 4 ... June2007 4.7 (BPH + LUTS)
Biopsy Nov2008 1 of 12 cores 5%, Gleason 3+3 - Sona showed size 140+ cc (110 grams post op).
02/03/09 open RRP surgery , Nerve sparing both sides, 1 day in hospital, Day 4 first BM,
Pathology Report: All margins clear - No Invasive spread - no change in Gleason score.
02/18/09 Cath out, passed a 1cm oblong STONE within hours.
03/06/09 Started Levitra@20mg / Viagra@100mg / (04/01) Cialis@20mg -- no real effect (thru 11/2009).
04/01/09, 07/07/09, 10/01/09 PSA <0.1 - Stone Was Oxalate stone -- X-ray no stones.
08/09 - started MUSE@1000mcg ... pump&plump - success(80-90%) (alpro ache).
09/09 @500mcg +pump&plump + 2 advil - success(80-90%) - (less Alpro ache).
10/09 TrimixGel (500/300/100mcg): 1st:60%, 2nd:(pump&plump) 60%, 3rd(added 500mcg muse):70-80% -- (no Alpro aches!) but none @ useful hardness!


Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 1/2/2010 11:43 AM (GMT -6)   
I'm recalling that it took at least 6 months post-op for the urine flow to become more directional, though there are still times when I'm spraying not only the urnal but the floor beneath.  I do believe it gets better over time, and each of us progresses a bit differently.

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

 


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3742
   Posted 1/2/2010 2:32 PM (GMT -6)   
Len,
Here's an experiment to try. (Do it when your wife isn't home.) Next time you need to pee,. stand in the shower and blow your nose - hard. I found that my stream increases so much I can swing the soap on a rope. That info might help you decide if you need to do anything about your plumbing.
I leveled off at 3 pads per day and still leak 400 ml daily. But when I pee, I pee.
Good luck,
Jeff
DX Age 56. First routine PSA test on April 8th: 17.8. Start 2 weeks of Cipro to rule out protatitis.
May PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, Gleason 6=3+3. Bone scan and C/T scan negative.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7, Tumor size: 2.5 x 1.8 cm, location: both lobes and apex.
Extraprostatic extension present; Perineural invasion: present, extensive.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 12/11 5 months, Still no activity, zip. Using pump daily since 11/11. No effect with 20 mg of Cialis or 100 mg of Viagra. Shots next?
Incontinence - 8/20 4 full pads per day
.. 9/7 3-4 full pads per day (I'm going to try cutting down on fluids. Bad idea. I know.)
. 9/27 2 months: Still 3 pads per day.
11/14 4 months: Still 3 pads per day. 420ml/day, 91 um leak.
12/11 5 months: Still 3 pads per day. 400-450ml/day Experimenting with Nyquil for 10 days: Can sleep through the night but withdrawal is bad. Stopped 12/20.
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04 undetectable.


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 1/2/2010 2:58 PM (GMT -6)   
For the first months after surgery my stream was about 25% of previous -- very frustrating. Now at 8 months I am at about 60% -- enough so that I can live with it. My uro explained that when he suchers the bladder to the urethra he knows that the opening will expand on healing.

By the way, an appropriate subtitle for almost all of Jeff's posts is
"While your wife is not home"
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads
6 mo. PSA 0.00 -- 1 light pad/day


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3742
   Posted 1/3/2010 11:52 AM (GMT -6)   
Geezer,
Just for the record, she willingly left for the weekend when I hosted the GFMPH weekend gathering at my home 3 months ago. There are some things you can only do when no one else is around. It's fine - As long as I clean up the mess before she sees it.
Is it any wonder we remain happily married for 34 years?
Jeff

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 1/3/2010 12:00 PM (GMT -6)   
Jeff, simply sounds to me like you know what side your bread is buttered on. lol.
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


wd40
Regular Member


Date Joined Jan 2008
Total Posts : 218
   Posted 1/4/2010 6:25 PM (GMT -6)   
Guys, there is an in-office procedure the URO can do that might help although it is quick iti is no fun. The Uro uses the numbing stuff then inserts a small rod that at the time looked two feet long. A small one at first then the next one is bigger and so on until it is larger than you might think. You will then pee like you have never peed before. Right after I could fill one of those sample cups in one second.
12/06/07 DaVinci and open prostate surgery after difficulties in breathing stopped the davinci.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 1/4/2010 6:36 PM (GMT -6)   
wd, that is known as a "hard dialation procedure". Had that done once awake in the middle of an emergency situation, extremely painful with no sedation, and had it done twice more after being put under. The only trouble with dialation procedures is that they often don't last long ,the results I mean, depending on what causes the blockage, they can narrow back down.

david
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: 1/10 .12
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

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