Neobladder Update

12 years 4 months ago #40296 by dukel
Replied by dukel on topic Neobladder Update
With cancer, it is not the journey, but the destination of being cancer free. I too have been on those ER trips. The thing i was most thankful for on this site 2yrs ago was people being able to tell me what to expect doing RC. The info you provide today may help someone tomorrow. If people study this site enough, it can be a road map through bladder cancer.
Wishing you the best.
Duke

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12 years 5 months ago #40212 by CatherineH
Replied by CatherineH on topic Neobladder Update
Wow... I'm glad you started out with the good news that you are now cancer free because you've been through h*ll since June. So sorry you had to endure a second surgery as well and had all those trips to the ER.

I just don't know what else to say except that I hope things smooth out from here. You are truly a BC warrior! Best wishes... Catherine

Best wishes... Catherine

TURBT 1/21/10 at age 55
Dx: T2aN0M0 Primary Bladder Adenocarcinoma
Partial Cystectomy 2/25/10
Vanderbilt Medical Center
Nashville, TN

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12 years 5 months ago #40187 by GroundedFlyer
Neobladder Update was created by GroundedFlyer
This isn’t to draw sympathy but to relate my experience with bladder cancer so others can make their own decisions and judge their recovery. The good news is that I am cancer free and expect to live a long happy life.

Had RC 6/28/11 at IU Health, Indianapolis, sent home (Louisville) after three weeks with a catheter.

Two days later at midnight I’m in the local emergency room with constipation so severe I thought I was dying. After an x-ray they gave me contrast for a CT scan and a bottle of our beloved magnesium citrate. The combination of cherry and acidic lemon didn’t mix well and soon decorated my ER cubicle.

As I lay there in extreme abdominal pain and nausea, an unlucky doctor pried out the blockage from my anus. With the dam gone, I left a trail to the toilet and spent the rest of the night emptying my bowels while vomiting into a trash can.

Some time later a doctor tells me I had a UTI and a potassium crash from my ordeal. Oddly enough, following RC I hade a sodium crash from drinking too much water.

Two days later I’m sent home with scripts for antibiotics and stool softeners with recommendation to add fiber to diet and drink lots of water. I’m gun shy about water from the sodium crash but constipation seems to be under control.

Nine days later my uro at IU Health doesn’t seem too concerned about my ordeal and removes the catheter and gives me a schedule to increase the neobladder capacity. Little did I know I’d had my last night of dry sleep.

Bladder volume seemed to be progressing well and after three weeks was up to 250-300 ml after three hours. Daytime continence was good but at night time I would sleep through alarms and wake up soaked.

Also, the bowels seemed to be on a cycle between near constipation and diarrhea.

With my appetite improving, I decide to make my favorite soup and end up eating a left over carrot raw. Four hours later I’m back in the local ER with abdominal pain. After another night of x-rays, CT scans (thankfully, no mag citrate) a surgeon says I have a partial obstruction where the bowel was re-sectioned for the neobladder and scar tissue. However, contrast is getting past so he recommends waiting to see if the blockage will pass. It does and nine days later I’m sent home with more scripts and a low fiber diet with no raw vegetables.

One week later I’m back at the ER and the surgeon removes scar tissue and resections the bowel. Twelve days later I’m sent home.

Six weeks later I’m still alternating between constipation and diarrhea, bladder volume still about 250 to 300 ml after three hours. Daytime continence is pretty good and I’m considering condom catheters for nights.

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