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Chronic Retention of Urine - Enlarged Prostate

Posted , 15 users are following.

Tinytim24
Tinytim24

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

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  • bill20925
    bill20925 Tinytim24

    Posted

    Hi Brian, You can probably review my comments to others by searching using my account name. I had a cath in for 2-3 months, comments on it. I would not do Greenlight. TURP may or may not be the right procedure. See my posts for more details. Good luck.
    • Tinytim24
      Tinytim24 bill20925

      Posted

      Hi Bill,

      Thank you for your email to me.

      I have now read all your e-mails to the respective forums.

      First of all, I would like to say "Thank You" for sharing your experiences with us all.  Your quality information has opened my eyes to look more closely at the HoLEP operation rather than just focusing

      on the Turp and GL Laser treatments.

      No doubt you are aware of my situation.  I am "very concerned" that I may have to self-catheterise myself after the operation due to the fact that I am not emptying my bladder fully.  This has been pointed out to me by my urologist as well.

      I have noticed that you had a similar problem to myself in respect of your bladder being "well stretched" prior to your HoLEP operation, and all went well for your afterwards.  This is encouraging news for me.

      Due to your imput in these forums, I will now be seeking further advice from an independent source as to which is the "best operation" for me in respect of my chronic retention.

      Thank you once again.

      Kind Regards

      Brian

  • howard50192
    howard50192 Tinytim24

    Posted

    I had to wait for 20 working days for this, (under the freedom of information act I thought I could get some answers,) but see for yourselves.

    Dear Sir/Madam,

    Re: Information Request – Freedom of Information Act (FOIA) 2000

    I can confirm that the Health and Social Care Information Centre (HSCIC) has considered your query dated the 18th September 2014.

    “Could you please tell me under the freedom of information act how long is the waiting list for a Turp operation, at Torbay Hospital, I see on the NHS web site it says it could be several months, as there is no actual definition of the word Several could you please let me know in months weeks or days ( please ). Also could you let me know the waiting time for an Inguinal hernia in the day surgery for the same Hospital,”

    Thank you for your enquiry. Waiting times are measured in two ways. The current waiting list is reported by NHS England - http://www.england.nhs.uk/statistics/tag/waiting-times/

    In addition, activity in NHS hospitals in England is available via the Hospital Episode Statistics (HES) data which the HSCIC hold. Procedure information in this data is classified according to the OPCS (Office of Population Censuses and Surveys) classification system. We publish annual aggregations of activity by procedure code, 2012-13 data can be found via the following link:

    http://www.hscic.gov.uk/catalogue/PUB12566/hosp-epis-stat-admi-proc-2012-13-tab.xlsx . These tables contain information about average waiting times per procedure.

    However, although HSCIC also produce tabulations of activity by hospital provider, we do not regularly report on procedures by hospital. The HSCIC hasn’t produced the information on ‘TURP’ procedures by hospital site previously; we therefore do not hold this information in the format requested.

    It may be possible to identify ‘TURP’ and inguinal hernia repair operations using the OPCS classification system, for expert coding advice please submit an OPCS request form here - http://systems.hscic.gov.uk/data/clinicalcoding/codingadvice/national/index_html

    If you are able to identify the codes used to classify TURP/hernia repair you can commission a bespoke analysis of HES.

    Under section 21 of the Act, we are not required to provide the information in response to a request if it is already reasonably accessible via other means. This exemption applies because the information you have requested may (subject to confirmation of coding) be available via the HSCIC Data Access Request Service (DARS).

    In order to obtain the information you would need to commission a bespoke analysis. To obtain an extract or tabulation report you need to follow the below link to the DARS pages on the HSCIC website where you can find information regarding our bespoke data extract services, charges that may apply and download the relevant application forms.

    http://www.hscic.gov.uk/dars

    HES data is included in our Publication Scheme along with an explanation of costs for bespoke reports, in accordance with the Information Commissioner’s guidance for Charging for Information in a Publication Scheme.

    In line with the Information Commissioner’s directive on the disclosure of information under the Freedom of Information Act 2000 your request will form part of our disclosure log. Therefore, a version of our response which will protect your anonymity will be posted on the HSCIC website.

    I trust you are satisfied with our response to your request for information. However, if you are not satisfied, you may request a review from a suitably qualified member of staff not involved in the initial query.

