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Medical Forum / Diseases and Disorders / Prostate Cancer / February 2008Just Curious - Cath. Removal
Would appreciate a short response for comparison purposes knowing that all procedures and surgeons are somewhat different. Assuming that your RRP recovery was for for all intents and purposes normal how many days did you keep the catheter in place. TIA JimBob 18 days. Doc said he leave it in that long to be sure things have healed. I was continent within 6 weeks following. It was a lousy 18 days for me but alls well that ends well. Shorty 16 days. Nothing magic about that figure, just a function of Mondays being surgery days and Wednesdays being catheter removal days for that clinic. jimhoney > Would appreciate a short response for comparison purposes knowing that > all procedures and surgeons are somewhat different. Assuming that your [quoted text clipped - 3 lines] > TIA > JimBob hi jim - mine was probably the longest. maybe someone will chime in with one being longer. it is standard procedure for them at scott air force base on the RRP to keep the catheter in for 22 days. when questioned, his main response was to give everything plenty of time to heal because there is so much damage from the surgery and this takes the stress off of it. also, you are dealing with a gov't agency that somewhere down the time, they have spent god only knows, how much money to research this to come up with the 22 day number. ~ curtis knowledge is power - growing old is mandatory - growing wise is optional > Would appreciate a short response for comparison purposes knowing that > all procedures and surgeons are somewhat different. Assuming that your [quoted text clipped - 3 lines] > TIA > JimBob Memory is fading away about this, but I think it was about 15 days which is about the average time after this type of operation. It's there for the anastomosis to heal properly, very important for a liquid tite connection. Dale J.  SignatureEmail: dalej2@mac.com Ten days for me although I was cautioned not to do extensive Kegel exercises for about a week after. Still incontinent almost 4 months post-op. Had LRP if that makes a difference. Dave Perry > > Would appreciate a short response for comparison purposes knowing that > > all procedures and surgeons are somewhat different. Assuming that your [quoted text clipped - 3 lines] > > TIA > > JimBob Mine will be 15 days when it is removed next Tuesday. I am still noticing little flecks of blood in the urine from time to time so it seems a good thing to have in place. I know its for my own good, but I am really looking forward to saying goodbye to Mr. Foley!! > Mine will be 15 days when it is removed next Tuesday. I am still > noticing little flecks of blood in the urine from time to time so it > seems a good thing to have in place. I know its for my own good, but > I am really looking forward to saying goodbye to Mr. Foley!! If you can handle the Foiley for a week then two is nothing. Hang in there. Dale J. SignatureEmail: dalej2@mac.com Chris was supposed to have it in for only a week but when the doc did a check of the anamatosis (sp?--help me out here guys!) he wasn't completely healed. It was removed after 14 days and he had no incontinence at all and a usable erection 2 days after the cath came out. Of course he is one of the young guys on the group at 42. Three out of the five urologists we talked to take it out after two weeks, the other after only one. SignatureRebecca Ford > Would appreciate a short response for comparison purposes knowing that > all procedures and surgeons are somewhat different. Assuming that your [quoted text clipped - 3 lines] > TIA > JimBob 8 days for me, after a laparoscopic RP. Seems to me that the healing time for "plumbing" would be the same for LRP as RP, so why the big difference in time for leaving the cath in? Larry > Would appreciate a short response for comparison purposes knowing that > all procedures and surgeons are somewhat different. Assuming that your [quoted text clipped - 3 lines] > TIA > JimBob > 8 days for me, after a laparoscopic RP. Seems to me that the healing > time for "plumbing" would be the same for LRP as RP, so why the big > difference in time for leaving the cath in? > > Larry Good question. Ask your doctor next time you talk. Dale J. SignatureEmail: dalej2@mac.com My thoughts exactly. The variability here mimics a lot of the other issues with this disease. There are a lot of experts, but somehow nobody can agree on anything, so how the hell are we supposed to know? Is there really a "right" number of days to leave the Foley in??? > 8 days for me, after a laparoscopic RP. Seems to me that the healing > time for "plumbing" would be the same for LRP as RP, so why the big [quoted text clipped - 9 lines] > > TIA > > JimBob RRP 12/15/2000 Decathinated 01/02/2001 SignatureSteve Kramer PSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 PSA .1 .1 .1 .3 .4 .8 EBRT 05-07/2002 @ 47 PSA .3 .2 .2 .2 .3 Erection 05/12/2003 @ 48 Begin Lupron 07/21/2003 @ 48 PSA .1 > Would appreciate a short response for comparison purposes knowing that > all procedures and surgeons are somewhat different. Assuming that your [quoted text clipped - 3 lines] > TIA > JimBob 7 days (LRP) > Would appreciate