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Medical Forum / Diseases and Disorders / Prostate Cancer / May 2006

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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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