Inguinal Hernia - can you still do robotic prostatectomy?

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

MichGuy
Regular Member


Date Joined Jan 2009
Total Posts : 51
   Posted 1/16/2009 2:13 PM (GMT -6)   
Hi All,

I wonder if anyone here had a laparoscopic inguinal hernia repair anytime prior to a robotic prostatectomy. I had one 2 years ago and my urologist said he'd try to start a robotic, but may have to switch over to an open surgery if he encounters the mesh. I wondered if anyone else had this situation. Can't you do some sort of imaging to see exactly where the mesh is, thus avoiding it during subsequent surgery?

Take care everyone,

MichGuy
Age: 59, 59 at DX
PSA: 1/20/00 7.9, 7/22/00 3.3, 10/25/01 4.9, 10/19/04 5.1, 9/26/07 5.98, 8/28/08 7.68, 9/23/08 7.36, 10/23/08 8.64, 12/18/08 6.39
Prostate size: 96cc
Biopsy: 11/7/08 Positive 2 of 15 cores, both in rt apex, composite tumor quantity 5% prostate involved, Gleason 7 (3+4), Gleason pattern 4 accounts for 15% of tumor
Stage: T1c


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4014
   Posted 1/16/2009 2:17 PM (GMT -6)   

I had the surgery 24 months before my prostrate surgey. My surgeon didn't hesitate. He just made his cut right above the previous one and went under the mesh.

There is another member here that had em both done at the same time..My hat still goes off to him.

 



Age 53   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
 
06/25/08 - Da Vinci robotic laparoscopy
Catheter in for five weeks.
Dry after 3 months.
 
10/03/08 - 1st Quarter PSA -> less then .01
NEW-> 01/16/09 - 2nd Quarter PSA -> less then .01
 
Surgeon - Keith A. Waguespack, M.D.
Las Colinas and Plano Offices 


Ripandburn
Regular Member


Date Joined Aug 2007
Total Posts : 125
   Posted 1/16/2009 2:58 PM (GMT -6)   
I also had an inguinal hernia a couple of years before my robotic laproscopic prostatectomy. I had no problems, and the surgeon had no concerns beforehand.
53 years - 5' 11" 205 lbs.
T1c 3+3=6
DaVinci July 16, 2007
Bladder Sling installed during prostate removal
nerve sparing with both nerve bundles intact
all cancer contained within prostate nothing near margins
11 weeks post-op - no more pads
all PSA's since removal < .1 - Undetectable


califlostnspace
Regular Member


Date Joined Jan 2009
Total Posts : 51
   Posted 1/16/2009 3:05 PM (GMT -6)   
I have had a inguinal hernia repair on my right and left side, they were not done by laproscope though.  I have a 5 to 6" scar from both repairs.  the scar is just above where the leg attaches to the trunk.  my local urologist sent me to UCSF to have a RPP done because of the mesh panels.  the surgeon that did the RPP was not concerned about the mesh being in the way, he did the incisions for the RPP about where you see them done in all the pictures on the web.  the inscisions for the RPP were not as sore and painful as the inscisions for the hernia repairs! 

6'3"
205 lbs.
age at diagnosis:  51
diagnosed summer of 08
no symptoms
PSA  4.4
bone scan was normal
Radical Robotic Prostatectomy done with Da Vinci at UCSF on 12/23/08 by Dr. Peter Carroll
catheter removed 1/7/09
my local urologist referred me to a urologist at UCSF for the Da Vanci operation mainly because I had two
mesh panels in lower abdomen due to 2 hernia repairs 12 and 16 years ago
3 weeks post op I get a path report:   
 Your pathology results looked great.  Your final tumor grade was a Gleason 3+3, which was the same as your biospy grade.  The tumor did not extend outside of the prostate and all surgical resecetion margins were negative (meaning no tumor left behind).  The tumor did not involve the seminal vesicles.
Basically, the pathology is about as good as we could have hoped for.


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4014
   Posted 1/16/2009 3:17 PM (GMT -6)   
My Bad. I actually had-> Umbilical hernia surgery - aka -> buldge above the belly button.
Age 53   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
 
06/25/08 - Da Vinci robotic laparoscopy
Catheter in for five weeks.
Dry after 3 months.
 
