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Thread: Catheter is Out!

  1. #1

    Catheter is Out!

    Had surgery in Northern Westchester Hospital (NY State) on July 28th...

    Came back today to have my what my son calls my "Borg Implant" removed.

    The nurse came in and asked me for a urine sample.

    I said, "Nyuk Nyuk, Nyuk, this will be easiest urine sample in the world, just hold the cup to my thigh". She then realized I had the catheter and said "hmmm, maybe we should wait for the Doctor".

    The Doctor came in and removed the staples and stitches, no big deal. Then he started to pull out the catheter. I'll use that famous pain scale on 1 to 10 with a slight modification..

    1 = no pain and
    10 = It fells like you are pissing out a bowling ball covered with thumb tacks and razor wire

    It was a two and sometimes a three for about 5 seconds. It jumped to a four for one second. The Dr said that was the catheter passing the anal sphincter. Another five seconds of a two or three. Then I hit a four for about two seconds and it was out!

    It was actually less pain than when the drainage tube was pulled from my stomach.

    It was probably less time than what I have above, that's just what it felt like...

    When I stood up, I immediately pee'd all over the floor (it was kinda nice seeing the pee leaving my actual pee-hole). The Doctor caught enough for his purposes. I told him I wish I had time to aim at him as revenge for what he put me through (don't forget the catheter was already out...)

    I put on a depends and an extra pad in there. The Dr recommended buying some "tightie whities" underwear for the pad. He also said not to do the Kagel exercises for a few days and then I can start.

    We all dread "the pulling out of the catheter" but after everything else we've gone through it really wasn't that horrible.
    Last edited by ddayglo; 07-26-2013 at 10:16 PM.
    BD: 1959 PSA 4.9 11/2012 (no symptoms)
    Biopsy 12/2012 Negative
    PSA 5.9 05/2013 (still no symptoms)
    Biopsy 6/2013 3+4 (thank goodness for PSA tests)
    1 core positive (upper left), 1 suspicious (lower left) out of 12
    DRE: bump right side T1c; PCA-III = 20 (normal)

    Da Vinci 7/18/2013: Invasive carcinoma involves left lobe of prostate only, extends from left apex to posterior mid region of left lobe Gleason 7/10 (4+3); G4 tumor comprises 75% of invasive carcinoma present
    Estimated total volume of carcinoma in entire prostate gland: 10%
    TNM: T2b NX MX (Stage IIA)

    8/13 11/13 2/14 8/14 2/15 8/15 3/16, 8/16, 3/17,9/17,4/18, 9/18 PSA undetectable
    3/19: .1 (damn), 4/19,6/29 retests: .1 (damn)


    My Story:
    T-Minus-36-Hours-until-da-Vinci...
    Catheter is Out!

  2. #2
    Regular User
    Join Date
    Jul 2013
    Posts
    49
    I've not had the surgery yet, that's coming in a few weeks, but I agree. After all the tests and being poked, prodded, and violated in ways that I have never imagined, having the cath removed will not be the worst part of this whole ordeal.
    Good luck and speedy recovery.
    38 y/o
    Initial PSA of 11.8 on 5/15
    Retest of PSA 9.8 on 6/17
    Biopsy on 7/3 12 of 12 cores positive, Gleason 3+4 with some cores showing 4+3
    CT scan negative
    Bone scan negative
    Surgery scheduled with Dr. William Catalona, Northwestern University Chicago 8/13/13
    Post surgery path report showed tumor went outside prostate on one side, seminal vesticles involved on one side.
    Lymph nodes showed no involvement
    Upgraded to 4+3 Gleason

  3. #3
    Moderator Top User HighlanderCFH's Avatar
    Join Date
    Nov 2011
    Posts
    7,214
    When my catheter was removed, the nurse gave me a brainteaser to ponder -- and I looked at her like she was nuts because it made no sense at all. And, in the instant I was pondering if she had her full mental faculties, she used that very same moment to pull the catheter out.

    The result was that it was totally painless and out before I even realized it. Then she laughed and said the crazy brainteaser was just to move my mind off the big moment for the second or two she needed to remove it.

    So hopefully this will be a painless -- and extremely quick process -- for the vast majority of us.

    On another note, for those about to undergo surgery -- I felt absolutely nothing at all when they slid the drainage tube from my abdomen. Hopefully this will also be the same for the great majority of us.

