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I am a 74 year old man who had prostate cancer 10 years ago. After 7 years I developed a stricture up by my prostate mainly from the lower valve up into the prostate. For the last 3 years I have had numerous surgeries to open the stricture which never lasted very long. At 8:30 this morning I had a urethroplasty which according to my doctor turned out quite well. It is now 3:30 in the afternoon and I am fully awake and my pain level is about about a 3. I will have to have a catheter for 4 weeks. I am writing this because I have rarely seen anyone on this site my age and prostate cancer.
I will continue to report daily until I have successfully peed.
The surgery for this is different then for end to end. The doc removed the lower valve and part of the prostate. Next re-sewed the urethra to the prostate.Hi Heyitsme,
Thanks for the response.Yesterday was surgery for me. Some pain mainly from the cath. Did not need graft, so no mouth pain.
Today no pain. Walked the hospital halls for half an hour. Waiting for my Doc to release me for home. Doc says due to my age and diabetes I will have to wait 4 weeks before trail. I wore a super public tube for a year so I am used to caths. Will use plugs during day and bag at night. No pain pills yet, only anti-flamitories. Have to say they removed pain. Nurse says I will continue use them at home.
Please Heyitsme update me on your status.
Steve
I was sent home on day of surgery. Had 1 cm bulbar urethral stricture. Removed w/ end to end urethroplasty. I have a foley catheter and i must say it has been a nuisance. But only 2 days left. In hindsight, a plug during the day would have been nice. I’ve stayed in the bed mostly. Want to make sure that I have the best possible recovery and only have to do this 1 time. I still have a lot of soreness / ache in my scrotum and perineum areas. I’m not taking any meds but I’m going to ask the doc if there is anything he can prescribe to take some of the ache away. An anti-inflammatory sounds like a good idea.
Best of luck
Hi Heyitsme,
Doc took me off anti-inflammatory med. Said I could only use for a short time. Could damage my liver if used to long. Was sent home yesterday afternoon. Used pain med last night and this morning. Stopped med this afternoon. Only using Tylenol now. Have pain mainly in scrotum. Walking a lot. Doc says that’s the best thing I could do. Using bag of frozen peas on my scrotum for 15 minutes every 8 hours. Helps with pain and swelling. How long for your swelling to go down? Time for dinner now.
Thanks so much for your response and and info. Your Foley is coming out pretty soon?
SteveToday is day 4 after my surgery. Yesterday I pooped for the first time. I had been taking Senokot-S (a laxative) plus a stool softener before my operation. After three days I was still a little constipated. The first time was a little rough but since then I have had no trouble going. Also, I am eating a lot of soup (Chicken noodle and Lentil) and other soft foods. I also take a teaspoon of Baking Soda diluted in water. This helps to keep your urine less acidic. I drink a lot of water and use a night bag day and night. I continue to walk a lot.
My pain level is going down but I continue to use a low dose of pain med (Tramadol). My scrotum is still inflamed. Doc says that will go away in a couple of weeks along with the pain. Need a pillow to sit. Prefer to lie down.
After the first day my urine cleared up and has been clear ever since.
Doc told me that my prostate was almost totally blocked and he had to remove most of it and reconnect the urethra to what is left of prostate. He feels the bladder valve is working fine.
Will be glad to answer any other questions.
Steve
Getting that first poop out of the way is a relief. I found that pooping has been no issue for me. I was pretty focused on taking the meds in the beginning but I’ve laid off recently.
Glad to hear your pain level is manageable. I did not do much at all the first 3 weeks. I’ve moved a lot since yesterday and I’m pretty sore. But it’s manageable.
I hope your recovery and result is everything you hope it will be. Keep the updates coming.
FYI… my doc had me take antibiotic prior to cath removal. Made me fairly nauseous. Not sure if you have to do same but if so, do on a full stomach.
Heyitsme,
I am so happy to hear your cath removal went well.
Could you tell me how long it took for the swelling in your scrotum to go down. Mine is the size of a grapefruit and is very black and blue. Seems to have gone down a little in the last day or so.
I will keep up my posts.
Steve
Mine was swollen badly probably for 1.5 to 2 weeks. I think by 3rd week it was starting to look at least close to normal.
Heyitsme,
Thanks for the info. Glad to hear you are back to work and doing well.Today is day 6 I am still sore although the pain has reduced. Only taking Tylenol now. Seems to help. I have three more weeks before the Foley is being removed. This is required by my doc due to my age (74) and the fact I have diabetes. Young folks heal quicker.
Still walking every day. Got warmer here in Illinois so I can walk outside for about 20 minutes. Last week we had snow here. I am from Florida and it still feels cold to me. Have family and my surgeon here. Will wait to go home until the Foley is removed and I am peeing fine.
Steve
Today I am at the four week point and had my cath removed. My doc explained to me that he had to remove most of my prostate and the lower sphincter. He put me to sleep prior to doing the urethrogram and scope. When I woke I was in post op and no cath present. Doc explained that he wanted to make sure I was open and told me not to worry about control. I left the surgical unit expecting to be incontinent and running to the toilet every ten minutes. Drank a full glass of apple juice prior to leaving. Wife drove me home. About two hours after apple juice felt like I had to pee. Went to the pot and
- Whow!
for the first time in two years I peed normally. During the day I went as long as three and half hours with no leaks and then went pee.
Most strictures are in the lower urethra leaving the prostate, upper and lower sphincters in tack. With prostate cancer radiation strictures the lower sphincter and part of the prostate must be removed, leaving only the bladder neck sphincter. Seems like my sphincter is working fine.
Could not be happier.
Steve
THREE MONTH REPORT
I am now 3 months out of surgery and going pee on my own 2 months. I have healed very well. Still a little sore but tolerable. Having to go at night 2 to 4 times. My urethroplasty was in the prostate area. I lost my lower valve and only depend on the bladder valve. Leak a little if I wait to long or listen to running water. Have to go twice to empty completely, then I can go for 2 to 3 hours before next pee. My stream is smaller, but has not changed since removal of the catheter.Would I do this again – definite YES. Wish I had done this sooner and not messed with other surgeries.
I feel my doc is a miracle worker, as I was told by local docs that the surgery he did was impossible.
Steve
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