Post Turp Urination Issue
Posted , 12 users are following.
Hello, I'm new to the forum. I had a TURP last Monday and all went well. I went in to the urologist's office on Wedndesday for catheter removal. It took time to be able to produce drips, then, the drips increased to small spurts, which was adequate for me to "pass." I urintated several times thereafter. Each time the stream was better. The last or next to last before going to bed at 10:00 PM was almost normal. By 3:30 AM Thursday morning I needed to urinate or pee, but, try as I could, without any straining, I had no positive result. True to my surgeon's instructions I went to the ER where they re-installed a catheter. I see the surgeon's nurse on Monday for removal of the catheter. Needless to say I am a little anxious about what things will be like on this go around. Has anyone experienced a situation. similar to mine? I don't understand why I went from being able to urinate to not being able to urinate at all. If anyone has had a similar experience I would love to learn about it. Thanks.
0 likes, 30 replies
john15876 cobblehead
Posted
I have! Suffered with enlarge prostate for 30 years, in my 30's urologist did not have a clue I went through he'll go home and soak in hot bath, master bate more, 40's took vitimans An suffered, late 40 started having lock ups taking cold meds not knowing side affects, nitemare, early 50 went to my regular Dr put me in flomax never took it foolish should have seen a urologist then, 57 had shoulder surgery from on the job accident, could not poop tore my colon but took 1.5 years to figure it out after specialist missed it with his scope, the put me through therapy fir my back retore my colon but it was torn all along pain just went away explain later by new dr, had surgery sent home bladder lock could not pee rushed back to emergency cathed took out 651 mil thought I was gunna die, had the cath in and out fir a month, prostate went to hell after that, had to go to emergency at 60 could not pee, cathed and two days later to my urologist he says u ready to fix it now? Next day Turp, sent home with cath two days later back to er high fever right side under rib 10 pain every breath, admitted went through every test Ct scan pain meds IV, antibiotics IV sent home 5 days later figuring hurt my ribs rolling me on operating table, no post op 44 days one bladder infection just over it has been a real struggle as my prostate was the largest he has ever seen so tgec1.5 hr operation took out a ton of flesh An he has said will take 14 plus weeks to get back to normal An he was not kidding! Xanax thank god heating pad ice bag and hot soapy baths lots of rest fluids nocsex or alcohol or coffee to be safe and Tylenol x so think positive it isn't always a cake walk for all of us
jim1494 cobblehead
Posted
I had a very similar experience after my TURP. After four days the catheter was removed and all seemed fine for about 6 hours then the stream started to weaken until I couldn't go at all and wound up in the ER. They put in a new cath for four more days and then everything was fine after that.
john15876 cobblehead
Posted
Another thing for me is my dr said you can go off all flomax but I still take it until I can mentally get over the fact I might lock up again An go to the emergency room to be cathed! He laughed in my last ck up An said go ahead if u like, but stop the vitimans fir enlargement wast of money I said ok. Another thing I must get used to is I di no have to owe as often an I sometimes think when I don't go for a few hrs not every 45 min that something is wrong, I guess I will just have to get over it as I when full can stand back five feet An hit the John now he said as I heal that may reduce some
toby52 cobblehead
Posted
I had Greenlight Laser TURP done on May 19th of this year. I experienced similar problems. I could urinate when the catheter was removed, but not the greatest. I especially had problems at night (and continue to do so). In any case, the first time I plugged up was after about 10 days after the surgery, on a Sunday (of course). Had to go the ER and after a couple of hours of waiting (in pain) they reinstalled the catheter. A week later my urologist removed it and I could urinate again. However, later that evening, around 9pm, I plugged up again. Back to the ER, and another foley catheter. After a week the urologist removed it and I could again urinate fine. But I INSISTED they teach me to self cath, because I felt there was a good chance I would plug up again, and it was causing me a great deal of anxiety. He complied, and I was sent home with sample catheters. Urinated fine all day, but I plugged up again around 10pm. I did a self cath and after that I was fine for another 24 hours. The pattern repeated for about 6 days, and after that I was flowing pretty good, just not very fast at night. For the last 4 weeks I have been doing a self cath about once a week, at night, when I feel the flow has slowed down enough where it might cause a problem.