10/03/08 - 1st Quarter PSA -> less then .01
NEW-> 01/16/09 - 2nd Quarter PSA -> less then .01
 
Surgeon - Keith A. Waguespack, M.D.
Las Colinas and Plano Offices 


MichGuy
Regular Member


Date Joined Jan 2009
Total Posts : 51
   Posted 1/16/2009 3:23 PM (GMT -6)   
Thanks guys...I feel like printing out this thread and taking it to my doc. I'm curious if any of you had imaging done beforehand to determine the exact location of the mesh. I wonder if imaging to see the mesh is even possible.

You've all been most helpful!
Age: 59, 59 at DX
PSA: 1/20/00 7.9, 7/22/00 3.3, 10/25/01 4.9, 10/19/04 5.1, 9/26/07 5.98, 8/28/08 7.68, 9/23/08 7.36, 10/23/08 8.64, 12/18/08 6.39
Prostate size: 96cc
Biopsy: 11/7/08 Positive 2 of 15 cores, both in rt apex, composite tumor quantity 5% prostate involved, Gleason 7 (3+4), Gleason pattern 4 accounts for 15% of tumor
Stage: T1c


califlostnspace
Regular Member


Date Joined Jan 2009
Total Posts : 51
   Posted 1/16/2009 4:17 PM (GMT -6)   
I had a bone scan done, nothing was said about the mesh.  as I mentioned before the surgeon did not seem concerned at all about the mesh.  my local urologist did not want to do a open surgery because of the mesh though, that is why he referred me to the UCSF to have the RPP done.

6'3"
205 lbs.
age at diagnosis:  51
diagnosed summer of 08
no symptoms
PSA  4.4
bone scan was normal
Radical Robotic Prostatectomy done with Da Vinci at UCSF on 12/23/08 by Dr. Peter Carroll
catheter removed 1/7/09
my local urologist referred me to a urologist at UCSF for the Da Vanci operation mainly because I had two
mesh panels in lower abdomen due to 2 hernia repairs 12 and 16 years ago
3 weeks post op I get a path report:   
 Your pathology results looked great.  Your final tumor grade was a Gleason 3+3, which was the same as your biospy grade.  The tumor did not extend outside of the prostate and all surgical resecetion margins were negative (meaning no tumor left behind).  The tumor did not involve the seminal vesicles.
Basically, the pathology is about as good as we could have hoped for.


ups4
Regular Member


Date Joined Nov 2008
Total Posts : 20
   Posted 1/16/2009 10:09 PM (GMT -6)   

Just another hernia story.

I had my mesh repair in 2001 and my robotic prostatectomy in 2007. I did tell my doctor about the hernia repair during the pre-op discussions, and I'm sure he couldn't have possibly missed the cute scar smilewinkgrin . The prostate surgery went off without a hitch. I don't remember any scans or anything prior to surgery, but I suppose they could have done anything to me while I was under.

I guess it would be of concern if the location of the patch would interfere with the surgery. Otherwise, my doctor didn't seem at all concerned about the hernia patch.

Paul


Paul in Sunrise, FL
Diagnosed 7/07 age 52, 53 now.
PSA 2.5-3.5 at diagnosis.
Biopsy proved positive.
Davinci surgery 10/07.
All nerve bundles/lymph nodes spared.
Continence returned by 12/07.
ED getting better everyday w/Viagra.
PSA's post surgery all <.01.
Dr. Daniel Ead, Urologist in Plantation FL


Ralph Alfalfa
Regular Member


Date Joined Nov 2008
Total Posts : 466
   Posted 1/16/2009 11:10 PM (GMT -6)   
My doc told me that over time the scar tissue would soften up. I had lap. surgery back in 98 and he didn't think there would be aproblem. We'll see. DaVinci on Monday.
Bob
 AGE:57
 Dx: October,27(the day after my birthday)
 Psa 14.5
 Gleason:(4+3) 7 T1c
 Bone scan:Negative
 Cat scan: Negative
 Biopsy: 4 of 12 positive, left side, pre-cancerous on the right.
 Confined to prostate.
 DaVinci scheduled for Jan. 19, 2009.Dr. Scott Montgomery, KC Urology,
Shawnee Mission Med. Center. Kansas


