Surgical Clips migrate through bladde... - Advanced Prostate...

Advanced Prostate Cancer

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Surgical Clips migrate through bladder wall

Exrunner profile image
10 Replies

I had a proctectomy in November 2011 and Salvage Radiation in starting August 2018. I have been on IADT since July 2018.

Recently I had been experiencing more than usual incontinence.

Early October 2024 I had a bleeding incident with clotting when I urinated. This occurred on three consecutive trip to the restroom and then cleared up. No pain or indication any thing was wrong nor any bleeding problem since. I have had different levels of light burning and itching sensation in my right groin area for most of the month. I saw a Urological PA Oct 14, 2024 that suggested I probably had Cystitis from the SRT. I was scheduled for a cystoscopy yesterday.

During the exam the Surgical Urologist confirmed an area of cystitis he also discovered a surgical clip in my bladder. Surgical Clips are often used to control bleeding and routinely left in place. The Dr. said the surgical clip had eroded its way into my bladder. I could not tell from the video if the surgical clip was still imbedded in my bladder wall or was floating free and he did not tell me. I presented that question to him in an E-mail this morning. The Dr. told me he had seen this condition in about 10 out of a 1000 surgeries.

The surgical clip is to be removed by going up my urethra and pulling it out. I am told I will have to have a catheter in place for several days and that my incontinence may get worse.

Just a warning that if you have had a proctectomy be aware that this could happen. If pending a proctectomy question your surgeon about the possibility of a surgical clip creating issues.

If you have had this occur and have had the clip removed I would appreciate hearing what were your experiences.

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Exrunner profile image
Exrunner
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10 Replies
Exrunner profile image
Exrunner

Should read prostatectomy not proctectomy

NecessarilySo profile image
NecessarilySo

Another reason to use radiation therapy rather than surgery to remove prostate. How big are the surgical clips? I had similar surgery to remove kidney stone/ They can be ultrasounded or lasered to break down, if not surgically removed. Stones over 7-8 mm cannot pass and therefore have to be broken into pieces.

Exrunner profile image
Exrunner in reply toNecessarilySo

I was not able to accurately judge the size but I am guessing it was 1/2 to 3/4 inch long and less than a quarter inch wide. I will ask the surgeon to save it for me.

Still_in_shock profile image
Still_in_shock in reply toExrunner

I understand that clips are used in nerve sparring surgery, as to not cauterize, and damage the nerves. They are to be removed after bleeding stops, and before closing.

At least thats what my surgeons report says!

j-o-h-n profile image
j-o-h-n

Note: Any doctor who performs removing the surgical clip by going up your urethra and pulling it out has to extra cautious and gentle. Double emphasize that to the doctor!!!

Good Luck, Good Health and Good Humor.

j-o-h-n

Exrunner profile image
Exrunner in reply toj-o-h-n

I've got a feeling life is going to be more challenging in the future.

j-o-h-n profile image
j-o-h-n

Age (and ignorance) has it's disadvantages........

FYI I had a Doctor who placed my in office "regular stent" too high in my urinary tract. She had to have it removed in a hospital setting where she fucked up my urethra and caused my total incontinence. So my advice again is make sure your doctor knows his shit.....Emphasize your concern regarding the delicate procedure.

Good Luck, Good Health and Good Humor.

j-o-h-n

Mgtd profile image
Mgtd in reply toj-o-h-n

John you have told some great jokes in my days on this forum but I must tell you this post is a real pisser.

j-o-h-n profile image
j-o-h-n in reply toMgtd

LOL

Good Luck, Good Health and Good Humor.

j-o-h-n

cancerfox profile image
cancerfox

Ouch!

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