Incontance dry pad but slow flow

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Regular Member

Date Joined Jun 2010
Total Posts : 76
   Posted 7/18/2010 10:03 AM (GMT -6)   
Hello, I just have another question to throw out to some of the veterans. I had RP 11 days ago and the cathedor removed two days ago. By the end of the day yesterday I began to notice that my pads were staying dryer for a longer period of time. This morning my pad was dry from overnight. I guess this is good news. However, last night from about 4 am on I was getting up with the urge to go about every 30-60 minutes. I measured the flow and it was just ok about 200 ml each time, stream was solid but weak with a slight sting as it passed.
What do you think? Normal process? Possible infection? Irratibale bladder? etc.  I plan to call the doctor on Monday as his PA said I should have a stream like a "rockstar" with no prostate there.
age 50, diagnosed April 2010
pre-op PSA 3.7
Gleason 6
post op. surgical margins clear

Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4849
   Posted 7/18/2010 10:41 AM (GMT -6)   
Talking to the doc is always good - but its so soon after your surgery that nothing is writtin in stone yet. Your body is still recovering.
Age 55   - 5'11"   215lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
11/20/09 - 18 Month PSA -> less then .01
05/18/10 - 24 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.

Veteran Member

Date Joined Jan 2010
Total Posts : 2845
   Posted 7/18/2010 2:44 PM (GMT -6)   
freinds - as stated above, your body is recovering and adjusting to its new alignment - don't force the issue - just go with the flow - I do not peeeee like a rock star and am doing well - and the urge to peeeeeeeeee will be determined by your body and mind (stress makes me peeeeeeeee more) and what you put in it - any diuretic will increase the flow and need to go - like coffee or tea or even green tea and soda pop....
-all the best
Age: 54 - gay - with common-law spouse of 13 years, Steve - 60
PSA: 04/2007- 1.68 - 08/2009 - 3.46 - 10/2009 - 3.86
Confirmation of Prostate Cancer: October 16, 2009 - 6 of 12 cancerous samples , Gleason 7 (4+3)
Doctor: Dr. Mohamed Elharram -Urologist / Surgeon - Peterborough Regional Health Centre
Radical Prostatectomy Operation: November 18, 2009 , home - November 21, 2009
Post Surgery Biopsy: pT3a- gleason 7 - extraprostatic extension - perineural invasion - prostate weight - 34.1gm -
ED Prescription: Jan 8/2010 - started daily 5mg cialis - girth back to normal -but not much length - will go for trimix in April when I see doc
Incontinence: Feb 2010- 3-5 pads/1-2 clothes changes/day- March 3, 2010 - week 14 after surgery -finally seeing improvement - March 29- incontinence better - 1-2 pads a day - one pad at night - May 25 - 1 pad during day - 1 pad at night for security (barely needed at all) - stress incontinence at work - lifting trees and shrubs...
location: Peteborough, Ontario, Canada
Post Surgery-PSA: - April 8, 2010 - 0.05 - I am in the ZERO CLUB - hooorah!
Next PSA - October 8, 2010 - TBA -

Regular Member

Date Joined Apr 2010
Total Posts : 90
   Posted 7/19/2010 5:18 AM (GMT -6)   
I had my RP 3-1/2 weeks ago.  The symptoms are identical to the ones I have been experienceing ( the stinging). It does seem to be improving though. I also have a bit of a rash that stings a lot. I have an appointment with the Doctor today.  I have a feeling that I may have picked up a slight infection somewher along the way.
I'm not complaining.  I am one of the lucky ones. Zero Incontinence.

Age : 56
Diagnosed 3/29/2010
Placed on 5mg Cialis daily on 6/2/2010
Started pre-operative physical therapy on 6/2/2010
PSA 2.7; Gleasen (3+4) Biopsy 2 cores of 12 25% positive
DaVinci surgery 6/25/2010
Post Surgery
    Final Biopsy report
   5 slides of 35 showed 2% positive for cancer
   Clear Margins
   Final Gleason (3+4)
Incontinence:  None
ED:  Still dead as a door knob
        Still taking 5mg Cialis Daily

Regular Member

Date Joined Jun 2010
Total Posts : 76
   Posted 7/19/2010 8:04 AM (GMT -6)   
I had the rash as well. Diaper rash ointment cleared it right up.
age 50, diagnosed April 2010
pre-op PSA 3.7
Gleason 6
post op. surgical margins clear

Veteran Member

Date Joined Nov 2009
Total Posts : 7269
   Posted 7/19/2010 8:43 AM (GMT -6)   
Actually, it sounds like you are doing quite well.
Many folks require 1-10 pads  a day at this juncture.

