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Medical Forum / Diseases and Disorders / Prostate BPH / August 2005

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PVP 8-23-05

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Lothar - 24 Aug 2005 13:59 GMT
This is what happened:

I went in at 10:30,  was put on a drip and they took some more blood to type
it in case of blood transfusion. Had to sign that they could do a TURP in
case the PVP failed.
Spoke to the doctor and the anaesthetist and around 11:30 a nurse added
something to the drip and the next thing I know is that I am in recovery,
around 1:30pm.
The procedure took 25 minutes.
Went home with a catheter strapped to my leg, which looked a little odd as I
had come to the hospital in shorts.
My friend had already gotten the prescriptions from Costco: Phenazopyridine
and Sulfamethoxazole with trimethoprim, total $13.58.

Drank lots of fluids as suggested by the group, but also because it is
required with the 2 medicines. Urin turns bright orange from one of them.
At first I had that terrible urgency feeling despite the catheter, and went
throug the motions of urinating: most went into the bag, a little came out
alongside the tube, mixed with traces of blood.
That urgency pressure stayed with me well into the night, I slept an hour at
a time, woke up from the pressure, emptied the bag and "relieved" myself,
suffering short pain.
After 4 am I was able to sleep through until 5:30, then until 7:30 and that
pressure was gone, except when I brushed my teeth, the sound of the running
water caused it to reappear.

Now I am on my way to have the catheter taken out at the doctor's office,
they dicouraged me from just ripping it out myself.

All in all: not too difficult. I'll keep you posted.

Lothar

btw: Jim, I had exercised a lot before yesterday and had reached the 9-year
old level :)
Jim W. - 24 Aug 2005 20:06 GMT
I had that problem when I got my Indigo Laser Procedure but not the PVP as
the catheter was removed the same day in the hospital.  I feel for you -
that urgency that forces you to push out against the catheter is no fun at
all.  I hope all is well now!  Jim W.

> At first I had that terrible urgency feeling despite the catheter, and
> went throug the motions of urinating: most went into the bag, a little
> came out alongside the tube, mixed with traces of blood.
Rich256 - 24 Aug 2005 22:40 GMT
It is an option of the doctor as to wearing a catheter.  Most with PVP do
not.   I had the microwave and wore a catheter for five days.  I don't think
I needed it at all.   Except for being somewhat awkward it didn't bother me.
Five good nights of sleep, never waking once.

> I had that problem when I got my Indigo Laser Procedure but not the PVP as
> the catheter was removed the same day in the hospital.  I feel for you -
[quoted text clipped - 4 lines]
> > went throug the motions of urinating: most went into the bag, a little
> > came out alongside the tube, mixed with traces of blood.
Jim W. - 24 Aug 2005 23:44 GMT
I had the catheter for 5 days with my ILC and the catheter per se didn't
bother me - it was the first night when the urgency was so great I was
forced to try to urinate even though the catheter was in place - very
unpleasant. Jim W.

> It is an option of the doctor as to wearing a catheter.  Most with PVP do
> not.   I had the microwave and wore a catheter for five days.  I don't
[quoted text clipped - 13 lines]
>> > went throug the motions of urinating: most went into the bag, a little
>> > came out alongside the tube, mixed with traces of blood.
Rich256 - 25 Aug 2005 01:32 GMT
I wonder why the difference.  For the five days I had it in place I never
experienced urgency of any type.  The bladder was empty at all times.  Just
a continuous drip into the bag.  It was not until several hours after the
catheter was removed that I experienced any urgency.

> I had the catheter for 5 days with my ILC and the catheter per se didn't
> bother me - it was the first night when the urgency was so great I was
[quoted text clipped - 18 lines]
> >> > went throug the motions of urinating: most went into the bag, a little
> >> > came out alongside the tube, mixed with traces of blood.
Lothar - 25 Aug 2005 16:38 GMT
This is what happened on the second day:

Went to the Doctor's office at 10 am and the nurse removed the catheter
which was held in place with a balloon that needed deflating. She thought
they had overinflated it at the hospital, that could be the reason for some
of my discomfort. Then she said "take a deep breath" and she quickly pulled
it out, didn't even hurt.

Got home and carried on drinking water.

First urinated at 11:40 - strong stream, very quickly emptying of bladder
completely, a sensation at the end that was just a touch uncomfortable, hard
to describe, a little burn and some contraction perhaps, but nothing really
bad. Well, I was very happy.

I kept on going every hour, stopped drinking water at 7pm.

After 12:40 in the night the intervals went up to 2 hours, and now this
morning (day 3) I woke up at 6:50 and did not go until 11:20. Still drinking
plenty.

So far so good, in fact I am more than satisfied with the results.

Now I have to prepare for the hurricane, we are under mandatory evacuation
order, but I think I stay put. The only problem I see is lengthy power
interruption but my building has an emergency generator for the elevators
and some lights.

Lothar
Al - 25 Aug 2005 21:26 GMT
As I remember it, and as others have described it - a sort of pulling
sensation.  I think I had it for about two months - I considered it a
small price to pay for being able to pee.

> F, a sensation at the end that was just a touch uncomfortable, hard
> to describe, a little burn and some contraction perhaps, but nothing really
> bad.
Jack - 27 Aug 2005 17:47 GMT
Glad to hear your doing much better the second day.

The first day's pain, you mentioned in an earlier post, was from bladder
spasms.  The reason for the blood and urine coming down the outside of the
catheter , the spasms made you feel like you had to urinate so you pressed
down trying to force the urine that wasn't there out.  The blood came from
the exertion and there may have been a few drops of urine with it from the
bladder.  They gave me a drug, have forgotten the name now, started with b I
believe, to relieve the spasms.  I thought I was to take them if I had a
spasm,  turned out I was to take them every six hours for the first day or
two. That wasn't on the bottle.  It said take as necessary.  So much for
communication.

Jack

> This is what happened on the second day:
>
[quoted text clipped - 25 lines]
>
> Lothar
Lothar - 26 Aug 2005 22:43 GMT
This is what happened on days 3 and 4:

Last night I stopped using the pain medicine that turns my urin bright
orange, and it stains my underwear. I also stopped the Uroxatral. This
morning I took the last of the antibiotics.

I got up twice in the night, but since then things have gotten worse rather
than better: I now have a little pause before the water starts, the stream
is not as good as on days 1 and 2, and it gets weaker towards the end and it
takes longer to finish. Still a lot better than before Flomax and Uroxatral.
And no pain at all.

I keep drinking a lot of water and now go every one to two hours.

I keep you posted.

Lothar
 
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