kidney stones and catheter

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DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 732
   Posted 12/10/2010 1:55 PM (GMT -6)   
I know someone who is prone to kidney stones and is facing PCa surgery. Does anyone have experience with being on a catheter post-surgery and dealing with kidney stones? I did a quick search and didn't find any details.

DJ
Diagnosis at 53. PSA 2007 about 2; 2008 4.3
Biopsy Sept 2008: 6 of 12 cores pos; Gleason 4+3 = 7
CT & Bone scan neg
Da Vinci at City of Hope Dec 8, 2008
Rad prostatectomy & lymph node dissection
Cath out on 7th day, in on 8th day, out again 14th day after neg cystogram
Path: pT2c; lymph nodes neg; margins involv; 41 grams,
PSA 1/08, 4/09,7/09, 10/09, 11/09,2/10 <0.01, 10/10 0.1

BuiDoi
Regular Member


Date Joined Aug 2010
Total Posts : 234
   Posted 12/10/2010 2:54 PM (GMT -6)   

.

Mutually exclusive I suspect...

Kidney-Stones are in the Kidneys, and the Catheter is in the Bladder.

I'm no doctor, but there cannot be a problem unless the stone is passed post RP..  IMHO

.


Jstars
Regular Member


Date Joined Oct 2005
Total Posts : 489
   Posted 12/10/2010 8:27 PM (GMT -6)   
As you can see by my sig below, I have had an experience with passing a Bladder Stone (not kidney) a few hours after removal of the catheter. Catheter had been in for almost two weeks.
When I asked my Uro and PA about it they said it was possible to form a stone in that short amount of time. The catheter and its balloon can allow the formation of stones ( or just sand ).
I believe they also said that infection or bacteria are involved in stone formation also.

I might not have even noticed the stone except at the time I was catching the urine (doing the turn on - turn off the stream exercise). It was not a small stone either, but perhaps due to dilation of the urethra for two weeks that it was still 'relaxed' enough for painless passing.

That's my story and ah'm stickin' to it.

J
Age 57 at DX, PSA 8/2008 7.4 10/2007 4.7 (BPH + LUTS)
11/2008 Biopsy: 1 of 12 cores 5%, Gleason 3+3.
02/03/09 open RRP surgery ,Nerve sparing.
02/18/09 passed 1 cm oblong bladder stone (not kidney!) after cath out.
All margins clear -- no change in Gleason score -- (110 grams size).
PSA 04/09, 07/09, 10/09 <0.1
ED -- after 20 months -- 1st real nite-time erection.

DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 732
   Posted 12/11/2010 12:23 AM (GMT -6)   
Thanks all for replies so far. This is a friend of a friend, and I understand that he typically passes stones more than once a week, so chance of doing so while on the catheter is pretty high. Don't know the size however.

BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 12/11/2010 2:03 AM (GMT -6)   
Most of the grief with kidney stones is caused as they travel through the ureters because the tubes are relatively small and the stones usually irregularly shaped. Once in the bladder they can irritate and cause discomfort. Normally the passage to the outside from the bladder is easier because the tube is larger but maybe the catheter balloon could trap it in there.
Bill

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 12/11/2010 9:13 AM (GMT -6)   
questionsaboutit, you said:

It was bad but not as bad as buying a VED today from a young girl and having to ask her "how to" questions.

That sounds like a whole thread to itself. Do tell....!
James C. Age 63
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS6
9/07: Nerve Sparing open RRP, Path: pT2c, 110 gms., all clear except:
Probable microscopic involvement of the left apical margin -GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09- Uh-Oh, next in Feb.
ED-total-Bimix 30cc

goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2691
   Posted 12/11/2010 11:33 AM (GMT -6)   
Most likely the stones will nit pass through the catheter, but collect at the bottom of the bladder. The catheter inlet is held above the bottom of the bladder by the retaining bulb, and the holes come from each side.

So, if he passes stones into the bladder, they will sit there until the bladder is removed, but should be no problem.
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
15 month PSA <.01

BuiDoi
Regular Member


Date Joined Aug 2010
Total Posts : 234
   Posted 12/11/2010 11:00 PM (GMT -6)   
goodlife said...
Most likely the stones will not pass through the catheter, but collect at the bottom of the bladder. The catheter inlet is held above the bottom of the bladder by the retaining bulb, and the (kidney) holes come from each side.


A most appropriate thought.. You would have to try some special bouncing exercises to bounce the stone into the neck of the bulb.. So the bottom line is, even if a Kidney did pass a stone, (and I suspect the boy would well know it), then it would not be an issue until after cath removal, and then would likely easily pass, because of the especially enlarged state of the urethra..
.
.

DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 732
   Posted 12/13/2010 8:37 AM (GMT -6)   
Goodlife and Buidoi,

Thanks for your comments. You sound like you speak from personal experience? Meaning, you have experienced stones sitting in the bladder for a few days before being passed? Was it not too bad?

Thanks,

DJ
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