Prostate !! ?? What's the latest approach?

[MacDoc]

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I'm pretty stable with the catheter issue now but taking a/b has played havoc a bit and can't stop until teeth repair complete.
I'm 1/3 of the way to the teeth repair/maybe 1/4 - just need to get past controlling with a/b.
Another round next week.
Getting old sucks.

 

[Baggsy]

@MacDoc What is a/b?

The biopsy area doesn't really hurt at all now. No fever so I should be in the clear for infection. Still no heavy lifting.
I have the prostate size of a 40 year old, but it is diffusely heterogeneous, which means it is not uniform in texture and/or composition.
Waiting on the lab results now.
Getting old still sucks.

 

[MacDoc]

a/b = antibiotics - hellish easier to type

 

[Baggsy]

So, biopsy results are in, and they found nothing malignant. I still have to go to the specialist’s office to hear it in person. I wonder if I’ll need an appointment for the CT scan results, as well.

 

[MacDoc]

Decisions, decisions - was hoping to try for a stable catheter setup that I was used to but trusted medico and partner led to another solution as better.

Suprapubic Catheter | Bladder & Bowel Community

A suprapubic catheter is a hollow flexible tube that is used to drain urine from the bladder through a cut in the abdomen - find out more here.

www.bladderandbowel.org

Options of trying to fix my specific problem further risks incontinence and further sepsis infections or a multi-10s of thousands of dollars reconstruction that no one thinks is appropriate.. Not going there.
The deciding factor was the supra was easily reversed. They take my penis and ureter out of the problem (neck below 1) and stick a small hole in me leading directly to the bladder. (2 and 3 below)
When I need to pee I just open a little valve as I do currently and pee in the toilet bowl. No bags etc

Suprapubic Catheter | Bladder & Bowel Community

A suprapubic catheter is a hollow flexible tube that is used to drain urine from the bladder through a cut in the abdomen - find out more here.

www.bladderandbowel.org

on my way to cyborgville
The thing that changes is I no longer put the catheter in and out myself - it stays in for 4-12 weeks. ( that's a variation of what I have now ). I just open the valve to pee.
Then the urology nurse changes it to a new one - 10 minute visit no pain/discomfort procedure.
The key for me to making this decision is it is easily reversible.
Sounds dire but both partner and urology nurse have dealt with hundreds of supra catheters and there is far lower risk of infection.

 

[nobbie48]

Decisions, decisions - was hoping to try for a stable catheter setup that I was used to but trusted medico and partner led to another solution as better.

Suprapubic Catheter | Bladder & Bowel Community

A suprapubic catheter is a hollow flexible tube that is used to drain urine from the bladder through a cut in the abdomen - find out more here.

www.bladderandbowel.org

Options of trying to fix my specific problem further risks incontinence and further sepsis infections or a multi-10s of thousands of dollars reconstruction that no one thinks is appropriate.. Not going there.
The deciding factor was the supra was easily reversed. They take my penis and ureter out of the problem (neck below 1) and stick a small hole in me leading directly to the bladder. (2 and 3 below)
When I need to pee I just open a little valve as I do currently and pee in the toilet bowl. No bags etcView attachment 74562
View attachment 74561

Suprapubic Catheter | Bladder & Bowel Community

A suprapubic catheter is a hollow flexible tube that is used to drain urine from the bladder through a cut in the abdomen - find out more here.

www.bladderandbowel.org

on my way to cyborgville
The thing that changes is I no longer put the catheter in and out myself - it stays in for 4-12 weeks. ( that's a variation of what I have now ). I just open the valve to pee.
Then the urology nurse changes it to a new one - 10 minute visit no pain/discomfort procedure.
The key for me to making this decision is it is easily reversible.
Sounds dire but both partner and urology nurse have dealt with hundreds of supra catheters and there is far lower risk of infection.

I think we'd all like to keep all the original equipment but parts age out one way or another. If a replacement part or system keeps a person active and healthy what's the point in suffering because it's not OEM.

 

[GreyGhost]

Decisions, decisions - was hoping to try for a stable catheter setup that I was used to but trusted medico and partner led to another solution as better.

