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complications after turbt

5 years 10 months ago #47513 by jmp
Hi all

Wanted to give an update. After cath came out i finished antibiotics for the next five days then had a urine culture done. It came back positive for enterococcus uti. Considering i had a culture done just prior to cath (two weeks after surgery) and this was negative, im assuming the infection is from cath not surgery. I read up on this uti and i guess its pretty nasty. Uro prescribed macrobid for a week, then retest. This probably explains my delayed discomfort after cath was taken out. Has anyone dealt with this type of uti?

Anyway, i hope everyone is doing well.


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5 years 10 months ago #47484 by Alan

I was told by my URO if the first biopsy shows high grade and/or a
questionable sample he automatically does a second TURB. Just heads up.

DX 5/6/2008 TAG3 papillary tumor .5 CM in size. 2 TURBS followed by 6 instillations of BCG weekly with a second round of 6 after a 6 week wait.

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5 years 10 months ago - 5 years 10 months ago #47483 by fighterm

jmp wrote: I forgot to add that i was a 42 year old male, and has never had any bladder issue prior beside on one occasion two years ago when i had some blood in urine. GP didnt think anything of it and said it was dehydration.

Drs didnt say anything was abnormal with the healin after turbt, but one nurse at the new dr made mention that the surgeon " took a pretty good scoop out". Dont know why a good scoop would have to come out since surgeon said tumor came out easy. If pain doesnt subside in a week ill be contacting uro. Has anyone had any experience with follow up surgery to help mend a wound that is not healing properly.

I am a 66 yo female with a somewhat similar situation. 2 yeas ago I had once a blood clot in urine. I had a urine test in a couple of days and no blood or cancer cells were found. So I forgot about it. I was in remission from my lymphoma at that time, but I was having regular ct scan checkups. And they picked up that my lymphoma is back (last year) and something in my bladder. I am at the end of my lymphoma treatment which is going well at this point. Recently I had a cystoscopy that showed a tumor similar size as yours. And the preliminary diagnosis from looking at it is like yours. So I am reading your story and I plan to ask my doctor to take a big scoop because if the sample is not sufficient they will need to go back again. They need to see the good margines. My doc wants to do a smaller scoop and if it's not enough he will need to do that again. I think it's better to endure it once. Anyway, I plan to discuss this with him again.

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5 years 10 months ago #47456 by CatherineH
I know you are still probably shell shocked by the bc diagnosis. Congrats that nothing was found on the other issue, but see it as a stoke of luck that it lead to an early bc diagnosis. The earlier it is found, the better chances of the best possible outcome from treatment.

I hope your pain level steadily decreases in the coming days. We will look forward to hearing your next cysto results!

Best wishes... Catherine
Forum Moderator Team

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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5 years 10 months ago #47455 by jmp
Thank you to all for your comments. I dont know alot about bladder cancer, so i really appreciate all of your feed back. I was originally being tested for digestive problems and/or neuroendocriine tumors which were not found, so you can understand how the issue with my bladder came out of no where.

Thanks again for the insight and i wish you all the best. I will let you know how this turns out at my first cysto.

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5 years 10 months ago #47454 by Nicke
I am sorry that you have to be here, but I am glad to tell you that your prognosis is the best you could have got, when it comes to bladder cancer!
I can only second the others. There is no sign of any complication in your story. You did have an open sore in your bladder after the TURB. Where your body keeps your urine. Of course it hurts as hell! My experience is that it takes 4-5 weeks to heal after a TURB. If you get Mitomycin C afterwords, probably a little longer. When the scabs comes of, after 2-3 weeks, you will notice some blood in the urine, and it gets worse for a while before it gets better again.


12-12 Diagnosis
13-1 Turb TAG1
13-5 Turb Ta low grade, multiple
13-10 Turb TaG2, multiple
13-11 Mitomycin 8 weeks + 6 month
15-01 Turb

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