OK, today I started the bladder training part. I have the SP Cath. So, the way it goes is: shut it off. Pee when you have to. Measure it. Turn cath on for 5 minutes. Pee and measure to see the retention. Repeat this all day today and tomorrow. Stop if you have blood, pain, etc.
Well, I turned off the cath. Nothing for 2.5 hours. I was getting worried (what is I can't pee?). But, finally, I peed. It was beet red bloody. I called the urologist on call. She told me to stop but let me then talk her into one more time. Next pee: no blood at all! Since then, no blood. Residual is going down and last time it was ZERO (another good zero club!)
Unfortunately, I also joined the incontienence club. As my bladder gets full, sudden movements result in a little squirt/squirt/squirt. No fun, but I figured what's a few drop here and there. I'm wearing my briefs. It's good. No pads needed. Well, after 6 hours, what a mess! It adds up. I am now wearing Men's Guards. darn it-- I was hoping to be the one or two in 100 who starts out totally dry (S-o-n-n-y!). Looks like that's not in the cards. OTOH, my FEAR was having uncontrollable urination. Unless things worsen, I don't expect that to be the case. So, my question: Should I expect the current situation to be a baseline where we can improve from here? Or is it too early to draw any conclusions?
On Tuesday, barring anything unforseen with this training, I get the SP Cath removed (OK, David, does that hurt like heck or will it be very quick with maybe a quick ouch?).
I am also getting nervous as the pathology report will also be given to me on Tuesday. I hope it is a decent one.
63 years old
PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (Free PSA 24%), this after 45 days on cipro! DREs have always been normal.
History of BPH/prostatitis. PCA-3 test: 75.9 (bad news, guaranteeing I have to do....): Biopsy on 11/30/09. Result of biopsy:
5 out of 12 cores positive. Gleason 4+3. More specifically: 2 cores were 3+3 (one 5% and the other 30%) on one side. On the other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C
REVISED BIOPSY REPORT: The previous was read by Umich. Slides were then sent to Dr. Menon at Ford Hospital. Here is their report (much better) -- changes in bold print below:
5 out of 12 cores positive. Gleason 3+4. More specifically: 2 cores were 3+3 (one 5% and the other 20%) on one side. On the other side, 3 cores were 3+4 (5%, 5%, 20%)
Surgery with Dr. Menon at Ford Hospital, 1/26/10. He says all looked good. Spared nerves. Awaiting pathology report, set for 2/2/10.