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Home > Archive > Prostate > December 2005 > PVP on 13 Oct at Navy Bethesda
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PVP on 13 Oct at Navy Bethesda
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| Tom Harms 2005-10-14, 6:01 pm |
| Home now with catheter for about 4 or 5 days. I had a lot of blood (surgeon
thinks mostly from bladder). I stayed an extra day to irrigate the bladder,
but was unable to get enough blood out to come home without a catheter.
I'll know more after my Tuesday appointment with the Doctor. As a reminder,
I had a very big problem with Post Void Retention of 1,000 ccs. Tom (age
62)
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| Tom Harms 2005-10-20, 6:50 pm |
| Home now (18 Oct) with catheter removed. I'm basically a slow leak or
constant drip, but no visible blood. So far, I can not get a real stream
going. I'm continuing to intake liquids hoping to get a stream when enough
is in the bladder. Of course, I'm concerned about over-filling the bladder
~ but I think the slow leak will prevent that. I'll continue to be very
concerned until I can get a stream going.
P.S. When the catheter was removed they inputted 360 ccs and I voided 420
ccs, but it was basically a slow leak.
"Tom Harms" <tomharms@cox.net> wrote in message
news:NSV3f.393$Ix3.141@dukeread05...
> Home now with catheter for about 4 or 5 days. I had a lot of blood
> (surgeon thinks mostly from bladder). I stayed an extra day to irrigate
> the bladder, but was unable to get enough blood out to come home without a
> catheter. I'll know more after my Tuesday appointment with the Doctor. As
> a reminder, I had a very big problem with Post Void Retention of 1,000
> ccs. Tom (age 62)
>
| |
| Tom Harms 2005-10-20, 6:50 pm |
| Saw Doctor this afternoon. My bladder scan showed only 75 ccs, so my
bladder is definitely emptying. After 6 days with a catheter, Doctor thinks
I need some time for my system to tighten up. Right now, I'm constantly
dripping into Depends, etc.
"Tom Harms" <tomharms@cox.net> wrote in message
news:Vza5f.5938$v_5.3832@dukeread07...
> Home now (18 Oct) with catheter removed. I'm basically a slow leak or
> constant drip, but no visible blood. So far, I can not get a real stream
> going. I'm continuing to intake liquids hoping to get a stream when
> enough is in the bladder. Of course, I'm concerned about over-filling the
> bladder ~ but I think the slow leak will prevent that. I'll continue to
> be very concerned until I can get a stream going.
>
> P.S. When the catheter was removed they inputted 360 ccs and I voided 420
> ccs, but it was basically a slow leak.
>
> "Tom Harms" <tomharms@cox.net> wrote in message
> news:NSV3f.393$Ix3.141@dukeread05...
>
>
| |
| Pat C via MedKB.com 2005-10-20, 6:50 pm |
| Tom,
It's very unusual in your situations that prior to pvp you had 1,000 cc
retention, post pvp you were with catheter for 6 days. Yes, your system need
time to tighten up. Be patient. We wish you well.
Did any body ever need catheter over 36 hours after surgery pvp?
Tom Harms wrote:
> After 6 days with a catheter,
>constantly dripping into Depends, etc.
>a slow leak
> As a reminder, I had a very big problem with Post Void Retention of 1,000 ccs. Tom (age 62)
--
Message posted via MedKB.com
http://www.medkb.com/Uwe/Forums.asp...te-bhp/200510/1
| |
| Tom Harms 2005-10-20, 6:50 pm |
| Actually, the first 48 hours after surgery were Continuous Bladder
Irrigation (CBI), which was not particularly pleasant. This is a system
where fluids are continuously inputted and simultaneously drained out of the
bladder to remove blood clots. We would go through a 2000 cc jug of fluid
in about 30 minutes. The hospital supply room requested an explanation for
the sudden demand in fluid. At one point, I had to be manually irrigated
because blood clots were interfering with sufficiently outputting the
fluids, resulting in extreme pain due to an extended bladder. I also
experienced hypervigilance, which was relieved by an anal suppository.
Right now, I'm comfortable at home wearing Depends and gradually getting
some control back. One thing is for sure, the prostate is no longer
interfering with urination and my bladder is emptying. It may take a few
weeks to get this slow leak problem resolved and tighten up, but I'm already
seeing improvement. Tom
"Pat C via MedKB.com" <u7777@uwe> wrote in message news:56144e356985c@uwe...
> Tom,
> It's very unusual in your situations that prior to pvp you had 1,000 cc
> retention, post pvp you were with catheter for 6 days. Yes, your system
> need
> time to tighten up. Be patient. We wish you well.
> Did any body ever need catheter over 36 hours after surgery pvp?
