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Urology (Expert Forum)
Bladder neck obstruction after Prostatectomy
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Bladder neck obstruction after Prostatectomy
by jawilson56, Jan 09, 2004 12:00AM
I am a 56 year old male and had a radical protastectomy on 12/8/2003 after which I wore the new silicone catheter for 2 weeks. On 12/23/2003, at the doctor's office, the catheter would not come out at first. I was told to go home and that it would fall out on its own. However, I was in some discomfort so later that day, I returned to the office, and the catheter was removed after some difficulty. The doctor showed me a small ridge about 2 inches down from the tip of the catheter which he claimed, made this particular catheter more troublesome to use, but it was preferable to the standard latex catheters.
Later on, I was in full urinary retention and had to be rushed to the emergency room in tremendous pain. On 12/24/2003 A cystoscopy was performed and another catheter inserted. On 12/29/2003 my urologist indicated that scar tissue had formed over the bladder neck, and that the blockage was removed and that the catheter would need to stay in for a total of another three weeks, after which time I should suffer no ill effects.
1. How can I determine if this is the right course of action.
2. To what extent can my problem be attributed to the first catheter. (everyone seems to be critical of it)
3. Do I need a qualified second opinion?
Thanks for your help,
Jim Wilson
jim.***@****
Later on, I was in full urinary retention and had to be rushed to the emergency room in tremendous pain. On 12/24/2003 A cystoscopy was performed and another catheter inserted. On 12/29/2003 my urologist indicated that scar tissue had formed over the bladder neck, and that the blockage was removed and that the catheter would need to stay in for a total of another three weeks, after which time I should suffer no ill effects.
1. How can I determine if this is the right course of action.
2. To what extent can my problem be attributed to the first catheter. (everyone seems to be critical of it)
3. Do I need a qualified second opinion?
Thanks for your help,
Jim Wilson
jim.***@****
Doctor's Answer
by Kevin Pho, MD, Jan 12, 2004 12:00AM
, Jan 12, 2004 12:00AM
To answer your questions. Please note that I am not a urologist, so you may want to consult a 2nd opinion for further information on your questions.
1) It would seem that this is a reasonable course of action. It is likely that the catheter has to stay in to prevent the scar tissue from causing another obstruction.
2) I was not able to find date supporting an increased incidence of bladder neck obstruction with silicone catheters. It may be certainly possible that the groove presence may have stimulated scar tissue to form around it.
3) If there is any doubt or concern about the care you are receiving, it is certainly reasonable to obtain a second urological opinion.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
1) It would seem that this is a reasonable course of action. It is likely that the catheter has to stay in to prevent the scar tissue from causing another obstruction.
2) I was not able to find date supporting an increased incidence of bladder neck obstruction with silicone catheters. It may be certainly possible that the groove presence may have stimulated scar tissue to form around it.
3) If there is any doubt or concern about the care you are receiving, it is certainly reasonable to obtain a second urological opinion.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Member Comments
by jawilson56, Jan 19, 2004 12:00AM
To: Prostate Cancer
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