Another Dialation

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keysailfisher
Regular Member


Date Joined Dec 2009
Total Posts : 347
   Posted 4/14/2010 2:09 PM (GMT -6)   
Had one done about 2 1/2 weeks ago for the urethra. Started closing again stream was more shaped like a fan and sprayed to the left. It is located about 1/4 to 1/2 inch from tip of penis, uro says it is caused from irration from the cath. This time was far more painful than the first at least ten if not moreshocked  even with the gel and valium. If we have to do this again it will be in the hospital under sedation. I'm glad it's over and it does not close up again.
 
Neal
age 45
psa 3.09
Biopsy results 12/9
Left side base 3+3=6 21% 2/2 cores positive
Left side mid  3+3=6 100% 2/2 cores positive
Left side apex 3+4=7 88% 2/2 cores positive
Right side - 0/6
CT & Bone scan negative
Davinci Feb. 5th 2010/ cath removal 2/16
 
Gleason-3+4=7
Extent of tumor-Bilateral
Extraprostatic Extension-Absent
Seminal Vesicles-Negative for tumor
Surgical Margins-Rt apical margin focally positive
lymphovascular invasion-Suspicious in areas of capsular involvement
Regional lymph nodes-One node negative
Stage-T2c NO Mx
Incontinence-yes/ Down to 1 pad at 6 weeks out
PSA 3/29/10 <0.01


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 4/14/2010 3:19 PM (GMT -6)   
Neal, sorry to read that. I hope it heals properly and you don't have to have any more procedures for it.
James C. Age 63
Gonna Make Myself A Better Man www.youtube.com/watch?v=a6cX61oNsRQ&feature=channel
4/07: PSA 7.6, Recheck after 4 weeks Cipro-6.7
7/07 Biopsy: 3 of 16 PCa, 5% invloved, left lobe, GS3+3=6
9/07: Nerve Sparing open RRP, 110gms, Path Report- Stg. pT2c, 10 gms., margins clear
32 Months: PSA's .04 each test since surgery, ED continues: Bimix- .3ml PRN, Trimix- .15ml PRN


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 4/14/2010 3:39 PM (GMT -6)   
Neal, you know that I know how that feels, been there too many times, I know it can be a true Ten on the pain scale. Hope you get it this time, if not, have them do whatever else is needed as a day surgery like I have had done 5 times. Good luck.

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, no problem post SRT
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04
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, 1/19 - Corr Surgery #4,  Caths #11 and #12  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, 3/6 Cath #13 out - 4 days, Cath #14 out - 27 days, Cath #15 - 3/29


keysailfisher
Regular Member


Date Joined Dec 2009
Total Posts : 347
   Posted 4/14/2010 8:59 PM (GMT -6)   
Thanks guy, hopefully this will do the trick.
age 45
psa 3.09
Biopsy results 12/9
Left side base 3+3=6 21% 2/2 cores positive
Left side mid  3+3=6 100% 2/2 cores positive
Left side apex 3+4=7 88% 2/2 cores positive
Right side - 0/6
CT & Bone scan negative
Davinci Feb. 5th 2010/ cath removal 2/16
 
Gleason-3+4=7
Extent of tumor-Bilateral
Extraprostatic Extension-Absent
Seminal Vesicles-Negative for tumor
Surgical Margins-Rt apical margin focally positive
lymphovascular invasion-Suspicious in areas of capsular involvement
Regional lymph nodes-One node negative
Stage-T2c NO Mx
Incontinence-yes/ Down to 1 pad at 6 weeks out
PSA 3/29/10 <0.01


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 4/14/2010 10:33 PM (GMT -6)   
Neal, still thinking about your case. If your blockage is that close to the penis tip, a little surprised that the first attempt didn't clear it up. What makes mine so hard, is that it actually at the bladder neck itself, not the urethra. The gel works good to get a scope up the penis without too much pain, though always a creepy feeling in my opinion. THe last time my guy tried to dialate me post radiation, even a 100 mg of demoral shot into my hip didn't even remotely take away the pain once he tried to dialate. It worked good getting the scope in place, but that was it. I shot to a "ten" and the more he tried, the more it hurt, so he had to abort.

Assuming you have good insurance, if, and I hope you don't need it, have to go through this again, insist on having it done as a day surgery thing. Then he can do a hard dialation if needed, and you will won't know or feel a thing.

Also curious, after this dialation, he didn't leave a foley catheter in place, to aid in the healing after the dialation? If not, I find that odd. Also, not saying he is wrong, but never heard of the catheter causing the blockage from irratation. I am on #15 and that has never happened.

I know how traumatic that was, and it will make you even more gun shy next time, that's how I am. Hope you do fine and this time it cures your woes in that department.

