Slow urine flow after RP - what happened next

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Regular Member

Date Joined Jun 2009
Total Posts : 35
   Posted 1/4/2011 1:23 PM (GMT -6)   
I wrote a few days ago about my slowing urine stream and asked for opinions on possible causes. I got a few responses. The ones I should have listened to were the ones that said get to your Urologist ASAP. On New Year's weekend my slow urine flow came to a near halt. By Sunday morning I was in extreme pain just to get a few drops out. I went to the ER looking for relief. They tried to dialate me several times with a catheter but it would not penetrate the bladder. Due to the Holidays I had to wait till Monday afternoon (on pain meds) to have a surgery done to open the constriction. I spent the night with a catheter which was removed early today. Just got home a couple of hours ago with everything working though still passing blood, clots, and residual tissue. I am very sore and tired from the whole ordeal. If I ever have a recurrence I will never let it goes as long as I did.
Just wanted to post this note in case there are others out there that are taking a wait and see approach with a slowing urine flow. Dont let it go till it becomes an emergency.
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

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4463
   Posted 1/4/2011 1:30 PM (GMT -6)   
Thanks for getting back to us and sharing your experience. Your story is a good warning for guys who are having these difficulties to now just shrug it off, especially during long holiday weekends. Glad you got fixed and am now home for needed rest and recovery.
James C. Age 63
Gonna Make Myself A Better Man
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 Jan & Feb.
ED-total-Bimix 30cc

Forum Moderator

Date Joined Jan 2010
Total Posts : 7087
   Posted 1/4/2011 1:52 PM (GMT -6)   
I really hate that you got the worst-case outcome there. At least it was resolved for now. Keep an eye on it, and lets hope it was a one time event.

Regular Member

Date Joined Oct 2009
Total Posts : 252
   Posted 1/4/2011 2:18 PM (GMT -6)   
Hopefully the surgery will do the trick for you.  I had the surgery after a couple of failed dilations and so far so good.  My uro did say that there are times when surgery has to be repeated because the scarring reoccurs.  Hopefully you will not fall into that category.  Also, hopefully the ER docs didn't screw up anything when they tried to dilate you.  My uro was adament that if I ended up in the ER to make sure a uro was called in to do the dilation and place any catheter.  Fortunately for me I never had to go to the ER.  Squid.

Elite Member

Date Joined Oct 2008
Total Posts : 25393
   Posted 1/4/2011 3:38 PM (GMT -6)   
Squid is quite right. After my local ER almost did perm damage to me trying to insert and emergency cath, my uro would not allow any more attempts without him or his doctor's assistence. A lot of damage can be done if the ER doesnt know your new routing in the plumbing, and what guage cath and cath tip to use.

Not to be discouraging, but after having 6 corrective surgeries for scarring, it was never cured, plus 2 emergency dilation sessions from hell. In the end, it wasn't the scarring that took out my bladder and bladder neck, it was the salvage radiation damage.

good luck

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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