Some pain, some bleeding

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I'm 70 yrs old and 12 days since my turp surgery.  Spent one night in the hospital with a cath that was removed the next morning before leaving the hospital.   At times my urine is almost clear and other times it looks a dark pink.  Sometimes a few drops of what looks like blood when finishing up.  Most times a burning pain at the begining and end of urniation.  No sex yet, haven't tried, haven't wanted to.  I still get up frequently during the night and go allot during the day.  I think most of that it due to the massive amount of water I drink.  Was told to drink lots of water to keep things flushed out, it works.  Before turp it was very hard for me to pee at night and if I had been sitting too long, I don't have that problem now and the stream is way better than it was prior to turp.  I do tend to drip before and after urination, I do wear protection (depends) so not to soil my clothes.  So far I am happy I had the procedure, hope I still feel that way months from now.  I see the Doc in 18 days, I hope all is going as it should.

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  • Posted

    Got in to see the doc yesterday afternoon.  He took a urine sample and back ti the waiting room.  Stayed till I gave him two more samples, took about an hour.  I could see some small scabs in the sample but not near the blood I had seen earlier.  After what ever he did with the samples he said things looked as would be expected for the time since surgery.  SInce there appears to be a little less blood in the urine today I have not seen any clots but more scabs then before.  I do feel better after seeing the doc.  I can assume healing as expected.
    • Posted

      They test for the usual stuff. Plus test if it's new or old blood. He can tell if your bleeding bad or not. Good to hear all is well. I peed cherry koolaide a week after when I saw him. A month later was still very orange/red. Then it cleared up.

  • Posted

    Had turp on 11/08 with all the usual problems from what I have read.  Around 11/28 the passing of scabs, clots and blood stopped and urine was golden to clear,  Slept through the night two nights in a row, oh what a feeling.  I thought all the bleeding and everything else was over till I started bleeding dark red again and passing painfull scabs and clots.  Here we go again.  Still bleeding and passing junk, now I'm worried.  I'm due to see the doc again on 12/08, wishing it was tomorrow.

    • Posted

      No heavy lifting unless my 20# dog would be to heavy.  In thinking about it about the time I started picking him up to put him in the truck is about the time this started.  Am I back to square one?
    • Posted

      Also at that time I was doing a good bit of sneezing trying to take a cold.  Passing lots of scabs today and this evening.  I was wondering if the scabs coming off is causing some new bleed.  It's almost like that first week post surgery except for all the scabs / clots in the toilet.

    • Posted

      Will pass alot of clots and tissue. The bigger chunks that couldn't pass threw the Cath. They float around for a while. Nurses should have been clearing your Cath and drawing them out . Twice a shift is what I heard my doc tell them. That hurt. They blow water in with a giant syringe. Then draw it out. Pulls out bigger ones that clog Cath.

    • Posted

      I am not at the hospital nor do I have a cath.  The scabs and blood I have been passing have all been through the penis.  26 days post op, I would think things should be better than they are.  I'm at the toilet every 30 minutes painfully passing blood with scabs about every fourth trip.  Got a call into the doc but being Sunday who knows.

    • Posted

      They kept me in 2 days. The first day with flush running wide open. Went threw 9 bags. Second day they shut it down to see what color was still coming out. Nurses where supposed to clear big chunks. Only one did. So after I was released, sent home, I was passing big chunks for a long time. Doc found out he went to head of nursing staff and tore them up. They actually called me on the phone. It's a slow process but best to get uros opinion on it. I seen him 6 days post op. 8 days post op. And a couple more times before 3 week post op.

