problem voiding 3 weeks after PB turp with bladder neck incision.

Posted , 9 users are following.

Gentlemen,

My urine flow rate improved for about two weeks following procedure, Week 3. only have slight bleeding at start of stream with some small clots passing through after which flow rate improves temporarily, however now stream is very week,  very little blood , had to get up 6 times last night to go. Bladder still feels full. Hoping I don't have total shut  down. IS it possible a clot or swelling is blocking flow?Getting nervous that I may have to go to ER this weekend when my Doc. is not available I know the healing process can go on for months. Would placing a catheter back in 3 weeks after procedure do any damage?  Anyone else out there have similar experience.? I have a follow up with Urologist next week.

Any responses greatly appreciated.

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  • Posted

    George,

    I would ask the doc if self catheterization is a possibility.  If it is, ask them to show you how to do it and  give you the supplies.  You could use a large catheter (16fr or 18fr) to help pass clots. He may want to look at it with a cystoscope to see if there are any blockages.  Have you been taking Flomax,  you could ask you doc for a presription, if it works, it is the easiest solution, and may be all you would have to do.

    Hope this helps,

    Thomas

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    • Posted

      Phil,

      I was just saying that, if George uses a catheter, a larger diameter will pass clots easier.  A smaller diameter might get plugged.  The only procedure I know to remove clots, would be to flush the bladder with water, through a catheter, which would usually be done in a Urologists office. 

      There may be other procedures to remove clots that I am not aware of.

      Regards,

      Thomas

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    • Posted

      If they put him in the hospital they can do a 24 hour flush with a 3 way catheter.  I had that done 2 years ago when I was bleeding from blood clogs on my prostate  Ken
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  • Posted

    With a Plasma Button Turp you are going to have some clogs not as many as with a regular Turp.  You can have less clogs with a PBT then a regular because of the laser.  But that does not been you don't have a clog stuck Hope you will make it to your visit.  Take a hot shower or a hot bath to relax the muscle It may help get out what ever you have.  I do not once in a while if I feel I do not go to the bath room enough.  I had a Urolift done 3 1/2 years ago.  Still wide open. No side effects Remember you are just healing.  It does take 6 month's to a year to heal.  Don't know how much he cut out but your body has to get use to the empty space.  God Bless  Ken   

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  • Posted

    George another question why did you have the Plasma Button Turp.  Most of the time men have that done because they are concerned with retro ejaculation.  But you also had a bladder neck incision Which may cancel out the prostate procedure.  With the bladder neck being cut you will end up with retro.  Just wondering>  Good Luck  Ken 

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    • Posted

      Ken,

      I had the PB turp with bladder neck incisions at 5 & 7 o'clock because my urologist had performed a cystoscopy  which revealed " lateral lobe regrowth of prostate and bladder neck contracture".

      This condition may have been caused or agravated by a previous Green light laser turp that I had done about 7 yrs. ago. He recommended the Plasma button method. At 73 yrs. old, I was less concerned with retro. Really hoping for decent urine flow and a good night s sleep. Do not want to self catheterize.

       

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    • Posted

      Hope is works for you.  Remember you are heal from 2 procedures not just the prostate Give yourself some time.  Try to relax if you can.  God Bless  Ken 
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  • Posted

    When I first started to catheterize I was given a temporary rubber catheter; must have been about an FR16... pretty big around; but they also gave me a large plastic syringe with saline solution inside.  I didn't use it but kind of think I should have because it fastened to the rubber catheter so that I could inject the saline.  I'm sure it was to wash out the bladder when they realized I was retaining large amounts.  I think most of the blood clots came out as I used that catheter a couple of times.  I know some of the blood was coming from my urethra as it made it sore... I'm sure it was before the entry to the bladder.  I'm still not sure I don't have some kind of stricture right before the bladder sphincter.  Or its just my prostate pushing through.  Anyhow, the light colored blood ended after less than a week of doing CIC.  

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  • Posted

    13 yrs of bleeding n clotting

    Four separate urologist,

    The fifth 1 took pictures showing all four of them left me undone.

    FIND THE RIGHT URO.

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  • Posted

    Hope you feeling better...I know its always a question if a clot is blocking...Self cath is a good way to try to see if the bladder is retaining. After my surgery I had a 3 way cath in and sometime I would evacuate the bladder with 2 percent saline using a syringe then pull back on the syringe to pull out any clots ....Usually put in about 100 cc of saline then Very Gently pull back on the syringe until you feel pressure increase..Did not like doing it but if any large clots were their ..they safely came out.

    I am sure you could do this when self cathing also...Maybe your Uro could show you this technique ..to keep you from worrying ...Good Luck

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    • Posted

      For 13 yrs and five separate uros I have bled n clotted until the right one appeared, showed me photos of the previous TURPs, PVP, where they all did an incomplete job.

      I now do not rush to the bathroom every 15 mnts.

      Weak stream no more

      Libido is good.

      I am 77, take no drugs of any kind

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