cannonball

Sorry for the previous interrupted posting

Let's try it one more time::


Hello:

Just discovered this newsgroup. Perhaps someone can set my mind at
ease.

To-day is the 9 th day since my TURP procedure.

I'm still in the middle of an antibiotic and stool softener routine
(400 mg Norfloxacin tablet twice/day; Docusate sodium 100 mg capsule
twice/day. Also, 3 days prior to surgery my own doctor was alarmed
at my high blood pressure reading (190/90) and as a result put me on 1
½ tablet/day of Atenolol 50 mg. I am also taking 1 Tylenol prior
to bedtime.


Prior to TURP, I was taking 1 ½ capsule of Flomax/day for BPH which
has been with me for the last 5 years. I was "Cytoscoped" in Oct
2002 (BPH confirmed) and went on two 6-week sessions of antibiotic
(Sulfamethox/Trimethoprim 400/80 mg (Oct-Nov 2002, and again on
April-May 2003). Recently I complained that the Flomax seemed to
work 40-50% of the time and I was really getting tired of the variety
of symptoms ( up 4-5 x per night, very slow flow, painful urination
and drowsyness at work and home).

I've had an uncomfortable 9 days post TURP. I believe my urine
production is working because I excrete about 200 to 230 cc for every
250 cc of water consumed every hour on the hour. The problem is the
agony I go through to urinate. I've been reclining and resting about
70% in daylight hours and when I get up following the urge to urinate,
I am in agony for 5-10 seconds to get the first 80-100 cc of urine out
of the bladder. I literally bounce my head off the bathroom wall as I
try to start the first stream . It's as if my urethra is constricted
and major effort is required to get the first flush of urine. On day
3-8 the effort usually caused a bowel movement (real solids or dry
heaves) and then followed by the release of urine. (The bowel
movement prior to urination I assume is the normal course of action at
times). At nights, I have to walk around for 5-10 minutes before I
can urinate an additional 100-120 cc and feel comfortable enough to
return to bed.

To-day, thankfully I can urinate without the bowel movement action;
however , the pain in my urethra when urinating is still extremely
comfortable. I feel that the stress is still causing mid elevated
high blood pressure.

Over the past 2 days I notice that I cannot seem to hold more than
100-140 cc of urine and as a result I have to urinate almost every 30
minutes.

The urine over the past 9 days is cloudy and there is residue 90% of
the time in the form of tiny white "mucous" tendrils or particles.
(No more blood clots were visible after 2 days.). Prior to TURP, I
did notice cloudy urine one to two times a month.

So - does everything I described fit in with the normal course of
recovery?

· I'm assuming the urethral pain and apparent constriction is
attributed to the prostate being swollen after surgery and that yes,
I must hold on for another 2-3 weeks before I can find relief.
· My Doc told me to stop using Flomax after TURP. Would Flomax help
me in the short term during this recovery phase?

Will the cloudy urine be around for a several more weeks?

· I'm concerned that I may be carrying a lot of urine in my bladder -
is this possible and is it cause for concern? I've always felt that
I've never been able to empty the bladder completely over the past 2
years. Over the 7 hours of monitoring after the removal of my
catheter at 6 am ( catheter was in place for 17 hours overnight after
surgery), the nurse did 2 ultrasounds in response to my difficulty in
urinating comfortably and determined that I had 500cc of urine in my
bladder at 10 am and 350 cc at 1 pm.

· My surgeon sent me home at 2 pm indicating that it will take a while
to return to normal -

So should I be expecting the pain and apparent urethral
consrtiction to subside over the next 2 weeks - Am I being a wimp and
should I shut up and tough it out?

I hope I'm not imposing on this site - Thanks for sharing any insights
with me.

Ken

beach runner

I'd be pretty pissed at a doctor doing antiquated surgery when
laser surgery is available. But now you have only time. Time
heals wounds. If it doesn't get better, got to John Hopkins
Urological Institute and quit messing around with mediocre
doctors.