MichGuy
Regular Member


Date Joined Jan 2009
Total Posts : 51
   Posted 1/17/2009 2:35 PM (GMT -6)   
Thanks Ralph. Good luck on Monday! Interested in hearing your results.
Age: 59, 59 at DX
PSA: 1/20/00 7.9, 7/22/00 3.3, 10/25/01 4.9, 10/19/04 5.1, 9/26/07 5.98, 8/28/08 7.68, 9/23/08 7.36, 10/23/08 8.64, 12/18/08 6.39
Prostate size: 96cc
Biopsy: 11/7/08 Positive 2 of 15 cores, both in rt apex, composite tumor quantity 5% prostate involved, Gleason 7 (3+4), Gleason pattern 4 accounts for 15% of tumor
Stage: T1c


califguy
Regular Member


Date Joined Sep 2008
Total Posts : 72
   Posted 1/17/2009 8:13 PM (GMT -6)   
I had a right inguinal lap repair about 5 years before the DaVinci surgery. My urologist (same doc as Califlostnspace has) could see the mesh from my scans and referred me to UCSF. My doc there (Same doc again....) was concerned as the mesh seemed to be not quite in the right place and made me sign that he could switch from robotic to conventional if necessary. It was not necessary and I do agree that the hernia repair healing was much worse that the healing from the RRP.

Don't get discouraged!!
CalifGuy
 
Diagnosed Feb 2008  54 years old
3+4=7 gleason
7.5 PSA
4 out of 20 biopsies were cancerous
daVinci Robotic surgery July 24, 2008
Univ of Calif San Francisco Med Center  Dr Peter Carroll
In hospital 2 nights altho I had option of leaving the next day but stayed due to distance home.
Contained in prostate, not spread
Six weeks post surgery PSA less than .01
Five month PSA less than 0.1  Lab did wrong type of PSA test so this test was not as accurate.


MichGuy
Regular Member


Date Joined Jan 2009
Total Posts : 51
   Posted 1/17/2009 10:40 PM (GMT -6)   
Thanks everyone! CalifGuy...you said your doc could see the mesh from your scans. Do you know what kind of scans those were? I could potentially ask my doc to do the same kind of scans.
Age: 59, 59 at DX
PSA: 1/20/00 7.9, 7/22/00 3.3, 10/25/01 4.9, 10/19/04 5.1, 9/26/07 5.98, 8/28/08 7.68, 9/23/08 7.36, 10/23/08 8.64, 12/18/08 6.39
Prostate size: 96cc
Biopsy: 11/7/08 Positive 2 of 15 cores, both in rt apex, composite tumor quantity 5% prostate involved, Gleason 7 (3+4), Gleason pattern 4 accounts for 15% of tumor
Stage: T1c


Pete trips again!
Veteran Member


Date Joined Nov 2006
Total Posts : 1899
   Posted 1/17/2009 11:33 PM (GMT -6)   
I have developed a ambiblical hernia and need to get it fixed soon. It's very soft and baloon like. It fills my button hole completely and pushes out more when I pee, poop, cough, or sneeze. I had no problems prior to my RP so I believe it was due to the surgery. I have an apt. w/ my Uro next week and will ask him what he thinks and if he knows a good surgen.
Pete
55 years old, Surgury, Radical Prostatectomy 8/20/03, PSA 6.6, Gleason 3 + 3 = 6, Adenocarcinoma extent (moderate) Stage & Margin:T2NOMX, No Metastases, Organ Confined, bone scan: Neg. 3 1/2 years of depression after surgery prior to Hypogonadizm DX, Testosterone Theropy (Testim Gel)since 12/06 but switched to a higher dose of (Androgel) 6/08. I am's what I am's and that's all that I am's! (Popeye)  55 and still alive and so glad to still be here to see my two sons grow up to be fine young men. They are both serving in the US Navy, one on a ship in the Atlantic and the other on a ship in the Pacific!!! I am one proud PaPa!!!!! 


wiggyann
Regular Member


Date Joined Apr 2007
Total Posts : 171
   Posted 1/18/2009 4:39 PM (GMT -6)   
My husband was lifting some heavy boxes last year and
felt something pull and now he has an inguinal hernia. He went out and purchased a firm support and wears it. He recently went to the doctor for flu like symtoms and the doctor checked the hernia and told him when he was ready to do something about it to let him know. I have heard that surgery is the only cure for this and have wondered if it was a relatively simple procedure? Would appreciate any advice.

