GreenLight Laser Surgery Complications
NJRetiree

Lakewood, NJ

#859 Jul 3, 2012
Hi Paul,
The Ural doesn't seem to be available in the US, and I noticed that one AU seller warned not to use it for more than 5 days in a row (I'm not sure why?).

Sorry you are feeling poorly, and hope you will get some relief soon. How long did it take to recuperate from the center lobe 18 months ago? Why did you need a second GL so soon?

I think the mechanism to relieve the burning urination may be to drink something slightly acid which will turn the urine more alkaline, which will burn less than a more acid urine. Yesterday I saw on another forum that drinking lemon water helped someone. I put a couple of good squirts from a bottle of lemon juice into 20 ounces of water and drank it. It helped quite a bit, but produced a very full stream, relatively painless pee every 10 minutes for the next hour. Then I went out and bought some cranberry juice cocktail as recommended by JayP above, and had 8 oz. juice with 8 oz. of water with dinner. That helped the burning less than the lemon water, but still helped, and wasn't so diuretic. I only got up 4 times during the night. Today at lunch I had 8 oz. of plain seltzer, 8 oz. of cranberry juice and 2 squirts of lemon juice. So far the burning pain on urination is down from a 9 to about a 6 and the after burn is down from about a minute and a half to a half minute. Wish I had known all this when it was head banging torture to pee, but that's what these forums are for.
I'm 14 days post op, taking it very easy, and other than the burning I don't have a complaint... and now the burning is finally tolerable.(It's now "ouch, ouch", rather than "Holy Mother of God".) Of course, I'm 65 and retired and can get to a bathroom in about 5 seconds, which is usually (but not always)enough to keep from having to change my shorts. I've also got a lifetime of day frequency and a few years of night frequency under my belt, so I can take that in stride. If I needed to go to work, I would be toting a suitcase of adult diapers and garbage bags with me.

Bob
Paul wrote:
NJRetiree I use an effervescent powder called ural it is used for the relief of burning symptoms of urinary tract infections. I take one at night so in the morning there is next to no pain. Also i drink a lot of mint tea. I aslo was drinking heaps of water. In some ways i am lucky I had my center lobe removed 18 months ago. So I know about the trips to the loo this time round I am not as bad but I still feel like crap.
Paul

Bennetts Green, Australia

#860 Jul 4, 2012
Bob, i was off work for 6weeks and i was put on visycare to stop me from peeing. Seems funny that I had the operation to get me peeing and had to take visycare to slow the peeing down. I was off visycare after about 3weeks. So with my past experience I am thinking 8weeks before I will feel a 100%. I am post op day 14 I also had a prostate biopsy as well the operation. I been getting a few night sweats was quite bad when I first come home. This has been 2 years of hell with my prostate. A high psa the 3biopsy and two times in for surgery. Oh also the have I got cancer or have I not. All I hope is I do not get any regrowth I would hate to have this OP in my 60's. I have a great flow now as for any damage to my sexual function do not know i think there is a great chance of retro ejuculation. I guess you can not have it all. I do feel that i am like 15years early for all this drama.
Regards
Paul
Paul

Bennetts Green, Australia

#861 Jul 4, 2012
Bob. The second op was to take out the left and right lobes. Also my flow rate was down and my psa was rising up to 5.2. From 4 in dec2011 The idea was to get my flow rate better and biopsy the left and right lobes also i had a prostate needle biopsy at the sametime. The doc wanted to rule out cancer. Did you have a high psa bob? in the end i was cought between a hard place and a rock.
NJRetiree

Lakewood, NJ

#862 Jul 5, 2012
Hi Paul,
Thanks for your posts. It feels good talking to a fellow recuperating GL veteran.

