Monday, November 9, 2020

Consequences of Prostate Biopsy Surgery

FIVE DAYS AGO which would be last Wednesday, I had Prostate Biopsy Surgery that morning and was home and feeling pretty good physically and kept a low profile around the house as were most post operation instructions.  SEVEN DAYS PRIOR to the operation or October 28, I stopped taking Xarelto which is a blood thinner which had been approved by my Cardiologist.

I was told that during my recovery there would be some blood in my urination and not to be frightened as this was a normal expectation.  The rest of Wednesday and all day Thursday there was no blood when I urinated, so I took my Xarelto on Friday and every time I urinated there were drops of blood in the toilet bowl.  However, when I finally had my first bowel movement after surgery the water in the toilet bowl was red.  No one at the Surgical Center informed me that this was a possibility. 

I took my Xarelto again on Saturday, and twice when I urinated clots of blood were passed without too much difficulty.  This was the first time for clots and I was more than concerned now.

Obviously, this bothered my wife as well and she suggested that I refrain from taking Xarelto until I stopped bleeding and this made sense to me but I decided to do more research.  I found articles from the MAYO Clinic, Harvard Medical, and the Cancer Institute that said the healing time after a Prostate Biopsy was 24 to 36 hours, that I would have blood when I urinated as well as well I had a bowel movement.

After reading this from 3 sources, I felt a little bit relieved...  and, when I read further, I discovered that blood when urinating and when having a bowel movement could last up to 6 weeks after this type of surgery. 

I found another article about Prostate Biopsy Surgery and Xarelto and the article mentioned that this combination was a little bit more difficult to predict and advise, but the key for any Cardiologist is to prevent the blood from clotting that would increase the risk of stroke and/or dearth.

Instantly...  my mind went to the clots that were expelled when I urinated after taking my Xarelto and since bleeding was a possibility for up to 6 weeks and clotting blood was a concern, taking my Xarelto in my mind became a no brainer.  I will continue with my Xarelto and if the bleeding worsens I will call my Cardiologist for advice not my Urologist

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