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RayPat
Regular Member


Date Joined Apr 2010
Total Posts : 104
   Posted 6/24/2010 3:56 PM (GMT -6)   
Back from urologist office. Said OK for cath to stay out.
Did ultrasound and bladder was retaining 130 cc.
Got home and now having trouble peeing. Just dribbles.
Been drinking a ton of water for last 30 minutes.
Any tips on getting a good flow?
Age 63

01/26/10 ...PSA 9
Referred to urologist
Met urologist on 2/26/10....DRE normal new PSA test was 11. Taken after DRE.
Biopsy on 3/26/10. 14 samples...3 positive on right side...all 11% Gleason 3+3
Urologist said stage T-1c.
Advised treatment. Discussed surgery and set appointment with radiologist for 4/26/10
4/26/10 Met with radiologist. Thinks IMRT or Brachytherapy would be good choice.
5/20/10 volume study done all looks good for Brachytherapy.
6/22/10 Brachytherapy done.


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2691
   Posted 6/24/2010 4:02 PM (GMT -6)   
I would say just give it a little time, 2 or 3 days maybe for swelling and irritation to go down. Of course, if you are not peeing at all all, or are having pain, then go to ER or back to dr.
Goodlife
 
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injection
No pads, 1/1/10,  9 month PSA < .01
1 year psa (364 days) .01


RayPat
Regular Member


Date Joined Apr 2010
Total Posts : 104
   Posted 6/24/2010 4:04 PM (GMT -6)   
I was peeing pretty good all day. Just holding it for an hour back it's just dribbling out.
Feel the need to go but not painfully.
Age 63

01/26/10 ...PSA 9
Referred to urologist
Met urologist on 2/26/10....DRE normal new PSA test was 11. Taken after DRE.
Biopsy on 3/26/10. 14 samples...3 positive on right side...all 11% Gleason 3+3
Urologist said stage T-1c.
Advised treatment. Discussed surgery and set appointment with radiologist for 4/26/10
4/26/10 Met with radiologist. Thinks IMRT or Brachytherapy would be good choice.
5/20/10 volume study done all looks good for Brachytherapy.
6/22/10 Brachytherapy done.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 6/24/2010 4:11 PM (GMT -6)   
Long as you are flowing, you should be ok. But, if you feel your bladder hurting because its full, and you can't go or only can get a drip at the time, call your uro/surgeon if he is open, and if not, make for the ER. If you have to go to the ER, make sure they have a number to your surgeon's office, so that they can speak to who ever is on call. It's important that the ER people don't do damage or hurt you, they need to know that you have prostate surgery. Hopefully it won't come down to that.

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, next one:  July
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- 27 days, Cath #15 - 26 days, Cath #16 - 31 days, 5/24 put in Cath #17


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4156
   Posted 6/24/2010 5:23 PM (GMT -6)   

Ray, are you on Flomax?  That should help.  If you are not, call your uro and ask why not.

Tudpock (Jim)


Age 62, Gleason 3 + 4 = 7, T1C, PSA 4.2, 2 of 16 cores cancerous, 27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 4/10/10.  6 month PSA 1.4 and now 1 year PSA at 1.0.  My docs are "delighted"!

BobCape
Regular Member


Date Joined Jun 2010
Total Posts : 416
   Posted 6/24/2010 7:37 PM (GMT -6)   
Ray.. i've got some recent and ongoing experience with that type of issue. I CUT DOWN on the fluids!! I know they always want drink fluids drink fluids, But YOU ARE HEALING, GIVE IT A BREAK! Also, DO NOT drink liquor. The 2 beers I had at the graduation party last week ended up with me on the toilet in pain for the next 10 hours, peeing a tablespoon's worth at a time, then pain, then a little more. Horrible. Speaking from my recent experience.. cut down on the fluids till you get it worked out.
First ever PSA test Jan 2010 @ 51 years old. 4.0.
Digital exam in March 2010 showed 1 side hard, other soft.
Biopsy, positive in 3 of 12.
Davinci @ Boston Medical Center, May 17, 2010.
Was suggested prior to it was likely contained.
June 1 advised 3+-4 was really 4+3 per pathology. Pos margins.
Catheter removed June 1.. 1 pad/day, doing ok. ED, but not in rush.
Sore as heck down there, but doing much walking with my wife.
To meet with my Uri (1st meeting since) June 17 - 1 mo point, to discuss.
BMC already has me setup to meet with radiology.
Felling a little better each day. Cant tell if my expectancy just went from 10-15 down to 5-7, the information out there appears to be all over the place. I WILL NOT radiate my insides to the point of being a veg for the sake of a few years. QOL is primary to me. Selfish I guess. I pray for all of you as I do for myself, but must remember that i've had a pretty good 50+ years, and know others who have lost their children to disease.. so I dont have the nerve to complain!


