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My husbands recent diagnosis of advanced prostate cancer

User
Posted 25 Dec 2021 at 18:13

Thank you Ivan.

He’s been squeezing the tube slightly and that seems to have released some debris, he’s now emptied the bag 3 times in the hour. There were lots of little clots that’s came through it. Rob's urine seems to have been pretty pink for the start although he said he never saw it while in hospital! He hasn’t had any leakage from his penis so not using any pads at present.

It’s all just so worrying isn’t it….things have been pretty good so far but I know im inclined to panic. Doctor did say though if nothing is coming through it at all he must come in and not wait too long.

It was never mentioned about flushing the night bag with warm water. 

User
Posted 25 Dec 2021 at 18:30

Well, that is good news!

I was told by the nurse before I left the hospital that I should flush through the night bag each day with warm water when I had uncoupled it from the day bag ( though I would have thought that the day bag was more in need of flushing, but this obviously is an absolute no,no- unless undertaken by a professional) so that is the  first thing I do every morning.

 

Interesting that Rob is not bypassing his catheter. I am but only so very slightly. Hence the tena pad.

 

Yes, the daily motions that we all do become so much more important, perhaps overly so, when you have had your prostate removed. But as the doctor mentioned to you, if the bag is not filling up it is crucial that help is sought.This point was emphasised to me by my specialist nurse.

 

 I have periods of feeling really good and then come over all tired and go back to bed for a couple of hours. 

 

By the way, the nurse told me that it was very important to keep drinking loads of water each day 

Edited by member 25 Dec 2021 at 18:31  | Reason: Not specified

User
Posted 25 Dec 2021 at 18:43

Elaine 

As a seasoned catheter wearer I have lots of things I do that I would not necessarily tell post RP surgery patients. I do the squeezing the catheter trick, I start where the catheter comes out of the body and work down to the bag. My catheters are made of clear material so it is easy to see if things are building up. I am guessing you perhaps have a tan coloured catheter. Of course you can't see what is happening inside the urethra. 

Ivan 

I asked about night bags on the facebook  site, out of 15 people 8 were given enough night bags to have a new one each night, 7 had to reuse a night bag for a maximum of 7days.  Some of the 8 had non reusable bags. There seems to be no consistently in NHS protocols.

Thanks Chris

User
Posted 25 Dec 2021 at 18:57

Thanks, Chris, for your comments and, as you say, the lack of consistency between hospitals does not make sense.

 

I certainly don't envy you wearing a catheter long term but needs must and we all have to do whatever it takes to get by.

 

Ivan

User
Posted 25 Dec 2021 at 19:23

Ivan 

Should have mentioned my long term catheter is a suprapubic catheter, i.e. it comes out a few inches below the belly button. I did have a urethral catheter on about 13 occasions and sometimes had a urethral and SPC at the same time. It is surprising how we can adapt to new situations. Hopefully you and Elaine's OH never have to go there.

Thanks Chris

User
Posted 25 Dec 2021 at 20:41

Chris & Ivan,

I really can’t thank you enough for today, it feels a little scary sometimes all of this but for me to be able to come on here and ask for reassurance or advice and get it as quickly as I have today it just helps so much.

Rob has drank about 3 litres of water each day…I literally hand him another glass as soon as one is finished 🤦🏻‍♀️😂

Really pleased to say he has now emptied his 500ml bag 6 times since 5pm, it definitely seemed like some clots were blocking everything. The last bag full was a very light rose colour, the lightest it’s been since he came home….so really happy with that.

I did manage to cook a Christmas dinner through all the drama 😂 hope you’ve both managed to have a nice day and I wish you all the very best x

User
Posted 26 Dec 2021 at 10:58

Good that everything is back to "normal" Elaine and that you are multi-tasking. What women are good at!

Hopefully though you were not holding Rob's urine bag when holding the jug to make the gravy. Easy to get them mixed up and pour the wrong contents on the turkey.

 

As well as drinking copious amounts of water I was told to keep moving about and to walk around  as much as I can. I think over the last few days I have walked around my property more in those days than I had in the previous couple of years.

 

Have a good day

 

Ivan

Edited by member 26 Dec 2021 at 13:22  | Reason: Not specified

User
Posted 01 Jan 2022 at 06:21

Not so happy new year 🤦🏻‍♀️, not really slept at all as catheter seemed to be blocking again so been setting my alarm through the night to keep checking Robs bag. It is filling up a bit now and not as pink again so hopefully will be ok. Think we’ve overdone it with walking. The next few days will just be resting.

User
Posted 01 Jan 2022 at 06:42

Other news….histology is in!

Still trying to get my head around all the terminology but from what I can gather and from surgeons response things look pretty good considering where we started.

50% nerves spared. Negative margins. And it was contained within the capsule so no seminal vesicle invasion or EPE etc. but PNI was noted.

1 out of 14 lymph nodes removed had some cancer cells in (which we already knew about) with no extra nodal extension….it was 7mm though so slightly smaller than first thought. Now it says no lymphovascular invasion identified, can anyone help with this? Just with it being N1 I thought there might be invasion.

New grading of T2 N1 (no letter after T2 (a,b,c) is there always? Gleason score upgraded to 4+5=9 not great I guess but someone posted recently about how HT could mislead and increase Gleason score so going to ask about this.

We have a meeting next week to discuss so will get all my questions ready for then.

Still working my way through trying to understand it all but any thoughts would be welcomed.

