Swelling and bruising in the scrotum and penis after robotic prostate removal.

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mrlag49
New Member


Date Joined Mar 2009
Total Posts : 1
   Posted 3/22/2009 5:58 PM (GMT -6)   
Hello,
I am 49 years old and I had robotic prostate removal surgery 3 days ago. My catheter is draining normally and the urine is a pale yellow color. Early this morning I noticed that my scotum and penis were a very deep purple color and severily swollen.  This concerned me greatly as my penis is about 2 inches around and my scrotum is about the size of a softball. They both feel like if they get any bigger they are going to pop. I called right away and spoke to the person on call and they said it was ok and not to worry about it. I just wondered if anyone else has had this same type of swelling and if indeed it is ok to let it go away on its own? I also have a very large bruise that runs from my hip to almost my breast along my right ribcage, it is about 18 inches long and about a foot wide, this really doesn't seem like something that should be normal to me, however I just wanted to hear some other thoughts if you have sustained similiar bruising. Otherwise my surgeon said the surgery went fine and they were able to spare both nerves. Thanks in advance to any and all replies.
Best Regards,
Mrlag

wife33
New Member


Date Joined Jan 2009
Total Posts : 18
   Posted 3/22/2009 6:05 PM (GMT -6)   
My husband's scrotum situation was exactly like yours...very uncomfortable for several days.  He rolled up a wash cloth to support them as he slept.  They do start returning to normal size within a few days.

Sleepytime
New Member


Date Joined Jan 2009
Total Posts : 12
   Posted 3/22/2009 6:56 PM (GMT -6)   
The third day after my laparoscopic surgery a very large, very dark hematoma (bruise) appeared on my left side, starting at the hip and going up. It measured 12" high by 16" wide. Because my surgeon had cut wide because of my situation, he planned on leaving the J drain in for 3 days, but after seeing the hematoma he decided to leave it for another week. Other than a bit of tenderness and swelling, the hematoma proved to be harmless and was gone within 3 weeks.

I also had serious bruising of the scrotum and penis, and though there was swelling it wasn't severe. I did have serious swelling down there once from a different surgery. Try the size of two grapefruit. It was very uncomfortable, and kept me home in very loose shorts for quite awhile. The doctor wasn't concerned, just said to take it easy until the swelling went down.

Hope this helps.

Shawn
Age 54 - 6'2" 200lbs
Overall Heath Condition - Good

PSA monitored every 3-6 months starting 04/01/04
Important readings and actions:
10/18/04 - PSA 03.48
05/24/06 - PSA 04.92 - 08 sample biopsy: negative
05/10/07 - PSA 16.84 - 14 sample biopsy: negative
09/02/08 - PSA 26.54 - 16 sample biopsy: positive - GS 4+3=7 - Stage T2b
11/11/08 - PSA 37.95
11/17/08 - PSA 40.98 - (doubling time less than 8 weeks)
11/21/08 - non-nerve sparing Laparoscopic radical prostatectomy

Pathology GS 4+5=9 - Stage T3b N0 MX - bilateral lobes - perineural and seminal vesicle invasion - surgical margins: negative - largest tumor 2.1 CM

Catheter in for four weeks - only minor stress incontinence after 6 weeks

01/19/09 - 1st post-op PSA: less then 0.1
01/30/09 - started hormone therapy


ozvic
New Member


Date Joined Mar 2009
Total Posts : 11
   Posted 3/22/2009 7:04 PM (GMT -6)   
My scrotum was huge a couple of days after surgery and I was not told that would happen.
It was a huge shock to see it along with the penis glans only showing.
It took about a week for the swelling to go down.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 24131
   Posted 3/22/2009 7:09 PM (GMT -6)   
A big welcome to you, MrLag, glad you found us. I did not have any swelling in that area after my surgery, as long as your dr/surgeon thinks its ok and "normal", then I guess you can relax, hopefully the swelling will go down soon and you can move along with your recovery. I wish the very best for you.

David in SC
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery   2/9 .05, 6 month on 5/9
 
 


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2347
   Posted 3/22/2009 7:21 PM (GMT -6)   
I had a large bruise on the right side of my abdomen and a slightly swollen scrotum that was sensitive to the touch after my robotic surgery. I called my doctor and he said it was OK. It was fine after few days.
Age: 67
Retired in 2001 and living in Austin TX.
PSA 3.5 free PSA 11%
Dx 12/30/08
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed on Feb 9th
Surgeon: Dr. Randy Fagin, Austin TX.
Post op Pathology report:
Prostate weighed 57 grams
size:5.2 x 5.0 x 4.9 cm
10-20% involved
Bilateral
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx
Negative margins
Lymph nodes: not dissected
seminal vesicles clean


Bob D
Regular Member


Date Joined Mar 2008
Total Posts : 186
   Posted 3/22/2009 11:34 PM (GMT -6)   
My scrotum was just like that. It looked like a swollen dark blue softball. It did go down eventually.
I am not sure about the breast bruise. Glad to hear your nerves were spared. A big plus to get those
great feeling erections going again. Be sure to get blood into your penis on a daily basis as soon as
the swelling of the scrotum goes down. It is important to regain your erections. tongue
 
