Painfil and difficulty urinating after cath removal
Is it normal to go every couple of hours and have a very weak stream after cath removal? I had my catherter removed yesterday and going seemed to take a lot of concentration. It also burns and the stream is barely a stream. Just curious if this is normal?
PSA 4.0 4/09
PSA 6.0 10/11
PSA 5.7 12/11 after Antibotics
% Free PSA 14.2 12/11
Biopsy 1-12-12 Positive 3 out of 12
Happened to me, too. First couple of days after catheter removal it was all I could do to work up a good leak. Bad enough that it almost drove me back to the hospital. Got a little better the third day out, but still an extremely weak stream and difficult to aim. Took about three weeks to work up anything near a normal piss. Now it's great. Pee better than I did when I was in high school. No doubt you have some swelling, blood clots, etc. up there. If it gets to the point where you can't pee at all, it's time to head to the ER.
Age 55 at Dx
PSA 1.34 10/08
PSA 1.93 04/10
PSA 4.1 10/11, Free PSA 20%
Biopsy 12/11 - One core 40%, rest negative, T1c, Gleason 3+3, Some PNI, Prostate 47.4g, PSA Density .086
RALP City of Hope/Dr. Wilson 2/15/12. Pathology: Prostate 52 grams, 20% total involvement (bilateral), N0MX,
T2c, Gleason 3+3, margins clear.
PSA 3/12, 6/12, 10/12, 01/13, 06/13, 11/13: Undetectable
Everyone's function immediately after cath removal is different. I had one difficult stream then flowed normal again. Other's have restrictions like you are describing. What you are seeing is not abnormal nor cause for concern. Give it a few days and if it does not get better, then worth at least calling the surgeon's office to get their guidance.
Age 49, healthy, physically very active
DRE felt nodule on right side
Free PSA 13%
Biopsy 10/24/11, Gleason 3+4, all cores positive
Pathology: T2c, Gleason 3+4, 1 mm positive margin at apex
PSA 3/9/12 - 0.01
I had my cath out 4 days ago, and I have had a similar experience. Slight pain when I urinate, and the stream was not as strong as it used to be. Finally, last evening before bed, it seemed to be a bit stronger. This morning it is about the same as last night. My doctor said to expect it to take a while. A lot also depends on how much you have been leaking. If you are leaking a lot, the bladder doesn't fill completely and so you have less volume. Hang in there. I have seen improvement evey day.
PSA 1.5 - 2008
PSA 5.1 12/2011
DRE: hard spot lft side
1/09/2012 12-core biopsy - 5/6 cores on rt side: Gleason 7(3+4)
RALP on 4/17/2012
Gleason (4+4)8 with extraprostatic extension
Extensive perineural and angiolymphatic invasion identified
Bilateral lobes involved.
Margins, Sem. Ves., lymph nodes neg.
AJCC stage: pT3a.pN0
Post-op PSA: 5/12, 8/12, 11/12, 2/13, 5/13 <0.06
I've had similar problems, both with a foley catheter in place and with it removed. My urologist put me on 118mg of Uribel 3x a day. That hasn't completely eliminated the spasms but has drastically cut down on the frequency and severity. The only downside is that it turns the urine a blue or blue-green color and will stain any clothing it might get on.