  • Posted

    I had some clots and scabs that were too big to pass and clogedup things.  Trying to force urine to pass and some constipation caused bleeding, I was peeing mostly new blood.  Called my doc on Saturday 12/03 he met me at the ER.  He went in and broke things up, had to do it twice.  I was admitted to the hospital with the 3-way Foley catheter inserted.  The nurses worked with pushing and drawing fluid into the bladder to break up clots, amazing what I seen come out.  They did this twice a day for two days till I had a good flow into the drainage bag.  Once the doc was satisified with what I was putting out in the bag the cath was removed.  For the next 24 hours I peed into a urinal for observation.  Things cleared up and was discharged 12/07/16.  I slept real good last night at home getting up only once to pee, it was clear with an excellent stream.  
    • Posted

      That's good to hear. I had a clot get stuck to. Doc cathed me in the office thinking I may have scar tissue blocking flow. But he felt no resistance. Then I passed a huge clot. Stream was great after that.

      .

    • Posted

      reading that, I am squirming, as a blockage was my big fear when I had a day passing two big clots.  I took a few days more complete rest than is usual for me after (I don't usually sit down for long at a time), and bleeding stopped completely, both in terms of blood-in-pee, and the clots, from the very next day.  Whether that is because of the reduced activity I can't say, but it may have been.  Rest seems a good idea for those whose clot activity is increasing, to stop disturbing scabs / clots too soon allowing the next one to start to form.  But who knows. 

    • Posted

      When they remove alot of tissue nurses are supposed to clear Cath. My doc told then twice a shift. Only one did it. So I had slot of stuff couldn't pass threw the Cath or on my own. Why I had a blockage. I passed chunks I couldn't believe made it out after that clot was moved.

    • Posted

      They did the big syringe in/out thing once (2 goes, but all in one occasion) for me, just before removal of the cath.  The fluid was coming out clear each time (so it didn't look like it needed doing any more), and she definitely was emptying the bladder completely, because it was an "ouch" moment when the end of the cath was nipping onto the inside of my bladder; a very minor ouch mind you, compared to about 2 minutes later when she pulled the catheter out in 3 seconds flat (the previous nurse had told me it would be pulled out over the course of 10 seconds, not 3) which was a really big ouch, with about a minute of after-pain.  

      Should they have also done it (the syringe thing) earlier ?  - I doubt it; I'd had the op at 9pm the night before, this was 2pm the next day, and by 9pm that evening I'd begun to pee just enough (only 50 ml at a time) for them to let me go home.  Small prostate, mine, so probably easier than for some.  I would have appreciated knowing that it's normal to not be able to pee for the first 2 hours or so after cath removal; I know that now, but at the time I didn't, nurse wasn't telling me if it was a big deal or not, she just told me to take a walk and relax.  I get the impression that it's not uncommon and men needn't worry about this at first.  Don't drink too fast is my advice (not theirs) at this time, before you are able to pee (if not immediately able to post-cath-removal) to give it time to un-swell down there before you really need to pee.  Drink loads of course once you can pee, to counteract infection risk and keep pee concentration down (prevents some of the pee pain), that is v. important. 

    • Posted

      Nurse can put fluid in your bladder before she removes the cath so you have something to pee. Keeps things floating around and prevents a chunk or clot from getting stuck cause your bladder is empty from Cath.
    • Posted

      Sounds like we had about the same procedure.  The one thing they did different to me was to fill the bladder before removinf the cath.  I did pee right after cath removal and have been ever since.  Good luck to you Paul, hope all continue to go well for you
    • Posted

      I had to have alot of material removed. That was 6 months ago. Last week I had to have him go back in to remove more. My prostate was so big and dense it squeezed back down again. This time was easy tho. Very few pieces. Bleeding stoped in a couple days. Nurses did there jobs.
    • Posted

      I hope you are done with it all, I hate to think about having it done a second time but if need be I would.  I am peeing about every 45 minutes or so with a good stream, feels like the bladder is emptying pretty good.  I am drinking allot of water throughout the day, gotta keep things flowing and clear.  If my prostate does ever squeeze down again I would have it done again.  Good luck to you Waffalobill.
    • Posted

      The second time was way less than the first. Almost no pain. Just from that Cath. Operation was at 4 pm. Was out of the hospital by 11 am next day. Best thing no need for more antibiotics. They gave me a couple in hospital. No more needed. Didn't need pain pills. Was told I could have them every 4 hours. I took a couple told them I was good. Hate taking pain meds.

