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ThaiPauly

TURP Operation, Still Suffering

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26 minutes ago, uhuh said:

Make this "back in the USA".

It is (still?) quite popular in some European countries where there is no opioid addiction crisis (yet).

oxycontin is still getting the tick in the prescriptions box in Australia.

I was on it for over 3 years... 

 

only problem with finally coming off it, wasn't any to do with Withdrawals... 

 - it was the having to be in hospital for a week, getting continuous Ketamine Infusion!!

Now THAT is what made 'me' sick as a dog...     

 

when me Dad had that operation, he was too proud to keep wearing the Incontinence nappies... 

 - he wore condoms... with a full packet always with him 

  He started doing that; after one day driving himself home, he had a 'bigger than the nappie accident' on his velour carseat!  - the worst part was that he was pissing mostly blood (cancer) 

The plus though for him (all in the mind) was that at over 80, wearing a 'dom again made him somehow feel like a young buck again! 

 

... pity the condom kept blowing off too under the pressure

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3 hours ago, ThaiPauly said:

I have just got back from Bangkok Hospital where I have had a catheter fitted.

 

Just as well as it half filled immediately. So any danger I was in has passed for now as long as I keep the catheter in.

 

Sheryll, you say go to ER at Suan Doc but I went to supposedly the best Urologist in CM at what is supposed to be the best hospital in CM. It would have been much cheaper to have the operation at a government hospital but this Doctor was recommended on this forum and was trained by Dr.Bunnakit.

 

What on earth is a guy gonna have to do to get it right in this country?

 

I will be speaking to Dr.Wittawatt first thing in the morning to see what he has to say for himself and where we are supposed to go from here

 

Has the pain stopped with the catheter placed?

 

if so then the pain may just have been from urinary retention which is not that unusual post TURP.

 

If even with the catheter the pain continues then something else is going on.

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15 minutes ago, Sheryl said:

 

Has the pain stopped with the catheter placed?

 

if so then the pain may just have been from urinary retention which is not that unusual post TURP.

 

If even with the catheter the pain continues then something else is going on.

Hi Sheryl,

 

It's just uncomfortable now , especially with the cathetar , but not much I can do about that. It was

 

The pain came from pushing when trying to urinate. It was a real burning pain. As I no longer need to urinate it has now gone

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1 hour ago, Oliver Holzerfilled said:

Gulf Air will transit in Bharain.  Here is the relevant text from the Customs website -

 

"Passengers may bring into the country, medicines for personal use only. An original prescription from a registered medical practitioner must be enclosed (stamped and signed by the relevant medical authority with full details of the patient and medical condition). All medication should be in original packaging and should not have expired.

 Hallucinatory or psychotropic medicines and drugs are not permitted without a prior approval from the Ministry of Health.  Any passenger found with such medicines will be liable to prosecution under the relevant laws."

 

http://www.bahraincustoms.gov.bh/page.php?SID=WTBkR2JscFVNREZPYVZwMFVGUlpiV015TURsT1ZFazk%3D

Thanks very much Oliver, you have saved me a job

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On ‎9‎/‎7‎/‎2019 at 10:56 PM, ThaiPauly said:

Thank you for your very helpful response Xylophone, you have given me some hope that I may improve.

 

Luckily for me I can still pee though it hurts like H*ll, so I may get away without another catheter.

 

One thing I did not mention is that for me healing of any wound /operation takes longer as I have type 2 diebetis. But even sitting on my office chair is painful on my sternum, so I will now get back to the sofa

 

Thanks a lot for your words, they have given me some hope when I could not see a light at the end of the tunnel.

Not drinking leads to other problems so not recommended. 

You may be able to do intermittent catheterisation yourself if you can get a supply of catheters and training.

Perhaps you need a catheter in place for a while to allow healing. I had one for over a week after prostate operation.

Regardless, need to talk to consultant that did the op.

 

An air ring could help the painful sternum.

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It is not unusual to need a catheter temporarily after a TURP.

 

More common in the first week than 10 days later but can happen and in some cases take months to fully resolve.

 

It is usually caused by post-operative swelling in the urethra and/or edema around the neck of the bladder.

 

Rarely (like 1% of cases) a complication called bladder neck contracture occurs and that is more complex. If the retention (inability to fully empty your bladder) continues for more than a few weeks a cystoscopy may be indicated to take a look at the bladder neck .

 

My prior advice re ER etc was based on the reported extreme severity of pain and overall disability you seemed to be describing (so bad you could not stand/walk, expected to be denied boarding of plane, could hardly function, wanted ultra-strong narcotics etc etc). This sounded like something much more than urinary retention.

