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Medical Forum / Diseases and Disorders / Prostate BPH / December 2004

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permanent catheterization

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bopd@sbcglobal.net - 15 Dec 2004 16:15 GMT
I've been away from this group for some time now, but I'm the guy who
had two TURPS that didn't work and am still wearing a permanent
catheter. I have a temporary suprapubic catheter now because my uro
couldn't thread the regular catheter through my urethra at the last
visit. He doesn't know why, other than I have a "long urethra." Doesn't
sound right to me. He's now going to cut out some scar tissue at the
bladder neck to see if that helps. Will this result in retrograde
ejaculation? Hope not. As of now, I don't have it. I've been trying to
be able to pee again for about two years now, with no end in sight. Any
comments or suggestions are appreciated. Thanks, guys.
Ron - 16 Dec 2004 23:16 GMT
About 13 months post (my first) PVP, the surgeon was unable to do the
urodynamic exam because he couldn't get the catheter into the bladder. He
tried at least 4 or 5 different ones unsuccessfully (a long unpleasant time
for me since he was going in to see other patients while my butt was hanging
out, waiting each time for him to come back. Then he cystoscoped me; trying
to guide the catheter in. Even that didn't work. Earlier, he had mentioned
that the channel was too long. There were no such problems doing the
urodynamics before the 1st PVP. He seemed perplexed by the problem, and I
never got an explanation. That gave me an additional reason to get the 2nd
PVP (about a month after that experience), to try to clear up any problems
caused by the first PVP.
Ron
PS: There is probably a risk for retrograde, but it might be worth it.

> From: bopd@sbcglobal.net
> Organization: http://groups.google.com
[quoted text clipped - 12 lines]
> be able to pee again for about two years now, with no end in sight. Any
> comments or suggestions are appreciated. Thanks, guys.
Tony - 17 Dec 2004 00:45 GMT
> About 13 months post (my first) PVP, the surgeon was unable to do the
> urodynamic exam because he couldn't get the catheter into the bladder. He
[quoted text clipped - 11 lines]
> caused by the first PVP.
> Ron
Ron,
Was the second PVP successful.  Why did your urologist want to do a
urodynamic exam?
Ron - 17 Dec 2004 03:48 GMT
Tony,
It was only partially successful, and that, after a long and difficult
recovery, involving blockage from a stricture in the penis (originating from
the first PVP), 3 nights in the hospital, catheter for 6 days, several
episodes of complete retention, many weeks of heavy bleeding and blood clots
(at least seven and a half wks), strong urgencies, and other uncomfortable
problems. The stricture was finally recognized and removed, about six weeks
post surgery. After I was examined by the doctor about a year or so post
(1st) PVP, the blood clots and bleeding started up again.
 He wanted to do another urodynamic exam, because it should always be done
before surgery to get information about the cause of the problems. I didn't
get retro from the first PVP, but I did get it from the second one, on Dec.
17, 2003.
Ron

> From: "Tony" <tony23@efn.org>
> Organization: Posted via Supernews, http://www.supernews.com
> Newsgroups: sci.med.prostate.bph
> Date: Thu, 16 Dec 2004 16:45:13 -0800
> Subject: Re: permanent catheterization

> Ron,
> Was the second PVP successful.  Why did your urologist want to do a
> urodynamic exam?

> X-No-Archive: yes
>> About 13 months post (my first) PVP, the surgeon was unable to do the
[quoted text clipped - 13 lines]
>> Ron
>>PS: There is probably a risk for retrograde, but it might be worth it.
Tony - 17 Dec 2004 06:56 GMT
> Tony,
> It was only partially successful, and that, after a long and difficult
[quoted text clipped - 15 lines]
> 17, 2003.
> Ron
Thank You Ron,
I appreciate your answer.  I had a PVP on Nov 24.  I've been gradually
improving, urinated a few blood clots and some blood.  I don't expect to
know the final outcome for a few more months but remain optimistic.
Ron - 17 Dec 2004 21:33 GMT
Replying to myself:
So Ron - With all of your pain and suffering (2 PVP's) and retro, Was it
worth it?
I say on this first Anniversary of Op #2,
Sacrifices might be required, but you got to go with the flow.
So even though I have more "urgencies" and "frequencies" than I had hoped
for, I'm going with the flow, man.
Remember that Siddhartha learned this from watching the river. (Doesn't
anybody read Herman Hess anymore?)
May you all have your own flowing rivers to watch.
Peace.
Ron

> From: Ron <ron1@rcn.com>
> Newsgroups: sci.med.prostate.bph
[quoted text clipped - 43 lines]
>>> Ron
>>> PS: There is probably a risk for retrograde, but it might be worth it.
Ron - 18 Dec 2004 14:43 GMT
Well,
The Anniversary of 12-17 has come and gone without even 1 "Congrats"

I have to start looking for a friendlier newsgroup.
Ron
Al - 18 Dec 2004 15:08 GMT
Congratulations Ron.  I must have overlooked it in the excitement of my
own anniversary.  I purposely drank two bottles of water and waited 4
hours to pee in an attempt to crack the urinal - (you can't say I don't
know how to party)

Al
PVP 12/16/03

> Well,
> The Anniversary of 12-17 has come and gone without even 1 "Congrats"
>
> I have to start looking for a friendlier newsgroup.
> Ron
Ron - 19 Dec 2004 00:02 GMT
Thanks Al.
Remember to use the "power of the stream" with wisdom & compassion. That
urinal has feelings too.
Ron

> From: Al <XnospamX@optonline.net>
> Organization: Optimum Online
[quoted text clipped - 15 lines]
>> I have to start looking for a friendlier newsgroup.
>> Ron
Ron - 19 Dec 2004 00:02 GMT
Oh Al...
Congratulations on your Anniversary.
Ron

> From: Ron <ron1@rcn.com>
> Newsgroups: sci.med.prostate.bph
[quoted text clipped - 25 lines]
>>> I have to start looking for a friendlier newsgroup.
>>> Ron
bopd@sbcglobal.net - 17 Dec 2004 15:28 GMT
Ron: thanks for sharing. My sympoms sound remarkably like yours. I
wonder if the cause of my inability to pee is strictures rather than
scarring at the bladder neck. My uro has a good reputation, but it's
frustrating not knowing whether what he's doing is the right thing or
will do me any good. I guess I'll go with him as long as he's willing
to treat me, and with an HMO, I don't have any other options anyway.
Again, Ron, thanks for your comments.
Ron - 17 Dec 2004 21:22 GMT
My stricture was in the head of the penis or very close to it. On the phone
I had told the doctor that it's like I was peeing through a pinhole. It was
obvious to me that something was wrong, but ignored by the doctor for six
weeks. One time that I was in retention, I went to his office and he
catheterized me to wash out the blood clots that was blocking my flow (my
penis would literally get bent back as the blood clot tried to get through.
At that time he opened up the stricture. It hurt, but I was glad that it was
done. I don't think that your problem is the same.
Best of luck to you,
Ron

> From: bopd@sbcglobal.net
> Organization: http://groups.google.com
[quoted text clipped - 9 lines]
> to treat me, and with an HMO, I don't have any other options anyway.
> Again, Ron, thanks for your comments.
 
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