    • Posted

      I'm glad things are going well for you, how long has it ben since your second go at it, any incontinents.  I hope you continue to do well

    • Posted

      I had it done Nov. 30th. No incontinence at all this time.
    • Posted

      Now that is good to hear.  I have no pain but I do have some, but not much dripping at the end of peeing.  I am still drinking allot of water, it's about an hour between trips to the bathroom.  Over night, 9 hours, I was up three times to pee.  All is clear, stream is good to sometimes not so good overnight but good all through the day.

    • Posted

      Your past the tough stuff. Will get better from now. Sounds like your healing now at least. Good luck. Keep me informed if you would. Take care
    • Posted

      Thanks so much for your concern.  Reading sites such as this one lets a person know they are not alone.  I do feel as though I am through the rough stuff and know that I am not alone.
    • Posted

      i have a question for you guys, i am 44 days post turp and have never seen any clots or scabs while urinating. Is this still coming or why have i not passed anything like you guy describe? I am confused.
    • Posted

      All I can say is from what I read here that is quite unusual.  Has there been any blood in your urine.
    • Posted

      Hi Rick,Sounds like you had a successful turp surgery. congradulations.May i ask how old are you?I'm 87 my uro wanted to turp ,i held off and started cic?Now i'm wondering if it's to late,since i have urine retention?Did you have acute urine retention?

      Thanks Rick for this info.

      frank,

    • Posted

      I am 62, I have had prostate issues for 10 years. I finaly was peeing every 30 minutes and needed to do something so I went with the turp. I am getting better but recovery takes longer when you have the problem for a long time. My uro tells me I need to be patient.
    • Posted

      Also depends on what kind of TURP and how much material he removed. Second TURP I had they didn't remove as much. I didn't pass any clots. A couple small pieces of material. Very small scab. Been almost 60 days.

    • Posted

      Just a little blood the first 3 weeks, but no scabs or clots. I do not know also based on comments on this site. I do not know if it is comming soon or not at all. Maybe I am just lucky? Be good.

       

    • Posted

      Well, I see my uro on the 14th and I am going to discuss that issue with him.
    • Posted

      I had TURP and no clots either. Blood, sure, but no clots. Not that my TURP was a success, but the main reason of this lack of success (cannot urinate) 

      is the poor condition of my bladder. Nothing to do with the prostate. I am doing CIC. 

    • Posted

      Frank, I am 76 and TURP didn't help (except perhaps that CIC is easy...). My bladder is too week to empty by itself. 

    • Posted

      Consider yourself one of the lucky few.  Scabs and clots do not cause pain when passing I was told it was "normal".  Normal for one may not be normal for another.  Good luck with your recovery.

    • Posted

      I had TURP surgery just over 2 weeks ago. I also had almost no scabs once I came home from the surgery (only very very little pieces that I could barely see).  I credit this to the fact that they kept me in the hospital for 3 nights after the operation and the staff, both doctors and nurses, constantly cleared my bladder (I was on a 3 way catheter).   While in the hospital I saw scabs in the tube as they flowed down into the bag but nothing after I got home.  I think that people are being sent home too early.  I would say that at least two nights in hospital (after the surgery) is really important - three nights even better. 
    • Posted