I do have a PSA of 6.3, but I'm not worried about it.
My urologist was going to do a biopsy but spent 70 minutes removing a large area that was pushing into my bladder, plus the tunneling and opening of the bladder mouth. He told me a very large prostate will cause a high PSA, which makes sense. I'll check it again in 6 months. My feeling is as long as there's not a rapid rise in PSA past 10, which would probably be an aggressive cancer, it doesn't matter too much to me at 65. I've read that slow moving localized PC is common in men from 65 to 85 and only has about a 3% mortality rate. In fact the treatments may do more harm.
My PSA has risen about a half a point a year for the past few years up to 5.5 last year. This year I had an 8.9 but retested and got a 6.3. My uro said he believes it is all from having a very huge prostate. I'm satisfied with that unless the PSA jumps past 10.
I'm 65 but if I were your age I would probably be more concerned. When will you get your biopsy results?

Right now I'm just working on recovering from the GL.
The lemon water and cranberry juice had short lived success on helping the pain of urination. Today my wife gave me a 500mg tylenol and that worked wonders for about 6 hours. The pain went from a 8 or 9 to a 4. The burning started coming back and I just took another one. I hope the tylenols work until the pain decreases on its own, because I will be taking the vicodin (hydrocodone) otherwise. I've got no complaints otherwise.
Today I had a social engagement and just wore adult diapers and depends over them. I didn't need them but couldn't take a chance. If I have to change my shorts in the house it's no big deal. I've had bad frequency most of my adult life, but can't deal with the meds as they gave me dry mouth, loss of taste and dropped my BP to 40/70. Compared to the side effects of the meds, the frequency is much easier. If I stay at 2 to 3 hours during the day and 2hours or better at night, I will be satisfied.
I'm on day 16, and have found I don't have the retro. My uro said if flomax didn't give me retro, the GL probably wouldn't either, and he was correct.
Take it easy. Hope we both improve at a good rate.
Bob
Paul wrote:
Bob. The second op was to take out the left and right lobes. Also my flow rate was down and my psa was rising up to 5.2. From 4 in dec2011 The idea was to get my flow rate better and biopsy the left and right lobes also i had a prostate needle biopsy at the sametime. The doc wanted to rule out cancer. Did you have a high psa bob? in the end i was cought between a hard place and a rock.
paul

Bennetts Green, Australia

#863 Jul 6, 2012
hi bob, my biopsy come back all clear so that is a great weight of me.the urologist did tell me that my prostate was very big as he put it i now have a shell of a prostate. it will be interesting to see how low our pas levels go down like you said it will be 6 months before i have a blood test.i am post day 17 due to time difference. been passing a few blood clots but last time the clots kicked in at about 3 weeks.i had a major bleed as well.so i had to take on a heap of water so as to not block up. i still have a bit of pain when i pass urine. and ever now and then a bit of blood. as for the RE i am not game to find out just yet if i have re. i think that my urologist would of been aggressive in the removal of left and right lobes. but i will roll with the punches if i have RE.i do not need any pads but was in them for the first 3 days. i got back to see my urologist 24july. i will have to find out how many grams of prostate he cut out. i am not due back at work till august will have to see how i go lifting the 40kg pavers and bags of sand and cement. bye for now will bob will post more updates-as things improve.
paul

Bennetts Green, Australia

#864 Jul 6, 2012
hi bob, my biopsy come back all clear so that is a great weight off me.The urologist did tell me that my prostate was very big as he put it "i now have a shell of a prostate". It will be interesting to see how low our pas levels go down like you said it will be 6 months before i have a blood test.I am post day 17 due to time difference.Been passing a few blood clots but last time the clots kicked in at about 3 weeks.i had a major bleed as well.So i had to take on a heap of water so as to not block up. I still have a bit of pain when i pass urine. and ever now and then a bit of blood. As for the RE i am not game to find out just yet if i have re. I think that my urologist would of been aggressive in the removal of left and right lobes. but i will roll with the punches if i have RE.I do not need any pads but was in them for the first 3 days. I got back to see my urologist 24july. I will have to find out how many grams of prostate he cut out. I am not due back at work till august will have to see how i go lifting the 40kg pavers and bags of sand and cement. Bye for now bob will post more updates-as things improve.
NJRetiree

Lakewood, NJ

#865 Jul 7, 2012
Hi Paul,

Happy to hear you got a good report on the biopsies. That must be a weight off your mind!
Will report on my PSA when I test it.
Everything has been quite tolerable for me (I'm used to the round the clock every hour hour or two frequency and urgency so it doesn't bother me) except for really bad pains when I urinate. Haven't had any lasting relief from the feeling of getting a red hot poker through my works with a minute or two of afterburn from anything except extra strength Tylenol for the past three days. Most people don't have the continuing bad pain, those that do have it bad for weeks or months. Mine hasn't changed a bit in 18 days. I'll post again when something significant changes. Best regards.

