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Doctor insights on: Blood In Urine After Radical Prostatectomy

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What is the recovery time after a radical prostatectomy?

What is the recovery time after a radical prostatectomy?

Varies.: After surgery, patients are admitted with a catheter in place & often a pelvic drain. Hospital stay is 1-2 days, & the drain is removed usually at discharge. The urinary catheter is removed at 5-7 days. Almost all men at this point will experience urinary leakage & erectile dysfunction, which improves with time. At 6 weeks, the incision site should be healed and all activity restrictions lifted. ...Read more

Urine (Definition)

Urine is the product of the kidneys, which is produced to eliminate the waste products of metabolism, manage body fluid balance, &maintain acid-base balance. The blood is first filtered by the kidneys, and the composition of the resulting fluid is then altered depending on the body's needs. It is composed of mostly water, and breakdown products from blood cells impart ...Read more


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I had a radical prostatectomy in which one nerve was removed. I will have follow-up radiation. I am 57. What are my chances of regaining potency?

I had a radical prostatectomy in which one nerve was removed. I will have follow-up radiation. I am 57. What are my chances of regaining potency?

Poor: Unfortunately, if your entire nerve was removed and you had good function before, most surgeons tell there patient that you have a 50% chance of regaining function. Once you have radiation, the odds will slip even more. Find a urologist who will be aggressive in helping with your sexual rehabilitation after surgery. ...Read more

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How well does radical prostatectomy work?

How well does radical prostatectomy work?

Complicated question: Radical prostatectomy (RP) can be very effective done properly, especially for cancers confined to the prostate gland (stage T2). It has been shown to reduce risk of metastasis and death in trials compared to no surgery. This is a topic of much debate centered on the fact that while effective if done properly, it may not be necessary for many men. The benefits appear to accrue to younger men ...Read more

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What is the definition or description of: radical prostatectomy?

What is the definition or description of: radical prostatectomy?

Complete removal: Radical prostatectomy refers to complete removal of the prostate specifically for cancer. This also involves removal of the attached seminal vesicles and part of the vas deferens. It can be done with or without "nerve sparing" depending on anticipated severity of disease. Other forms of prostatectomy are typically subtotal (e.g., turp) intended for relief of symptoms of enlargement. ...Read more

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Erections after a radical prostatectomy, should I be concerned?

Erections after a radical prostatectomy, should I be concerned?

You should be glad: If I understand, you're getting erections after you had your prostate taken out, just like you did before. That's a good thing. You're in no danger. ...Read more

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What's penile shortening after radical prostatectomy?

What's penile shortening after radical prostatectomy?

From scar tissue: When you remove the prostate you are taking away a piece of the urethra and then sewing it back together. This can cause some scarring which may inhibit penile length for more: www. Peedoc. Com @thepeedoc. ...Read more

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Could a man father children after radical prostatectomy?

Could a man father children after radical prostatectomy?

Not by intercourse.: During a radical prostatectomy, the prostate & seminal vesicles are removed, and disconnected from the vas deferens on both sides. There is no longer any ejaculate with orgasm. To father children, sperm must be recovered from the testis and ivf performed, or previously banked-sperm used. ...Read more

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For how long will I have incontinence after radical prostatectomy?

For how long will I have incontinence after radical prostatectomy?

Hard to tell: Your age and health partly determine this. The other factor is how well the surgery went. If your surgeon has done hundreds (preferably 1000s) of cases, you have a good chance to regain your continence within weeks to a few months. ...Read more

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Need expert advice. After radical prostatectomy is there chance for psa rise?

Need expert advice. After radical prostatectomy is there chance for psa rise?

Yes, . ..: Some one third after radical prostatectomy (rp) may have "rising psa" over time, which suggests three potential conditions: local recurrence; microscopic spread to nearby tissues, notably regional lns; spread to far sites, such as spine, pelvis, ribs, and lungs. Remember: the report of no metastasis from bone scan and ct before rp does not guarantee no spread in 100% because these tests can not. . ...Read more

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Does a rising psa after a radical prostatectomy mean cancer?

Does a rising psa after a radical prostatectomy mean cancer?

Yes: This is called psa recurrence. Depending on pathological factors you can predict the chances. Radiation and or hormone ablation are often next treatment steps if surgery was first treatment. ...Read more

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Can a rising psa after a radical prostatectomy mean I have cancer?

