We are surprised that we haven’t had more people with this particular issue. Thank you for sharing this stepping-stone in your path that many have not had to deal with. After reading the information in our book listed below… and having been told by our urologist to be on the look out for this. At the time… we were told… we were not alarmed by what would have to take place ~if this should happen.
Our thoughts are still the same…
Head in on Tuesday and get this taken care of. Yes ~ it would have been nice to have found out earlier… but maybe it was best to let as much healing take place before inserting anything into the urethra… You know now… and you can move forward to getting this corrected and move closer to the goal of urinary continence…
Our thoughts and prayers are with you.
In Friendship ~ Lee & Buddy
P.S. It would be so helpful for others if you add bladder neck contracture (Scarring) in your title!!
Added for future readers!!!!
Excerpt from “Dr. Patrick Walsh’s Guide to Surviving Prostate Cancer”…
(Give Yourself a Second Opinion) 2001
Patrick C. Walsh, M.D.
Professor of Urology, The Johns Hopkins Medical Institutions and
Janet Farrar Worthington
Bladder neck contracture, or constriction of the bladder neck: this is scar tissue that forms where the bladder neck is sewn to the urethra, and it has been reported in between 1 and 12 percent of men after surgery. Its symptoms are usually manifested by persistent incontinence, and a very slow or dribbling urinary stream when –this is the tip-off—the bladder is full. Remember, incontinence immediately after surgery is a very common problem. In the early days after surgery, many men who are having incontinence also worry about having a slow urinary stream. But it’s hard to achieve a good stream if there’s not much in the bladder—and it’s impossible to store up urine in the bladder if it keeps leaking out. Bladder neck contracture is different; the bladder is full, but the best you can manage is a dribble, because the scar tissue is blocking the flow, like a stuck washer in a faucet.
If you are having prolonged incontinence, you should be evaluated with cystometry, a test that measures bladder progress and function by passing a small catheter through the urethra into the bladder. Changes in pressure are monitored as the bladder fills with water. If scar tissue is causing the trouble, it can be reopened in a simple outpatient procedure as a urologist, using a cystoscope (a tiny tube inserted through the tip of the anesthetized penis, through the urethra and into the bladder), makes a few tiny cuts to relax the tight scar tissue.
To keep the area open, your urologist may recommend that you pass a small catheter through the urethra every day for a month or so after the procedure. This way, the scar tissue won’t re-form, and the normal lining of the bladder and urethra will cover the opening as it’s supposed to. If the scar tissue is particularly stubborn, your doctor may inject a powerful steroid called triamcinolone into the area of the contracture; this can be effective in preventing the scar tissue from returning.
mama bluebird - Lee & Buddy… from North Carolina
J We invite you to visit our personal thread: Click Here: “Our Journey” ~ Sharing is Caring
April 3, 2006 53 on surgery day
RRP / Radical Retropubic Prostatectomy with "wide excision"
PSA 4.6 Gleason 3+3=6 T2a Confined to Prostate
2nd PSA 02-06-2007 Less than 0.1 Non-Detectable :)