>
>
>
> Tom Harms wrote:
>
>
> --
> Message posted via MedKB.com
> http://www.medkb.com/Uwe/Forums.asp...te-bhp/200510/1
| |
| Tom Harms 2005-10-20, 6:50 pm |
| One of the Doctor's theories on the excessive bleeding was: Due to high
(1,000 cc Post Void Retention), many blood vessels in bladder were used to
pressure from fluid retention. Once the bladder was totally emptied, the
blood vessels bleed until they collapsed. Strictly a theory ~ later the
Doctor thought maybe *some* of the blood was coming from the prostate.
Certainly the PVP procedure altered the status quo. :-)
"Tom Harms" <tomharms@cox.net> wrote in message
news:qRv5f.6494$v_5.1986@dukeread07...
> Actually, the first 48 hours after surgery were Continuous Bladder
> Irrigation (CBI), which was not particularly pleasant. This is a system
> where fluids are continuously inputted and simultaneously drained out of
> the bladder to remove blood clots. We would go through a 2000 cc jug of
> fluid in about 30 minutes. The hospital supply room requested an
> explanation for the sudden demand in fluid. At one point, I had to be
> manually irrigated because blood clots were interfering with sufficiently
> outputting the fluids, resulting in extreme pain due to an extended
> bladder. I also experienced hypervigilance, which was relieved by an anal
> suppository. Right now, I'm comfortable at home wearing Depends and
> gradually getting some control back. One thing is for sure, the prostate
> is no longer interfering with urination and my bladder is emptying. It
> may take a few weeks to get this slow leak problem resolved and tighten
> up, but I'm already seeing improvement. Tom
>
>
> "Pat C via MedKB.com" <u7777@uwe> wrote in message
> news:56144e356985c@uwe...
>
>
| |
| Spread_deMocracy 2005-10-24, 2:07 am |
| Tom, wow...quite an ordeal for you. Sorry to hear you had such a hassle.
I found that mild exercise, such as walking around the house but avoiding
stairs for the first 3 or 4 days, helped me manage my early-stage healing.
I then--only because I had read this newsgroup-- avoided any "pressure" on
the arterial walls--not lifting anything, even if light weight. I was
cautious for the first 2-3 weeks. After that, I was lifting furniture and
running up stairs like a young buck. All the best to you. Hope the end
result meets your expectations.
"Tom Harms" <tomharms@cox.net> wrote in message
news:Ziy5f.6504$v_5.5882@dukeread07...
> One of the Doctor's theories on the excessive bleeding was: Due to high
> ...[SNIP]...
| |
| Dave C via MedKB.com 2005-10-24, 2:07 am |
| Pat,
In answer to your question, I needed a catheter for 5 days after pvp in
April this year. However, since the 5th day was a Friday my uro decided to
leave it in over the weekend, thus making it 7. . The long time was due to a
lot of initial bleeding from the prostate and the concern that scar tissue
might develop.
The first day without the catheter was wonderful as anyone might imagine.
However there was no leakage, ever. I would think that the sphincter muscles
should tighten up immediately unless it has been damaged. But pvp is supposed
to avoid damaging muscle tissue.
Tom, I hope your problem clears up soon. Perhaps the bladder, used to pushing
hard, is still pushing and overcoming the resistance of the internal and
external sphincters. I never knew we had two sphincters but this webpage has
a good description, scroll down to the bottom.
http://www.theleakybladder.com/bladder.htm
Best,
Dave
Pat C wrote:
> Did any body ever need catheter over 36 hours after surgery pvp?
--
Message posted via MedKB.com
http://www.medkb.com/Uwe/Forums.asp...te-bhp/200510/1
| |
| Pat C via MedKB.com 2005-10-26, 11:48 am |
| Dave, Thank you your response and info. I am 2 years older than you are and
I also visited 5 uro between 99 and 05. Took Cardular, Flomax and Proscar
for years and had pvp 9 weeks ago. Very satisfied. My prostate size was 100g
with median robe. My peak flow is 35ml/s vs <<5 ml/s. Post pvp, Dr. Te
asked me to take Advodart for 3-6 months but like Spread_DeMocracy said that
I rather to have another pvp after years than to have this medicine's postive
and negative side effects. What was you size? Do you need to take medicine
to shrink the prostate?
>
>http://www.theleakybladder.com/bladder.htm
--
Message posted via MedKB.com
http://www.medkb.com/Uwe/Forums.asp...te-bhp/200510/1
| |
| Dave C via MedKB.com 2005-10-26, 11:48 am |
| Pat, my uro said my prostate was small and compact, but I forget the number
of grams he told me. He did not suggest anything to shrink the prostate after
pvp nor did I think to ask about it at the time. He did want me to continue
Flomax for several weeks after and I found it helped the flow. I tapered off
around 8 weeks. After that I tried Flomax for a couple of weeks out of
curiosity to see if it made any difference. It did not. Since then my peak
flow is 20-25 ml/s which is fine with me. Time will tell if my bph returns.
