HIFU - Slow Urine Stream Afterward

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HIFU - Slow Urine Stream Afterward

by Iamdoingood on Sat Aug 22, 2009 12:00 AM

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I had successful HIFU Feb '09 (PSA .4). But lately, I've had slow stream urinating. Could some of the prostate sludge now be getting "stuck", blocking the urine stream? I can't seem to "push harder" when urinating and force it out. Any thoughts or suggestions? Thanks.

RE: HIFU - Slow Urine Stream Afterward

by ohnoo on Sun Aug 23, 2009 12:00 AM

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Hi,

Please don't push, there are no home remedies.  Call your doctor now.  You most probably need a TURP.  And, it won't get better on it's own.

Did you drink so much water you thought you'd float?  Did you use the catheter almost all the time it was in (clamping off for only a couple hours daily?)

 Bummer, I haven't heard of this except in the caution part of the brochure.

Good luck

 

RE: HIFU - Slow Urine Stream Afterward

by ohnoo on Sun Aug 23, 2009 12:00 AM

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I am also wondering--did you have the Sonablate or the Ablatherm?

RE: HIFU - Slow Urine Stream Afterward

by Iamdoingood on Sun Aug 23, 2009 12:00 AM

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On 8/23/2009 ohnoo wrote:

I am also wondering--did you have the Sonablate or the Ablatherm?

Sonoblate. My doctor does think it's the residue of the prostate in there. Whatever it is, it's causing weaker stream than before HIFU. But still urinating and emptying bladder. Just hoping if it is the sludge of the prostate it will come out. Maybe I can get an ultrasound so doctor can see what's in there.

RE: HIFU - Slow Urine Stream Afterward

by ohnoo on Sun Aug 23, 2009 12:00 AM

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On 8/23/2009 Iamdoingood wrote:

 

On 8/23/2009 ohnoo wrote:

I am also wondering--did you have the Sonablate or the Ablatherm?

Sonoblate. My doctor does think it's the residue of the prostate in there. Whatever it is, it's causing weaker stream than before HIFU. But still urinating and emptying bladder. Just hoping if it is the sludge of the prostate it will come out. Maybe I can get an ultrasound so doctor can see what's in there.


 

What a drag.  I can empty my bladder like a 17 year old now. 

I wonder if you drank those 48oz a day -- like we needed to after the treatment, if it would water it down, how about hot tea ~ maybe that would help...ultrasound sounds like a good idea...but I'm sure it's a piece that's too big to pass..

I wonder if it's just a strange occurance, or if your doc didn't cook the spots long enough to get ash.  When you had your bag--were there large pieces?

 

RE: HIFU - Slow Urine Stream Afterward

by ohnoo on Sun Aug 23, 2009 12:00 AM

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Maybe try sitting in a hot tub, or hot bath, and drinking hot tea????

RE: HIFU - Slow Urine Stream Afterward

by ohnoo on Mon Aug 24, 2009 12:00 AM

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Were you on Flomax for the first month after treatment?  This is why they prescribe it, it relaxes the spincter muscle and allows better flow, so sludge doesn't build up. 

Maybe you should take Flomax now.

Did you drink so much water you thought you'd float?  Did you use the catheter almost all the time it was in (clamping off for only a couple hours daily?) I know someone who was proud he could pee on his own and so he kept the catheter clamped all day, but it's there for a purpose, easy access for the ash.


 

RE: HIFU - Slow Urine Stream Afterward

by Iamdoingood on Tue Aug 25, 2009 12:00 AM

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I did take Flomax for a month or so right after HIFU. Yes, I drank massive quantities of water! And I started peeing on day 2, and cath out day 6. Alot of sludge (is it called "ash"?) for a few weeks.  

Good suggestion, and I'll ask my doc if I should try Flomax now.

So I'm hoping that if I need to get this taken care of, they could run a LITTLE tube up urethra, push or pull ash out, and that's that. Or, if it's scar tissue, dialate it and that's that.

Anybody else post HIFU and peeing like a 17 year old! Thanks. 

 

RE: HIFU - Slow Urine Stream Afterward

by ohnoo on Wed Aug 26, 2009 12:00 AM

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"catheter out on day 6"......................that's the problem.

 It's there to provide easy access for the sludge of ash.  It takes a couple weeks to get rid of the ash.

I was anxious to rid myself of it as well, but doc wouldn't, guess I should thank him.

 Damn.  Hope flomax works.  Please let me know.

RE: HIFU - Slow Urine Stream Afterward

by ohnoo on Wed Aug 26, 2009 12:00 AM

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I am also wondering if the doctor who took your catheter out tested to make sure your bladder was empty before removal, I just don't see how on day 6.   And day 2 peeing??  Should have been day 4, as the bulk of sludge (or ash--I call it that) comes out in the first few days.

Removing the catheter so soon-- I just have litle respect for your doctor, I know my local urologist would have loved for something to go wrong....

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