Prostate cancer two years ago,
IMRT and seeds

Wiggyann

MichGuy
Regular Member


Date Joined Jan 2009
Total Posts : 51
   Posted 1/18/2009 5:34 PM (GMT -6)   
Wiggyann,

Laporacopic hernia repair for me was as easy as could be. It was outpatient, took an hour or so, no real pain as I recall, quick recovery within a couple days. I had it done 2 years ago and now I can't even see any scars.

MichGuy
Age: 59, 59 at DX
PSA: 1/20/00 7.9, 7/22/00 3.3, 10/25/01 4.9, 10/19/04 5.1, 9/26/07 5.98, 8/28/08 7.68, 9/23/08 7.36, 10/23/08 8.64, 12/18/08 6.39
Prostate size: 96cc
Biopsy: 11/7/08 Positive 2 of 15 cores, both in rt apex, composite tumor quantity 5% prostate involved, Gleason 7 (3+4), Gleason pattern 4 accounts for 15% of tumor
Stage: T1c


califlostnspace
Regular Member


Date Joined Jan 2009
Total Posts : 51
   Posted 1/19/2009 9:05 PM (GMT -6)   
wiggyann said...
My husband was lifting some heavy boxes last year and
felt something pull and now he has an inguinal hernia. He went out and purchased a firm support and wears it. He recently went to the doctor for flu like symtoms and the doctor checked the hernia and told him when he was ready to do something about it to let him know. I have heard that surgery is the only cure for this and have wondered if it was a relatively simple procedure? Would appreciate any advice.

Prostate cancer two years ago,
IMRT and seeds

Wiggyann
Wiggyann,
I had a inguinal hernia repaired on each side by conventional surgery, they did not do it via laproscopic.  one hernia was repaired about 14 years ago, the other about 18 years ago.  the recovery was much harder for the hernia repairs as far as pain compared to the 6 holes they made for the RPP.  I imagine a laproscopic hernia repair would be easier and less painful.  the odd thing is I was back to work at 5 weeks post op both times for the hernia repairs and my current urologist that did the RPP wants me to be off for 6 to 8 weeks. 
the hernia repairs were outpatient and the RPP I was in the hospital for a little over 1 day. 


6'3"
205 lbs.
age at diagnosis:  51
diagnosed summer of 08
no symptoms
PSA  4.4
bone scan was normal
Radical Robotic Prostatectomy done with Da Vinci at UCSF on 12/23/08 by Dr. Peter Carroll
catheter removed 1/7/09
my local urologist referred me to a urologist at UCSF for the Da Vanci operation mainly because I had two
mesh panels in lower abdomen due to 2 hernia repairs 12 and 16 years ago
3 weeks post op I get a path report:   
 Your pathology results looked great.  Your final tumor grade was a Gleason 3+3, which was the same as your biospy grade.  The tumor did not extend outside of the prostate and all surgical resecetion margins were negative (meaning no tumor left behind).  The tumor did not involve the seminal vesicles.
Basically, the pathology is about as good as we could have hoped for.


roblin
New Member


Date Joined Mar 2012
Total Posts : 1
   Posted 7/28/2012 11:45 AM (GMT -6)   
I'm a healty 73 year old guy who had inguial hernia (lower right side) surgery in Janury.  During the healing process and concomitant urinay problems, I eventually discovered that I had prosate cancer. I had been dealing with BPH for years.
 
I had the robotic prostate surgery on July 16 by Dr. Robert Bae, Newport Beach, CA.  I advised him ahead of time of the hernia surgery.
The surgery was successfully performed, although it added 45-60 minutes to the surgery.  The issue is scar tissue from the prior surgery.  He told me he has dealt with this complication many times and has not had any problems performing the surgery.  Because the surgery procedure requires your belly be inflated, there is a chance that the hernia may reappear.  Having a subsequent hernia repair, if neded, will also be compicated because of scar tissue from the prostate surgey.
 
Best wishes to all in this situation.
 