My father had a TURP when he was around my age and has been fine ever since.
He is now 87.
Interesting that you saw 5 uros. I do not think that my bph condition changed
much in the last six years before pvp, so I am still mystified that I got
such wildly differing opinions from each uro. It certainly taught me to be
active in managing my own health care.
Reminds me of the respected head of urology at Duke School of Medicine in
North Carolina who showed me the x-ray they had taken and explained just
how serious my cancer was. I was shocked since this was the first time I had
heard this. As I looked more carefully I noticed the name on the x-ray was
not mine!
Dave
Pat C wrote:[vbcol=seagreen]
>Dave, Thank you your response and info. I am 2 years older than you are and
>I also visited 5 uro between 99 and 05. Took Cardular, Flomax and Proscar
>for years and had pvp 9 weeks ago. Very satisfied. My prostate size was 100g
>with median robe. My peak flow is 35ml/s vs <<5 ml/s. Post pvp, Dr. Te
>asked me to take Advodart for 3-6 months but like Spread_DeMocracy said that
>I rather to have another pvp after years than to have this medicine's postive
>and negative side effects. What was you size? Do you need to take medicine
>to shrink the prostate?
>
--
Message posted via MedKB.com
http://www.medkb.com/Uwe/Forums.asp...te-bhp/200510/1
| |
| Tom Harms 2005-11-15, 1:00 am |
| Making progress every day. I'm going through many Depends ~ Guards for Men.
I just ordered a batch (100) Conveen Drip Collector - 3 oz, Normal ~ when I
graduate to the drip only mode ~ not there yet. Basically, my stream is
clear, but there is normally a small discharge of pink/red fluid initially.
My PVP was actually on 12 Oct ~ about 3 weeks ago. I have an appointment
with my Doctor/Surgeon on Friday, 4 Nov. Tom
"Tom Harms" <tomharms@cox.net> wrote in message
news:Ziy5f.6504$v_5.5882@dukeread07...
> One of the Doctor's theories on the excessive bleeding was: Due to high
> (1,000 cc Post Void Retention), many blood vessels in bladder were used to
> pressure from fluid retention. Once the bladder was totally emptied, the
> blood vessels bleed until they collapsed. Strictly a theory ~ later the
> Doctor thought maybe *some* of the blood was coming from the prostate.
> Certainly the PVP procedure altered the status quo. :-)
>
>
>
> "Tom Harms" <tomharms@cox.net> wrote in message
> news:qRv5f.6494$v_5.1986@dukeread07...
>
>
| |
| Tom Harms 2005-11-15, 1:00 am |
| Doctor is concerned about continued dripping/leaking issues. I think it is
gradually improving. She suggested I try doing some Kegel exercises. Wants
me to stop the post-op Flomax, but continue the Proscar, since there is
still a very small amount of blood in urine. Wants me to get back to normal
exercising. I'll see her again in six weeks. Tom
"Tom Harms" <tomharms@cox.net> wrote in message
news:GfT9f.38$CC.33@dukeread09...
> Making progress every day. I'm going through many Depends ~ Guards for
> Men. I just ordered a batch (100) Conveen Drip Collector - 3 oz, Normal ~
> when I graduate to the drip only mode ~ not there yet. Basically, my
> stream is clear, but there is normally a small discharge of pink/red fluid
> initially. My PVP was actually on 12 Oct ~ about 3 weeks ago. I have an
> appointment with my Doctor/Surgeon on Friday, 4 Nov. Tom
>
>
> "Tom Harms" <tomharms@cox.net> wrote in message
> news:Ziy5f.6504$v_5.5882@dukeread07...
>
>
| |
| Tom Harms 2005-11-15, 1:00 am |
| My incontinence is not improving, maybe worse. I'm basically a slow leak
now. It may be bladder spasms. I'm patient here, because I (age 62) was
one liter Post Void Retention (PVR), prior to PVP on 12 Oct. From all that
I've read, this will improve with time. I'm very happy that my bladder is
basically empty after several years of major PVR. Maybe it will take
several months to get the plumbing working correctly. Tom
"Tom Harms" <tomharms@cox.net> wrote in message
news:ZSMaf.7142$CC.4356@dukeread09...
> Doctor is concerned about continued dripping/leaking issues. I think it
> is gradually improving. She suggested I try doing some Kegel exercises.
> Wants me to stop the post-op Flomax, but continue the Proscar, since there
> is still a very small amount of blood in urine. Wants me to get back to
> normal exercising. I'll see her again in six weeks. Tom
>
>
> "Tom Harms" <tomharms@cox.net> wrote in message
> news:GfT9f.38$CC.33@dukeread09...
