URGENT NEED TO URINATE...ASAP!!! RAD Prostatectomy

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unhappycramper
Regular Member


Date Joined Nov 2005
Total Posts : 113
   Posted 4/30/2011 3:01 AM (GMT -6)   
Hello All!

I was curious if anyone else has these problems. See bottom. *

I have posted here about my radical prostatectomy going on two years and four months after post op.
Yes, I am still wearing designer style depends diapers, and frequently dream of the days past gone (prior to surgery) when I used to get excited and have an erection with my girl. ENTER NERVE-SPARING ROBOTIC SURGERY. Whoops, there it ISN'T. The thrill is gone. Oh yes, one can dream...can't one? Ok, got the niceties out of the way.

A year and a half post-op, I did kegels religiously, anytime sitting, or standing around, or anytime i thought about it. The the control got better, then i thought, ok, that's over with, now I have to concentrate on getting the blood flow going again.

On the last two CTs, they noticed a lymphoceal or fluid density lesion, to my bladder, which has grown to about a 6.3cm x 7.6cm causing mass effect on the bladder, which was a possible side effect of the surgery, well, it's gotten bigger and I asked the weewee doc what I should do. he said do nothing, or get a doc to drain it, but it's likely to re-occur.


* What I have been experiencing in the last four months is, when I get the urge to pee, I have to RUN RUN RUN to the closest bathroom, or pee my diaper, which is no real fun. It seems to also kind of burn when I hold it in those drastic moments while running to the bathroom.
I told this to my Primary doc, (before I see my wee doc for a routine visit in a few months) and they ordered some urine tests, which came back negative for anything. Thank you! wink

Post Edited (unhappycramper) : 4/30/2011 2:02:45 PM (GMT-6)


pattersson
Regular Member


Date Joined Apr 2010
Total Posts : 97
   Posted 4/30/2011 4:19 AM (GMT -6)   
Sounds unpleasant, good you still have your sense of humor! It is really difficult to feel on top with this disease, with people sticking their fingers in your ass, ED problems, incontinence etc.
Radical prostactemy 10/2006 @42, PSA 3.9, Gleason 3+4
PSA <0.2 2006-2009

PSA 0.14 01/2010
0.07 05/2010
0.06 10/2010

tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2842
   Posted 4/30/2011 5:18 AM (GMT -6)   
- my initial reaction is regarding the fluid density lesion that could be putting pressure on the the bladder and possible reducing the volume it can hold -
-you have written about this before - since it is still bothering you - see you r doc and have it drained...
gentle hugs,
BRONSON

internet source said...
Abnormal collection of lymphatic fluid that can occur following surgery. For example, a pararenal lymphocele is seen in 10 % of renal transplants within one month of surgery. It is best visualized by ultrasound as a low echogenicity collection which may have thickened septa and internal debris. If necessary it can be drained under ultrasound guidance.

Age:55 -gay with spouse of 14 years, Steve -Peterborough, Ontario, Canada
PSA:10/06/09 3.86
Biopsy:10/16/09- 2 of 12 cancerous, 5% involvement -Gleason 7 (3+4)
Radical Prostatectomy:11/18/09
Pathology:pT3a -Gleason 7 -extraprostatic extension -perineural invasion -prostate weight -34.1 gm
PSA:04/08/10 -0.05 -Zero Club
PSA:09/23/10 -0.05 -Zero Club
PSA:03/24/11 -0.02 -Zero Club
PSA:03/24/12- TBA

unhappycramper
Regular Member


Date Joined Nov 2005
Total Posts : 113
   Posted 4/30/2011 2:19 PM (GMT -6)   
Hello and Thanks!
Bronson and Pattersson,
Laughter IS the best medicine, they say. Although I am not a RENAL patient,this was a (supposed to have been ) a nerve-sparing RP. I guess this could be along the same lines as any fluid density lesion as a result of surgery,which was suturing my ureter back to the bladder neck, after removing all the prostate.

When one goes into any surgery, they all tell you the risks involved...death being the first thing, then maybe bleeding internally, infections, etc., so I just want to know if any one else has or IS going through the same thing with the mass effect on the bladder, which in turn, complicates my plumbing ability not to be able to hold it, without experiencing some really bad pain. The doc was not sure if this fluid lesion is causing my current symptoms. He and someone on this board recommended a SLING procedure, or do nothing.

Now I'm thinking that no one ever told me to continue doing my kegels until the incontinence goes away. I thought by now, after a little more than two years out, I'd get that back and it would be under control.

Are there guys here that have had the surgery more than two years ago, still doing the kegels? Is it too late to start again? Thanks and have a great weekend!

tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2842
   Posted 4/30/2011 3:12 PM (GMT -6)   
at my 16month review - my doc reminded me to keep up the kegels -
-other than the urgency - how much are you leaking a day? -if 200ml or over- would be a major concern - and possibly AUS system - and under 200ml - and disruptive of QOL- an Advance Sling might be in order to be investigated.
-all the best.
BRONSON
Age:55 -gay with spouse of 14 years, Steve -Peterborough, Ontario, Canada
PSA:10/06/09 3.86
Biopsy:10/16/09- 2 of 12 cancerous, 5% involvement -Gleason 7 (3+4)
Radical Prostatectomy:11/18/09
Pathology:pT3a -Gleason 7 -extraprostatic extension -perineural invasion -prostate weight -34.1 gm
PSA:04/08/10 -0.05 -Zero Club
PSA:09/23/10 -0.05 -Zero Club
PSA:03/24/11 -0.02 -Zero Club
PSA:03/24/12- TBA
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