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, no problem post SRT
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04
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, 1/19 - Corr Surgery #4,  Caths #11 and #12  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, 3/6 Cath #13 out - 4 days, Cath #14 out - 27 days, Cath #15 - 3/29


SubicSquid
Regular Member


Date Joined Oct 2009
Total Posts : 252
   Posted 4/15/2010 3:07 AM (GMT -6)   
My stricture caused a spray to the left also!! I had two dilations, both of which were followed by four day caths to allow healing. Seems odd not to have the cath. Hope you get better soon. Squid.
*Age 63, PSA July 2009 5.66
*Diagnosed July 2009, Biopsy: 2 of 12 cores positive, Gleason 3 + 5 = 8
*MRI and Bone Scan Negative.
*open Surgery October 22, 2009
*Prostate, both nerve bundles, seminal vessels, and lymph nodes removed during surgery.
*Post surgery Biopsy, Gleason 4 + 3; 2 positive margins
*Still slightly incontinant after 3 months - 1 pad per day (light). Dry at night. 1-2 trips to toilet.
*ED - Yes (will start Levitra possibly in January)
*30 day PSA (ultra-sensitive) .07
*90 day PSA (standard) <0.15
*01/10 - bladder neck stricture. opened during cysto exam. Cath #2 in for 5 days.
*IMRT/IGRT delayed until April pending 180 day PSA result
*03/01 - bladder neck stricture. Dilated during cysto exam. Cath #3 in place.
*03/11 - Bladder neck surgery. Cath #4 in place.
*03/15 - Cath #4 out. Great urine stream.  Unfortunately, incontinence back to post surgery level.


keysailfisher
Regular Member


Date Joined Dec 2009
Total Posts : 347
   Posted 4/15/2010 6:01 PM (GMT -6)   
It was hurting so bad one time I grab his arm and told him to stop. He got it open and we decided if there is a next time it WILL NOT be in his office it will be at the hospital. He gave me a script for Dexamethasone ointment that I put in the tip and use a little self female cath tube. The idea is for the oinment to be spread around the urethra to aid in healing. No offense guys but I'm glad mine is at the tip and not at the bladder neck. I know from what you two have been through and I don't want that road.
 
Neal
age 45
psa 3.09
Biopsy results 12/9
Left side base 3+3=6 21% 2/2 cores positive
Left side mid  3+3=6 100% 2/2 cores positive
Left side apex 3+4=7 88% 2/2 cores positive
Right side - 0/6
CT & Bone scan negative
Davinci Feb. 5th 2010/ cath removal 2/16
 
Gleason-3+4=7
Extent of tumor-Bilateral
Extraprostatic Extension-Absent
Seminal Vesicles-Negative for tumor
Surgical Margins-Rt apical margin focally positive
lymphovascular invasion-Suspicious in areas of capsular involvement
Regional lymph nodes-One node negative
Stage-T2c NO Mx
Incontinence-yes/ Down to 1 pad at 6 weeks out
PSA 3/29/10 <0.01


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 4/15/2010 6:08 PM (GMT -6)   
Neal, my friend, either way, I know it had to hurt like hell. When they did the emergency dialation last July, with a 100% blockage, it took 2 nurses to help hold me in place, while the dr .scrambled to get a tiny guide wire through the bladder neck in order to pull a catheter in place. Once he got started, there was no time to stop or administer drugs, he was a minute or so away from having me rushed to the hospital across the street for an ER room op, so I know what you mean.

Hope you are feeling better today. Me, after being on my feet about 4-5 hours today, end up with a very sore bladder neck and penis, even though the SP exits closer to my navel, hurts to walk, and have actually been bleeding more lately, which is odd after all these months , obviously, I am still not healed sufficient in that area. I thought I was seeing my uro next MOnday, but its actually the week after next.

I am thankful that most guys here don't have to deal with what we have been dealing with.

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, no problem post SRT
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04
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, 1/19 - Corr Surgery #4,  Caths #11 and #12  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, 3/6 Cath #13 out - 4 days, Cath #14 out - 27 days, Cath #15 - 3/29


gold horse
Regular Member


Date Joined Nov 2009
Total Posts : 360
   Posted 4/15/2010 6:27 PM (GMT -6)   
I really hope you ok,I had the same procedure in cold blood.good luck.shocked

DIAGN=46 YEARS
GLEASON=3+3
FATHER HAD PC,THEN I THEN MY BROTHER STILL HAS TWO BROTHER PC FREE.
MARRIED,TWO CHILDREN.AGE 13 AND 8.
LAPROSCOPY SURGERY 6/2005
PATOLOGY REPORT.
GLEASON=3+3
TUMOR VOLUME=5%
LYMPHOVASCULAR INVASION=NEG
PERINEURAL INVASION=POSI
TUMOR MULTICENTRICITY=NEG
EXTRAPROSTATIC INVASION=NEG
SEMINAL VESICLES BOTH=CLEAN
MARGIN ALL=NEG
PT2ANXMX
DEVELOP SCART TISSUE AND NEEDED A SECOND SURGERY BECAUSE COULD NOT URINATE,
PSA 6/05=0.04,0.04,0.04,6/06,0.04,0.04,0.04,6/07,0.04,0.04,0.04,6/08,0.04,0.04,1/09
0.04,10/09,0.04
 


Drums
Regular Member


Date Joined Mar 2010
Total Posts : 134
   Posted 4/15/2010 9:34 PM (GMT -6)   
So, I have my surgery coming up next month. With all the experience we have here, is there anything that can done to avoid stricture problems or is it just one of those things that can happen?
Bill
Age 52, father died of PCa, PSA: 10/16/09 - 2.8; 1/11/10 - 3.8
Biopsy 11/25/09, 11 core samples - HG PIN on right side
Biopsy 2/17/10, 11 core samples - left side, adenocarcinoma, Gleason 6, one core at 5%
Notified of dx on 3/12/10 (27th wedding anniversary)
MRI 3/17/10 and bone scan, 3/23/10, indicate: gland volume is 27mL, PCa is confined to prostate, seminal vesicles and vas deferens are unremarkable.

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