BDO, I would obviously bow to the greater knowledge of your CNS regarding continence recovery. Some research certainly suggest short term recovery is better, but I wonder if that is linked to the SPC being more widely used with the Retzius version of RARP, which also reports better short term recovery.
Not having the urine release mechanism kept open by the catheter could be a benefit. We will never know what caused my stricture, the main causes are cited as , over tight sutures, urine leakage through the joint and trauma at the site of the joint. My robot did not have tactile feed back and my post op urethral catheter got stuck on the way out, I also had surgical clip migration into my urethra and bladder. I was 99 percent dry 4 days after catheter removal.
My first SPC was inserted during an aborted urethral dilatation. I seem to recall my bladder capacity was shrinking before SRT. Was it connected to having a hole punched into the bladder or me doing self dilatation. Like wise we will never know why salvage radiation had such a detrimental effect on my bladder. Was it connected to having a SPC in situ during SRT, perhaps the odd occasion when the bladder was empty during the SRT sessions.
I must point out that my situation was described as very rare.
The hole in the bladder does heal quickly, something that is drummed into those of us with long a long term SPC. We supposedly only have a thirty minute window to get it replaced if it came out. The district nurses take about 3 seconds to remove the old one and fit the new one
Thanks Chris
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