a short response for comparison purposes knowing that > all procedures and surgeons are somewhat different. Assuming that your [quoted text clipped - 3 lines] > TIA > JimBob My Walsh trained uro keeps it in 3 weeks. > Would appreciate a short response for comparison purposes knowing that > all procedures and surgeons are somewhat different. Assuming that your [quoted text clipped - 3 lines] > TIA > JimBob In my case they dident have an appointment opening for a couple days past two weeks so mine was in for a couple extra days. That may be the case for others, they just couldent get into see the doc right away. My feeling is I would rather contend with the cath. for a couple weeks and be sure the thing is healed up properly rather than hurry up hurry up and get it out with things still not healed. Wouldent that be prudent thing for a surgeon to do? Dale J. SignatureEmail: dalej2@mac.com Had mine in for 22 days. Threw some clots for a while then it stopped. Leaked for a bit afterwards but now I am dry. Had RRP in May this year. "My Walsh trained uro keeps it in 3 weeks." Same here; and I was 90% continent a week later. Wouldn't have it any other way. Bill Denton RP 2/12/02 Memphis Nine days for me after RRP. Folks, Reason I asked was that I am seeing my surgeon this afternoon to get staples removed ( RP on 10/29 ). As with all of us this cath. is driving me crazy and was due to come out next Fri 11/14 but my surgeon is away the 13th-14th. Cath. removal appt. is now Mon 11/17 so I was going to try a little persuasion to see if he would let one of his partners remove it on the originally scheduled date ( 17 days instead of 20 ). I'll just see what he says cause the times periods we got here are all over the map. On the one hand, some surgeons ( including mine ) tend to leave it in for a longer period of time to assist healing, the reasoning goes. Then there are the guys that get rid of it after a week or 10 days. I'd sure be interested in knowing the results ( *I'm not starting a new poll* ) in early vs. delayed catheter removal. Thanks all for your time, JimBob Hi JimBob...Here's a recent study on this question...Best wishes and good health, Ron The Journal of Urology 2003; 169(6):2170-2172 Early Catheter Removal After Radical Retropubic Prostatectomy: Long-term Followup MICHAEL O. KOCH*; ANISH H. NAYEE; JAMES SLOAN; THOMAS GARDNER†; GREG R. WAHLE; RICHARD BIHRLE; RICHARD S. FOSTER ABSTRACT Purpose: We examine the complication and continence rates with early catheter removal (day 3 or 4) after radical retropubic prostatectomy. Materials and Methods: A total of 365 patients with localized prostate cancer underwent radical retropubic prostatectomy at Indiana University Hospital with planned urethral catheter removal before discharge home. Low pressure cystograms were performed on postoperative day 3 or 4 to determine if catheter removal was possible. A subset of patients were analyzed using a validated prostate cancer specific questionnaire (University of California, Los Angeles Prostate Cancer Symptom Index) to determine quality of life outcomes. Results: The catheter was removed on postoperative day 3 or 4 in 263 patients (72%). The reasons for leaving the catheter indwelling were significant leak on cystogram or excessive suprapubic drainage (21%), extensive bladder neck reconstruction (1%) and prolonged hospitalization because of an ileus or other complicating factor (6%). Thirteen patients (3.6%) were either unable to void after catheter removal or presented with retention (not associated with hematuria or clots) after hospital discharge, requiring reinsertion of the Foley catheter. A total of 41 patients (11%) had either an early or late complication (excluding incontinence). There were 3 complications (0.8%) that were considered major because they were potentially life threatening or required a return to the operating room. A pelvic abscess developed in 2 patients and a lymphocele in 1, which required percutaneous drainage. After at least 6 months (mean 20.9 months) 140 patients (89.2%) and 14 (8.9%) reported excellent and good continence, respectively. The patient questionnaire demonstrated bother scores to be minimal to no bother for 95% to 98% of patients at 6 and 12 months. Conclusions: This study confirms that it is safe to remove catheters in most patients 3 to 4 days after prostatectomy if a cystogram demonstrates no extravasation. Complication rates and continence rates with this approach compare favorably with series in which catheters are left indwelling for longer periods. > Folks, > [quoted text clipped - 15 lines] > Thanks all for your time, > JimBob I posted that I had a PSA of 8.11 and Free % ratio of 10. Well, I went to a Urologist, who was highly recommended by a PCa men's support group(Dr Mark Avon, san Ramon, Calif) and the prostate was smooth. A new PSA test gave the following PSA 2.70 Free % ratio 30. The PSA is .5 lower than two years ago. This very good news, but leaves me wondering if the first lab screwed up the test, or switched my sample with someone else (Who may have gotten my true results) or was it a miracle? Of course it also leaves a question, Which test is true? Anyway I wanted to share the good news. James |
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