Catheter after 'template' biopsy

Hello Ian, I had a PAE done in Lisbon Portugal on February 9, 2017 and I'm 51 years old my psa was 8 and my fusion biopsy showed my postate 162cc. and was taking flowmax. Dr. Pisco is the one who invented this procecedure. RUN FROM THE UROLOGIST !!!!!! side effects from meds and All the other procedures they wnat to do are a temporary fix ( if they work at all ) ...I was getting up 3-5 times a night , never could empty my bladder, had a problem keeping my errection, felt like I needed to crap because of the enlarged postrate, etc... I was scuba diving in Bonaire and don't know if that is what caused more pressure on my BPH but had to go to ER and get a cathater and flew back to states with it. My wife started searching the forum and out of ALL the procedures the PAE was the best with no side effects. BEST DECISION EVER !!!!!! I can empty my bladder, SLEEP 7-8 hrs wake up with a hard-on and wife is happy ..... GET IN TOUCH WITH HIM ... You will thank me latter. 

Once a night seems very lucky! I've had a few similar experiences, but my case will be different to yours - we are all individual. I don't have enlargement and my cancer is minimal. All I can suggest is don't be in any hurry to do or accept anything drastic. Self-catherisation works for many.

I imagine, once the trauma from your procedure has quietened down - maybe in a few weeks - you will have more idea what needs to happen. The main thing is to get a clear diagnosis - how much is your prostate enlarged and what procedures might help. It's true from what I've read on tis forum over the months and from my own experience that UK urologists do have rather set ways in what they have to offer, so researching what HOLEP, urolift and PAE could do for you would be well worth the effort. Can you pay for private treatment? That would obviously expand your options. Best of luck!

Good that no cancer found and you are only suffering from an enlarged prostate but surprised you have not been prescribed Dutesteride to help reduce prostate size, as without tackling urinary retention which will certainly be part of your life with BPH, you will run the guantlet of UTIs and possibly bladder stone formation.

Hi Ian,

It's likely that you have post operative urinary retention (POUR) which would have been caused by the general anathesia you were given an not primarily due to the trauma of the biopsy and our enlarged prostate as the nurse suggests. The fact that you filled three beakers of urine means that your medical team did not follow best practice by monitoring your bladder volume periodically post operation. This further agravated your condition by stretching the bladder. 

I assume you still are on a catheter? If so, you might want to learn self catherization (CIC) which will not only enhance your quality of life (no catheter inside you urethra 24/7) but also allow you to exercise your detrussor muscles to an extent. 

Also, given the amount of time you have had POUR, you might consider getting another consultation in terms of further treatment, preferable from a doctor involved in a medical center not affiliated with where you had your operation. Again, it appears your medical team not only dropped the ball on preventative measures to keep your bladder from stretching, but didn't even offer POUR as a reasonable cause for your symptons.

Jim

Hi Ian,

?         I've been taking Flomax for quite some  time now and a year ago my doc added Finasteride to shrink my prostate. It takes about 8 months for the Finasteride to work (so he said) so I stopped taking it after 9 months because my urolgist told me to.

?The Finasteride completly wiped out what little libido I had after being so long on Flomax, so I complained and he put me on  a testosterone course, which means having regular PSAs ( I had another yesterday but won't get the result till next week.) 

?On Tuesday 7th March, I am having a Cystoscopy and I am not looking forward to it simply because of the discomfort afterwards. But it should provide an answer to my problems.

?Regarding Flomax, if I stop taking it everything blocks up again in just a day or so, so I persevere because it works for me - but we are all different aren't we. But I think we all experience a lack of libido because of it.

Just one more thing to tell you is that I take a happy pill every night. Mirtazapine  gives me a good nights sleep with maybe one P during the night or early morning and I no longer get stressed out over things.

I hope that helps.

Chris.

Good morning Ian.  I am happy that there is no cancer but I have never heard of that kind of biopsy done where you did a catheter and a over night stay.  Been on this site for almost 3 years.  Going to have to lood into them.  In a way to me it seams like it did more harm then good.  Alot of men on here have had the MRI biopsy whish told them everything they needed.  I hope you get better don't rush into any surgery  Good luck Ken

I think Alfuzosin has fewer side effects.

I went in to AUR after taking antihistamines 2 1/2 years ago.  I've been catheterizing ever since (w/ very minimal natural voiding: now about 1/50th the volume of the catheter output).  After one year I tried the PAE procedure but, in my case it really didn't help.  I have an enlarged median lobe and this procedure works much better for those who don't.  If you don't have an enlarged median lobe I definitely think it is worth trying.

In the meantime I would suggest you immediately learn to self cath. (CIC)  I put this off for 2 1/2 months and suffered w/ the Foley (indwelling) catheter.  The CIC method is easy to learn, gives you much more independence, is much less painful and more natural as the catheter is only in for a couple of minutes at a time and the rest of the time your natural system has a chance to "kick in".  The coloplast male compact is by far the best one I've tried.

Good luck!