Bob
paul

Bennetts Green, Australia

#866 Jul 7, 2012
i am still getting a bit of pain when i pass urine a bit of blood now and then and frequency and urgency. oh also the doc used an Holmium laser not green light. i think the wave lengths are different. here is a link that shows some info about it.

paul

http://www.roboticprostatesurgery.com.au/beni...
NJRetiree

Lakewood, NJ

#867 Jul 7, 2012
Paul,

I've read a few posts that claim the holmium laser is superior to the greenlight in terms of recovery. That could be why you are doing so well.
I got a little relief tonight from the burning urine by drinking a half teaspoon of sodium bicarb (baking soda) which is alkaline, dissolved in a glass of water. I read elsewhere that it reduces the ph of the urine (turning it more alkaline and less acid)which should help the burning, as acidic urine will burn... I checked my urine with a ph strip before drinking the bicarb and it was 6.0 which is fairly acidic. An hour and a half after drinking the bicarb I felt some relief and checked it again and it was 7.0 - neutral. So the bicarb acted like the lemon water in relieving the burn by about 50%. Even though lemon water is acidic, it supposedly turns alkaline once its digested. But like with the lemon water, I have been passing prodigious amounts of water at about 20 minute intervals. Tiring, but still better than the burning. I will try to learn more about an alkalizing diet, which up to now I thought was quackery. Hope that Quinine water is alkalizing as I always liked the taste of it (with or without the gin). One other thing I found when I tested my urine is that although it looks yellow in the toilet, it looks quite pink in the cup. So I have most likely never stopped passing blood in my urine.

Bob
paul

Bennetts Green, Australia

#868 Jul 11, 2012
just a quick up date it seems i am now in the club of retrograde ejaculation. not what i wanted but not the end of the world. i have a bit of pain at the end of passing urine i have stopped bleeding. still a bit of urgency. this is post opp day 22.

paul
NJRetiree

Lakewood, NJ

#869 Jul 13, 2012
Day 24 post GL... Still have light bleeding. Urgency usually gives me 10 seconds or so to get to the bathroom, but once a day or so the stream starts within 3 or 4 seconds without my being get to the bowl in time. Frequency about every 2 hours or so. This is the first day the burning pain on and after urination was bad but less than the level where a pain killer was thought of.
I'm back to drinking my light coffee in the morning, back to my normal diet on everything but the whiskey. I didn't use baking soda and water today (it helped the burning but upset my stomach). I'm walking a mile several times a day. I'm Seeing slow progress forward. Stream is good. Somehow I avoided the retro. I'm off all meds.
paul

Bennetts Green, Australia

#870 Jul 17, 2012
day 28 or 4 weeks post op Still getting a bit of pain and I am up in the night for a pee. Funny all the time I had an enlarged prostate I never was up in the night for a pee. Feeling stronger but still have a bit of a dull pain in my prostate after sex. I think my flow has eased up a bit. I am looking at going back to work Aug. 6. Night sweats have just about gone. I am going to start running in a weeksÂ’ time. Will post up date after I see urologist on 23 july.
paul
NJRetiree

Lakewood, NJ

#872 Jul 18, 2012
Day 28 post GL. Been taking Cipro for last 4 days. Urine was cloudy and burning got very bad. Cipro has cleared up the urine and burning is slightly better. Urine looks clear in the bowl or urinal at night. Test strips show blood and pus still there but improving.(Leukecytes down from moderate to slightly less than moderate). Only drinking water and plain seltzer (can't have caffeine with the cipro). Going about 4 times a night. Burning is eased after a night's sleep, then gets progressively worse during the day. Been taking deep long breaths when I pee. Works to distract me a bit from the burning. ON a scale of 1 to 10, burning is 2 in the morning and 7 at night. Learning to live with it until (if)it goes away. Going to uro tomorrow.
paul