63 years old . PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (Free PSA 24%),  after 45 days on cipro! DREs have always been normal. PCA-3 was about 75 (way above the 35 threshold). That led to:

Biopsy on 11/30/09. 5 out of 12 cores positive. Gleason 4+3. 2 cores were 3+3 (one 5% and the other 30%) on one side. On  other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C.  

Surgery with Dr. Menon at Ford Hospital, 1/26/10. He says all looked good. Spared nerves. Unfortunately: Pathology Report: G 4+3 (65%-35%). Cancer in 15% of gland. Lymph Nodes: Clear.  Perineural Invasion: yes. Seminal Vessical Involvement: No.  Extraprostatic Extension: yes.  Positive Margin: Yes-- focal-- 1 spot .5mm. Final Weight is 52.7 gms.  (Second opinion from Jon Epstein at Hopkins confirmed these results)

 Incontinence: joined that club-- definite leaks—1 pad/day. Night is dry, was  using 1 pad at night for security, but pretty much dispensed with that most nights. Update: no pads at night. No pads while at home, but still very uncomfortable. Use 1 pad for out-of-house activities. Suddenly got MUCH better on 3/10/10, almost overnight. Still some urgency but no pads about 90% of the time.  As of 3/12/10--completely continent! Uh...OH. As of about 3/16/10 problems with constant urgency although no pads needed--feels like an infection but none showing in urine.

Update: since late March all is well in that area. I would say 99.9% continent (a spurt here and there, maybe 5 spurts per week). As of 6/22/10, I would say I am 100% continent, but I do have (controllable) significant urgency.

First post-op PSA on 3/10/10--DRUM ROLL: 0.01 Next PSA in mid-June.

Second post-op PSA on 6/21/10--0.02--Not too bad!

Regular Member

Date Joined Jun 2010
Total Posts : 84
   Posted 7/19/2010 12:11 PM (GMT -6)   
Today is Monday and I would follow thru with that call to Dr. or PA and discuss the flow issue.  I consider that to be on the safe side so by all means follow your instincts.  You might also ask how the beginning of an infection would appear to you.
Please also keep your water intake up and keep you body clean and soft with a little skin care.  Besides that feels good and gosh knows we need something that feels good about now after all that fall-der-ra, right.
The stinging you describe could also be called a dull pain right when you pee.  That is usually your muscles pushing to stop the flow on tissue just tramatized by surgery.  My dull pain lasted for around 45 - 60 days.  So be patient the tissue is wet and takes time to heal.  Also ask about starting kegels again as to when.  Kegels actually take from 8 -12 weeks to produce noticable results so again be patient. 
Nice to see you are well and please be a good patient.
Smooth Sail'in Jim

*Age 60 when presented to GP on 3 Aug. 2004 with elevated PSA of 13.8.
*Referred to Urologist. Biopsy and bone scan in Oct 04.
*Pathology report in Nov 04. Initial Results are T2cNoMo carcinoma of prostate gland.
*Had a RPP on 14 Feb 2005. Boy talk about irony look at that date again.
*Dr. called 3 days after surgery. I want you both in my office tomorrow morning, we must talk now.
*"I wish to apologize because I misdiagnosed your condition. Biopsy of your organ says Staging is T3bNoMo. Please accept my apology."
*At that moment I fell in love with my Dr. and have never changed my mind.
*Followup radiation of the prostate bed started early June 05 and ran 42 sessions.
*All PSA checkups to date, 5 1/2 yrs, are undetectable.

Post Edited (maltratado45) : 7/19/2010 11:18:22 AM (GMT-6)

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