    Take care,
    Chuck
    July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA 9/ 2011 = 5.7.
    Local uro DRE revealed significant BPH, no lumps.
    PCa Dx Aug. 2011 age of 61.
    Biopsy DXd adenocarcinoma in 3/20 cores (one 5%, two 20%). T2C.
    Gleason 3+3=6. CT abdomen, bone scan negative.
    DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
    Surgeon was Dr. Matthew Tollefson, who I highly recommend.
    Final pathology shows tumor confined to prostate.
    5 lymph nodes, seminal vesicules, extraprostatic soft tissue all negative.
    1.0 x 0.6 x 0.6 cm mass involving right posterior inferior, right posterior apex & left
    mid posterior prostate. Right posterior apex margin involved by tumor over 0.2 cm length,
    doctor says this is insignificant.
    Prostate 98 grams, tumor 2 grams.
    Catheter out in 7 days. No incontinence, minor dripping for a few weeks.
    Seven annual post-op exams 2012 through 2018: PSA <0.1
    Semi-firm erections without "training wheels," usable erections with 100mg Sildenafil.
    NOTE: ED caused by BPH, not the surgery.

  4. #4
    Experienced User
    Join Date
    May 2013
    Posts
    61
    Greetings,

    All good to know guys. I go in for surgery on Tuesday (July 30th)...


    Regards,
    Age: 50
    PSA Trend: 2003/1.86, 2004/2.06, 2005/2.12, 2006/2.08, 2007/2.12, 2008/2.62, 2009/3.47, 2010/2.90
    Jan 2011 PSA = 6.95 - Biopsy, 12 cores benign, 1 shows high grade PIN
    October 2011 PSA = 4.53
    October 2012 PSA = 6.85
    April 2013 PSA = 6.64
    April 2013 - Second biopsy, 12 cores, 1 positive for Adenocarcinoma, 5 % involvement, no tumors, Gleason 7 (3+4), Stage T1c
    July 30, 2013 - Had DaVinci Robotic Prostatectomy: Dr. Michael Esposito, New Jersey Center for prostate cancer & urology at Hacksensack University Medical Center
    Pathology Report: Cancer present on both sides but contained within center of prostate capsule, negative margins, Gleason 7 (3+4) remained unchanged
    No issues with incontinence or sexual function.
    Three post surgery PSA's = 0.
    Here is my story

  5. #5
    Good luck Ralph! Like the rest of us, I'm sure you are torn between looking forward to the surgery and dreading it. Also, like the rest of us you'll do great!
    BD 1950
    DRE in 2005 showed right lobe enlarged/hard
    Biopsies in 2006 and 2009 both negative
    Biopsy May 2013 positive 1 of 14 cores
    4+3=7 T2a. PSA 2.9
    daVinci surgery 7/17/13 by Dr. Dennis LaRock
    Final pathology 7/29/13
    Tumor size 1.5 cm
    PC found on both lobes (biopsy indicated one)
    T2b Gleason 4+3=7
    Negative margins
    first post surgery psa 8/30/13 undetectable
    second post surgery psa 11/23/13 undetectable
    18 month post surgery psa 2/17/15 undetectable
    5 year post surgery psa 3/20/18 undetectable

  6. #6
    Good luck Ralph. Maybe one day we can meet at Woodbury commons and let the wives go shopping while we compare notes in person...
    BD: 1959 PSA 4.9 11/2012 (no symptoms)
    Biopsy 12/2012 Negative
    PSA 5.9 05/2013 (still no symptoms)
    Biopsy 6/2013 3+4 (thank goodness for PSA tests)
    1 core positive (upper left), 1 suspicious (lower left) out of 12
    DRE: bump right side T1c; PCA-III = 20 (normal)

    Da Vinci 7/18/2013: Invasive carcinoma involves left lobe of prostate only, extends from left apex to posterior mid region of left lobe Gleason 7/10 (4+3); G4 tumor comprises 75% of invasive carcinoma present
    Estimated total volume of carcinoma in entire prostate gland: 10%
    TNM: T2b NX MX (Stage IIA)

    8/13 11/13 2/14 8/14 2/15 8/15 3/16, 8/16, 3/17,9/17,4/18, 9/18 PSA undetectable
    3/19: .1 (damn), 4/19,6/29 retests: .1 (damn)


    My Story:
    T-Minus-36-Hours-until-da-Vinci...
    Catheter is Out!

  7. #7
    When I went to get my catheter taken out, the hottest nurse in the office walks in and says, "let's get that thing out of you! After filling my bladder with some solution, she gave it a yank, and it was out. I didn't notice, because I couldn't take my eyes off her!
    Good luck Ralph!
    Age 64
    2/07 PSA 5.5
    2/09 PSA 7
    1/13 PSA 14.2
    12 Core Biopsy 3/13 Results Suspicious
    12 Core Biopsy 4/13 Positive for PC
    Left Apex: Prostatic Adenocarcinoma
    Gleason Score 4+3=7
    1 mm; 5% of tissue
    Size 56.4 grams
    Bone Scan Negative

