Medical Forum / Diseases and Disorders / Prostate Cancer / May 2006
Burning sensation during urination
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Diane - 02 May 2006 01:45 GMT Hi...my uncle, age 63, was diagnosed with prostate cancer in August of 2005. He had the radiation seeds implanted a few weeks after being diagnosed. He is currently experiencing a strong burning sensation during urination. Is this common with prostate cancer?
Any help would be greatly appreciated.
Diane
Beverley - 02 May 2006 01:51 GMT No, he probably has a bladder infection! Get him to the doc and have it checked. It's easy pee in a cup. His brachytherapy was a year ago, it has nothing to do with what he is experiencing now. Bev
> Hi...my uncle, age 63, was diagnosed with prostate cancer in August of > 2005. He had the radiation seeds implanted a few weeks after being [quoted text clipped - 4 lines] > > Diane Justin Case - 02 May 2006 15:46 GMT : No, he probably has a bladder infection! Get him to the doc and have it : checked. It's easy pee in a cup. His brachytherapy was a year ago, it has [quoted text clipped - 9 lines] : > : > Diane I strongly concur with Beverly. See the doctor quickly as this is most likely a urinary tract infection or bladder infection. It would be helpful to know if any blood was observed. I got the scolding of my life after waiting, thinking the condition would "go away," which it didn't until after a night and a day in the hospital loaded up with some heavy antibiotics and released to go home with another dose of strong pills.
Ken Bland
seamus318 - 02 May 2006 16:39 GMT > I strongly concur with Beverly. See the doctor quickly as this is most > likely a urinary tract infection or bladder infection. It would be [quoted text clipped - 5 lines] > and > released to go home with another dose of strong pills. I have had bladder infection twice since brachytherapy in May 2005. Spent two nights in the hospital once. Didn't have the burning sensation. High fever and violent chills hit me all at once. Now I keep on hand a current prescription for antibiotics . Last week the uro doctor said to self cauterization twice a day for I am retaining 100cc of urine which quickly becomes infected. After starting the cauterization my urine changed from dark yellow to clear.
Justin Case - 02 May 2006 21:00 GMT : > I strongly concur with Beverly. See the doctor quickly as this is most : > likely a urinary tract infection or bladder infection. It would be [quoted text clipped - 13 lines] : becomes infected. After starting the cauterization my urine changed from : dark yellow to clear. I was finally convinced me to go to the emergency room by a visiting nurse who was attending my wife following back surgery. She took my temperature (102.5), realized that I could hardly remove myself from bed and was, as you said, shivering and burning at the same time. The doctor at the hospital said I had a "raging infection," her very words. When I finally asked my personal doctor about this type of infection he said they (the medical profession, I guess) didn't really know the cause. Urinary tract infections are much more common in women than men but when it hits a man it's usually more serious.
Ken Bland
Jimmie - 02 May 2006 22:46 GMT Last week the uro doctor said to self cauterization twice a day for I am retaining 100cc of urine which quickly becomes infected.
Meant to say catherization, not cauterization.
Steve Jordan - 02 May 2006 23:29 GMT > Last week the uro doctor said to self cauterization twice a day for I > am retaining 100cc of urine which quickly becomes infected. > > Meant to say catherization, not cauterization. Happy to know that.
I was having these horrible visions........ Ow ow ow.
:-( Regards,
Steve J
You smiled, you spoke, and I believed - 03 May 2006 04:32 GMT >> Last week the uro doctor said to self cauterization twice a day for I >> am retaining 100cc of urine which quickly becomes infected. [quoted text clipped - 10 lines] > > Steve J jesus me too.
I was thinking hoo boy, you da man!!!
self cauterization, wow.
self catherization sounds bad enough.
I had brachytherapy in Nov '05.
I have had almost no problems. (one instance of blood in urine in January, some burning while urinating for a month or so)
my urine flow is getting stronger, actually feels good to go to the bathroom.
j.
just lucky, I guess.
Steve Kramer - 02 May 2006 22:42 GMT Sure is nice to have our brachy expert back!
 Signature PSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins PSA .1 .1 .1 .27 .37 .75 EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05, 5/05, 10/05, 2/06 PSA .07 .05 .06 .09 .08 .132 Non Illegitimi Carborundum
> No, he probably has a bladder infection! Get him to the doc and have it > checked. It's easy pee in a cup. His brachytherapy was a year ago, it has [quoted text clipped - 9 lines] >> >> Diane krameflow - 02 May 2006 04:00 GMT Diane,
I had 120 seeds inserted August 2004. I have had burning when I urinate ever since. My urologist puts me in the 5 percent that have this long term side effect. If your uncle has had this burning since the seeds were placed, chances are he is in the 5 precent bracket. Hopefully, my burning will eventually reside. Anybody else have this long term side effect after brachytherapy?
