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Wednesday, May 22, 2013
Enlarged Prostate and Colon Cancer
My husband, age 65, has colon cancer. He had surgery on Nov 19,1999, and he now has a permanent colostomy. At time of sugery, we knew he had an enlarged prostate. The prostate was handled a lot as the Dr. had to go back in 3 more times on the day of surgery because of bleeding. The fourth surgery showed the area where the appendix was revmoved was causing the blood loss. They gave my husband 10 units of whole blood, 2 units of frozen red backed cells, and 2 units of plasma or platelets (not sure now). He has had a catheter in since then, they have taken it out to see if my husband could urinate on his own. The last time, Dec 22,1999 he was able to urinate some but I feel his mental/emotional state made him tense up to much which caused bladder spasms. He has been hospitalized (1/8/00 to 1/11/00) because of bleeding in the cath. They irrigated him continiously for 2 days. That has cleared up and we see the same uroligist on Tuesday(1/18/00) and he will take this three way cath out and try again. We are being told that he is a candidate for TURP but they want to postpone it 6 to 12 months. We can not understand why we have to wait. We realize that my husband has been through hell but putting this off is working adversely on his mental state. I have some medical background and I was wondering if implanting those radio active seeds in his prostate would shrink it. As far as we know he does not have cancer in the prostate. They said his PSA test and CEA test was normal. I understand that the TURP has a lot of blood loss but couldn`t this be monitored. I guess we are tired of being told to come back in two weeks. Are there any other procedures that could be done now? We feel we are at the mercy of these doctors as they don`t live with this 24 hours a day. My husband has always been active. Matter a fact, he should have taken off this past Saturday to go down to Fort Meyers, Florida to play in a Wooden Bat Tournament. He has not missed one of these since they were started 6 or 7 years agao. He also plays baseball in Cooperstown every year but right now he can`t do a thing! Please help!
Your husband`s inability to void may indeed be secondary to an enlarged prostate, but it may also be related to bladder weakness that can be a temporary condition following colon surgery. These changes usually resolve with time, and I imagine the physicians are waiting to see if your husband will begin to void spontaneously. With this approach prostate surgery may be avoided. I would discuss these issues with the physicians caring for your husband and I am sure they will be able to answer some of your more specific questions. I hope this information is helpful to you.
Martin I Resnick, MD
Formerly, Professor of Urology
School of Medicine
Case Western Reserve University