Chronic Retention of Urine - Enlarged Prostate

Posted , 15 users are following.

Hi Guys,

New to the forum. Was catheterised due to retention of urine on 23 Jul 14

because of an enlarged prostate.  I am 62 yrs of age, I am not happy to have the catheter on, but I have been told that it needs to stay in till I have my Turp operation.

I have been on the "waiting list" for almost 7 weeks, it seems strange to me that no priority is given to those on catheters.

It could be a while till I have my operation, does anyone have any suggestions as to how I can go about getting this operation on the NHS quicker rather than later?

And any views would be appreciated on the newer treatment called "Greenlight Laser".

Kind Regards

Barry

 

0 likes, 271 replies

271 Replies

Prev Next
  • Posted

    I just dug this up.

    Important Note: BPH is not prostate cancer, and having BPH doesn't mean a man is more or less likely to get prostate cancer. They are two different diseases. Prostate cancer begins in the outer peripheral zone of the prostate, and grows outward, invading surrounding tissue. BPH begins in an area of the inner prostate called the transition zone, a ring of tissue that makes a natural circle around the urethra. In BPH, the growth is inwardtoward the prostate’s core, constantly tightening around the urethra (the tube that carries urine from the bladder through the prostate to the penis) and interfering with urination. This is why BPH produces such annoying, difficult-to-ignore symptoms—but why prostate cancer is often “silent,” producing no symptoms for months or even years.

    The key word here is benign. (The word hyperplasia simply means an increase in the number of cells in the prostate, which causes it to become enlarged.) By itself, an enlarged prostate causes no symptoms and does no harm. If it weren’t for the fact that the prostate encircles the urethra, BPH might never require treatment.

    However, one-quarter of men with BPH—more than 350,000 a year in the United States alone—eventually will require treatment, some more than once, to relieve the urinary obstruction BPH causes.

    • Posted

      Hi Howard,

      Many thanks for bringing this to the attention of the forum.  Good information to have.

      Kind Regards

      Brian

    • Posted

      Hi Brian,

      I think if we are honest we all think it maybe the big C, I hope that info

      will help ease peoples minds. the growth ( or as the urologist say's " abnormal cells") are located close to the urethra, he picked it up via ultra sound. I could only see haze on the screen. he will be as is always with a TURP be sending the removed tissue to the path lab. and should any cancer cells be found ( which he say's is unlikely) further treatment would be discussed at a later date.

      kind regards

      Howard.

  • Posted

    This may be off topic but it's some thing that bugs me, why do they say "Prostate disease" it makes me feel old and dirty ( before you say I am old I agree but I'm far from dirty ) would not illness sound so much better. ?
    • Posted

      Prostate disease is a better thing to have than many hundred of others.

      I always remember my father in law say of a friend who had prostate cancer. He died screaming in pain and kicking his heels on the floor.

    • Posted

      I think you miss my point, prostate enlargment is a naturall part of ageing

      so why call it a disease, ? as if it's some thing you catch from some one else

      all men go through the same thing but not all suffer with it.

    • Posted

      OK it is a disease ( I give in ) definition below.

      A disease is a particular abnormal, pathological condition that affects part or all of anorganism. It is often construed as a medical condition associated with specificsymptoms and signs.[1] It may be caused by factors originally from an external source, such as infectious disease, or it may be caused by internal dysfunctions, such asautoimmune diseases. In humans, "disease" is often used more broadly to refer to any condition that causes pain, dysfunction, distress, social problems, or death to the person afflicted, or similar problems for those in contact with the person. In this broader sense, it sometimes includes injuries, disabilities, disorders, syndromes,

  • Posted

    Anyone finding the way replies are done on this forum it seems to me it would be better if they followed on like most forums, that way you wouldn't miss replies.

    just a thought

    kind regards

    Howard.

    • Posted

      Good Afternoon Howard

      Many thanks for all your emails and the interesting history of the so called foley/catheter, great homework if I may say so.

      Just had the District Nurse pop round Howard, she used some BARD OptiFlo Irrigation Solution through the foley, I hope that sorts the problem out with flow etc.

      No mail today, 12 weeks tomorrow with the foley in.cry

      Have a good afternoon.

      Kind Regards

      Brian

       

    • Posted

      Has the bleeding stopped ? And the same here no important mail ( maybe tomorrow ).cry

      kind regards

      Howard.

    • Posted

      Good Morning Howard,

      Hope all is well.  Yes no more bleeding and the treatment given to me yesterday seems to be working.  So many thanks to you.

      Bill20925 has posted an e-mail to me (as you are probably aware) at the bottom of the forum.  I need to read his posts when I have a minute and come back with a comment.  Bill seems to favour the Holep operation.

      Kind Regards

      Brian

       

    • Posted

      I'm glad things seem to be sorting themselves out.All you need now is for the postman to bring you that letter you have been waiting for.

      kind regards

      Howard.

    • Posted

      Hi Howard,

      Yes we both dosmile.  I have read all Bill's emails, I am now going to take the time to reply to him.

