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first HDR brachy session complete

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Prostate Cancer
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Posted 12/8/2016 3:16 AM (GMT 0)
My first procedure was complete Tue morning and all went well except I am really having trouble urinating. When I left I was going ok and now it is like a check valve in backwards. If I push it just shuts off and there is quite a bit of pain. I am passing some dried blood and think that may have something to do with the problem. The area where the needles were inserted is not bad pain but the peeing is awful. Please tell me it's going to get better. I am drinking plenty of water but it seems like I am not emptying my bladder and again if I push at all it comes to a complete stop and the pain is immense. I am 4 hours from where I had the procedure but I plan on calling in the morning to see if I need to have a catheter re inserted.
Posted 12/8/2016 5:32 AM (GMT 0)
It will get better, in time.

Did they give you a phone number you could call if you had problems?

You might want to call the on-call doc.

If it gets too bad, get to the closest ER. They can put a catheter in. You don't want to be in pain.

Andrew
Posted 12/8/2016 9:47 AM (GMT 0)
After my surgery I had intermittent problems with retention and multiple trips to the ER to have the catheter put back in. Overall my situation is not very similar to yours, but I found that when I was having trouble urinating, and the effort to pee made it worse, a cough could help relax the muscles and let the pee flow.

If you find that you are completely blocked, head for the doctor or the ER early. Retention gets very painful, supposedly up there with childbirth and kidney stones. Don't wait until you are in agony, because it will take time for them to deal with you once you get there.

One time I was at the ER, laying on the table in considerable pain, and the nurse was going through a list of questions. One was: "Do you feel you are in danger at home?" Then: "Do you want to hurt anyone?" I avoided giving the obvious answer because that would only have delayed things further.

Good luck!
Posted 12/8/2016 1:25 PM (GMT 0)
A quick update. I passed a blood clot that was huge I liked to have passed out with pain and now I am flowing freely. I am going to talk to the doctors and nurses when I go back for number 2 to see what we or I can do to prevent this from happening again. The strange thing is all was well when I left and I guess the ride home settled the clot. Thanks for the replies and I will post up next visit on Jan. 3. Prayers to all on board.
Posted 12/8/2016 2:28 PM (GMT 0)
Thank goodness you passed the clot. I did not have the same experience, but was warned by my docs that there would be blood and clots for a few days. Mine were minimal. The perineum area will be bruised and tender for a while. My only limitation was being very careful when sitting down. I assume they prescribed the 5 or 6 day course steroids to reduce the inflammation.
Posted 12/8/2016 4:53 PM (GMT 0)
One of my bouts with retention resolved itself when I passed a clot. It was big and wormlike and I could scarcely believe it had traveled through the urethra! But the next day another clot appeared and I couldn't pass it, necessitating a trip to the ER. I was told at one point that you can actually pass a bigger blood clot through your urethra than through a catheter. Good luck.
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