Removal of catheter - can anyone describe?

How long has it taken for normal urninary function to return?
3
1 day - 27.3%
2
1 week - 18.2%
5
1 month - 45.5%
1
right away - 9.1%

 
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Montana Raised
New Member


Date Joined Nov 2007
Total Posts : 13
   Posted 12/3/2007 1:27 PM (GMT -7)   
I will be going in to have my catheter removed tomorrow afternoon. It is of course a sensitive topic, but I was wondering if anyone could describe: pain? discomfort? how long does it take? I noticed there is an extra rubber tube on the start of the catheter - is this of use?

Thanks in advance,
Bret

beachbum50
Regular Member


Date Joined Sep 2007
Total Posts : 292
   Posted 12/3/2007 1:55 PM (GMT -7)   
Montana, the removal happens so quick you will wonder why you worried so much! I was very concerned about it, a male Nurse came in and went over everything he was going to do. The second tube goes to the ballon that holds the catheter in place. They will refill your bladder through the catheter to fill your bladder before they remove it, feels kind of wird, no pain. They they slide it out in about two seconds. They want you to take a leak then, if you can. I have one of those "shy" bladders, and could noy put on a show for the nurse, so he sent me home and said to call back in four hours if nothing happened. I am one of the lucky ones, got home and without leaking, passed the water. Just relax, and go with the flow! Best of luck on this side!
 
Beachbum tongue
Beachbum
 
PSA 10 June 2007
Biopsy July 2, 16 of 16 samples positive
T2C
3+3=6
Di Venci 10/09/07, four hours on table, 3 in recovery
Total time in Hospital: 29 hours
Record for Dr. Lance, 65% of prostate had cancer, but NO spread, clean margins
Clean nodes,
First PSA at 5 weeks, UNDETECTABLE!
Catheter out at seven days, dry from hour one!
The Lord has truly Blessed me.


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8122
   Posted 12/3/2007 1:56 PM (GMT -7)   
Hi Bret,
Probably the worst feeling in this experience was the 1.5 seconds you are asking about. But ya gotta do it! It was over quickly. It made my wife cringe, but I was not in screaming pain or anything. In fact, I was reatively quiet according to the nurse. What will happen is that they will inject saline into the bladder in order to verify right away that the urethra is unobstructed afetr the catheter comes out. Then take a deep breath, 1.5 seconds, done. You then need to pee the saline back out. I did have a little bleeding but only that day and it was gone. I had 4 pads on day one, 2 on day two one on days 3-9 and have occasionally worn one. Maybe a total of twelve since the February procedure. Your next big moment won't be the catheter, but rather the pathology. Because of my high PSA I was prepared for the worst.

Tony
Age 45 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007
Post-Op Pathology was poor: Gleason 4+3=7, 4 positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
 
My PSA did drop out after surgery to undetectable.  It has not returned and I will continue HT until January '08.
 
My Life is supported very well by family and friends like you all.
 
STAY POSITIVE!


Montana Raised
New Member


Date Joined Nov 2007
Total Posts : 13
   Posted 12/3/2007 2:14 PM (GMT -7)   
t h a n k you !!!

I was scared to death but now will be alot better!!!

IdahoSurvivor
Veteran Member


Date Joined Aug 2007
Total Posts : 1015
   Posted 12/3/2007 3:31 PM (GMT -7)   

I will second Tony's comment... It is really no problem at all.

Barry

P.S. Your survey doesn't have enough options.  Many patents take much longer than 1 month to return to "normal" or "pre-surgical" urinary function.  However, "liveable" uninary function can return quicker :-)

"Idaho" ~ Barry

 

Da Vinci Surgery July 31, 2007… 54 on surgery day
PSA 4.3  Gleason 3+3=6  T2a  Confined to Prostate

1st PSA 0.04 (undetectable) 9/11/2007

My web site: http://pca-info.blogspot.com


Irishman
Regular Member


Date Joined Oct 2007
Total Posts : 29
   Posted 12/3/2007 3:51 PM (GMT -7)   
Montana
Dont worry it takes all of 1.5 seconds and then you are free of that bag and on the road to recovery.
You will leak so dont worry it dose better over time.
Best of luck
Age 48 47 when had prostatectomy
June 2006  Stint in Heart
Oct 2006 told PSA high
Nov 2006 between Heart Doc and Prostate Doc told no biopsy till April 2007 but don't worry.
May 2007 Prostate Cancer confirmed at 3+3
July 2007 Had Prostate removed
Nov 2007 Back in dog house cancer back psa 1.85(what next)
Nov 2007 Awaiting appointment with Radiologist.........
Dec 2007 Appointment with Radiologist on Thu 6th December
 