Can a rising psa after a radical prostatectomy mean I have cancer?

It means....: Desirable psa after successful radical prostatectomy (rp) is staying low at. ...Read more

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How useful is radical prostatectomy?

For cancer yes: Used generally for Prostate cancer as long as the disease is deemed curable by that method ...Read more

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How effective is radical prostatectomy?

Complicated question: Radical prostatectomy (RP) can be very effective done properly, especially for cancers confined to the prostate gland (stage T2). It has been shown to reduce risk of metastasis and death in trials compared to no surgery. This is a topic of much debate centered on the fact that while effective if done properly, it may not be necessary for many men. The benefits appear to accrue to younger men ...Read more

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How are radical prostatectomy done in australia?

How are radical prostatectomy done in australia?

A few approaches.: Most radical prostatectomies in developed countries are done either as open radical prostatectomies or as robotic prostatectomies. Laparoscopic prostatectomy is less frequently performed, and open perineal prostatectomy is mostly no longer performed. Though the relative numbers of each differ from center to center and country to country, these are the surgical approaches available in australia. ...Read more

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Is there something they will give me for anxiety before I do a radical prostatectomy?

Is there something they will give me for anxiety before I do a radical prostatectomy?

Typically yes: Most anxious patients will receive a dose of Midazolam -a Valium cousin- prior to leaving the pre-op area. Current shortages of this drug _2/12_ may limit this practice or require substitution. Your surgery will typically be done under general anesthesia, though your anesthesiologist will discuss your options. ...Read more

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I am about to have a radical prostatectomy. What is the criteria for follow-up radiation therapy?

I am about to have a radical prostatectomy. What is the criteria for follow-up radiation therapy?

Latest update: There are two very recent clinical studies which showed high risk patients, that is patients with positive margins, seminal vesicles involvement and cancer spreading beyond the capsule, will get benefits from early adjuvant radiation after surgery rather than waiting until psa goes up. They have a better chance of controlling and surviving the prostate cancer if they receive early radiation. ...Read more

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After a radical prostatectomy is it possible to be diagnosed with prostate cancer? Is prostate cancer possible with no prostate present?

After a radical prostatectomy is it possible to be diagnosed with prostate cancer? Is prostate cancer possible with no prostate present?

Prostate cancer: During a radical prostatectomy the entire prostate is removed so it is very unlikely a person could develop prostate cancer following a radical prostatectomy. ...Read more

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What can I do to support a family member with radical prostatectomy?

What can I do to support a family member with radical prostatectomy?

Be sensitive.: Radical prostatectomy patients have to deal with both a diagnosis of cancer & with the recovery associated with surgery. They may not feel entirely whole as they deal with the initial urinary leakage and loss of erectile function. Despite this, these patients typically rebound from their surgery quite quickly & be encouraged to resume the activities & hobbies they enjoyed. Good luck to you both. ...Read more

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Can I have children when a radical prostatectomy has been done, without adopting?

Can I have children when a radical prostatectomy has been done, without adopting?

Yes but expensive: Yes but you'd have to get sperm from your testicle. If you haven't had surgery yet you can donate and save it. If you have had it they can harvest sperm from the testis and perform icsi. A fertility specialist would do it. @thepeedoc www. Peedoc. Com. ...Read more

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Psa 7, gleason 8, 30cc prostate, 1cm spot, patient 68yr, no apparent metastities. Is radical prostatectomy the best option, can you tell me?

Here are some. ..: If he is resonably healthy, yes, radical prostatectomy will give him a better edge of long-term survival although possibly expecting instant negative impact to his erection and urine control. If his health status is marginal, other options of care such as radiation or cryotherapy will result in comparable outcome despite G-score at 8/10. So, consult Doc to balance medical necessity & possibility. ...Read more

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Any new techniques for control of urinary incontinence following radical prostatectomy?

Any new techniques for control of urinary incontinence following radical prostatectomy?

Surgery: If one develops severe urianry incontinence after radical surgery and has failed conservative management and medications, then surgery is the next option. This includes collagen injection to help close the bladder opening or placement a sling underneath the urethra. A fianl measure would be to place an artificial (plastic) sphincter to close the urethral while not urinating. ...Read more

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After radical prostatectomy followed by radiation therapy in 3 months. Can the cancer comes back?