      Zdzislaw.  Sorry that your still having a problem.   Not a fan of turp.  But I found out something last week from a doctor. .  If you go to the doctor and they can't find a reason for your problem they wiil assume it's your prostate causing the problem and want to cut it out..  That is wrong.  It could be your pladder or your kidneys.  That is also like another guy on hear he has some bleeding sometimes don't know where it is coming from.  His doctor told him lets do a turp.  He ask if that would stop the bleeding.  The urologist said I don't know we don't know where the bleeding is coming from.  That is wrong then just assume it's the prostate.  Why have surgery if it not going to fix the problem. but cause more problem.  Franks doctor wanted to do a turp but his doctor told him that it would not help him and he still would have to do CIC.  Why even tell somebody if it not going to work why have the surgery.  There are do many men on here that are having surgery I don't care what kind you are having but make sure you are having the problem fix.  Got all the information you can.....Please don't cause yourself more problem.  Take care  Ken

    • Posted

      Ken, I HAD the surgery. And they should have told me BEFORE that my bladder was week - they didn't. My post-surgery experience wasn't bad, but of course nothing improved!!!! NOTHING. Frank definitely shouldn't even think about it - what for??? Z

    • Posted

      Hi zdzislaw, Turp didn't work for you, because your bladder is to weak to empty on it's own. Did you have a urodynamics test before turp?This should tell you if your bladder is too weak. I would like to hear from you ,please let me know if you had the urodynamics test.I'm 87 and am thinking about getting this surgery? Thanks very much .

      frank,

    • Posted

      Frank.  Why would you do that  Your doctor even told you that even if you have it.  You will still have to do CIC The surgery will not work for you.  I don't even know why he suggested it.  Please take care  Ken 

    • Posted

      Buddy I am so sorry that you had it.  They should have did more test and told you about your problem.  Why have the surgery to remove the prostate tissue when it's not the prostate.  That why I say ask question and get more information.  And if you have to go get a secound opioion.  Take it easy buddy  Ken

    • Posted

      my turp was done as an outpatient surgery, went home a few hours later. went to uro office 2 days later to have the cath removed. i was able to pee on my own in a hour or so after.
    • Posted

      Rick - that's great.  I guess being home with a catheter can be as good or almost as good as staying in the hospital.  There are, of course, good reasons for leaving a hospital as soon as you can.  In my case, I was happy they kept me there.  Also, it may have been because my prostate was very large - something like 75-85 grams, and the surgery was a combined TURP and TUVP (vapor) procedure.  How are things coming along? Wish you the best! 

    • Posted

      Depends on the material removed. Cath needs to be flushed regularly if there's alot of material or large clots. They will plug up the cath. Then then fluid they are putting in can't get out. Mine plugged up before I got to my room. Thought my bladder was going to explode. Nurse cleared about 10 inches of stuff in tube and a bunch of material in the Cath.

    • Posted

      Frank, I hadn't any urodynamic test. I didn't know at that time that my prostate wasn't the main obstruction for peeing. My uro told me about the poor condition of my bladder at the cystoscopy 3 months later.

      Before my TURP I was very close to urine retention. Green Light laser was planned for me, but I have also prostate cancer (ever since 2002,

      no treatment till 2013, intermittent hormonal treatment after 2012). My PCa turned out not to be agressive, but it was impossible to pulverize it

      effectively with GL. So they switched to TURP. After TURP my recovery was very quick, except that I could never pee really really well. Five months after TURP I strated having more and more leaking at night and

      less and less of NV. Now, 9 months after, I am self-catherizing 5 times per day. What is the condition of your bladder?

       

    • Posted

      Ken, Of course they should have, but I wasn't informed enough...

