Unable to Urinate Freely

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Unable to Urinate Freely

by twoyys on Wed Apr 08, 2009 12:00 AM

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I have asked this question on other message boards too but have not received any concrete answers.  I have been treated for cancer with brachertheraphy in December 2008.  My last PSA results show less than .5 so I am cured as far as the cancer is concerned.  My problem is about two months ago I started to have this bout of not being able to urinate freely.  When I felt the need to urinate and went to the bathroom I began to feel like I was having an erection, causing me to just dribble and stop urinating.  After it became limp several minutes later I could urinate.  I had a bladder flow test done at the hospital and was informed that I have partial blockage.  My uro did a cystology??? also and said it is down near the bladder neck and it is from the effects of the radiation.  He is puzzled as the effects should be waning now and should not cause any problems. He told ne that the erection come because my bladder is full but could not give me any remedy.  Can any one out there help me?  Similar cases. Am very perplexed and need some help thank you. Twoyys in Hawaii. Aloha.....

RE: Unable to Urinate Freely

by jcr65566 on Thu Apr 09, 2009 12:00 AM

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hi Twoyys mate you have a partial blockage because after your treatment your urethra that goes through your prostrate gland  was also damage by the radiation so it is mostly scar tissue now. The roll of scar tissue is  when scar tissue foams,  it takes the place of any dead tissue it come across, when it finish doing this it  Thicker than the surrounding tissue. Scar tissue is paler and denser, then normil tussue because it has a limited blood supply; I know this is what’s happened to most of your prostrate gland and the urethra that goes through it because the urethra was also damage the thicker scar tissue what cause your urine blockage but it not  perminent the scar tissue in your urethra will evenuly have a better blood supply thind down then the blockage in your urethra will get better Im amaze your doctor did not explan this to you cheers Mate Ray  

http://www.wisegeek.com/what-is-scar-tissue.htm

When skin or organs are damaged, the body naturally wants to heal itself. Since the body cannot re-create healthy skin or tissue, it puts together new fibers that are not as functional as the original tissue, but that serve as a protective, useful barrier. When this barrier is completely healed, it is known as a scar.

Scar tissue is the fibrous connective tissue which forms a scar; it can be found on any tissue on the body, including skin and internal organs, where an injury, cut, surgery or disease has taken place, and then healed. Thicker than the surrounding tissue, scar tissue is paler and denser because it has a limited blood supply; although it takes the place of damaged or destroyed tissue, it is limited in function, including movement, circulation, and sensation. Other than with minor cuts and scrapes, scarring is a common result of any bodily damage.

Scar tissue in the skin is inferior to healthy, normal skin for several reasons: sweat glands are damaged or destroyed, hair does not grow back, and there is less resistance to ultraviolet radiation. Skin scars are normally flat and pale, illustrating the history of the injury which caused them, yet often a body will produce too much fibrous tissue, resulting in an extra thick or raised scar.

Hypertrophic scars form as red lumps on the skin but stay within the confines of the original wound. Keloid scars may cover the original wound but then continue to grow, causing a type of tumorous growth. Hypertrophic and keloid scars can occur in anyone, but are more common in younger and dark skinned people. In rare cases, keloid scars form without warning or injury.

Scars can never be completely removed. Many doctors advise their patients to use vitamin E supplements or creams to speed the healing process and keep the scar tissue suppler. Surgeries are available to remove scars, but any surgery will always make a new scar: the former scar may be less obvious, but it will not go away completely. Surgery is not recommended for hypertrophic or keloid scarring, as there is the risk of recurrence and worse scarring.

 

 have asked this question on other message boards too but have not received any concrete answers.  I have been treated for cancer with brachertheraphy in December 2008.  My last PSA results show less than .5 so I am cured as far as the cancer is concerned.  My problem is about two months ago I started to have this bout of not being able to urinate freely.  When I felt the need to urinate and went to the bathroom I began to feel like I was having an erection, causing me to just dribble and stop urinating.  After it became limp several minutes later I could urinate.  I had a bladder flow test done at the hospital and was informed that I have partial blockage.  My uro did a cystology??? also and said it is down near the bladder neck and it is from the effects of the radiation.  He is puzzled as the effects should be waning now and should not cause any problems. He told ne that the erection come because my bladder is full but could not give me any remedy.  Can any one out there help me?  Similar cases. Am very perplexed and need some help thank you. Twoyys in Hawaii. Aloha.....

RE: Unable to Urinate Freely

by DocTV on Thu Apr 09, 2009 12:00 AM

Quote | Reply

If you have any scarring around the sphincter at the base of the bladder it will decrease the stream and force of the urine flow. I experienced this after my HIFU treatment but there is a simple procedure that corrected the problem. The urologist slid into the urethra ever larger sized catheters that I believe he inflated a little to stretch the opening. This widened the bladder sphincter by breaking down the scar tissue. After he was finished I was back to normal with the strength of the urine flow as well as the width of the stream.

RE: Unable to Urinate Freely

by adepose on Thu Apr 09, 2009 12:00 AM

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I had brachytherapy done at the end of November, 2007.  I didn't have any problem as you described, but I did have some discomfort while urinating after.  I took  treatments, one a week for 6 weeks using DMSO.  This involved emptying my bladder then injection 50cc of DMSO into the bladder, then holding it for 30 minutes.  It worked and I didn't have any more problems.  I did have a microwave treatment a couple years earlier to clear the urethia and this could have made the difference.  Best of luck to you.