    Da Vinci Surgery 6/24/13 Nerve Sparing, age 62.
    Post Op Path Report
    87 Grams (Big One), 5x5x5 cm.
    Largest focus within Left and Right Apex
    Gleason Score 3+4=7 (was 4+3)
    Positive Margins Extending to Right and Left Apex Margin
    No Extra Prostatic Extension Identified
    No Lymphovascular or Perineural Invasion Identified
    Left and Right Pelvic Lymph Nodes Negative.
    PSA 09/13 <0.05
    PSA 01/14 <0.05
    PSA 04/14 <0.05
    PSA 07/14 0.06
    PSA 01/15 0.34
    Began Salvage Radiation 3/2/15
    Completed Radiation 4/23/15
    PSA 05/15 <0.05

  8. #8
    Moderator Top User HighlanderCFH's Avatar
    Join Date
    Nov 2011
    Posts
    7,214
    Quote Originally Posted by MartyAtx View Post
    When I went to get my catheter taken out, the hottest nurse in the office walks in and says, "let's get that thing out of you! After filling my bladder with some solution, she gave it a yank, and it was out. I didn't notice, because I couldn't take my eyes off her!
    Good luck Ralph!
    If she looked anything like "Seven of Nine," I can understand how her beauty took your mind off the catheter. For those of us who are non-Trekians, Seven of Nine was the most beautiful Borg ever to grace the TV screen. The kind of "Borg Implant" that none of us would not mind at all.

    Good luck Ralph!
    Chuck
    July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA 9/ 2011 = 5.7.
    Local uro DRE revealed significant BPH, no lumps.
    PCa Dx Aug. 2011 age of 61.
    Biopsy DXd adenocarcinoma in 3/20 cores (one 5%, two 20%). T2C.
    Gleason 3+3=6. CT abdomen, bone scan negative.
    DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
    Surgeon was Dr. Matthew Tollefson, who I highly recommend.
    Final pathology shows tumor confined to prostate.
    5 lymph nodes, seminal vesicules, extraprostatic soft tissue all negative.
    1.0 x 0.6 x 0.6 cm mass involving right posterior inferior, right posterior apex & left
    mid posterior prostate. Right posterior apex margin involved by tumor over 0.2 cm length,
    doctor says this is insignificant.
    Prostate 98 grams, tumor 2 grams.
    Catheter out in 7 days. No incontinence, minor dripping for a few weeks.
    Seven annual post-op exams 2012 through 2018: PSA <0.1
    Semi-firm erections without "training wheels," usable erections with 100mg Sildenafil.
    NOTE: ED caused by BPH, not the surgery.

  9. #9
    Experienced User
    Join Date
    May 2013
    Posts
    61
    Quote Originally Posted by Flkjr View Post
    Good luck Ralph! Like the rest of us, I'm sure you are torn between looking forward to the surgery and dreading it. Also, like the rest of us you'll do great!
    Greetings,

    Thanks Fran!

    ddayglo, that sounds like a plan.


    Thanks Marty and Chuck. We'll see about the hot nurse (Borg or not) and hope for the distraction.


    Regards,
    Age: 50
    PSA Trend: 2003/1.86, 2004/2.06, 2005/2.12, 2006/2.08, 2007/2.12, 2008/2.62, 2009/3.47, 2010/2.90
    Jan 2011 PSA = 6.95 - Biopsy, 12 cores benign, 1 shows high grade PIN
    October 2011 PSA = 4.53
    October 2012 PSA = 6.85
    April 2013 PSA = 6.64
    April 2013 - Second biopsy, 12 cores, 1 positive for Adenocarcinoma, 5 % involvement, no tumors, Gleason 7 (3+4), Stage T1c
    July 30, 2013 - Had DaVinci Robotic Prostatectomy: Dr. Michael Esposito, New Jersey Center for prostate cancer & urology at Hacksensack University Medical Center
    Pathology Report: Cancer present on both sides but contained within center of prostate capsule, negative margins, Gleason 7 (3+4) remained unchanged
    No issues with incontinence or sexual function.
    Three post surgery PSA's = 0.
    Here is my story

  10. #10
    Down to the home stretch now, Ralph. Good luck on Tuesday. I get my catheter out tomorrow and can't wait. Unfortunately, I know all of the nurses in my urologist's office... I'll let you know how that goes and what kind of incontinence I have to deal with.
    Fran
    BD 1950
    DRE in 2005 showed right lobe enlarged/hard
    Biopsies in 2006 and 2009 both negative
    Biopsy May 2013 positive 1 of 14 cores
    4+3=7 T2a. PSA 2.9
    daVinci surgery 7/17/13 by Dr. Dennis LaRock
    Final pathology 7/29/13
    Tumor size 1.5 cm
    PC found on both lobes (biopsy indicated one)
    T2b Gleason 4+3=7
    Negative margins
    first post surgery psa 8/30/13 undetectable
    second post surgery psa 11/23/13 undetectable
    18 month post surgery psa 2/17/15 undetectable
    5 year post surgery psa 3/20/18 undetectable

 

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