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Debris in urine post prostatectomy

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User
Posted 26 Aug 2025 at 17:45

Hi - I was wondering if anyone has suffered with large amounts of debris in their urine roughly 4 weeks after prostatectomy. I was alarmed last week, (which was one week post catheter removal), when I felt something dislodge while passing urine and my flow was reduced to dribbles. I tried passing urine twice and could only get drops and dribbles. Subsequently I found I could force a stream which resulted in a lot of debris coming out in the urine - mostly blackish grains and some larger flakes. This has continued now for 5 days and it feels like there is still a larger bit of debris restricting my urethra. I’ve gone from 3 pads a day to hardly needing one at all because urine only passes out if I force it. The hospital seem pleased that I have no infection and that I am able to pass urine all be it forced. Anyone had similar experiences of debris causing blockage ?

User
Posted 26 Aug 2025 at 21:42
Yes you get all sorts of debris coming out BUT you shouldn't have any restriction of flow. Check with the urology department if concerned
User
Posted 26 Aug 2025 at 22:25

Zero, I passed a kidney stone a few weeks after my prostatectomy. I and a few more one here also had to have  hem o lok surgical clips removed that had migrated into the bladder or urethra. I am surprised they have not decided to put a camera into the urethra/bladder. That forcing of urine surely can't be good for your water works,but I am not a urologists,just someone with similar experience. If you get to a position where you cannot pass any urine get yourself straight down to A&E. Not being able to completely void your bladder may lead to a urine infection.

Thanks Chris 

Edited by member 26 Aug 2025 at 22:27  | Reason: Not specified

User
Posted 27 Aug 2025 at 10:51
I found visible debris pre TWOC but it didn't seem to cause any restriction. Asked my doctor whether this was normal and he said "Yes".
User
Posted 27 Aug 2025 at 12:23

Originally Posted by: Online Community Member

Thanks for the reply. I did tell urology dept immediately as I was frightened of complete blockage - they told me to go to A&E first - they checked my bloods and urine for infection and sent me home because I could still pass urine - weren’t interested in debris. Spoke to the urology nurse twice since then and similarly they were a bit dismissive of my belief there was some debris causing restriction and seemed pleased that I had suddenly become continent !
Could someone explain what these clips are that others have mentioned as sources of debris - how large are they and what are they made of ?

Cheers.

They are an inert  polymer clip used to clamp off blood vessels during the surgery, the surgeon may leave several inside the abdomen/ pelvic cavity. They should just settle in a corner and not be an issue. Occasionally they move around and migrate into the bladder or urethra. On this occasion I think it is safe to Google hem o lok, I have never seen anything about them being a danger just an inconvenience if they need to be removed. I have seen one guy who passed one naturally.

Thanks Chris 

User
Posted 29 Aug 2025 at 06:50

Debris is common. Just keep hydrated as hopefully should clear. Mostly it’s made up of scabbing in the bladder as the catheter retaining balloon irritates the bladder lining when in place. When I walked around for any length of time this was evident as I had pink urine on the catheter bag. Fully cleared around week 5 post op. If you have total block recommend consulting clinical staff. 

clips can be made out of several materials depending on what the historian uses…. Titanium, polymer and fairly recently magnesium (which apparently dissolve after a year or so). 

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User
Posted 26 Aug 2025 at 21:42
Yes you get all sorts of debris coming out BUT you shouldn't have any restriction of flow. Check with the urology department if concerned
User
Posted 26 Aug 2025 at 22:25

Zero, I passed a kidney stone a few weeks after my prostatectomy. I and a few more one here also had to have  hem o lok surgical clips removed that had migrated into the bladder or urethra. I am surprised they have not decided to put a camera into the urethra/bladder. That forcing of urine surely can't be good for your water works,but I am not a urologists,just someone with similar experience. If you get to a position where you cannot pass any urine get yourself straight down to A&E. Not being able to completely void your bladder may lead to a urine infection.

Thanks Chris 

Edited by member 26 Aug 2025 at 22:27  | Reason: Not specified

User
Posted 27 Aug 2025 at 08:50

Thanks for the reply. I did tell urology dept immediately as I was frightened of complete blockage - they told me to go to A&E first - they checked my bloods and urine for infection and sent me home because I could still pass urine - weren’t interested in debris. Spoke to the urology nurse twice since then and similarly they were a bit dismissive of my belief there was some debris causing restriction and seemed pleased that I had suddenly become continent !
Could someone explain what these clips are that others have mentioned as sources of debris - how large are they and what are they made of ?

Cheers.

User
Posted 27 Aug 2025 at 10:51
I found visible debris pre TWOC but it didn't seem to cause any restriction. Asked my doctor whether this was normal and he said "Yes".
User
Posted 27 Aug 2025 at 12:13

Originally Posted by: Online Community Member
 Anyone had similar experiences of debris causing blockage ?

I had debris in my urine post-op and debris in my faeces (sh*tting bricks) pre-op. 😁

Edited by member 27 Aug 2025 at 16:34  | Reason: Typo

User
Posted 27 Aug 2025 at 12:23

Originally Posted by: Online Community Member

Thanks for the reply. I did tell urology dept immediately as I was frightened of complete blockage - they told me to go to A&E first - they checked my bloods and urine for infection and sent me home because I could still pass urine - weren’t interested in debris. Spoke to the urology nurse twice since then and similarly they were a bit dismissive of my belief there was some debris causing restriction and seemed pleased that I had suddenly become continent !
Could someone explain what these clips are that others have mentioned as sources of debris - how large are they and what are they made of ?

Cheers.

They are an inert  polymer clip used to clamp off blood vessels during the surgery, the surgeon may leave several inside the abdomen/ pelvic cavity. They should just settle in a corner and not be an issue. Occasionally they move around and migrate into the bladder or urethra. On this occasion I think it is safe to Google hem o lok, I have never seen anything about them being a danger just an inconvenience if they need to be removed. I have seen one guy who passed one naturally.

Thanks Chris 

User
Posted 29 Aug 2025 at 06:50

Debris is common. Just keep hydrated as hopefully should clear. Mostly it’s made up of scabbing in the bladder as the catheter retaining balloon irritates the bladder lining when in place. When I walked around for any length of time this was evident as I had pink urine on the catheter bag. Fully cleared around week 5 post op. If you have total block recommend consulting clinical staff. 

clips can be made out of several materials depending on what the historian uses…. Titanium, polymer and fairly recently magnesium (which apparently dissolve after a year or so). 

 
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