Apparently, I have AUR.
I had HDR brachy in early 2012. After each session, they removed the catheter and made sure I could pee without problems before I left. Everything seemed fine, and I assumed that urinary retention would not be a problem. My prostate size was just 33g and didn't show much swelling from the procedures.
A year and a half later, June of this year, after rapidly rising PSA indicated possible PCa metastasis, I had a bone scan done. The doctor asked if I had voided before the test, and I said yes, completely. He then said I must be having some bladder trouble because my bladder looked very, very full. He suggested that the radiation may have caused some kind of stricture, but no one said I should get it looked at.
a month ago I started having trouble than usual with a weak stream, frequency, urgency, etc. This hadn't been much of a problem before. So this week I went to my Uro who did a bladder scan, after I had voided as much as possible. The scan said I still had over 800 mL of urine in there, when the normal full capacity of a male bladder is about
500 mL (half a liter). He said that I would probably need to self-catheterize to keep my kidneys functioning correctly. The nurse got me a couple of catheters, showed me how to insert them (really embarrassing and strange with someone watching), and we got out over a liter of fluid.
FWIW, I never felt "full" or like I wasn't emptying completely, I would never have known there was a problem if not for the bone scan or the recent urinary issues, and I've probably had this problem for many months. My advice is that if you're having urinary trouble, make sure you see a urologist. The bladder scan was quick and painless.
I'm now doing what they call Intermittent Self Catheterization, 4 times a day. I'm hoping this is not for the rest of my life, but it sounds like it probably is. I don't know if there is a way to find the "stricture" and fix it or not. It's aggravating, a little painful, and extremely weird to do (You want me to put that really long tube where??), but I can live with it. Thankfully, I work from home most days - I'm not sure how I'll deal with it when I go to the office. And travel is likely to be more difficult. You need to have very clean conditions to prevent infection and take a fair amount of paraphernalia. I can't imagine trying to do this in a bathroom stall and keep things clean. Maybe I can run, half-naked, from a sink to a stall and back.
Ahh, the joys of PCa go on and on. Still, I'm doing well in the PCa fight and really have nothing to complain about
. I'll trade daily tube stuffing for more years of life without question. It's also possible that this is the result of prostititis, which could also be responsible for the rapid PSA rise I've had. So I'm back to hoping I have an bad infection - much better than metastatic cancer.
If anyone has questions about
this area, just let me know. I'm reading a lot about
it, and I have a follow-up with my Uro next week. I plan to ask if this is permanent.
The good news is that I lost a little over 2 pounds in just a few minutes during my visit to the Urologist. I'm counting each of those pounds as progress toward my goals, and I'm now down 24 pounds instead of just 22! :)
Dx 11/22/11 @ age 60 PSA 4.4. Type2 diabetic, otherwise healthy
Biopsy: 3 of 12 samples with cancer, 3+3, 3+3, 3+4
HDR brachytherapy (monotherapy) in early 2012
PSA: 7/12-5.2, 11/12-3.2, 6/13-5.67, 7/13-7.4, 8/13-8.56
Aug /13: Down to 6.65! Woohoo! Diet & exercise?
Diagnosed with AUR in Aug/13. Intermittent self catheterization.
Post Edited (syzygy51) : 8/23/2013 9:32:44 AM (GMT-6)