      Thanks for your words of support. Frank, Ken is right, if it is your

      bladder that is week, TURP won't change anything. Z

    • Posted

      Hey buddy I'm sorry for your problem.  Did you agree to the turp or did the doctor decide to do it while you were under.  That would never happen to me.  I had to have a repair done on my urolift.  One got loose and my doctor had to put a new one in and tighten the other three.  After 2 day with a catheter I was fine a little burning the first day but was great.  Went on all my med for my heart two blood thinners.this was on a tuesday.  Sunday morning I got up at 5AM to go to the bathroom.  Sat down and I felt a cush when I got up it was full of blood no urine. Call the doctor on duty and told her everything and she said that I must have broke a blood vessel in my bladder to drink alot of water to flush it out.  So I drank a bottle of water.  Within a few minutes I had to go so I stood and went but it was all blood again.  After that I could not go at all.  Call again and was told to go to the hospital.  I started having bladder spasms and boy to they hurt.  Every time I moved I was having a spasm and bleeding.  Got to the hospital and they know I was coming but I have to wait 2 hours for a room to have the procedure done.  While I was waited was having spasm.  Had to get myself on the table blood all over. I told the nurse that I had a stricture and I was under a doctors care and only could have 14fr or under coude catheter she had to go get one  I had to be flush by hand They gave me morphine for pain and it took her 2 times to get the catheter in the bladder.  That hurt like hell and I was still bleeding and the spasm were painful even with the morphine.  The urologist that was on duty called to see what was going on.  I was still bleeding I had to have emergency surgery to see where the blood was coming from.  This was not my doctor and being he did not know me.  I would not sign for surgery until he signed a paper that my prostate was not to be touch for any reason.  I told him I would not sign unless he sign the other paper.  I told him that I would lay here and bleed  It took him 30 minutes to sign the paper and I had 2 nurses witness.  I will not give no doctor full control.  It turned out to be 3 blood clogs around my prostate.  he burned them and he must have been mad at me because he put in a 3 way 24 fr straight catheter to flush it out for 3 day.  When that came out it was painfull  It took the nurse 2 times to pull it out because it kept going back in.  All was good after I was told by my doctor that I should have waited for 2 weeks to go back on the blood thinners.  I will not give up my prostate for any reason.  My doctor know how I feel.  I hope things get better for you.  Ken  Sorry this is so long

    • Posted

      Unhook collection bag tube. Push saline in with a giant syringe. Then pull them out with it. They did it twice each nursing shift. Gets the bigger chunks out easy. Keeps the fluids flowing good.
    • Posted

      Your story is very uplifting. Thank you for sharing! I had been very obstinate

      With the doctors that wanted to remove or radiate my prostate

      because of the cancer. I guess GL seemed so harmless in comparison

      that I didn't give it a second thought. I signed the paper saying that

      if anything unexpected happens, they can decide by themselves,

      so they did...Yes, I was under when they switched from GL to TURP.

      I don't think this did me any more harm than GL. What they should have done,

      however, was preparing me to the operation by self cathing, check

      my bladder etc. This was neglected! Z

    • Posted

      Z  I hope you feel better.  Sometime a time take a while  Good luck  Ken
    • Posted

      So sorry you are having such a difficult recovery.  We hope time will heal as Ken said for some it takes a little longer.
    • Posted

      I have a question, how does scabs and blood clots that are shedded from your prostate get into your bladder to release. The prostate is below the bladder and if the bladder is sealed area how can this happen. I had turp almost 7 weeks ago this Wednesday. Can someone please tell me how? Thanks for any responses.
    • Posted

      The resectoscope used in the procedure uses a hot wire to shave off sections. As they are removed it has a water jet pushes them up into your bladder and are removed after the procedure. Scabs fall off after healing as you pee. The clots are usually dark which means old blood from material removed.
    • Posted

      so now if i am seeing a small scab or clot 6 weeks later with no water pressure pushing it into my bladder? now what?
    • Posted

      The scabs will fall off and regrow for a long time till it's totally healed. Each time it falls off it may bleed a little. It will stay in your urethra and clot. When you pee the loose scabs fall off and travel out along with the small clots. If he took material off close or in bladder neck, I imagine the blood could get into you bladder. At 6 weeks I was still loosing scabs once in a while. Still a little blood in urine once in a while. Very little. You also have to remember the procedure can be a little rough on the urethra. You will get scabs falling off from the trauma to it and bleeding. Can also have scar tissue form in it. Doc told me it's usually within the first inch or so inside your penis.

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