Urine flow after RP sugery

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*Optimist*
Regular Member


Date Joined Jun 2009
Total Posts : 35
   Posted 12/28/2010 1:09 PM (GMT -6)   
I am now 2 months after my RP surgery. In the first couple of weeks after surgery I had the usual leaks but had a good strong stream. Gradually the leaks have diminished and I would say I am ow 98% continent. I have become a little concerned though as my stream has really slowed up.  Is this normal? I have read about strictures and worry I could be going down that road. I would appreciate any one elses experiences with this after RP surgery.
 
Thanks.
On active surveillance for 18 months then had first follow up biopsy
Sept 1/10 - biopsy - 3 cores positive 2 @ G6 (20% & 50%) & 1 @ G7 (70%)
RP surgery booked for Nov 3/10.
Pathology - G7 - clean margins - organ confined disease

dogbot
Regular Member


Date Joined Aug 2009
Total Posts : 147
   Posted 12/28/2010 1:18 PM (GMT -6)   
Once I was continent, well about 99%, I found my stream to be a little better than before the op, although I had no problems before the op.
It would appear that some members have had a problem with scarring, and I hope that this is not the case with you.
I would think that someone with experiance of scarring would be able to give you a lot more information.
 
All the best from England.

Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4829
   Posted 12/28/2010 2:18 PM (GMT -6)   

Think positive idea

Try to hold it in a bit longer before going and see if that makes a difference.

 


Carlos
Regular Member


Date Joined Nov 2009
Total Posts : 486
   Posted 12/28/2010 2:50 PM (GMT -6)   
Optimist,  I developed a stricture that reduced my flow rate by half at six months after surgery.  I had BPH with poor flow rate before surgery so I had a good baseline to compare to.  I would certainly recommend you talk to your uro if you have any doubts.  A good flow rate for me was about 20 ml/second and it fell to about 9 ml/sec before I started dilation.   I haven't had any trouble since the last procedure about 2 yrs ago.
 
Carlos
Dx 2/2008, age 71, PSA 9.1, G8,T1c. daVinci surgery 5/2008, G8(5+3), pT2c. LFPF, good QOL. PSA <0.1 for 2 yrs. PSA rose to .2 at 30 months, started SRT 12/15/2010.

SubicSquid
Regular Member


Date Joined Oct 2009
Total Posts : 252
   Posted 12/28/2010 4:36 PM (GMT -6)   
I went thru the stricture problem and ended up with two in-office dilations and then surgery to correct the problem.  I started to notice a gradual decrease in my stream and eventually my bladder felt full and I made constant trips to the bathroom with not much coming out.  Best bet is to talk to your uro and see what he wants you to do.  Best not to wait until the flow stops completely.  A trip to the ER would not be fun.  Hopefully it is nothing but normal healing.  Squid.

Arch
Regular Member


Date Joined Jun 2010
Total Posts : 192
   Posted 12/28/2010 4:38 PM (GMT -6)   
I was also worried about my flow a couple of months after surgery but decided to start drinking 3-4 cups of fluids in a 30 minute span and hold it as long as I could, to stretch my bladder out. After I started doing this I decided I was definitely not developing scar tisssue strictures. Good solid stream, what goes in must come out.
 
r
age 56
PSA 5.5
Biopsy, both lobes PCa
Gleason 3/4=7
open RP May 18, 2010
Pathology: 15% involved, lymph nodes and v. d. clear, margins clear
June 3-10 10-12 pads/day
2 months 8 pads/day
Aug 1, 2010 5-6 pads/day
Aug 20, 2010 3-5 pads per day
Aug 16, 3 month PSA: undetectable
Sept 22, 2 pads a day
Oct 12, PSA 0.03
ED OK with no drugs Dec 2010

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6949
   Posted 12/28/2010 10:39 PM (GMT -6)   
From all the postings I've seen here (I have not had stricture problems - so far), I would ask the uro immediately. Do not wait - if you get blocked up, you'll be back on a catheter done by a resident at an ER (shudder).
 

gold horse
Regular Member


Date Joined Nov 2009
Total Posts : 360
   Posted 12/29/2010 9:27 PM (GMT -6)   
AFTER SURGERY YOU ARE SUPPOST TO URINATE LIKE A HORSE,IF IT IS SLOWING DOWN TALK TO YOUR DOC.YOU REALY DO NOT WANT TO WAIT FOR A TRIP TO ER. nono

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
 

Dave in NC
New Member


Date Joined Dec 2010
Total Posts : 4
   Posted 12/30/2010 8:28 PM (GMT -6)   
Optimist-
When I regained continence (six months post-op for me), I was really looking forward to am improvement over my pre-op peeing. Instead, what I got was a thin, feeble stream. Only half my bladder would empty; the only way I could get the rest out was to do Kegel excercises, one small squirt per contraction.

I did some research and learned about strictures, and soon became convinced that's what I had. And it seemed that as time went on, the more I tried to empty my bladder, the less I was getting out. Finally called the UroDoc, and he had me come in on an emergency basis.

First they checked level of bladder fullness sonically; bladder was...empty! Then the UroDoc "scoped" me; uretha was...completely clear! A prescription for Vesicare was stuffed in my astonished hand, and that was that.

The Vesicare did nothing and I stopped taking it after 3 months. Two years later, no change; have learned to live with thin stream.

Bottom line: Your problem might well be stricture-related, but also quite possible that it isn't. Only your uro doc can say for sure.
- PSA from 2.2 to 6.6 in two years
- Biopsy: T1c, 4 of 16 cores positive, Gleason 3+3
- Age 64: RRP Charlotte July 2008
- Post-op Gleason 3+4
- Negative surgical margins, lymph nodes, seminal vesicles
- Both nerve bundles spared, but ED
- Total incontinence months 1-3
- Partial incontinence months 4-6
- PSAs <0.04 so far
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