Kram
From Bob - 02 May 2006 04:20 GMT Kram, thanks for your posting. I had a palladium seed inplant this past tuesday 4/25, do not know the number of seeds yet.
Since the inpant the burning upon urination, and burning at tip of penis is driving me nuts.
Took out the catheter on 4/30, however burning persists. Been drinking cranberry juice and taking Cipro 500mg twice a day, also taking pyridium 200mg, three times a day. Today the Urologist ordered a Urine culture. I think these 5% statistics that doctors create are a bunch of @#%$#, someone messed up, and we wound up with a bladder infection ??? .
I am starting to feel like "Murphy's Law". In the event that the culture comes back psositive, what else can be done ?? Is this a chronic problem ?????
krameflow - 02 May 2006 05:45 GMT Bob,
As I mentioned previously I still have rather severe burning almost 2 years later. After I had the Iodine seeds (120)implanted, I had severe burning, frequent and urgent urination symptons. I had bad cramps when I urinated also. After about 4 weeks I couldn't urinate at all. I did self-catherization 5 or 6 times a day for the next 3 months. Had multiple infections for the next 6 months taking various antibiotics. Last October had a cystoscope procedure where only problem found was "tight bladder neck". So I had a Bladder Neck Incision (BCI) in November 2005. Doesn't seem to have helped me. I still have to go to the bathroom 3 or 4 times a night and also have urgency problem. I have been taking FLOMAX twice daily for the last Year. The weird thing is, I selected this procedure for the best Quality of Life results. I talked to a guy who told me it took him 3 years to get over his symptoms from brachytherapy. So I still hope to get some relief. My PSA results have been good, dropping from the original 5.4 to the .07 last October. I get my latest results this week.
Kram
From Bob - 02 May 2006 07:55 GMT Kram did you receive EBRT either before or after seeding ?? I am scheduled for 25 EBNRT in 6 - 8 weeks, will not go through with it, if this burning persists.
krameflow - 02 May 2006 15:57 GMT Bob, no I only had brachytherapy. I had iodine and you had palladium. Iodine has a longer half-life, maybe your burning will not last as long. It hasn't been that long for you. After I had my procedure and the side effects got worse I mentioned to my urologist that most everybody on the message boards said their symptoms went away after 6 to 10 weeks, he said most people aren't being truthful about their condition. I think some bodies just don't handle the radiation as well as others.
docsafari@hotmail.com - 04 May 2006 22:43 GMT Kram --- I have not only had that side effect but 11 months of severe (and still continuing) urine retentiion requiring painful self-cathing. If one has burning as a primary side-effect, consider yourself lucky compared to those who have body-wracking spasms and intractable chronic pain -- and severe bowel difficulties to boot.
Richard
kh - 03 May 2006 02:32 GMT > Hi...my uncle, age 63, was diagnosed with prostate cancer in August of > 2005. He had the radiation seeds implanted a few weeks after being [quoted text clipped - 4 lines] > > Diane I think this is pretty common. Not the rule but common enough.
As others said, make sure that it's not an infection. My uro checks for that every 6 months.
I had seeds at the end of summer 2004, by Spring 2005, I was sleeping through the night, off the flomax, and most of the symptoms were gone.
Except that 20 months later, I still have some burning and stinging. This isn't horrible and the flow is good. I can stand 3, 4 feet back from a urinal and pee into it.
I've knocked the burning around with both docs and they suggest that it's the radiation doing it's thing.
Radiation doesn't "kill the cancer", it sets it up so that when the cancerous cells divide, the offspring, the daughter cells, are not viable. This can happen months, years later.
This long delayed die-off is what's happening. Apparently this happens at different times for different people but it's out a year, 2 years in some cases.
And it's not a clearly defined event, it just happens on it's own schedule.
The dieing cells have to be cleaned up, so there's some cellular debris, inflamation, and this might be related to the PSA bounce.
This is also why the docs watch for bowel symptoms, bleeding, urgency. Usually nothing major occurs but they watch for it.
I'm at 20 months and so far, it's been easy. I can't say it's been a fabulous time but it's on the order of an inconvenience.
Pee'ing is near perfect. Erections are just "adequate" without Vitamin-V. Still producing about a quarter teaspoon of semen. The bugaboo is that I'm either a treatment failure or in a husky PSA bounce, just clocked a 2.2, which is high.
This is still within range so we're watching this closely.
-C
docsafari@hotmail.com - 04 May 2006 22:40 GMT It is EXTREMELY common, and in fact many are warned that it can last for weeks or months. I myself have had it for ten months, and it stems from the hyoersensitivity of the dying nerves in the prostate to any kind of pressure.
> Hi...my uncle, age 63, was diagnosed with prostate cancer in August of > 2005. He had the radiation seeds implanted a few weeks after being [quoted text clipped - 4 lines] > > Diane
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