Bennetts Green, Australia

#873 Jul 19, 2012
had a bit of a step back myself bob. was feeling quite sick yesterday. also since i had sex i started to get an burning pain when i pass urine. i get up every night for a pee. i get a pain in my left side it is like a stitch. i have increased my water and i am back on ural and paracetamol.
NJRetiree

Lakewood, NJ

#874 Jul 19, 2012
Paul, I think that it may be like that for a while ... two steps forward, one step back. I was wondering myself if there was a connection to sex and increased burning. But if so, I'll live with the burning. I noticed too if my urine is more concentrated it burns more, but if I start peeing a lot and more often it is less concentrated and less burning. I'm trying to drink more liquids too, a couple of liters a day at least. But day/night rhythms are reversed. I don't pee much during the day, no matter how much I drink, it all comes out at night. Day volume is probably 1/3 of night volume which is usually about 3/4 to 1-1/2 liters, getting up 4 to 6 times. Luckily my wife doesn't mind me using a bedside urinal, and I go back to sleep in minutes.
NJRetiree

Lakewood, NJ

#876 Jul 20, 2012
Saw my urologist yesterday. First time since the GL which was 30 days ago. He told me my prostate was about 120 grams and he removed about 70 grams. Also said my prostate was full of pus when he did the procedure, indicating chronic prostatitis in addition to the bph. Also said it sounds like I have an infection and keep taking the cipro another 7 days. Also gave me a prescription to get blood and urine work done at the lab before I see him again in 4 weeks. My own urine test strips show moderate amounts of pus and blood, which he said should take another month or so to clear up. He recommended drinking lots of liquids to help flush it all out. Burning was real bad today due to small amounts of concentrated urine. Went back to taking a diuretic bp med (I had tapered off and stopped) and drinking the 1/2 tsp of sodium bicarb in a large glass of water in addition to plain water and plain seltzer. Maybe because of the diuretic, my urgency is back. Didn't make it to the toilet 3x today. I'm back in the Depends. I'm walking 20 to 40 minutes a day at a moderate pace. It's ironic, but yesterday I remarked to my wife that hope doesn't change anything and was probably just another word for desperation. Today I'm back to hoping for the best.
paul

Bennetts Green, Australia

#877 Jul 21, 2012
Bob
Sorry to hear that you have this drama. I see my uro in the morning. I have got a lot better the increase in water has helped me. This is the best day yet for me. It is an rollercoaster ride
NJRetiree

Lakewood, NJ

#878 Jul 22, 2012
Hi Paul,
Really glad to hear you are doing better. Hope to be able to say the same in a month or so.
paul

Bennetts Green, Australia

#879 Jul 23, 2012
Bob,
Things are not what they might seem. so I have seen the urologist today. Did not go to plan I told him about the burning when I pass urine. With that we done a flow test. My rate was down to 13ml per sec.
The urologists said that he thinks it could be scar tissue. With that he said we should re Insert an catheter to see if I have a blockade. He did fee a blockage and pushed the catheter through it. Re done my flow test was back up to 22mil per second. Back on cephalexin for 10days if this does not get sorted in the next 5or6 days then I have to go back into hospital for a day procedure. I am off work for 4 more weeks.
NJRetiree

Lakewood, NJ

#880 Jul 23, 2012
Hi Paul,
Sorry you didn't get a better report on the doctor's visit. My flow varies during the day. It seems that once I go to bed at night, the flow is it's strongest and the burning is least. Once I get up in the morning, the flow decreases during the day and the burning increases. If I feel like going and there's not a lot in my bladder (less than 50 ml. or so), then the flow is weak (less than a third of the good flow) and the burning is intense. The more in my bladder, the stronger the flow and the less the burning. Hope you don't need a second procedure, but if you do, hope it does the trick. It's a roller coaster ride for sure. Hope we get off the ride and can put it all behind us in another month or so.

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