After radical prostatectomy followed by radiation therapy in 3 months. Can the cancer comes back?

It can: Risk of biological failure, when the psa blood test continues to increase or drops and then increases above what it originally was, is dependent on cells leaking outside of the prostate capsule. This risk is somewhat predictable based on original psa, t stage, and gleason score as well as how much tumor was in the prostate. Xrt after surgery tells me there was concern about leftover cells. ...Read more

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After radical prostatectomy followed by radiation therapy in 3 months. Can the cancer come back?

After radical prostatectomy followed by radiation therapy in 3 months. Can the cancer come back?

Possibly: The risk of this depends mainly on the pathologic findings (ie, stage and gleason grade) at surgery as well as preoperative psa. There are "nomograms" or calculators of this risk available to estimate such risk. Nomograms. Mskcc. Org/prostate/salvageradiationtherapy. Aspx is one which you might find useful. ...Read more

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My dad (age 61) has aggressive stage 4 prostate cancer after radical prostatectomy, and will not get any treatment. How long is he likely to live?

My dad (age 61) has aggressive stage 4 prostate cancer after radical prostatectomy, and will not get any treatment. How long is he likely to live?

Here are some. ..: Sorry to hear the sad news of your dad. Who decided not to get any Rx? Your dad or Doc or both? If Doc or both, he would be in the real terminal stage & hard to live longer than 4-6 months; if by himself & still fighting to live on, he may still have some existing strength to live > 6 months. So, ask Doc along the course of his last days of life so he may cope with such to preserve quality dignity ...Read more

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After surviving a radical prostatectomy followed by radiation therapy 6 yrs ago I have had an itchy left breast which has at times been weepy. Psa. 4?

After surviving a radical prostatectomy followed by radiation therapy 6 yrs ago I have had an itchy left breast which has at times been weepy. Psa. 4?

The common cause: Of 'breast' enlargement, discharge would be hormone management: Bicalutamide is highest. You need an exam. The fact that you have a single > 0.1 psa worries me. Get another. The breast issue is unlikely to be cancer related; however you need an exam, and a diagnosis. ...Read more

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Had flex. Cysto. Done. Clear result. No blood in urine after cysto. But, 2 days after cysto., bloody urine which cleared soon. Was it due to cysto.?

Had flex. Cysto. Done. Clear result. No blood in urine after cysto. But, 2 days after cysto., bloody urine which cleared soon. Was it due to cysto.?

Post Cysto Blood: It is not uncommon to see blood after a cystoscopy. This should resolve within 4-7 days. If persistent or related to burning, contact your urologist for evaluation for a post-cysto UTI. ...Read more

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What causes blood in urine after intestinal surgery?

What causes blood in urine after intestinal surgery?

The catheter: Typical therapy for a surgical patient is a Foley catheter inserted into the bladder. This can cause minor trauma with blood in the urine. It should resolve in a day or two. If not then investigation is required. ...Read more

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I get blood in urine after having an erection. What should I do?

I get blood in urine after having an erection. What should I do?

See a Urologist: Gross blood or blood you can see in urine should be evaluated by a urologist. It may require some urine tests, ct scan imaging and possibly a cystoscopy (or direct look in the bladder with a small scope). Questions to consider: any pain with blood, any associated symptoms, are you a smoker or not, any other voiding (peeing) issues? See your pcp for a referral. ...Read more

Dr. Michael Yu
39 Doctors shared insights

Radical Prostatectomy (Definition)

Radical prostatectomy refers to complete removal of the prostate specifically for cancer. This also involves removal of the attached seminal vesicles and part of the vas deferens. It can be done with or without "nerve sparing" depending on anticipated severity of disease. Other forms of prostatectomy are typically subtotal (e.g., turp) intended for relief ...Read more


Dr. Michael Michaels
639 Doctors shared insights

Blood In Urine (Definition)

Hematuria is the presence of blood in the urine. When you can see the blood, it's called gross hematuria. When the blood can only be seen under a microscope it is known as microscopic hematuria. Hematuria can be caused by kidney stones, kidney infections, urinary tract infections, an enlarged prostate, cancer, certain medications, and ...Read more