 

But if the catheter has brought relief then retention is likely all it was. as above, this will usually resolve with time though in some cases can take months in which case you may need to learn to self catheterize intermittently as that is better than leaving an catheter in place for a long period.

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18 hours ago, ThaiPauly said:

The pain came from pushing when trying to urinate. It was a real burning pain. As I no longer need to urinate it has now gone

Glad to hear that, you'll probably be fine in a couple of weeks.

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Been back to see the doctor this morning, he was very concerned and gave me a lot of his time.

 

He took a sample of my pee to create a culture so at least if I still have an infection when I have to go and see him a week today he will have a better idea of my condition.

 

He is very confident that it will come right, which is very good news.

 

It's just the awkwardness of the catheter no for the next weeks, but I'll get used to it Britman has had his for ages I think...a very brave guy, especially putting it in himself.

 

I could NEVER do that

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6 minutes ago, zlodnick said:

ThaiPauly,

 

Did you have the older, hot wire TURP, or the, Laser TURP? I've heard pain when urinating is common with the older TURP.

 

 I had Laser TURP done in India, 2 1/2 years ago. The surgeon told me there would be no pain, no incontinence, and no erectile problems.  He was right.

 

 However, after a week in India, I got home and there was no improvement in my condition. I wrote to the Dr., explained what was happening and he said I shouldn't be having problems. He said I could have developed a stricture and to go to my urologist and have him insert a Foley catheter into my bladder and then remove it. Well, my urethra was REALLY tender, so that wasn't going to happen.

 

 I was not too happy and didn't know what to do, so I did nothing. Then, after 3 weeks, I noticed some improvement. After that, it got better and better and by week 8 I was satisfied with the results. My urine stream was strong (not like a fire hose as some say), and it was steady. No more stop-start, stop-start, and never knowing when I'm finished. I could leave the house, run errands, visit someone and not have to <deleted> till I get home!

 

 There was very slow improvement for a full year until I felt that's as good as it's gonna get. There was another TVF member who went to India after me and his story is very similar to mine.

 

 I was under the impression you walked out of the hospital and everything was fine, just like a kid again.

 

So, ThaiPauly, I hope this gives you some comfort. It just may take awhile. 

Yep you are right, I walked out of there and thought everything would be fine.

If you read the post I have just made you will see what my current situation is

 

Thanks for taking the time to respond

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2 hours ago, Sheryl said:

It is not unusual to need a catheter temporarily after a TURP.

 

More common in the first week than 10 days later but can happen and in some cases take months to fully resolve.

 

It is usually caused by post-operative swelling in the urethra and/or edema around the neck of the bladder.

 

Rarely (like 1% of cases) a complication called bladder neck contracture occurs and that is more complex. If the retention (inability to fully empty your bladder) continues for more than a few weeks a cystoscopy may be indicated to take a look at the bladder neck .

 

My prior advice re ER etc was based on the reported extreme severity of pain and overall disability you seemed to be describing (so bad you could not stand/walk, expected to be denied boarding of plane, could hardly function, wanted ultra-strong narcotics etc etc). This sounded like something much more than urinary retention.

 

But if the catheter has brought relief then retention is likely all it was. as above, this will usually resolve with time though in some cases can take months in which case you may need to learn to self catheterize intermittently as that is better than leaving an catheter in place for a long period.

I will keep the catheter in for 7 days now,  and will review the situation when it comes out next Monday.

 

If I have to learn to self-catheterize as much as the idea fills me with dread I will just have to do it

I'm hoping it doe not come to that though

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38 minutes ago, ThaiPauly said:

I will keep the catheter in for 7 days now,  and will review the situation when it comes out next Monday.

 

If I have to learn to self-catheterize as much as the idea fills me with dread I will just have to do it

I'm hoping it doe not come to that though

I understand emergency departments can assign a nurse to insert a catheter. Still not pleasant. Perhaps BM2 can confirm cost.

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1 hour ago, ThaiPauly said:

It's just the awkwardness of the catheter no for the next weeks, but I'll get used to it Britman has had his for ages I think...a very brave guy, especially putting it in himself.

It was only for a month, couldn't wee at all, no previous signs.

But the drugs worked well, still have to be careful with alcohol and dehydration, that brings it back.

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12 minutes ago, Lacessit said:

I understand emergency departments can assign a nurse to insert a catheter. Still not pleasant. Perhaps BM2 can confirm cost.

It was around 250bht for a nurse to put it in or change it, including the catheter and bag (usually the prettiest and youngest nurse on staff). Always in the emergency department, fair bit of waiting around.

SanSai hospital on the road between MaeJo and Mae Rim.

 

Edited by BritManToo
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