So It turns out I just joined another club yesterday. It's call the "I survived being dead" club. See, my "routine-ish" type of ongoing sphincterotomy was on the 26th, but I managed to contract vascular vascuilitis towards the end of the surgery.
http://www.medicinenet.com/vasculitis/article.htm It turns out this is one of those hospital infections like staff that you can pick up by just being there.
It attached the arteries leading into my lungs and made my blood 02 levels drop. Shortly there after my heart began to beat slower and slower down to zero. They had to inject my with something called azathioprine, which I understand is really just an anti-inflammatory steroid. The doctors then had to perform cardiac chest compression for about 30 seconds to get the drug to start working and my heart came back online again.
I was completely out for the entire duration (and for them to finish up my surgery). I woke up feeling just normal in the critical care recovery section, but they kept me in there overnight for observations. Aside from getting absolutely no sleep last night thanks to the monitors, beeping, constantly being checked on, poked, prodded, etc, well; everything looked normal except for my usually high blood pressure and lower beats per minute.
Best part of all- I get to go back into work tomorrow. At least I'm feeling ok enough that I can.
As for the sphincterotomy its self- well it turns out my urologist said I didn't even need it to be done. He said both my external AND internal sphincters were both fully open. He did cut out and resection where I had the stricture blocking off my urethra, and also did another round of urethral stretching for good measure. But that was it really. I do have an indwelling catheter in place right now, and he wants me to remove it sometime tomorrow. There was a LOT of blood in my urine when I woke up, but that was completely normal and expected as per my other 4 surgeries.
It is extremely difficult for me to sit down right now (again as expected). I am using a perennial donut seat cushion, and once I'm seated I am actually ok. It's the getting up or down part that hurts bad. I am managing this pain quite well with my usual oxycodone though. The bleeding has already stopped and my urine is draining a clear yellow into a collection bag. I expect the bleeding to kick back in when I remove the catheter, then taper off again. If it goes as before, then I will also get periodic blood clots breaking loose from time to time. I will bleed for about 30 minutes after each one, but it will decrease in occurrences over the next month.
After on month, all bleeding should have stopped, and I will only be somewhat sore down there. This should go on for about one more month, then I should start feeling ok again. Somewhere in the second to third month I should know the actual and final result of this surgery and whether or not I will have any more straining. Personally I believe it will come back since he did not open my internal sphincter up any more (I think it was naturally open when he was doing the surgery so he was fooled into thinking it is ok when I personally feel it is not). Time will tell, but I sure hope I'm wrong. Well see....