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Medical Forum / Diseases and Disorders / Prostate Cancer / May 2005All The Pretty Horses
One of the appreciated SE's of my LRP in January was the ability to "Piss Like a Race Horse". I had no problem emptying a full bladder in less than 10 seconds. The best it's ever been in my whole life. Now, 3 months post op, the stream is dwindling and I'm having to work harder to empty, It's been about two weeks but the decrease is noticeable week to week. No pain and still a reasonable stream, but I'm no longer offering my services to the local fire department! Just called my Urologist and my Oncologist this AM. No response yet, but I'm wondering if any of youse guys can shed some light on this. That does not sound like a good sign to me Pops. I would be sure to bug the doctor until they examine you to be sure nothing is going wrong. In my case the stream has never been really strong, but I do not have any trouble emptying out. On the other hand the doctor did tell me that the bladder can be affected by various prostate problems and after the surgery it can return to normal over time. So, maybe you are just getting back to where you were before as the bladder adjusts. In any case I would at the very least get feedback from the doctor and know what to look for in case there is trouble brewing. You don't want to end up in the ER not being able to pee at all. Good luck to you. > One of the appreciated SE's of my LRP in January was the ability to > "Piss Like a Race Horse". I had no problem emptying a full bladder in [quoted text clipped - 7 lines] > Just called my Urologist and my Oncologist this AM. No response yet, > but I'm wondering if any of youse guys can shed some light on this. It's possible you have a slight bladder infection and it is not unusual for men to not feel pain with a bladder infection. Bev > One of the appreciated SE's of my LRP in January was the ability to > "Piss Like a Race Horse". I had no problem emptying a full bladder in [quoted text clipped - 7 lines] > Just called my Urologist and my Oncologist this AM. No response yet, > but I'm wondering if any of youse guys can shed some light on this. > One of the appreciated SE's of my LRP in January was the ability to > "Piss Like a Race Horse". I had no problem emptying a full bladder in [quoted text clipped - 7 lines] > Just called my Urologist and my Oncologist this AM. No response yet, > but I'm wondering if any of youse guys can shed some light on this. Pops, there are a couple of possibilities of which I am aware, but the one that I think is most common is that sometimes after two or three months the anastamosis where the urethra was reconnected to the bladder after surgery can heal up a little too well. It heals so well that it actually can close up the urethral outlet from the bladder or at least impede the urine from exiting the bladder. It is a fairly simply procedure to clear out the blockage. I am not sure if the urologist uses a cystoscope for that, but I believe that they do so that they can actually look at the interior lining of the urethra and bladder. The cystocope is a thin lighted viewing instrument that is inserted into the urethral opening in your penis and advanced up and into the bladder. Another possibility, as mentiond already, is some kind of infection or inflammation that could cause the urethra to swell and close up some inhibiting urination. If the color of your urine is good and you aren't feeling any burning sensation then my hunch - pure hunch because I am not a doctor - is that it could be a little scar tissue blocking the urethra where it connects to the bladder. Bug your urologist until something is done about it, if you have to. Fred After six months, our neighbors can still tell when I'm taking a whiz. I'd want to know why if my horse slowed down. I.P. > One of the appreciated SE's of my LRP in January was the ability to > "Piss Like a Race Horse". I had no problem emptying a full bladder in [quoted text clipped - 7 lines] > Just called my Urologist and my Oncologist this AM. No response yet, > but I'm wondering if any of youse guys can shed some light on this. > After six months, our neighbors can still tell when I'm taking a whiz. > I'd want to know why if my horse slowed down. > > I.P. I.P. Freely: http://img124.echo.cx/img124/6302/afterrp7ew.jpg :-) From: pvanden1@rochester.rr.com (Pops) One of the appreciated SE's of my LRP in January was the ability to "Piss Like a Race Horse". I had no problem emptying a full bladder in less than 10 seconds. The best it's ever been in my whole life. Now, 3 months post op, the stream is dwindling and I'm having to work harder to empty, It's been about two weeks but the decrease is noticeable week to week. No pain and still a reasonable stream, but I'm no longer offering my services to the local fire department! Just called my Urologist and my Oncologist this AM. No response yet, but I'm wondering if any of youse guys can shed some light on this. =================== my surgeon told me that one has a 15% chance that there could be scarring from the operation. i was in that 15%. in fact, i had to have two more operations to correct the scarring. bottom line - it's been 2 years post op and i can pee like a race horse now and it's permanent. ~ curtis knowledge is power - growing old is mandatory - growing wise is optional "Many more men die with prostate cancer than of it. Growing old is invariably fatal. Prostate cancer is only sometimes so." http://community.webtv.net/PALMER_ENT/doc >my surgeon told me that one has a 15% chance that there could be >scarring from the operation. i was in that 15%. [quoted text clipped - 3 lines] >bottom line - it's been 2 years post op and i can pee like a race horse >now and it's permanent. Do these scarring issues take a couple of months to develop? I'm at 6 weeks post RRP, and I've had several problems peeing already. Log: Catheter was removed at 2 weeks 3 more days and I couldnt pee, and went in for a temp catheter procedure. OK then for 10 more days, and then same thing. 