Gleason 9, Still blood in urine.

This is my first time posting here. My husband had RP surgery Nov 23. Upgrade from 5+3=8 to 4+5=9. Tumor involved 80% of prostate, right and left lobes. Margins focally positive (apical, bladder neck, anterior, lateral). Seminal vesicle invasion present, right and left. Five of 11 lymph nodes positive. Pathologic Staging: pT3b pN1.

Now my question. Is it normal to have blood in his urine 6 weeks after surgery? This doesn't happen just once or twice in a week, it is every day. He notices it after doing Kegals, after he has tried to stop and start while urinating, when he is trying to start a stream. He said there was a small clot this morning in his pad. I noticed a small spot (quarter size) yesterday while changing a pad. He had started to leak during the pad change, he tried to stop it, when he pulled the pad up, then down, there was a spot of blood and urine in the pad already. He has never had continence, several pads during the day, and at least one at night, even after getting up at 1 to 2 times to pee.
The catheter was taken out 10 days after surgery. He had a UTI 7 days later. He then had to have a catheter put back in for 4 days, because he wasn't able to fully empty bladder. Dr could not find a stricture, at that time.

Another problem he complains about is, a very uncomfortable feeling (pressure) between his testicles and rectum. He has this a lot.

Anyone else had these problems or any ideas on what it could be? Help!!!

OT, I had blood on and off for about 6 weeks post surgery, mostly clots, and more when I was active. I asked my surgeons PA, who told me that it's fairly common for up to 8 weeks or so.

With that said, I am not so sure (i just don't know) that it's common to have fairly constant blood in urine at 6 weeks or so,post op as your husband is. Intermittent, yes. Constant, I don't know, I'm guessing not. So it would be worth calling the surgeon and asking. It's always better to be cautious. There are no dumb questions and there's no such thing as asking too many questions or calling the surgeon too many times, after surgery like this.

Good luck. And stick around, let us know how things turn out

Welcome to the forum. It sounds like he has a fight on his hands but we have lots of members who have similar results and who are doing fine. I hope we can help.

As for the blood in his urine and the occasional pain in his pelvic floor those aren't particularly unusual during the first few months after prostatectomy but they are things to tell his doctor about. Usually a surgeon's office will have a nurse whose responsibility includes talking to patients about that sort of recovery-related issues. Call the surgeon's office and, if they offer an option to talk to a nurse say yes -- usually the nurse can answer the question and if the question needs the doctor's attention it can added to the surgeon's inbox.