Question on corrective surgery

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Regular Member

Date Joined Nov 2010
Total Posts : 102
   Posted 12/16/2010 7:30 AM (GMT -6)   
I just found out there is a small separation in my bladder neck where the ureter was sutured to the bladder after a  robotic prostatectomy. It has caused a pocket of urine to form outside the bladder. My urologist has me on a foley cathater and says it may be sometime before the separation can heal itself. He did not aspirate the remaining fluid outside the bladder either thinking it might aspirate itself. I ask him if there was any surgery he could do to fix the problem and he said no. He did mention there were other things that could be done. I find it hard to believe there is no surgical move he could make to correct this problem. Has anyone had a similar circumstance? Many thanks for your continuing words of encouragement.

Veteran Member

Date Joined Jan 2006
Total Posts : 654
   Posted 12/16/2010 8:50 AM (GMT -6)   
Sorry to hear of this complication in your recovery. I don't have any advice or insight but I am curious, how long ago was the RRP? I guess they took the catheter out a little too soon. When my post surgery catheter was taken out they were not completly happy with the healing but took it out anyway. I didn't know what might happen but for me nothing like that happened (that I know of). I hope your catheter stint will be short. Those things don't do much for "QOL" they talk about.
06-08 1st biopsy neg psa 4
10-09 psa 5.5 2nd biopsy 1/12 pos. 10%, G(4+3) age 65
12-15-09 RRP Tulane NOLA Dr Lee
Path, 1%, clr marg, no EPE, no SVI, nodes cl, G(4+3)
100% incontinent after 3 mo. PT
ED, pre-op severe, post op total
10/10 Dr Boone, Baylor recomended AUS
AUS and IPP scheduled 1/11/11
post op psa's 0.04,<0.1,<0.1

Veteran Member

Date Joined May 2009
Total Posts : 2692
   Posted 12/16/2010 11:41 AM (GMT -6)   
My unprofessional opinion is that surgery would be a nasty affair this soon after RP. I would think that as uncomfortable and nasty the catheter is, in the long run you will be happier letting it heal on it's own.

The urine that escaped will reabsorb like all fluids, so that should not be a problem. If it heals within a couple of weeks after surgery, one would hope it will heal in 2 or 3 weeks now.

I have a cardiologist friend who had a rupture in his aorta. They elected to let it heal on its own. If the aorta can do it, certainly your bladder neck can.

I personally may seek a second opinion of something like this. Did the doctor do a pressure test before removing the catheter ?

Sorry about your situation. Not very happy news over the holidays. But, you will make it. Leg bags do work, I used it a lot.

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

Elite Member

Date Joined Oct 2008
Total Posts : 25393
   Posted 12/16/2010 1:49 PM (GMT -6)   

i had a lot of bladder neck problems after my open surgery. in the past 2 years, i have had 6 corrective day surgeries, and 2 emergency dialations in trying to solve it. (now a mute point as i had to have a urostomy after radiation destroyed my bladder and bladder neck).

the slmall of amount of urine, if any, inside you, shouldnt hurt as urine is sterile until it leaves your body and hits the air so to speak.

my original catheter was left in for 63 days after my open surgery, it was to allow more healing time.

hope they find you an easier solution.

david in sc
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 Not taking it
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/23/10
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