Thank you

 

 

User
Posted 01 Jan 2022 at 08:49

Originally Posted by: Online Community Member

Not so happy new year 🤦🏻‍♀️, not really slept at all as catheter seemed to be blocking again so been setting my alarm through the night to keep checking Robs bag. It is filling up a bit now and not as pink again so hopefully will be ok. Think we’ve overdone it with walking. The next few days will just be resting.

Elaine

Yesterday I emptied a very full bag on several occasions, drank plenty of fluids as per normal. 

I had one small alcoholic drink at midnight and after eight hours in bed I got up  and my night bag had just below 400 mls in it.

A blocked catheter will usually result in "by passing" of the catheter or possibly a bladder spasm. As the bladder starts to fill the normal action may push out the blockage. If he starts to feel his bladder is full or starts to feel ill then get urgent medical attention. 

Pity we are not allowed pictures on here, you would be surprised what can pass through a catheter.

The clear margins is good news on the histology report.

Thanks Chris

User
Posted 01 Jan 2022 at 08:50

Morning Elaine

 

First of all, I am sorry to hear that you and Rob had a restless night last night.

 

I am responding to your first message rather than your second one (06.42) as people more knowledgeable and qualified than me will be able to answer it in a much more detailed way. I never had any problem with my day bag  filling up, it was always the night bag that didn't start to fill up until I had given the pipework a shake etc. Like you, I was constantly  checking it to see if it was working etc. At one stage I was contemplating not using the night bag and to just set my alarm for every couple of hours so that I could check whether the day bag needed emptying. I found that it helped to have my head and torso at a 45 degree angle to the bed and to ensure that the pipework was not curled up in the bottom of my bucket holding the bag. I also found that exercise when I had my catheter in  gave my urine a more pinkish hue so stopped doing any exercise (obviously I didn't just lay in bed and ring a bell for my helper to attend to my every need and whim) and found that this returned my urine to a more normal colour.

Ivan

User
Posted 01 Jan 2022 at 09:09

I hope things get better for rob soon Elaine  and you go on to have a better time all the best for 2022  thinking off you gaz

User
Posted 01 Jan 2022 at 13:21

Thanks again guys for your replies. He slept in until about 11 and had a 1500ml bag by then 🤦🏻‍♀️ and no pink 🤷🏻‍♀️ so good news. It just felt a bit stressful again last night…you sometimes feel like it won’t start flowing properly again.

I think we definitely did too much walking the past couple of days and that is what has caused a little bit of blood blocking it. We are now resting as much as possible until catheter removal on Tuesday and consultant appointment on Wednesday.

Probably spent too much time reading through histology report trying to make some sense of it too so sleep was bound to be limited for me. 

Chris, Ivan & Gaz….wishing you all the very best for 2022. Fingers crossed a good year for all of us x

User
Posted 01 Jan 2022 at 13:37

At this stage, he should be doing not much more than a meander to the end of the street and back, or round the garden if you have one. The risk of hernia is significant for men who have had keyhole / Da Vinci RP, and it is often the case on this forum that these were the same men who overdid it in the early days.

Edited by member 01 Jan 2022 at 13:49  | Reason: Not specified

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 01 Jan 2022 at 15:44

Thanks Lyn. At the hospital they told him to walk as much as possible but don’t overdo it, also how it was a good time of year to explore London while it was quiet. It was just one day really that we walked a little too far, we did just meander with the dog but lesson learnt and certainly don’t want to risk a future hernia. 

Did you see my other post about the histology Lyn? Just wondered if you had any views on it? Your knowledge about any of this would be greatly appreciated. Thank you x

User
Posted 01 Jan 2022 at 16:27
Ha! Fair enough ... I imagined you had marched him up the Brecon Beacons or something!

No particular view about the histology - some of it is guesswork until you can clarify with the surgeon. Obviously, it is good news that they have amended from T3 to T2 and it makes no difference whether it was T2 a, b or c once the treatment decision has been made ... his prostate is now in a petrie dish so T2 is T2.

The upgrading to G9 is not great but again, hopefully it is all in a lab so makes little difference now.

The stick in the ointment is the positive lymph node / N1 which you are already aware increases the risk of recurrence and the need for adjuvant or salvage treatment (depending on his first post-op pSA and then PSA readings over the coming years). The comment about there being no lymphovascular invasion makes no sense to me in the light of the N1 but the surgeon can clarify that for you.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 01 Jan 2022 at 20:40

He would probably try Lyn if I let him 🤦🏻‍♀️😂

Thanks for your response on the histology. Atleast we’ll get to ask some questions soon. It was the No lymphovascular invasion that got me puzzled. I guess again I’m clutching at straws that when they took the lymph node then that’s it all gone! I think I’ve mentioned this before somewhere but my gran had breast cancer at 80, had mastectomy and they removed 3 lymph nodes (turned out 2 had cancer) she never had any other treatment and is now 95 and still doing fine. We will live in hope I guess. I’ll update next week when we’ve seen the consultant. 
Happy new year, and all the very best x

User
Posted 02 Jan 2022 at 20:58

Hopefully things are settling down and you are both ok gaz

User
Posted 02 Jan 2022 at 21:05

Thanks Gaz, yes things are better…catheter flowing well and not pink 🙏🏼 Only one more full day with the catheter all being well with TWOC and then post op consultation Wednesday. Busy week for us since we’ve been doing nothing for 2 weeks 😂

Hope all good with you 👍🏽

User
Posted 02 Jan 2022 at 21:45

That's good hopefully it continues  I am ok next PSA test in March see how we go but feeling fine at moment 9 months after radiotherapy still on hormone therapy until December 2022 but so far so good 👍

 
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