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User
Posted 18 Feb 2025 at 14:17

Hello to all. My name is Dave and I am 60 years old.

I have had chronic prostatitis which has flared up several times over 20+ years and it is due to the most recent flare up that I decided to consult a Urologist just to check all was OK. Just as well I did as it turned out!

The MRI scan showed a couple of areas which could have been related to the prostatitis but the consultant recommended I had a biopsy just in case.

The result of that was Gleason 3+4=7 (worst 2mm), PSA 2.0, MRI PI-RAD 4 left PZ but in a nutshell, early stages cancer. The prostatitis symptoms were entirely unrelated to the cancer so you could say I was lucky to get it checked at this time!

Having seen both the urologist and oncologist, I decided on the surgery as I was advised that RT could actually make the prostatitis worse and then my further options would be limited. The MDT also recommended this as the best option for me and I might have the additional bonus of getting rid of the prostatitis (but no guarantees).

I had a robotic radical prostatectomy last Tuesday which the consultant seemed pleased with and had the Catheter removed yesterday after 6 days.

I have little or no leakage (which is great) but am getting hesitation and poor flow at present, which seems different to a lot of experiences I have read on this forum. Hoping that this is temporary, despite being infinitely preferable to the opposite side affect) but seeing consultant next Monday.

Wishing all on here well and it has been really helpful and informative to read the experiences of others 😊

 

Dave

User
Posted 18 Feb 2025 at 16:40

Mb, I don't wish to alarm you but knowledge and experience go a long way

If that hesitation and slow flow turns into retention get yourself to urology  or A&E, it probably won't but better to be aware. Retention is a medical emergency even more so this soon after surgery. In your situation I would ring the urology department or the ward that discharged me and have a "what if" conversation.

You could have a bit of swelling, a bit of scab or debris restricting the flow. That may dissolve and things get back to a new normal.

Surgical clips purposely left inside can get into the urethra and or bladder and reduce the flow, supposedly quite rare.

Many of us were still passing bits of scabs and debris 6-8 weeks after surgery. Many of us also report passing bloody urine at the start or end of the urination.

Hopefully things will improve soon,but if in doubt get medical help.

Thanks Chris

User
Posted 18 Feb 2025 at 17:09

Cheers Chris,

I will be monitoring this very closely. It is OK atm as I am still passing urine albeit slowly but any change and I will act promptly as you rightly say.

Cheers,

 

Dave

 

User
Posted 18 Feb 2025 at 20:40

Hopefully that should be the end of the prostatitis too.

Definitely worth speaking to your surgeon about going in to retention. They might well say that if this happens, you must be catherterised by a Urologist, and not by someone in A&E, because of the risk of damaging the urethra/bladder join.

User
Posted 18 Feb 2025 at 20:53

Hi Andy,

Seeing the consultant on Monday but if any issues before then, I would not let A and E near me with a catheter. As you say, it can do a great deal of damage if not done properly.

Cheers,

Dave

 
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