Can bladder diverticula cause hydronephrosis ?
problems@gmail
At 66 years age, I've had bph for many years.
After forced inactivetly, due to a fractured femur, my blood tests showed
in a mere 10 weeks, a drastic out-of-limits increase of:
Urea 4.2 to 31, and
Creatinine 89 to 877.
A strange symptom was that after I lay down to sleep, not feeling
too bad, I awoke after 2-3 hours feeling terrible. Especially when
lying on the side of the now srewed-together femur.
Sitting up in bed was better. Strangely, when I got up to make a cup
of tea, the bad feeling disappeared. These strange symptoms
persisted.
Q: What happens to remove the bad feeling of lying down ?
A: Gravity !
Q: Why did the bad feeling take some hours to manifest ?
A: Some process that takes time, eg. kidney failure.
Eventually while waiting for a TURP procedure I was fortunately
able to persuade the uro-doc to fit a catheter.
The [2 ltr. - his estimate] emptying bladder removed all bad symptoms !
I want to see my Urea & Creatinine values now.
The aborted TURP procedure, reported bladder pouches/diverticula,
and I think the previous sonar reported that 'the bladder was
"obstructing" the kidneys'.
My theory, which the TURP surgeon didn't want to hear, is that
when lying down the bladder with its diverticula was able to
'obstruct' the kidney/s. But when upright, gravity and the lack
of the bed pressing on the side allowed the organs to slightly
re-arrange, and the kidney obstruction went below critical.
Q1: is this theory absurd ?
Originally the prostate was listed as 60 gm.
After the cystoscopy which came with the aborted TURP,
they listed it as 80 gm.
Q2: can cystoscopy give any more information about the prostate
size than the previous digital-exams, or did they just write 80 gm
to justify open prostectomy - the threshold is 70 gm ?
Q3: if TURP just removes some of the wall of the urethra, to
increase the 'tube-bore', isn't this problematic, since the material
now making up the passage wall [the prostate body] doesn't have
the characteristics which the uretha wall evolved to have ?
Eg. the digestive and resperatory passages aren't just passive channels,
they eg. self clean ...etc. ?
Q4: the fractured-femur-side ankle still gets swollen, even after my
BP reduced to normal after the catheter was fitted. Does this mean
'that side' kidney is not working properly - some pernament damage ?
Thanks for any feedback.
crg