While I am dissapointed I need to self cath once a week, I am hoping it is just part of the healing proccess. My Urologist had told me that he felt it was going to take me a full 6-9 months to FULLY recover from the procedure. Some of his patients heal in a shorter period, some take longer. My flow, for the most part, is very good, and this is without the help of any alpha blockers, which I stopped taking about 30 days ago.
I would advise ANYONE who is going to have any kind of a TURP (conventional, laser, whatever) procedure ask their Urologist to teach them how to self cath BEFORE the procedure in case you need to do so after. Going to the ER in pain because you are unable to urinate is no fun, not to mention to costs involved. And believe me, it will always happen when your Urologist's office is closed, like on a weekend or late a night. If you have the option to self cath you can take care of the problem in the comfort of your own home.
john15876 toby52
Posted
Month wow you want me to stick that in now I did and before I had surgery locked up again and stuck it in me then chicken
Out then tried to pee no good then forced it in blood started to come
Out and some pee went to er they could barely cathe but was there 14 hrs sent home after drinking 5 gallons of water with cath went to dr 2 days later he said u ready to fix this? Yes! I still fear cathing and keep thinking after 40 days from surgery I will not be able
To pee? I guess this mental shi will take some time to get over as it has been a friggin nitemare all brought on by me for dragging my darn feet to the dr
toby52 john15876
Posted
The anxiety caused by the fear of not being able to pee is the primary reason why I insisted on being allowed to self cath. It's not exactly the most pleasant experience, but once I had done it a few times it's not a problem for me. I think it depends a lot on the individual and their anatomy. I am lucky, I don't seem to have any difficulty doing the self cath, and I use a regular FR16 catheter with lube. I have read others, due to various issues, have difficulty inserting the catheter, even the smaller ones. You just have to experiment, and work with your Urologist to find the combination of equipment and technique that works for you.
john15876 toby52
Posted
Yes my prostate was one of the largest he had ever operated on, and this is the top
60
Plus yr old surgeon in Fresno Ca, I am sure the reason it was so hard
For not only
Me to push past that damn prostate and enter the bladder the er here in Madera Ca could not get it done until a Dr came
In and shoved it through ouch. As with any operation and I have been through 4 it changes the body and
Mind in some folks like
Me, my biggest issue most of my life has been my consistent prostate issues, and my stupidness not seeking out a specialist rather my damn md
Who said here are some pills don't worry
It's enlarged but the
Psa is only 7 no worries I should have ran to a specialist that damn day and listened to what he said same with all dr's orders take your meds!! If they don't work let the dr know or is they affect you or make you
Feel
Bad let them know
Damit I did everything wrong listened to my chiropractor buddy drugs are bad dr's are bad use vitimans big!'!!!' Mistake
toby52 john15876
Posted
Hi Neighbor . I'm in Dinuba. My Urologist is Dr. Prah in Visalia. Had my Greenlight done at Kaweah Delta Hospital. Who is your doctor in Fresno? Dr. Julian maybe?
My prostate is (was) no where as big as yours ... on the other hand I'm only 5' 7" and have a small frame, so if I had a prostate as big as an orange I would have stopped urinating long ago. My PSA has never been an issue, it has never been higher than 0.9, most of the time it is in the 0.5 to 0.75 range.
Have you tried smaller catheters? I use a french 16, but I judging by many of the other posts FR12 or FR14 is more common. I would suppose the more constricted your prostate is the smaller the catheter you have to use to get it to go in without difficulty. There are also catheters that have a bent tip (called a coude tip) that sometimes makes it easier to pass through troublesome prostates.
hank1953 toby52
Posted
toby52 hank1953
Posted
See my post here regarding my history and greenlight surgery.
https://patient.info/forums/discuss/my-green-light-prostatectomy-597816
john15876 toby52
Posted
cobblehead toby52
Posted
Thanks for your suggestion to self cath. I'm going to request that the doc show me how to do this tomorrow.
john15876 cobblehead
Posted
john15876
Posted