Bob #Huntington Beach, CA)

mr bill
Regular Member


Date Joined Sep 2010
Total Posts : 476
   Posted 7/29/2012 7:38 PM (GMT -6)   
I had Davinci about 1 1/2 years ago.  Then hernia appeared. Surgeon said they are result of Davinci.  Had the hernia plugged via open surgery as Dr. said they could not do a lap after robotic.  I have a question for those that have had  open hernia repair.  It has been about three weeks and I can still feel a lump of hard tissue in the groin below the scar and swelling. How long does it take for all that swelling to go down?
 
Mr. Bill

Post Edited (mr bill) : 7/30/2012 6:40:05 AM (GMT-6)


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 5197
   Posted 7/29/2012 11:18 PM (GMT -6)   
Mr. Bill
 
I had an open in 1988.
 
It took awhile.
 
You are probably within the normal time
 
Mel

1snake
Regular Member


Date Joined May 2011
Total Posts : 64
   Posted 7/30/2012 5:43 PM (GMT -6)   
I developed a ventral(incisional) hernia in the exit incision above my navel. My prostate surgery(DaVinci) was performed 8/1/11. The ventral hernia grew to the size of a soft ball. I had it lap mesh patched 4/17/12.
I am now dealing with seroma's (accumulating fluid).  Had it aspirated once and it appears to be swelling again, probably means another aspiration.
I had an inguinial hernia mesh repaired about 10 years ago, it didn`t seem to have presented any problem during the prostate proceedure. Good luck.
snake
age 73,Eastern Pa.
2/2010-psa .7
8/2010-psa 1.6
3/2011-psa 2.8
4/2011, biopsy, 5 of 12 positive 5to60% involvement, G6(3+3)
8/1/2011, DaVinci proceedure
8/8/2011, path report, G6, tumor confined to prostate gland, both lobes envolved,no extraprostatic extension seen,no lymphovascular invasion seen.Inked margins(apex,base and radial)negative for carcinoma. Seminal vesicles no abnormality

mr bill
Regular Member


Date Joined Sep 2010
Total Posts : 476
   Posted 7/30/2012 7:13 PM (GMT -6)   
Snake,
How can you tell if it is a seroma?  It is hard as a rock under the area that was incised.  P.A. says that is normal, but she also seemed in a big hurry.
 
Mr. Bill

1snake
Regular Member


Date Joined May 2011
Total Posts : 64
   Posted 7/31/2012 10:25 AM (GMT -6)   
Mr Bill,
I too have a hard spot about the size of a nickle in the center of the incision.The seroma is the swelling surrounding hard spot.
My Doc says the hard spot is scar tissue from the DaVinci prostate proceedure and should not be a problem unless adhesions expand and attach to adjacent organs. I did not have open surgery. I hope this is some help.
snake
age 73,Eastern Pa.
2/2010-psa .7
8/2010-psa 1.6
3/2011-psa 2.8
4/2011, biopsy, 5 of 12 positive 5to60% involvement, G6(3+3)
8/1/2011, DaVinci proceedure
8/8/2011, path report, G6, tumor confined to prostate gland, both lobes envolved,no extraprostatic extension seen,no lymphovascular invasion seen.Inked margins(apex,base and radial)negative for carcinoma. Seminal vesicles no abnormality
New Topic Post Reply Printable Version
Forum Information
Currently it is Tuesday, September 30, 2014 8:48 AM (GMT -6)
There are a total of 2,230,111 posts in 248,147 threads.
View Active Threads


Who's Online
This forum has 157096 registered members. Please welcome our newest member, DAN WINDOW.
371 Guest(s), 21 Registered Member(s) are currently online.  Details
Indycat23, jpjr50, Canada Mark, James7878, Utahgal, Andrina, TuhPus, OurHenry, Backtolife, happyday, Serenity Now, Revive, DAN WINDOW, PamSmith, Andy1986, CaliLyme, paulroy, kamakya, Scuba Dan, duke68, LanieG


Follow HealingWell.com on Facebook  Follow HealingWell.com on Twitter  Follow HealingWell.com on Pinterest  Follow HealingWell.com on YouTube
Advertisement
Advertisement

©1996-2014 HealingWell.com LLC  All rights reserved.

Advertise | Privacy Policy & Disclaimer