      Kind Regards

      Brian

  • Posted

    The earliest American invention of the flexible catheter was during the 18th century. Extending his inventiveness to his family's medical problems, Benjamin Franklin invented the flexible catheter in 1752 when his brother John suffered from bladder stones. Franklin's catheter was made of metal with segments hinged together with a wire enclosed to provide rigidity during insertion.

    OUCH!!!!

    • Posted

      Hi Howard,

      Hope all is well.  Any news your end.

      Kind Regards

      Brian

    • Posted

      No news yet brian and to be honest I'm not holding my breath,

      I had a strange thing happen today, I had white muscos stuff come down the foley and pain ful bladder spasms as if the tube was pullin down on the foley.

      ( I've had the odd small blood clot now and again but nothing like this )

      Have you had any thing the same ?

      kind regards

      Howard.

       

    • Posted

      Hi Howard,

      Sorry to hear this news.

      Yes and No.  I had some painful bladder spasms when I had the catheter first put in for a period of 5 to 7 days, I went back to the urology ward and was put on medication to calm the bladder down, which worked.

      Secondly I have had white mucous  come out "every now and then" but not with the bladder pain together.

      Maybe you should pop into your urology ward just to check it out, you might have an infection?

      Kind Regards

      Brian

    • Posted

      Good morning brian.

      I hope all is well with you, still no news this end.

      kind regards

      Howard.

    • Posted

      Evening Howard

      All well here except my computer is playing up.  Any further news on your latest problem? Got quite a bit of post today, got excited when I saw a brown envelope, however it was for the good wife, NHS letter about her hip.

      Had a good walk today, maybe I overdone it a bit, feel a bit tired, but got plenty of frest air

      I

    • Posted

      Evening Howard

      All well here except my computer is playing up.  Any further news on your latest problem? Got quite a bit of post today, got excited when I saw a brown envelope, however it was for the good wife, NHS letter about her hip.

      Had a good walk today, thinking about a fresh approach, maybe I will have a chat with my doctor, to see if he can move things along next week.

      Anyway take care Howard, we might get some good news next weeksmile

      Kind Regards

      Brian

      I

    • Posted

      It's a bit like watching a kettle boil isn't it. With me no two days are the same,

      Today I've been having sharp pains a bit like sitting on a spike when I bend over sit down or get up from sitting down also tender below the navel.

      maybe the foley ( I don't think it's an infection ) and still getting sludge and flecks of blood ( I think it's to do with bladder spasms ).

      there you go I had my moan...LOL

      it will be interesting to see which one of us geoes for surgery first.

      you have had your cath in for 8 weeks and I had one for 7 weeks then 2 weeks without then 2 weeks with this time.

      kind regards

      Howard

    • Posted

      Good Afternoon Howard,

      You got my date wrong I'm afraid Howard.  I was catheterised on 23 Jul 14. Now 12 weeks plus.

      Looking forward to the week ahead for hopefully some postive news (mind you I have said that for the last few weeks).sad

      Keep an eye out to what is happening to you Howard, very strange.

      Kind Regards

      Brian

       

    • Posted

      Hi Howard,

      Hope you have had a good week.  I'm afraid I have picked up another UTI,

      got it last friday.  Had a bad weekend, picked up a few other bugs as my defence system is pretty low at the moment.

      However the last few days I am starting to improve health-wise.

      How are things with you?

      Kind Regards

      Brian

       

    • Posted

      Hi Howard,

      Hope you have had a good week.  I'm afraid I have picked up another UTI,

      got it last friday.  Had a bad weekend, picked up a few other bugs as my defence system is pretty low at the moment.

      However the last few days I am starting to improve health-wise.

      How are things with you?

      Kind Regards

      Brian

       

    • Posted

      So sorry to hear that brian, I've had an eventful time since we last talked, I had an SCC removed from my nose which should have been an incission and 3 stitches but in the 2 months since they last saw it it had spread and rooted to the bone so what I thought would take half an hour took 1 hour 45 mins, 40 stitches, a piece of bone taken away and a skin flap ( reconstructive surgery,  that was last Thursday ( stitches come out tomorrow ) to cap it all when I got home after the surgery There was a Hospital letter on the mat saying the date for my turp is the 21st of November ( I went for the pre op assessment yesterday ( they gave me 5 bottles of protien drinks 3 of which I drink the day before surgery the other 2 the morning of the op, they booked me down as a 2 night stay.

      kind regards

      Howard.

      PS. any news as to when they will be sorting you.

    • Posted

      I've not heard of the high protien drinks before. Did you ask why?
    • Posted

      don't know why but below is off the admission form.

      The day prior to surgery

      l You must drink 3 cartons of nutritional supplements (Fresubin)

      l These should be sipped slowly over a 4 hour period each to avoid feeling sick (nausea)

      If your operation is in the

      MORNING:

      1. Don’t eat after 12.00 midnight the

      night before.

      2. Drink water, squash, black tea or

      coffee until 6.30 in the morning.