 

RE: Unable to Urinate Freely

by twoyys on Thu Apr 09, 2009 12:00 AM

Quote | Reply

 

On 4/9/2009 jcr65566 wrote:

hi Twoyys mate you have a partial blockage because after your treatment your urethra that goes through your prostrate gland  was also damage by the radiation so it is mostly scar tissue now. The roll of scar tissue is  when scar tissue foams,  it takes the place of any dead tissue it come across, when it finish doing this it  Thicker than the surrounding tissue. Scar tissue is paler and denser, then normil tussue because it has a limited blood supply; I know this is what’s happened to most of your prostrate gland and the urethra that goes through it because the urethra was also damage the thicker scar tissue what cause your urine blockage but it not  perminent the scar tissue in your urethra will evenuly have a better blood supply thind down then the blockage in your urethra will get better Im amaze your doctor did not explan this to you cheers Mate Ray  

http://www.wisegeek.com/what-is-scar-tissue.htm

When skin or organs are damaged, the body naturally wants to heal itself. Since the body cannot re-create healthy skin or tissue, it puts together new fibers that are not as functional as the original tissue, but that serve as a protective, useful barrier. When this barrier is completely healed, it is known as a scar.

Scar tissue is the fibrous connective tissue which forms a scar; it can be found on any tissue on the body, including skin and internal organs, where an injury, cut, surgery or disease has taken place, and then healed. Thicker than the surrounding tissue, scar tissue is paler and denser because it has a limited blood supply; although it takes the place of damaged or destroyed tissue, it is limited in function, including movement, circulation, and sensation. Other than with minor cuts and scrapes, scarring is a common result of any bodily damage.

Scar tissue in the skin is inferior to healthy, normal skin for several reasons: sweat glands are damaged or destroyed, hair does not grow back, and there is less resistance to ultraviolet radiation. Skin scars are normally flat and pale, illustrating the history of the injury which caused them, yet often a body will produce too much fibrous tissue, resulting in an extra thick or raised scar.

Hypertrophic scars form as red lumps on the skin but stay within the confines of the original wound. Keloid scars may cover the original wound but then continue to grow, causing a type of tumorous growth. Hypertrophic and keloid scars can occur in anyone, but are more common in younger and dark skinned people. In rare cases, keloid scars form without warning or injury.

Scars can never be completely removed. Many doctors advise their patients to use vitamin E supplements or creams to speed the healing process and keep the scar tissue suppler. Surgeries are available to remove scars, but any surgery will always make a new scar: the former scar may be less obvious, but it will not go away completely. Surgery is not recommended for hypertrophic or keloid scarring, as there is the risk of recurrence and worse scarring.

 

 have asked this question on other message boards too but have not received any concrete answers.  I have been treated for cancer with brachertheraphy in December 2008.  My last PSA results show less than .5 so I am cured as far as the cancer is concerned.  My problem is about two months ago I started to have this bout of not being able to urinate freely.  When I felt the need to urinate and went to the bathroom I began to feel like I was having an erection, causing me to just dribble and stop urinating.  After it became limp several minutes later I could urinate.  I had a bladder flow test done at the hospital and was informed that I have partial blockage.  My uro did a cystology??? also and said it is down near the bladder neck and it is from the effects of the radiation.  He is puzzled as the effects should be waning now and should not cause any problems. He told ne that the erection come because my bladder is full but could not give me any remedy.  Can any one out there help me?  Similar cases. Am very perplexed and need some help thank you. Twoyys in Hawaii. Aloha.....


Thank you for the reply.  Am now convinced that things will get better. My urologist as I said mentioned it but did not give me a definite answer.  Your explanation shed light on my case and gives me hopr it will get better.  Thank you very much.  Aloha from Hawaii,  Yoshiro

 

RE: Unable to Urinate Freely

by twoyys on Thu Apr 09, 2009 12:00 AM

Quote | Reply

 

On 4/9/2009 adepose wrote:

I had brachytherapy done at the end of November, 2007.  I didn't have any problem as you described, but I did have some discomfort while urinating after.  I took  treatments, one a week for 6 weeks using DMSO.  This involved emptying my bladder then injection 50cc of DMSO into the bladder, then holding it for 30 minutes.  It worked and I didn't have any more problems.  I did have a microwave treatment a couple years earlier to clear the urethia and this could have made the difference.  Best of luck to you.

 


Thank you for the repl. Will try and ask my uro next time I visit him.  Aloha from Hawaii,  Yoshiro

 

RE: Unable to Urinate Freely

by twoyys on Thu Apr 09, 2009 12:00 AM

Quote | Reply

 

On 4/9/2009 DocTV wrote:

If you have any scarring around the sphincter at the base of the bladder it will decrease the stream and force of the urine flow. I experienced this after my HIFU treatment but there is a simple procedure that corrected the problem. The urologist slid into the urethra ever larger sized catheters that I believe he inflated a little to stretch the opening. This widened the bladder sphincter by breaking down the scar tissue. After he was finished I was back to normal with the strength of the urine flow as well as the width of the stream.

Yes I have heard of this procedure but I think the uro is not comfortable doing this now.  He wants me to insure the radiation has completed it's life to insure its effect.  Than if necessary he told me he can do procedures to open it up.  If he opens it up now, I may later be faced with incontinence because the uretha is too large.  Damm if you do and damm if you don't.  My uro is just playing it safe so I don't regret any thing we do to cause further complications.  He did simple dilation but it did not help.  Thank you for the information.  Aloha from Hawaii,  Yoshiro

 

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