Good on yer Mart…Please keep us posted of your progress…
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Mrs mart and I are going to a carvery for lunch/dinner. The last carefree day before the Wednesday and Thursday procedures and expected period of difficulty.
From experience, procedures on the bladder cause a lot of bleeding. When the waterworks is working properly, this will all flush out naturally over a number of days. The worry is that my water doesn’t go in that direction. It goes straight out of the kidney and into a bag. A small amount does get into the bladder but bot a lot. It especially won’t go down there in view of the fact that the Nephrostomy tube is being replaced. A new tube is always more efficient at diverting the water away than one that has been in place for a while, so even less goes into the bladder.
This is a worry I never thought to mention at the time to the doctor putting me forward for the op. I’ll mention it on the day and hope the worry isn’t well founded …or what can be done if it is.
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Good luck for tomorrow Mart, and enjoy your carvery today…A lot of the garden centres here are now doing carvery’s, and most of them locally sourced. I never have the Yorkshire puddings, it leaves more space for the vegetables…
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I’m sure the medical team have ways to ensure the bladder is flushed to remove any excess blood during recovery. I’m guessing some will be absorbed by the body, but that infection risk is higher and that they would monitor for this post-surgery.
Enjoy your carvery meal which sounds yummy. Best wishes for your surgery and recovery.
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Phase one today (Nephrostomy tube change). In by 12.00 midday for a 2.00 p.m. job. Local anaesthetic.
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Hi
Best of wishes mart,hope it goes well.
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Thanks and thanks 
I’ve been through the procedure a few times now, so it ought to be OK.
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Phase 1 completed. A piece of cake apart from when the local anaesthetic goes in.
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Phase 2 completed. Not a piece of cake. The op took about 2½ hours during which time 2 quite large tumours were removed from my bladder. No external cutting involved. The surgeons must have their ways. The largest tumour was about 4cm and ball-like. I was kept in overnight with a catheter that let water into the bladder and drained it out again. This being partly because of Nephrostomy bag diverting urine away from the bladder making it unable to flush naturally.
The doctors came around the next day and told me they were able to completely remove everything in the bladder that didn’t ought to be there. The procedure then was for the sister to remove the catheter but not before a bottle of sterile water was put into a syringe and squirted inside the bladder to flush out any blood or clots that were still around. There were some but after about 5-6 syringes full of water it eventually ran clear.
They really want to see urology patients pee properly before discharging them from the ward but there’s no way I can manage that with most of it going into the Nephrostomy bag, so there was some uncertainty about letting me go. It did happen in the end though and I’m now at home.
There is still bleeding happening but some urine does find its way into the bladder. I hope enough to be able to pass any blood or blood clots and not bung up the exit. A reminder that my bladder is atonic and I always have to use a catheter to pass water (called ‘intermittent catheterisation’) . It will also need to pass any blood and blood clots, probably for the next few days. I have an emergency number to ring if necessary. I feel OK but a bit sore in the nether regions. Other than that, quite well.
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That’s great news Mart, glad the procedure was successful and you are now home…I don’t dislike being in hospital, but it’s nicer to come home…
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The morphine is great but they won’t let you go home while you are taking it 
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Good to hear phase 2 is now mission complete and that you’re back home where you belong.
I bet you can relax now.
Time to recouperate.
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Good on you, mart !
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Hi Mart just read this and it sounds as though all went well and they cleaned out all the bad stuff. Will you also need chemo or anything after all this or will you be allowed to heal and recover? Great that you are back home already! Wishing you a successful recovery and hope it’s not too sore.
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Samples of the tumours have been sent for analysis to see if it is bladder cancer or a progression of the prostate cancer. I think it’s not known if any further treatment will be necessary until those results are in. I have an upcoming CT scan on the 1st of October and a face to face appointment with the Urology Consultant and the Bladder Nurse on the 7th. I’ll get to know more then. In the meantime it’s just a matter of ‘keep taking the tablets, keep calm and carry on’.
I feel OK.
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Nephrostomy dressing change day today. The first one since the tube was changed last Wednesday. I’ve no doubt Mrs mart will handle it well. The doctor said that although a stitch into the skin is necessary, it has been placed away a little further away from the hole. This should mean the plaster wrapped around the plastic tube that holds the stitch won’t pull into my back as the last one tended to. We’ll see once the dressing is off.
Shower first, then the dressing. A big waterproof dressing is put on top of the whole (hole ) lot to keep the water out. No baths ever but showering is OK.
Very little bleeding from the bladder now. It will be a week tomorrow since the tumours were removed from it.
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Good news that the bleeding is much reduced.
How are you feeling in yourself Mart? When do you get the results of the histopathology?
I feel Fine thanks.
I get to talk about the findings on the 7th of next month. This will be after the result of the CT scan is in. This is being done on the 1st. I’m not sure if Urology liaises with Oncology but I think they do. I was told there will be a meeting of consultants before the 7th. I guess consultant’s’ means the departments will talk to each other.
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Fine with a capital F is great! 
It’s quite a while to wait but gives you time to heal and I guess they want to assess once you’ve recovered and any swelling has gone down.
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