Irreversible Electroporation (Nanoknife) in Ablation of Prostate Cancer. May 10th operation update:
Went into Kings College Hospital at 12:30pm for Day Surgery. Team from Amsterdam were there to assist the 2 operations for myself and another chap. Procedure is similar to having a Template Biopsy with one difference. On meeting the Urologist prior to operation I was told that I would need a catheter due to Prostate swelling as a precaution for 2 days.
Having a chat with the Anesthetist prior to the op I asked to make sure the breathing tube is removed before I wake up. On my Biopsy I was awoke with the tube in my throat and was very stressful waking up. He said he would do his best.
In theater: Had a joke with the Anesthetist as he said "ok ready to go under" I replied "Back to the Future Doc !" lol
Post Op: I woke up with no breathing tube :) but I was in a LOT of pain. "OK John on a 1-10 with 10 being the worst pain please tell me your score", "yeah 20!" I then got topped up 2 or 3 times with morphine until they said that they could not give me any more. As I became more awake I had the feeling I was busting to urinate. I started to try and stand up and nurses tried to stop me "John your weak stay in bed you can just pee in the bag". I just needed to stand up and pee and proceeded to get out of bed holding onto a male nurse. I then urinated in the bag. This when I realized the excruciating pain was not from the procedure but from the catheter. They told me to sit in the chair but as I sat the pain got worse so I stood up and turned the chair around to lean on. I was sweating and shaking from the pain. Urologist was called and I told him point blank "Remove this catheter, or I will the pain is unbearable" he said I was having a rare reaction and agreed but warned if I was unable to urinate after the catheter was removed I would need it reinserted and maybe a stay overnight. He then asked are you sure you want it removed as going home you may have to go to A&E at Kings if I could not urinate overnight. I said the pain was to much lets remove it and see. After removing the catheter the pain went from 20 to 6 and reseeded. I was able to urinate by myself straight away emptying my bladder. They then asked me to fill up on water and want at least 50mil of urination. I was able to do 10-15mil per pee but I explained this was the same after my biopsy as then I peed little and often. They offered me a catheter insert or go home but any problems come back to Kings A&E. I refused the reinsert and went home understanding that if I couldn't urinate I would come back to Kings.
Home: Coming home at 9pm I went straight to the toilet. At around midnight I spent a Full bladder, the after effects of the catheter is a painful end neck of the penis. Peeing out a full bladder was painful and urinating is painful but getting better. Seem to go to the toilet every 2 & half hours. This morning feel a bit nauseous and started the 5 day course of Ciprofloxacin antibiotic, 1 tablet twice a day.
From the operation on the prostate itself I fill no pain. Only when I clinch I can feel a dull ache. Apart from the catheter this time was much better than my Biopsy.
Now we wait to see the results, follow Up meeting will be in 2 weeks.
Sorry for my grammar :)