>
>
| |
| Tom Harms 2005-11-27, 5:59 pm |
| Update, Last night I started to pee serious blood. I went the bathroom and
the urine was pure red in a fairly strong stream about six times. I went
back to bed with tee shirts to soak up the blood until I released again at
the toilet. Serious red. I went into Bethesda Emergency Room this morning.
Urine tests indicated a Urinary Infection and I was given an IV and no 30
day supply of:
Levofloxacin (Levaquin Eq)
I'm now back to a Foley Catheter until Friday when I see my PVP Surgeon on
Friday morning.
P.S. I had PVP on 12 Oct ~ 48 hours CBI and 4 days Foley. I've been
totally incontinent since.
"Tom Harms" <tomharms@cox.net> wrote in message
news:d7Mdf.27183$2k5.25349@dukeread09...
> My incontinence is not improving, maybe worse. I'm basically a slow leak
> now. It may be bladder spasms. I'm patient here, because I (age 62) was
> one liter Post Void Retention (PVR), prior to PVP on 12 Oct. From all
> that I've read, this will improve with time. I'm very happy that my
> bladder is basically empty after several years of major PVR. Maybe it
> will take several months to get the plumbing working correctly. Tom
>
>
> "Tom Harms" <tomharms@cox.net> wrote in message
> news:ZSMaf.7142$CC.4356@dukeread09...
>
>
| |
| Derek F 2005-11-27, 5:59 pm |
| Bad luck, hope it clears up very soon.
Derek.
"Tom Harms" <tomharms@cox.net> wrote in message
news:7Cqif.7298$QW2.257@dukeread08...
> Update, Last night I started to pee serious blood. I went the bathroom
> and the urine was pure red in a fairly strong stream about six times. I
> went back to bed with tee shirts to soak up the blood until I released
> again at the toilet. Serious red. I went into Bethesda Emergency Room
> this morning. Urine tests indicated a Urinary Infection and I was given an
> IV and no 30 day supply of:
> Levofloxacin (Levaquin Eq)
>
> I'm now back to a Foley Catheter until Friday when I see my PVP Surgeon on
> Friday morning.
>
> P.S. I had PVP on 12 Oct ~ 48 hours CBI and 4 days Foley. I've been
> totally incontinent since.
>
>
> "Tom Harms" <tomharms@cox.net> wrote in message
> news:d7Mdf.27183$2k5.25349@dukeread09...
>
>
| |
|
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| Tom Harms 2005-11-29, 5:58 pm |
| Thanks ~ my Foley Catheter Bag is now clear & my Urologist/Surgeon should
remove it tomorrow morning. I'll report on the game plan for incontinence
and why this emergency occurred. Tom
"Pat C via MedKB.com" <u7777@uwe> wrote in message news:5818c55245fa9@uwe...
> Tom, wish you well soon!!
>
> Derek F wrote:
>
> --
> Message posted via MedKB.com
> http://www.medkb.com/Uwe/Forums.asp...te-bhp/200511/1
| |
| Tom Harms 2005-12-10, 12:33 pm |
| Update, Incontinence 50% improved, but still dribbling ~ even small
amounts at night. Today, the Urologist took me off the Proscar (since the
bleeding has stopped) and started me on Detrol to see if that helps. Still
taking/completing the full 30-day drill of anti-biotics, since the infection
was confirmed. Tom
"Tom Harms" <tomharms@cox.net> wrote in message
news:Sk4jf.45355$2k5.11106@dukeread09...
> Thanks ~ my Foley Catheter Bag is now clear & my Urologist/Surgeon should
> remove it tomorrow morning. I'll report on the game plan for incontinence
> and why this emergency occurred. Tom
>
> "Pat C via MedKB.com" <u7777@uwe> wrote in message
> news:5818c55245fa9@uwe...
>
>
| |
| Tom Harms 2005-12-29, 6:04 pm |
| Major improvement with incontinence. I stopped Detrol after going to two
tablets because I did not think it was helping & possible side effects. My
Doctor is looking into Oxytrol. In the meantime, my incontinence has really
improved. I'm down to one or two Depends a day ~ primarily for comfort.
I'm thinking this whole incontinence issue will resolve itself with another
two or three months to settle down. I really do not want to take any meds.
Anyone have experience on this situation? Thanks, Tom
"Tom Harms" <tomharms@cox.net> wrote in message
news:QDjmf.77277$2k5.68418@dukeread09...
> Update, Incontinence 50% improved, but still dribbling ~ even small
> amounts at night. Today, the Urologist took me off the Proscar (since the
> bleeding has stopped) and started me on Detrol to see if that helps.
> Still taking/completing the full 30-day drill of anti-biotics, since the
> infection was confirmed. Tom
>
> "Tom Harms" <tomharms@cox.net> wrote in message
> news:Sk4jf.45355$2k5.11106@dukeread09...
>
>
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