triker
Regular Member


Date Joined Sep 2007
Total Posts : 22
   Posted 12/3/2007 4:54 PM (GMT -7)   
I am glad that you asked the question. I am supposed to get mine out in 4 days, and this has been a big unknown and area of concern for me. I wasn't sure if I wanted to know the answer for fear that I would have something to dread, but now that I do know, it doesn't sound too bad. I sure will be glad to get rid of the catheter, and a few seconds of discomfort sounds like a good trade.
Walter

Age 58
10/06 - 1st PSA ever - 4.6
11/06 - PSA retake - 5.3
12/06 - Biopsy, 12 cores - negative
7/07 - PSA - 9.0
7/07 - PSA 13.8 (after 10 days antibiotics)
8/07 - Biopsy, 12 cores, 1 positive @1%; Gleason 3+3=6
9/17/07 - Bone scan - negative
9/18/07 - CT scan - negative
10/12/07 - John Hopkins recheck of biopsy slides Gleason 3+3=6
Da Vinci surgery scheduled for 11/29/07


JCL
Regular Member


Date Joined Jul 2007
Total Posts : 242
   Posted 12/3/2007 5:02 PM (GMT -7)   
No problems here either. It happened so quick that the most I felt was a quick "pull" or "tug." Didn't hurt at all.
Age: 49
Diagnosed: March 25, 2007
PSA: 3.0
Biopsy: Gleason 6. Five of twelve core samples positive with <5% each. No perineural invasion seen.
DaVinci Surgery: May 21, 2007 at Florida Hospital, Orlando, Florida. Surgery took one hour and 45 minutes. According to my surgeon, everything went textbook and the prostate peeled away nicely.
Post-op Pathology Report: Upgraded to Gleason 7 (3+4), negative margins, negative capsular penetration, negative seminal vesicles, lymph nodes left intact, multifocal perinural invasion, 15% of prosate involving cancer in both lobes.
Continence: Out of the pads at five weeks. Still have some very minor stress incontinence at times but it's not an issue. Still Kegel every day and will continue to do so.
Erections: Yes! With the assistance of Cialis.
1st Post-op PSA: <0.1 2nd Post-op PSA: <0.1
Family history: My Father had his prostate removed at age 67 in 1997 and has had a <0.1 PSA for the past 10 years. I was diagnosed at a much earlier age and had a more agressive cancer than my father. Go figure.
 
 
 


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4461
   Posted 12/3/2007 5:15 PM (GMT -7)   
In my case, all I got was a tickling,  almost pleasurable shiver as it came out.  No pain of any kind.  All over in a couple seconds.
James C.

RTR
Regular Member


Date Joined Oct 2007
Total Posts : 29
   Posted 12/3/2007 5:26 PM (GMT -7)   
Thanks for asking the question.  I counting the days, 9 more to go.

Diagnosed 9/07
Gleason 6  3+3
First PSA 4.1
2nd PSA 3.6
stage T1C
age 46
daVinci performed 11/28/07
@ Univ of Ala Bham (UAB)


Tim G
Veteran Member


Date Joined Jul 2006
Total Posts : 2246
   Posted 12/3/2007 5:30 PM (GMT -7)   
For me, it was a slight twinge of pain--maybe a 2 on a 1 to 10 scale--but really quick, smooth and easy. 
 
The beauty of a forum like this is that you can ask the little, the big, the seemly silly, the scarey, the odd, and every-other-kind-of question here and get answers from those of us who have been there.
 
Take care and hang in there...Tim

Age 59 PSA 2.6 (Quadrupled in one year) Gleason 5
Bilateral nerve-sparing RRP 6/21/06
Cancer confined to prostate, post-op PSA's non-detectable


mvesr
Veteran Member


Date Joined Apr 2007
Total Posts : 823
   Posted 12/3/2007 5:55 PM (GMT -7)   
No big deal. Felt different, no pain and when it came out I filled the floor. I didn't bring a big enough pad and by the time I made it to the car I was tracking it down the hall. Be sure to bring some heavy duty pads. It will all get better with time. And by the way it is gone hopefully forever. Take care and get better.

