Bladder Neck Incision surgery - what is the recovery time?

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Hello,

Three weeks ago I was one of the few patients allowed to have an elective surgery despite our governor's order to suspend such surgeries during the Covid-19 pandemic. It was a BNI (I believe it was the plasma button type) procedure with incisions in the "5 and 7" o'clock positions of the bladder neck with the material between removed. The surgery went well with a 22 gauge catheter inserted in my urethra by my surgeon. I was told in the recovery room that my surgeon found some bladder damage, but he was not specific - and that's all I can recall except that he told me to remove the catheter the very next day early in the morning. I have the special syringe to de-pressurize the balloon and I then slowly pulled the catheter out the next morning.

I was delighted to find that the first day I could void fairly well, but on the second day, it stopped again and I was back to catheterizing myself. I've been through 2 uro-lift procedures and the second one 3 months ago is what caused me to stop voiding. I can't seem to get a clear answer from my urologist as to how long the recovery period is or when I can expect to get a stream again. I am 71 and in reasonably good health with a very low PSA but did have BPH requiring the uro-lifts. Is there anyone else out there who can give advice on how long it could take me to stream again? I don't care about the pain...I'd be delighted to bite down on a stick just to void. For now, I'm self-cathing about 5 times a day with a bit of blood in the initial drainage. After that, urine appears to be light yellow (no UTI) and a bit viscous due to the K-Y jelly I use to lubricate the catheter. Thanks in advance for any feedback or advice.

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7 Replies

  • Posted

    how large is your prostate? if over 80 do a PAE. if under do a rezum. docs wont talk about pae as its done by a radiologist and is a very easy procedure.

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  • Posted

    I had my bladder neck cut into to remove a tumour 6 weeks ago using turp. I had pain for first 5 weeks and keep in mind am in my 30s. If you take it easy and do t do any walking around and activities then I think it will help your recovery. I'd say just relax and stay home, don't think about it too much... Pain significantly subsided at week 6 but if I strain or masterbate then it quickly comes back for few days again.

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    • Posted

      Thank you for your reply, Robert. I am sorry to hear that you needed this surgery at such a young age. Hopefully the tumor was benign. I have been doing some walking around the neighborhood, but nothing more than a stroll. My doctor's PA said I could begin exercising after 3 weeks, and that's where I'm at in the recovery. If I notice an increase in the initial bleed during self-cath, I will cut back on it. Hoping you recover soon too. Kind Regards, Greg

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  • Posted

    Greg,

    I can't seem to get a clear answer from my urologist as to how long the recovery period is or when I can expect to get a stream again.

    Sounds typical - your urologist doesn't know. There is a lot of guess work in this field. One procedure works great for some and doesn't work for others - and who knows why - scar tissue, swelling or ?? Hope things improve for you as the days go by.

    Make sure that any lubrication you use for self cath is antibacterial. You don't want to get a UTI on top of your other issues.

    Tom

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  • Posted

    I am with you. Sounds like too long but my procedure was a TURP. I had problems with blood clots stopping up the catheter and extreme pain. I was in ICU for 3 days until it got straightened out and then when the cath was removed I went home. No problems since. But I am not the one to speak to your problem. Hope someone else can identify. Good luck. No one said growing old is fun.*

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