    I will assume that your request to the organisation is now closed.

    Yours sincerely,

    Higher Information Governance Officer

    Emis Moderator comment: I have removed specific contact details, names etc. If users wish to exchange these details please use the Private Message service .

    http://patient.uservoice.com/knowledgebase/articles/398331-private-messages

    • Inquisitive
      Inquisitive howard50192

      Posted

      Hi all, The word obfuscation comes to mind. The "links" seem to lead only to group statistics and I couldn't get down to "operation" specific data, no matter which subsequent link I followed. Perhaps it's me? One data sheet had ALL the English hospitals (hundreds of them) but not in alphabetical order. You couldn't even get to the Trust you wanted because all the units were entered separately unde their individual NHS code number. Even then, the stats elated only to how the hospital/unit prformed against national criteria. I couldn't find perfomance data by "surgery type" at all. The only Trust/hospital stats related to staff and patient user perceptions of their performance.

      Ben

    • howard50192
      howard50192 Inquisitive

      Posted

      Yes yet another brick wall, they can't answer a direct question ( the ting is why, do they have some thing to hide ?)

      Howard.

       

    • ianC
      ianC howard50192

      Posted

      Wow! Well found Howard. And Quite interesting.

      Hopefully some day we'll be able to see each hospital's waiting times for each op. Then we'll be able to operate the 'choice' that the politicos promise (but don't deliver).

      Thanks

  • howard50192
    howard50192 Tinytim24

    Posted

    Hiya Brian

    I went to have a scc removed from the side of my nose today ( ok I thought half an hour job cut it out 3 stiches and home ) no chance it was deeper than they thought and rooted in the bone, so 1 hour 45 mins later 40 stiches and a skin graft later.

    they finished....lol

    when I got home there was a NHS letter on the floor opened it and....YES a date for addmission on the 21st of November for the TURP. ( I have to have another pre op check on the 29th of this month ) so it is all happening at once.

    Any news from your end ?

    kind regards

    Howard.

    • derek76
      derek76 howard50192

      Posted

      Nasty. Where did they take the skin from for the graft?
    • howard50192
      howard50192 derek76

      Posted

      it's what they call a skin flap ( from my cheek ) derek
    • derek76
      derek76 howard50192

      Posted

      When I had a skin graft they took some from my thigh and some from my stomach.
    • howard50192
      howard50192 derek76

      Posted

      Hi derek

      II seems that this is more modern than a skin graft and the colour and skin type is the same if taken from close to the site where it's needed. ( please excuse me for googling it for you. as follows

      Flap surgery

      Flap surgery involves the transfer of a living piece of tissue from one part of the body to another, along with the blood vessels that keep it alive.

      Flap surgery may be used for a variety of reasons, including breast reconstruction, open fractures, large wounds and improving cleft lip and palates.

      In most cases, the skin remains partially attached to the body, creating a 'flap'. The flap is then repositioned and stitched over the damaged area.

      Occasionally, a technique called a free flap is used. This is where a piece of skin, and the blood vessels supplying it, are entirely disconnected from the original blood supply and then reconnected at a new site. A technique called microsurgery 

    • derek76
      derek76 howard50192

      Posted

      Mine was probably before such techniques were invented:-)

       

    • derek76
      derek76

      Posted

      In the same way as when I had a blood transfusion they connected a tube from my mothers arm to mine.
    • howard50192
      howard50192 derek76

      Posted

      Gosh Derek how long ago was that. ? I saw that done in a war time movie.

      I think that I'm very lucky that they have the skills they have now.

      but who knows what new things there will be in 20 years time.

      kind regards

      Howard.

      ps. do I take it you are having trouble sleeping tonight ?

    • derek76
      derek76 howard50192

      Posted

      Which the transfusion or the skin graft?

      The transfusion was in 1936.The skin graft must have been around 1944.

      Trouble sleeping? I do because of prostatitis and knee pain but it is early yet and I am a night owl.

    • howard50192
      howard50192 derek76

      Posted

      Commiserations derek ( Iknow where you are coming from ) A mate of mine has had a knee joint replacement because of pain, he said it has given him a new lease of life ( he said it was worth the 2 and a half year wait for it ).

      kind regards

      Howard.

      PS. I hope you have a pain free day. 

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