Mika

PianoMan
Regular Member


Date Joined Feb 2007
Total Posts : 365
   Posted 12/3/2007 7:19 PM (GMT -7)   
Hi Montana:  There was nothing to it.  It feels weird for a sec. or so, but no pain or anything.  Best to ya.  You're on your way to recovery.
Tom

D.O.B - 8/9/52

PSA: First ever was 9.8 in late Oct. ‘06, two weeks later, 10.1

DRE: Negative

Biopsy results 11/22/06.  Both lobes involved.  Six out of eight cores positive - from 100 percent to 90, to 60, to 50, two 20s and two zeros.

Gleason 3+3 = 6

Da Vinci Robotic RP surgery, City of Hope, Jan 12, 2007

Post surgery pathology – Organ confined, Gleason still 6, margins clear.  Volume of tumor much less than biopsy suggested.  12 percent overall.

First post-surgery PSA -- Undetectable, 2/20/07

Second post-surgery PSA -- Undetectable, 9/11/07


gtmriviera
Regular Member


Date Joined May 2007
Total Posts : 338
   Posted 12/3/2007 9:20 PM (GMT -7)   
Apparently it is done in different ways depending on your doctor.  I felt no pain at all.  They did not do any of the "filling the bladder" that I've read about.  There was no leaking at the time and they put a tiny pad over me and I put on a regular pair of underwear.  I thought that I was fine and even visited my office for awhile.  I was very lucky because shortly after I got home I wet me , the floor, my clothes, everything.  My surgery was 10/4 and I am still wearing undergarments although there has been a lot of improvement and I will try wearing just pads soon.

kw
Veteran Member


Date Joined Nov 2006
Total Posts : 883
   Posted 12/3/2007 9:21 PM (GMT -7)   
I had no pain just a second or two of a strange feeling.

Control???...14 months and still using 3-5 pads a day. Hope you have better luck then me!

KW
    43
    PSA 5.7 - Discovered during Annual Physical with Family Practice Dr.
        Biopsy Sept. 27, 2006 - Diagnosis Sept. 29 - 3 of 12 positive (up to 75%) all on left side of prostate, Gleason 7
        RRP on Oct. 17, - Nerves on right side saved.
    All Lab's clear.  No Cancer outside prostate
    Cathiter in for 28 days due to complications in healing. Removed Nov. 9, 2006
    First Post op PSA on Dec. 11, 2006  Undetectable 0.00
    Office visit on Jan. 19th due to continued excessive urine leakage.
    Feb.20th Cystoscope and 2nd Post Op PSA. Another 0.00.....:)
    Dr. said everything looks fine.  Continue to work Kegeal's. Leaking appears to have improved  after Cystoscope?!?!?!  Down to 3-4 pads per day!
    March 1st  Leaking has crept back up to 6 - 8 pads a day ??????? 
    March 29th Collagen injection into sphincter / bladder neck area to control excessive leaking.  Worked for a couple of days then back to leaking.
    April 17th (Six Months Post Op) 2nd Collagen Injection to control excessive leaking.  Leaking started back next day at work!
    May 14th Second Opinion about my leaking and Options at OU Medical Center.  After reviewing my records the Dr. feels I will probably need some surgical intervention to stop my leaking.  But did agree to try Bio-Feedback and work hard on the Kegeal's first!
    May 30th Follow up with my Dr. and 3rd Post Op PSA 0.00 agian!!!
    June 1st Start Bio-Feedback to try to control my leaking.
    Oct 17, 2007 1 year Post Op - Still fighting moderate / Severe incontenance. Using 4-6 pads a day.  Erections usable....sometimes!...Better with 100mg Viagra
   


sparks w
New Member


Date Joined Dec 2007
Total Posts : 1
   Posted 12/3/2007 9:33 PM (GMT -7)   
reply to question about cath.  the best way to have it removed is to have the nurse or person who is removing it to remove it quickly.  the thoughts are the worst part of it.  i had radical prostate surgery whereby my doctor removed not only the prostate but the lymph nodes on either side.  the dread of having the cath removed is not worth the while that you are dreading it.  if it is done quickly there might be just a sting at the moment but that was all i had.  sparks w

gtmriviera
Regular Member


Date Joined May 2007
Total Posts : 338
   Posted 12/3/2007 9:42 PM (GMT -7)   
KW, Can you tell us what the bio-feedback is all about?  Thanks.

