Urology

What happens when you can’t pee?

‘I really do think you should think seriously about that operation,’ my urologist told me about a year ago. The plumbing had deteriorated further and, in a calculated gamble for more tranquil twilight years, I eventually capitulated, submitting in early December to a so-called TURP, a transurethral resection of the prostate. Two days later, he sent me home with a reassuring message: ‘It’s settling down nicely, but don’t be alarmed by a little blood in the urine in a few weeks’ time. Expect a sort of “dry rosé” colour when the scabs start to fall off.’ I took that as a green light for a family Christmas in northern Spain, a plan marred only slightly by my Spanish wife Marina’s wrist fracture (she tripped on the stairs) shortly before we set off on Brittany Ferries.

The generosity of French doctors

My last NHS scan showed a shadow on a rib. The scan report couldn’t decide between a new cancer metastasis or scarring from an old injury. The first would mean the cancer had moved into my skeleton and was on a winning streak. I have fractured ribs in sharp collisions with steering wheels more than once and cling strenuously to the old-scar hypothesis. The image showed a second suspicious blur. Something, possibly a tumour, was putting pressure on my left kidney. Since then I’ve been going around with a length of plastic tube inserted in my urethra to drain it. Until that point my cancer was just a word. Now an occasional throb or ache there reminds me forcibly of my destructibility.