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Forum Name: Urology Topics

Question: Post baldder biopsy combined with prostate biopsy incont.


 wmindallas - Fri Jun 11, 2010 8:04 am

7 days ago had Prostate biopsy (12 needle through rectum ultrasound) and cyscopcopy ( looking for bladder stones, diverticula and tumor) History of bladder stones and prostate stones along with BPH for last 10 years. Was able to deliver 300ml of urine from a 800ml level in bladder at discharge. Stones confirmed (again), DRE presented no masses however PSA @ 14. First 48 hours of post op resulted in urine passing with great difficulty every 7 - 9 minutes 48 straight no relief. Began 100mg Phenazopyrid, bladder spasams now 1hour apart avergae still with extreme difficulty. Overnight result day 6 now have "Leakage" (low level).
Question. Am I now facing worsening incontenace conditions that will continue? If so how long is average, what should I expect next and for how long? Suggestions for relief?
Thank you very much for your time
wmindallas
 Dr.M.Aroon kamath - Mon Jun 21, 2010 6:18 am

User avatar Hi,
Transrectal ultrasound-guided prostatic biopsy has now become a relatively safe and widely available procedure.However, like any other invasive procedure, it has its own share of complications.The complications can be classified as
- immediate &
- late.

Some of the immediate complications are
- urethral bleeding,
- rectal bleeding &
- vasovagal reactions etc.

Some of the late complications are
- rectal bleeding,
- fever,
- perineal pain,
- hematuria,
- hemospermia
- epididymo-orchitis,
- urinary retention &
- septic shock.

Of these, septic shock is perhaps the most dangerous as it can result even in mortality.

Your symptoms certainly don't suggest emerging incontinence but more in favor of cystitis with some degree of bladder outlet obstruction - perhaps aggravated by the procedure. Consult your doctor & in all probability he/she may investigate you for a UTI. Hopefully, your symptoms should settle down fairly soon.
Good luck!
 wmindallas - Mon Jun 21, 2010 8:10 am

Application of AZO Standard for 8 days resulted in releif, incontinance ended after 14 days. Unfortunatly 7 of 12 biopisies are positive for prostate cancer 3 of 7 Gleason scored at 7,8 & 9 respectivly. Radical surgery scheduled 3 months out, radiation not an option due to minor but present bladder cancer which has all been removed without incident.
Thank you for your assistance
 Dr.M.Aroon kamath - Mon Jul 26, 2010 2:27 pm

User avatar Hi wmindallas,
Thank you for the update.I hope everything goes well for you. Good luck!

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