uncledan
Regular Member


Date Joined Aug 2007
Total Posts : 120
   Posted 12/4/2007 8:58 PM (GMT -7)   
The cath has two tubes the one is for urine release and the other is filled with a liquid to increase the size if the balloon in the bladder so that the cath stays in place. Before removing the nurse removes the liquid in the balloon with a syringe and then the cath is removed very quickly. No pain at all and I was really surprised since I had one removed over 40 years ago. That one was terrible. Needless to say I was really dreading it. A lot of wasted energy worrying about nothing. Go for it. Uncle Dan
Age 67
No symptoms, DRE negative, 10 - 06 PSA 5.44, 01 - 07 PSA 6.47
5 - 07 CT and Bone scans negative, 05 - 07 Biopsies, 2 of 6 positive
Gleason Score (3+4) 7 Stage T1c
08 - 14 Dr. Dasari - Baptist Hospital, Nashville da Vinci RAP, five hours surgery
Some right nerve and all left nerve removed,
Hospital discharged 8 - 16
Pathology report Negative margins, Encapsulated, 50% left side
Lymph nodes 2 R & 1 L - Negative, R & L seminal vesicles - Negative
Gleason changed (4+3) 7 closer to 8 than 6
9 - 26 Great PSA 0.000, 9 - 27 Starting on meds for ED
10 15 Dry most of the time, occasional leak (dribble )
10-27 Received pump started use on 10-29 can see resulted, enlargement.
11-22 Viagra, Lavitra no help yet, Pump still not producing usable results either.
11-28 2nd PSA since surgery 00.00


kw
Veteran Member


Date Joined Nov 2006
Total Posts : 883
   Posted 12/4/2007 9:33 PM (GMT -7)   

    GTM.....,

      You may want to try finding KW's Journey.  It will be several pages back.  If you change the number of post per page it will speed up the search.  There is more info there about the Bio-feedback.  I have heard of different treatments here but this is what mine does.  I put one "stickey pad" sensor beneath my scrotum in the groin area. I run the cord out of my gym shorts. Then I go into therapist office.  She then puts on on my lower abdomen and plugs them into her machine.  Then I sit still and relaxed as she set's the base line on the machine.  Then she has me do some kegeals as she monitors the screen.  Then she will change or add to my exercises depending on what she is seeing.  When I first started I was only hitting at 0.7 or so on her scale.  The last time I went I hit some 7.'s.  So,  I am gaining strength but still have a way to go.

    I have seen where some guys have the shocking type electrodes put on them to make the muscles contract and release several times.  Seems I have even heard of some guys having a electrode placed in their rectum for the treatments!

    All I would suggest is ask you Dr. if the recommend someone.  If they do not use someone just start calling and asking if the use biofeedack to treat male urinary incontenance after prostate removal surgery.    Here in the Oklahoma City Metro my therapist that there were only 5 or 6 that she knew of that did it.

    Good Luck,

    KW


    43
    PSA 5.7 - Discovered during Annual Physical with Family Practice Dr.
        Biopsy Sept. 27, 2006 - Diagnosis Sept. 29 - 3 of 12 positive (up to 75%) all on left side of prostate, Gleason 7
        RRP on Oct. 17, - Nerves on right side saved.
    All Lab's clear.  No Cancer outside prostate
    Cathiter in for 28 days due to complications in healing. Removed Nov. 9, 2006
    First Post op PSA on Dec. 11, 2006  Undetectable 0.00
    Office visit on Jan. 19th due to continued excessive urine leakage.
    Feb.20th Cystoscope and 2nd Post Op PSA. Another 0.00.....:)
    Dr. said everything looks fine.  Continue to work Kegeal's. Leaking appears to have improved  after Cystoscope?!?!?!  Down to 3-4 pads per day!
    March 1st  Leaking has crept back up to 6 - 8 pads a day ??????? 
    March 29th Collagen injection into sphincter / bladder neck area to control excessive leaking.  Worked for a couple of days then back to leaking.
    April 17th (Six Months Post Op) 2nd Collagen Injection to control excessive leaking.  Leaking started back next day at work!
    May 14th Second Opinion about my leaking and Options at OU Medical Center.  After reviewing my records the Dr. feels I will probably need some surgical intervention to stop my leaking.  But did agree to try Bio-Feedback and work hard on the Kegeal's first!
    May 30th Follow up with my Dr. and 3rd Post Op PSA 0.00 agian!!!
    June 1st Start Bio-Feedback to try to control my leaking.
    Oct 17, 2007 1 year Post Op - Still fighting moderate / Severe incontenance. Using 4-6 pads a day.  Erections usable....sometimes!...Better with 100mg Viagra
   