      3. One hour before admission ensure

      you drink two cartons of ‘pre-op’

      (carbohydrate drink), which must be

      consumed within 20 minutes

    • Posted

      I Googled this, it seems to build you up for a quick recovery.

      preOp is a Food for Special Medical Purposes for use under medical supervision. preOp is a 0.5kcal/ml, clear, non-carbonated, lemon flavoured, iso-osmolar carbohydrate drink. preOp is designed to switch patients from a fasted to a fed state prior to surgery. It has been shown to moderate metabolic responses to surgery, improve well-being, decrease post-operative insulin resistance and attenuate loss of lean body mass. preOp is presented in a 200ml carton.

      ·        Fresubin® energy drink is suitable as a nutritional supplement or as a sole source of nutrition for patients at risk of malnutrition.Fresubin® energy drink is prescribable on FP10/GP10 for the following indications: short bowel syndrome, intractable malabsorption, pre-operative preparation of patients who are undernourished, patients with proven inflammatory bowel disease, following total gastrectomy, dysphagia, bowel fistulae, disease related malnutrition

    • Posted

      No I'm tiptop apart from being tired, they seem to be giving it to every one that was down for surgery.
    • Posted

      I had heart surgery two years ago and the prostate last year but no drinks. After the heart surgery my blood sugar was like Yo Yo. One minute they were injecting me and the next giving me toast and marmalade or biscuts in the middle of the night.
    • Posted

      Hi Howard,

      Well it is all happening with you Howard, hope it all goes well today with the stitches coming out.  Good news with the date for your Turp op. 3 weeks to go, not too long.

      No news here as yet, but starting to feel a lot better, just about to go to my surgery to find out results of my urine test and what sort of bug I picked up (it did make me feel pretty bad).

      Anyway very pleased for you howard, you can start planning things.

      Have a good day.

      Kind Regards

      Brian

       

    • Posted

      I had them out, they did a good job but it surprised me when I saw it ( I took picture but I don't know how to put a pic up on here) I could email you it but I don't have your email addy.

      I asked the nurse what the drinks were for, by all accounts it's to fill you with vitamins so your body will recover quicker after an opperation,

      they do it for all surgical cases down this way.

      I hope you are feeling better now (it can be so depressing when you are in pain)

      kind regards

      Howard

      PS. 3 weeks and the clock is ticking.

    • Posted

      Hi Brian and Howard,

      I have had my catheter in for >6 months now and have had intermittent white discharge for all of that time - most often when I defecate. I assume that this is seminal fluid from the prostate which has to go somewhere, so have not worried about it especially since I have been free of UTI since having catheter fitted.  Sorry I have not been following these topics for a couple of weeks since Halloween is the deadline for submission of my tax return! Best  wishes, Mike

    • Posted

      Hello mike, I have the same white sludge, I see it in the tube whilst straining

      I also get little flecks of blood also, I put it down to the balloon of the foley rubbing against the bladder causing Trauma, ( I had it bad when the folley

      clip supporting the folley came undone and the bag was hanging full weight trying to pull it's self out ( very painful ), I'm sure some one on here can tell us what the sludge is (as the foley drain is above the prostate I can't see it being prostate fluid, ) maybe I'm wrong, either way I hope you will get sorted soon.

      kind regards

      Howard.

    • Posted

      Hi Howard, I misunderstood where your 'white sludge' was. Mine escapes on the outside of the catheter tube. You are right to say that it must be coming from the Foley inlet to appear inside the tube but I only get small strings of haemoglobin in the urineon the inside.

      I think I must have a different variety of BPH to the rest of you: I do not experience any pain, and, just to test out the pronouncements of one of the urologists quoted on this forum, I tried doing a few press-ups yesterday (with feet on the toilet seat) with no untoward effects! Also, I, too, have not been able to take advantage of Lidocaine for catheter insertion (but for a different reason) but do not find the pain very severe - especially when the District Nurse performs the proceedure quickly. She seems to be very dexterous.

      My (second opinion) urologist still wants to perform TURP and lithoplasty, but has offered to refer me to someone in Stevenage if I insist on Urolift. I have still to approach him with a request for a biodegradable stent as an alternative.

      I hope your troubles will soon be behind you. Kind regards Mike

    • Posted

      Hi mike

      When I asked my urologist about a stent he said " we don't do them in this hospital and that they can move into the bladder or/and be expelled when voiding" any way my TURP  is on the 21st so will give you all a day today update as to what to expect.

      kind regards

      Howard

    • Posted

      Hi Mike,

      I don't have UTIs, etc, and my 'retention' still remains a mystery:  it could have been neuralgia following spinal trauma.

      I had the white sluge too, coming around the tube at the exit poin - this is quite common and seems to be as you say, secretions of the prostate or pipe-work generally.  When I was having a number-2 it used to dislodge the cath and as well as a bit of sludge I'd get some pee too.  It felt OK with me as i thought at least it was cleaning the uretha out.  

      I was taking Tamsulosin all through but want to come off it now, as I don't like the side-effects.

      Hope it works out well

      Daivd

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.