3 more days and same thing again. Dr put me on a full catheter again for a week. 3 days after removal, I had to do the temp catherter thing myself. That was last Sunday, and I was all ready to go in again on Monday, but then it cleared up, and has been fine all week, better than ever before. I'm thinking it is some sort of blockage issue that is different than scarring, but dont know. I have a regular 6 week appointment today, and not sure whether to complain about it or not. I dont trust it, but it seems fine right now, nothing to complain about. > Do these scarring issues take a couple of months to develop? > [quoted text clipped - 5 lines] > fine > right now, nothing to complain about. Wayne: My urologist told me that it can develop in two or three months so you might be right on schedule for this :-( Fred >Do these scarring issues take a couple of months to develop? > [quoted text clipped - 15 lines] >sure whether to complain about it or not. I dont trust it, but it seems fine >right now, nothing to complain about. Ten years ago I had an RRP and wore a cath for three (my wife says two) weeks. When it was removed, I peed normally. I could hold my water and pee at will. However, about four or five days after the cath was removed, I couldn't pass but a few drops at a time, and then only after straining. I called the surgeon and he was on vacation (fly fishing - great passtime), and his associate told me to "tough it out", that it was too soon after the operation to go in and remove the scar tissue. The doc would be back in a couple of days and he would make the decision. Well, I "toughed it out" for three days by packing a fanny pack with ice and wearing it at my groin, right at the bottom of the RRP scar. I slept with that damn ice bag for three days, but, *it worked*! I was peeing sort of ok after the first day of the ice pack, and it got better as time went on. When the doc got back from his fly fishing trip, he gave me what I call a "ream job" and removed all the scarring. I had to wear another cath for five days, and since, I have peed just as good as new. I don't know which is worse: getting kicked in the balls or not being able to pee. d;o) >Ten years ago I had an RRP and wore a cath for three (my wife says >two) weeks. When it was removed, I peed normally. I could hold my [quoted text clipped - 20 lines] > >d;o) Ohhhh wow.. My few hours was tough enough each time, I can't imagine 3 days, or even one. There was always a bad pain when trying to pee but couldnt, hard to describe, severe but a little vague... maybe it was a muscle cramp or something. But the worry was the really bad part. I saw the doc today, and told him I was still worried, but that the past week has really gone quite well in that regard, and it seems different now. Peeing is such joy. :) I was amazed how dry I've been so early, but it seems now it was because I barely could pee. This week its been lots of unexpected little spurts, like an open pipe. But not a big problem, one pad a day, and a dry one for overnight and the next mornings hour walk. The doc says that's probably good news. He had been planning a "dialation" today, but he decided to postpone it awhile, to give it a rest I think. I'm not sure what a dialation is but he says it is like a metal catheter (my fear is maybe its a big one). I'm rather squeamish down there, but the doc says reassuringly that it's pretty much like a catheter. I keep trying to think "it's for the greater good" :) > .... I'm not sure what a > dialation is but he says it is like a metal catheter (my fear is maybe its a > big one). I'm rather squeamish down there... Not a thing to worry about Wayne. It's a piece of cake. The dilator is a big metal screw. He fits in in to the end of the you know what, then attaches it to a half-horsepower electric drill and screws it in. Then he removes the drill and attaches a hydraulic pump that feeds in high pressure oil to expand the screw walls. The only tricky part is removing the dilator. Make sure he uses a new dilator. You don't want an old rusty one because once it's screwed in good and tight they sometimes break off the screw head trying to get it out and then they have to use a tap and drill technique. They can't use anaesthetics for any of this, but it's not a problem because they strap you down to the table, tie your hands, and give you a good bite plate to chew on. Like I say, a piece of cake. Alan >> .... I'm not sure what a >> dialation is but he says it is like a metal catheter (my fear is maybe [quoted text clipped - 20 lines] > > Like I say, a piece of cake. Alan: Didn't you forget a couple of things? If his Uro is up to speed on the latest research, studies done in Uzbekistan suggest that the dilator screw *NOT* be attached to the standard half-horsepower electric drill that has been the "gold standard" for so many years, but that the surgeon has a better *feel* for the procedure if the screw is manually manipulated, i.e., screwed by hand. And then second, dilating the rectum has proven to be an invaluable adjunct because he presses the bladder closer to the screw. So while the urologists in Uzbekistan screw your penis by hand before injecting the oil the assistant expands the rectum with high pressure helium gas. Of course one possible side effect that is worrisome is that if you smell too much of the gas after the procedure you talk funny for awhile..... Believe it or not! Fred Regardless the method, Alan, it sounds like you're screwed! Literally! Really, it isn't much of a deal. You'll be in and out (no pun intended) in a simply procedure and be home the same day. You may however, have to wear a cath for a few days. Dave That's pretty much exactly as I'd imagined it Alan. It's clear that I'm in for a tough time. :) |
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