Montana Raised
New Member


Date Joined Nov 2007
Total Posts : 13
   Posted 12/5/2007 1:00 PM (GMT -7)   
As a follow-up I wanted to let y'all know how my removal went yesterday...It was unbelievably easy and painless!!! My doctor had my stand up and he removed the suture that held my drain in that was removed last week after surgery...no problemo. Then he took a small scissor and cut the little rubber "extra tube"'s end off and a liquid came pouring out - he said it was water - and without further to do, he gently tugged the catheter out and it was over. I felt no pain whatsoever. It felt wonderful to have it coming out. I highly highly urge all of you to ..... R E L A X!!! And believe me, this has been my major concern throughout the entire process of being diagnosed with cancer in September to all of the tests and biopsies. It was a major pain toting this thing around and I thought it would be a pain coming out - I couldn't have been further from the truth!
Afterwards, I put on a Depends diaper - no problem, I would have worn anything at this point. I would advise purchasing in advance the Mens Depends pads. The easily attach to your underwear and catch any accidents. I got home, had that familiar "gotta pee" feeling from my bladder and went to the urinal and took my first leak in a week! ( rhymes!) And I was almost in tears, I was so happy. Had a couple of minor accidents before i went to bed, but slept all night with out an accident and have taken several trips to the bathroom without incident.
I am very relieved and want all of you to know that I am fine and on the heal.

Take care, be positive, and "This too shall pass"!

Bret
Age 48
Diagnosed September 11, 2007
Stage II Cancer
Pre-op PSA was 6
Surgery on November, 2007

DaVinci Technique used to remove prostate and seminal vessels.

(Currently working on newsworthy article that includes my diary of the last 4 months. Purpose is to provide insight on the entire process for those that have or are going through this similar experience)

To everyone going through this remember: Stay tough, stay positive, surround yourself with positive friends and know that: "this too shall pass"!

Peace!


triker
Regular Member


Date Joined Sep 2007
Total Posts : 22
   Posted 12/5/2007 2:07 PM (GMT -7)   
Congratulations on another milestone. I am supposed to get mine out on Friday, and I am ready. I feel that the catheter has been the toughest part of all that I have been through to date. I am overly cautious with it, and as a result, I think that it (mentally at least) limits my mobility and initiative to exercise as much as I should.

It sounds like your recovery is going great. Hang in there, and post updates when you can for those of us following behind.
Walter

Age 58
10/06 - 1st PSA ever - 4.6
11/06 - PSA retake - 5.3
12/06 - Biopsy, 12 cores - negative
7/07 - PSA - 9.0
7/07 - PSA 13.8 (after 10 days antibiotics)
8/07 - Biopsy, 12 cores, 1 positive @1%; Gleason 3+3=6
9/17/07 - Bone scan - negative
9/18/07 - CT scan - negative
10/12/07 - John Hopkins recheck of biopsy slides Gleason 3+3=6
Da Vinci surgery performed 11/29/07 at Northside Hospital in Atlanta


RTR
Regular Member


Date Joined Oct 2007
Total Posts : 29
   Posted 12/5/2007 2:18 PM (GMT -7)   
Triker, I'm jealous.  You are a day after my surgery yet your cath comes out 5 days before mine.  Argggggh!  Sigh, every doc has their own protocols but me and my cath are tired of each other!

Diagnosed 9/07
Gleason 6  3+3
First PSA 4.1
2nd PSA 3.6
stage T1C
age 46
daVinci performed 11/28/07
@ Univ of Ala Bham (UAB)


gtmriviera
Regular Member


Date Joined May 2007
Total Posts : 338
   Posted 12/5/2007 7:26 PM (GMT -7)   
On the lighter(?) side, did you ever hang the bag somewhere and then start to walk away, forgetting about the bag.  It's like a training leash.  It gets you back with it immediately.

biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1463
   Posted 12/5/2007 8:39 PM (GMT -7)   
Yeah GT, I did that. Wash't too bad till the cat jumped on it....

Jim
Age 73. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Pathological stage: T2C. Gleason 3+4. Cancer confined to prostate.
PSAs from  1/3/07 - 10/17/07 0.00. 
Started Tri-Mix on 8/7/07.  .05 ml and 50 mg Viagra.  It works!!!
Next PSA test on 1/15/08
 
"Patience is essential, attitude is everything."
 


gtmriviera
Regular Member


Date Joined May 2007
Total Posts : 338
   Posted 12/5/2007 8:44 PM (GMT -7)   
Good ol cat, we'll miss him.
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