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Veteran Member

Date Joined Nov 2009
Total Posts : 7187
   Posted 2/1/2010 8:31 PM (GMT -6)   
OK-- just had surgery.
I've been turning off the SP Cath for 2 days now.
I've joined the world of incontinence, pads, etc.
So far, it's no fun but not nearly as bad as I feared.
What I am finding is a greatly increased sense of urgency. I get uncomfortable after 90 minutes and generally have to go after 2 hours. I generally pee 125-150 cc. with no residual urine (we have to turn the cath back on for 5 minutes after each urination to measure any residual urine).
I guess this isn't bad. I do leak, but I suspect it will be 1 pad per day (too soon to tell just yet). I leak a few drops going from sitting to standing, coughing, sneezing, etc. especially during that uncomfortable time.
My question: is this pretty good for starters? Can I assume this might well be the worst it will be?
A more important question:
Suggestions for that urgent feeling? Should I try and delay going even more (ie: train my bladder) or would that possibly do some damage, especially since surgery was a week ago?
I'm sure I'll be asking my doctor these questions, but I welcome your input.
Mel (cooling time until tomorrow's catheter removal and path. report -- nervous!!)
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.


Elite Member

Date Joined Oct 2008
Total Posts : 25355
   Posted 2/1/2010 8:46 PM (GMT -6)   
if you can hold now for 90 mins, hardly sounds like an urgency issue. also, you really won't know till you are off the cath 100% and depending on your own body again. on the surface, sounds pretty good so far, but i would say the jury is out until you are back into your normal routine.

listen to your body ,don't try to force anything, one way or the other, don't try to dehydrate yourself, you are way too soon to your surgery, give yourself a break and let the healing process be natural

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 43 days, 1/10 - Corrective Surgery #4, and Caths #11 and #12 in at the same time

Regular Member

Date Joined Jan 2010
Total Posts : 55
   Posted 2/1/2010 9:07 PM (GMT -6)   
Hi Mel - I am now 7 weeks post-op and can "hold it" for only about 2.5 hours - but it is getting better every week, when my catheter first came out I seemed to be going every hour. I still can't sleep the night and go at least twice. As usual, everyone will be different, but you seem to be doing just fine.
Diagnosed 9/4/09
PSA 3.5, up from 1.8 year before
First biopsy showed 3/10 positive cores, Gleason 3+3, less than 10% involvement in all three cores, diagnosed as T2a
Doc and I decided on Active Surveillance, pending a confirmatory biopsy
Second biopsy showed 5/10 positive cores, Gleason 3+3, left side (4 postitive cores) had 40% involvement
RRP on 12/15/09
Home on 12/16/09
Failed cystogram on 12/23/09, catheter out on 12/29/09
Path report was all good news, Gleason 3+3, no margin involvement, everything clean other than core of prostate, tumor on both sides, but more prevalent on left side, 5% involvement, 42 gram organ
Within two days down to one pad a day, now continent except if I sleep more than four hours
Back to work 1/4/10
ED present, although blood does flow after Viagra. Will try pump in a week

Cajun Jeff
Veteran Member

Date Joined Mar 2009
Total Posts : 4069
   Posted 2/1/2010 10:27 PM (GMT -6)   
Mel, Sounds like you are going to be fine. I am very pleased to hear this news. Good luck with tomorrow.

Jeff T
Cajun Country
Jeff T Age 57

9/08 PSA 5.4, referred to Urologist
9/08 Biopsy: GS 3/4=7
10/08 Nerve sparing open RRP- Path Report: GS 3+3=7 Stg. pT2c, margins clear
3 mts: PSA .05 undetectable

10th month PSA <0.01
1year psa <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next. Next step injections.
15 months out injections Caveject (success)

Forum Moderator

Date Joined Jan 2010
Total Posts : 6853
   Posted 2/1/2010 10:40 PM (GMT -6)   
90 minutes and you aren't even home yet.
When they pulled my Foley cath, 20 minutes was a blessing. You are doing very well. As long as you have catheters in, drink water and let it flow - good for keeping the system clean.
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