RayPat
Regular Member


Date Joined Apr 2010
Total Posts : 104
   Posted 6/24/2010 8:18 PM (GMT -6)   
Just back from ER. New cath in place. By the time they got me cathed it drained 1200 cc.
Tudpock, yes I'm on Flomax. In fact they told me to take it twice a day.
BobCape, I think cutting back on liquids may be the right approach.
I've been drinking tons of water but probably screwed up this afternoon and drank a Coke right before this started.
Will be on the phone with the urologist bright and early tomorrow.
Age 63

01/26/10 ...PSA 9
Referred to urologist
Met urologist on 2/26/10....DRE normal new PSA test was 11. Taken after DRE.
Biopsy on 3/26/10. 14 samples...3 positive on right side...all 11% Gleason 3+3
Urologist said stage T-1c.
Advised treatment. Discussed surgery and set appointment with radiologist for 4/26/10
4/26/10 Met with radiologist. Thinks IMRT or Brachytherapy would be good choice.
5/20/10 volume study done all looks good for Brachytherapy.
6/22/10 Brachytherapy done.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 6/24/2010 8:24 PM (GMT -6)   
Ray, I was strongly afraid you were bound for the ER. Sorry to hear that, been there done that in my catheter travels. 1200cc is lot of fluid in a bladder that is still in the healing stages. Bet you felt relief once that flow started again. Don't let them rush taking out the cath, you may need a little more healing time. Avoiding liquids is very counterproductive. Definitely no to liquor, beer, sodas, fruit juices, during this critical part of your healing time.

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, next one:  July
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- 27 days, Cath #15 - 26 days, Cath #16 - 31 days, 5/24 put in Cath #17


fertree
Regular Member


Date Joined Jun 2010
Total Posts : 118
   Posted 6/24/2010 8:28 PM (GMT -6)   
My hint for the day..I only dribble a few drops while standing, but things are much better sitting.

RayPat
Regular Member


Date Joined Apr 2010
Total Posts : 104
   Posted 6/24/2010 8:33 PM (GMT -6)   
Thanks David, nothing but water for me for a long time. Instant relief when that thing started flowing.
Fertree, I tried both and could only dribble 4-5 drops before stopping.
Trust me I tried everything but standing on my head. LOL
Age 63

01/26/10 ...PSA 9
Referred to urologist
Met urologist on 2/26/10....DRE normal new PSA test was 11. Taken after DRE.
Biopsy on 3/26/10. 14 samples...3 positive on right side...all 11% Gleason 3+3
Urologist said stage T-1c.
Advised treatment. Discussed surgery and set appointment with radiologist for 4/26/10
4/26/10 Met with radiologist. Thinks IMRT or Brachytherapy would be good choice.
5/20/10 volume study done all looks good for Brachytherapy.
6/22/10 Brachytherapy done.


RayPat
Regular Member


Date Joined Apr 2010
Total Posts : 104
   Posted 6/25/2010 3:13 PM (GMT -6)   
Called the urologist office this morning and left a voice mail for his nurse.
She never called so I called back at 1 and left another. Finally at 3 I called back and the receptionist told me the nurse had to leave early for a family emergency and the doc was in surgery.
I had been concerned all morning that there wasn't enough urine flow into the bag even though I had no idea what's normal. Desperately wanting assurance that there'd be no trips to ER over the weekend I called the urologist who diagnosed the PC (he's not the one who did the Brachy). Explained the ER experience last night and how much urine was in the bag since I emptied it at noon to his nurse. She said it sounded normal but would talk to the doc. He called me within 15 minutes and said it sounded fine and as long as it was flowing nothing to worry about. He said the 350 cc in 4 hours was normal. Also told me he's on call 24 hours a day on weekends and if I had a problem just call the hospital and he'd call me. Question for the forum. Is 350cc in 4 hours "normal"?
Age 63

01/26/10 ...PSA 9
Referred to urologist
Met urologist on 2/26/10....DRE normal new PSA test was 11. Taken after DRE.
Biopsy on 3/26/10. 14 samples...3 positive on right side...all 11% Gleason 3+3
Urologist said stage T-1c.
Advised treatment. Discussed surgery and set appointment with radiologist for 4/26/10
4/26/10 Met with radiologist. Thinks IMRT or Brachytherapy would be good choice.
5/20/10 volume study done all looks good for Brachytherapy.
6/22/10 Brachytherapy done.
6/24/10 Catheter out...pretty good flow most of day until 3:30 then stopped
Off to ER for new one. :>(


larch
Regular Member


Date Joined Apr 2010
Total Posts : 47
   Posted 6/25/2010 4:05 PM (GMT -6)   
RayPat,

I took a different treatment route, but completed a four day course of tracking urine flow volumes yesterday, so based on my tracking measurements, I have some confidence saying that 350 ml over 4 hours is just fine.

Some guy with an MD may tell you different, in which case pay attention to him, but what I have heard for all treatment approaches is more fluids are always better, and less fluids are never better.
Diagnosed 3/10 : Gleason 7 (3+4)
HIFU treatment 6/10


RayPat
Regular Member


Date Joined Apr 2010
Total Posts : 104
   Posted 6/25/2010 4:20 PM (GMT -6)   
Thanks Larch. That'll confirm what the doc said and let me get some peace of mind and hopefully sleep tonight.
I haven't slept much in the last four nights and am a zombie.
Age 63

01/26/10 ...PSA 9
Referred to urologist
Met urologist on 2/26/10....DRE normal new PSA test was 11. Taken after DRE.
Biopsy on 3/26/10. 14 samples...3 positive on right side...all 11% Gleason 3+3
Urologist said stage T-1c.
Advised treatment. Discussed surgery and set appointment with radiologist for 4/26/10
4/26/10 Met with radiologist. Thinks IMRT or Brachytherapy would be good choice.
5/20/10 volume study done all looks good for Brachytherapy.
6/22/10 Brachytherapy done.
6/24/10 Catheter out...pretty good flow most of day until 3:30 then stopped
Off to ER for new one. :>(

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