Suprapubic Catheter | Bladder & Bowel Community

A suprapubic catheter is a hollow flexible tube that is used to drain urine from the bladder through a cut in the abdomen - find out more here.

www.bladderandbowel.org

Options of trying to fix my specific problem further risks incontinence and further sepsis infections or a multi-10s of thousands of dollars reconstruction that no one thinks is appropriate.. Not going there.
The deciding factor was the supra was easily reversed. They take my penis and ureter out of the problem (neck below 1) and stick a small hole in me leading directly to the bladder. (2 and 3 below)
When I need to pee I just open a little valve as I do currently and pee in the toilet bowl. No bags etcView attachment 74562
View attachment 74561

Suprapubic Catheter | Bladder & Bowel Community

A suprapubic catheter is a hollow flexible tube that is used to drain urine from the bladder through a cut in the abdomen - find out more here.

www.bladderandbowel.org

on my way to cyborgville
The thing that changes is I no longer put the catheter in and out myself - it stays in for 4-12 weeks. ( that's a variation of what I have now ). I just open the valve to pee.
Then the urology nurse changes it to a new one - 10 minute visit no pain/discomfort procedure.
The key for me to making this decision is it is easily reversible.
Sounds dire but both partner and urology nurse have dealt with hundreds of supra catheters and there is far lower risk of infection.

Iron butt champion of the world incoming. Add an extension hose to the valve so it drains out below your boot and pile on the miles.

 

[MacDoc]

Sailplane pilots on long xcountry flights already use a penis sheath with a tube to make life easier.
In theory even now I could just slip a tube out my side opening AirGlide 3s at the bottom and dribble my way around.
Tho need to remember to shut the tap for fuel or food breaks.
The bike will go farther than I will on a single fill but food breaks are a big feature of my riding.

 

[GreyGhost]

Sailplane pilots on long xcountry flights already use a penis sheath with a tube to make life easier.
In theory even now I could just slip a tube out my side opening AirGlide 3s at the bottom and dribble my way around.
Tho need to remember to shut the tap for fuel or food breaks.
The bike will go farther than I will on a single fill but food breaks are a big feature of my riding.

Lots of people use the sheath. Your system seems more elegant and comfortable as well as less prone to failure as most find out the sheath has slipped by the warm feeling on their leg.

 

[MacDoc]

The catheter can leak inside the urethra too from the pressure of say taking a **** then it gets really annoying but then a cold weather ride might make a sheath rather dodgy.
When it works - what I have works well riding.
My only ***** with it today is forgetting to tuck the 2" hard tip away enough in the jocks so it does not dig in to my thigh....kinda hard to adjust on the fly in traffic.

 

[MacDoc]

When I said minor surgery it really was

Since my bladder is "old and tired" it does not void urine completely which is dangerous over time ( septis and UTi risks)
The TURP operation which started the whole thing was not successful over time despite the once and done advert and frankly the bladder issue has been a long time condition for me tho I did not know it.
Normally I'd be emptying it once or twice a day with a catheter I put in myself and took no longer than brushing my teeth.
For what ever reason of my particular anatomy scar tissue developed twice so a decision was made to skip the penis entirely :thinks:
and put in what's called a supra-pubic catheter that needs changing once every 6 weeks.
In theory I can do that too but I'll happily pay the $40-50 for the pros to do it. 20 minute appointment not far.
So a small hole was poked in my abdomen under general anaethesia - 30 min one time procedure which is reversible.
It IS a very small perforation, does not interfere with any daily activity including riding and cannot even feel it even now just 3 days after the operation.
On the end of the small tube is a tap.
Every 6-8 hours I turn the tap and pee in the toilet or urinal standing....less dribbles too.
Yeah getting old sucks but this particular issue seems well dealt with now.

Suprapubic catheter care: MedlinePlus Medical Encyclopedia

A suprapubic catheter (tube) drains urine from your bladder. It is inserted into your bladder through a small hole in your lower belly. You may need a catheter because you have urinary incontinence (leakage),

medlineplus.gov

Heart sorted
Urology sorted
next up is impacted sinus one time procedure ( famous last words but....)
Then finish the teeth....

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