Re: AUR Has Struck--What Next Medically?

On Jul 29, 10:41 am, Ed <e...@xxxxx> wrote:
On Sun, 29 Jul 2007 00:15:09 -0700, Michael <Tempr...@xxxxxxxxxxx>
wrote:



Long time BPH have been prescribed Flomax but do not take it every day
as recommended. Most days difficult urinating in the morning by night
very comfortable. Sleep interrupted an average of 1-3X per night over
about an 8 year period. High PSA, monitored for prostate cancer via
Ultra Sound/Biopsies every 18 months or so.

Earlier today for the 3rd time in the past 30 days I could not urinate
at all upon awakening While the previous two episodes of AUR resolved
themselves in about 4-6 hours (and by night I was comfortable) this
morning's after 8 hours of intense urge, maximum push and dribbles, I
got myself to the ER. I was catheterized. told to see my uro within a
few days (it was on a Saturday of course).

They ruled out a UTI and were concerned that white blood count was
high (13,000 ??). But otherwise I was sent home w with a leg bag in
and out of ER within 2 hours. My basic question is what to next
expect both over the next few days until I get to the uro . and what
the alternative scenarios/diagnostic and treatment might be once he
sees me.

Of some concern as I sit here basically comfortable but very
catheterized--13 hours and counting-- are 2 things. First, the nurse
said I'd not have any urge to urinate while the catheter is in and
that has NOT been so. Though the urges are not nearly as bad or as
frequent as they were this morning they have occurred (usually when I
shift positions, get up etc.) and they are intense (but brief 5 -8
seconds, every 20-25 minutes or so but usually when I change
positions).

Here comes the gross(er) part: first two leg bags urine very yellow
but normal otherwise (warm). Bags 3 and 4 definitely red (from
medium red to a paler but still distinctly red color) . Other than
worry-- I was not "warned" about this in my discharge instructions
from the ER-- I feel decent (good appetite neither too hot not too
cold only minor irritation where the catheter was inserted; moving
around slowly and being careful not to jolt the catheter the bag or
anything connected thereto). The red color is alarming of course so
any theories would be greatly appreciated even if it means I should
run back to the ER. It's now Sunday of course.

When the bladder is overfilled to excess, the stretching causes many
tiny blood vessels in the bladder wall to burst. The bleeding
discolors the urine.

Depending on how full the bladder was, there might be lasting effects.
Next time, get to Emerg sooner.

Check with the urologist, obviously. The immediate cause might be
infection which might resolve... and/or he might recommend a procedure
like TURP or PVP. In the meantime, intermittent self-catheterization
might be useful for you... ask him about it.

Good luck

Ed

Rich and Ed... Thank you very much for your feedback. I expect the
urologist will call me back on Monday (july 30th) the Answering
Service did not feel it warranted an emergency callback (this was
after ER had catheterized me, made me more comfortable, so I agree--
not a true emergency. I reside in South Jersey (near Philly). Is
there any standard way a uro approaches diagnosis treatment (from
least severe to most severe) or do most of them just "cut" right to
surgery (pun intended) option.

Are there any meds (again I sporadically take Flomax and am about
ready to also start with Avodart or Procar too) which if effective
would obviate the need for TURP or other surgery?

Oh...last two bags (slept reasonably well on my back of course!!)
most//all of the reddish color has disappeared. Back to yellow urine
color.

Last question: may I shower as usual (not concerned about the bag as
much as where the catheter was inserted into the penis).


Again thanks so much to both of you.

Michael


.

Relevant Pages

  • Re: AUR Has Struck--What Next Medically?
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  • The Catheter Saga - A Synopsis
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  • Re: The Catheter Saga - A Synopsis
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    (rec.aviation.soaring)
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