 
    1. Age 59, psa 4.7 in Jan. 08. Biopsy: one positive sample out of 13. 1% of one sample cancer. Prostate removed on 3/5/08. Open Surgery. Northeast Georgia Medical Center, Gainesville Ga. Nerves spared. Cath out 12 days later. Continence good. No pads needed since 6/10/08. First PSA: Less than 0.1 on 6/17/08. First erection five days post op and have been improving well since then. Full erection now possible (less than four months post op) with the assistance of Cialis.  Post Op Biopsy : No malignant cells in lymph node. Gleason 3=4=7. Tumor on both lobes. Urethral margins/apex free of neoplasia. Right and left seminal vesicles free of neoplasia. No invasion of prostatic capsule of the resection margins are noted by the tumor. Tumor occupies 10 to15% of the prostate gland. Path staging T2c, NO, MX- Group staging II.  Focal areas of perineural invasion by tumor are noted. 80% natural erections and full erections with 10mg Cialis. 9/22/08-Took 10mg Cialis on Monday night, had very usable full hard erection at night, the next morning, and the following Thursday morning, 60 hours after original dose !! Orgasm quality Excellent.!!!!! I am pleased with the progress so far. Married to same wonderful woman for 39 years. She is still beautiful and sexy as ever. A great help in my recovery !!: 3/12/09: Full natural erections with penetration. 10mg Cialis makes them easier to maintain but I have had several med free full erections lately, Yipieeee !!!!!!!


JStars
Regular Member


Date Joined Oct 2005
Total Posts : 452
   Posted 3/23/2009 7:15 PM (GMT -6)   
Now hold it just a minute guys ...
Remember the unwritten rule of sizes:

Inanimate objects like hailstones are measured in golf, tennis, baseball (or softball) sizes.

Squishy stuff that comes from the body are measured in pea, cherry, walnut, plum, apple, and grapefruit (and occasional MELON!!) sizes.

Sometimes of course there are these ladies who have football size calcified tumors -- but that is the only exception i know of.

OK .. carry on with the size comparisons! ... :-)
Age 58, 192lbs, 6'4", 57 at DX, PSA Aug2008 7 4 ... June2007 4.7 (BPH + LUTS)
Biopsy Nov2008 1 of 12 cores 5%, Gleason 3+3 - Sona showed 140+ cc (110 grams post op) prostate size.
open RP surgery 02/03/09, Nerve sparing both sides, 1 day in hospital, Day 4 first BM,
Pathology Report - All margins clear - No Invasive spread - no change in Gleason score.
2/18/09 Cath out, passed a STONE within hours. To be analyzed by doc.
Using pump (encore) daily since catheter out -- Viagra and Levitra samples now and then (no effect).
03/06/09 Started Levitra 20mg rehabbing -> 3/23 no real effect yet.
03/20/09 First post-PSA blood drawn -> 04/01 will be meeting w/PA.


carver
Regular Member


Date Joined Jan 2009
Total Posts : 27
   Posted 3/23/2009 9:13 PM (GMT -6)   
I have described mine as "orange" sized or small "grapefruit" sized! tongue
With the benefit of 13 years since my RP we still laugh about them.
I was not laughing at the time! While they were swolen and uncomfortable there was no associated pain and they were back to normal within a week.  Best wishes for a fast decrease to normal size! Al

vs1vs2
Regular Member


Date Joined Dec 2008
Total Posts : 60
   Posted 3/23/2009 10:46 PM (GMT -6)   

mrlag49-

yep, big as baseballs and sore as h---.  After consoling me for my anguish, my wife had a good laugh and said that at least she would get something out of this.  I also had alot of bruising on my right side.  I thought it was not uncommon but had never heard anyone express that here so I thought I was one of the few.

Hope you are healing well.

Tim

 

 


Age at Dx:48, currently 49
PSA May 08 2.96
referred to uro
PSA June 08 3.44
biopsy 7/25/08-29 core samples
path 7/31/08-8 of 29 PCa/10% involved L/R base and mid
high grade PIN in apex/seminal vesicles clear stage GS 3/3=6 pT2a
10/7/08 robotic at Cleveland Clinic-Dr. Kaouk
10/10/08 path GS 3/3=6 pT2c
cancer contained/neg margins
PSA Jan/09 .03


svelte1
New Member


Date Joined Mar 2012
Total Posts : 14
   Posted 3/22/2012 8:44 PM (GMT -6)   
Had surgery on Friday, March 16, 2012, went home on the 18th. Feeling pretty good, pain is controlled but saw this sudden swelling today of penis and scrotum, scared me so I called my surgeon. He said if I didn't have any other swelling of ankles or feeling faint to elevate the scrotum and drink coffee or beer to help as a diaretic. I feel fine and getting to drink that beer makes me feel real good. I will be going in to a cystogram tomorrow and having this cathether removed on Monday, praise the Lord.

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 5864
   Posted 3/22/2012 9:16 PM (GMT -6)   
I had massive swelling as well, about 4 days out from surgery - was carrying around two texas ruby reds. If it weren't for the catheter, Willie would have drawn up and vanished completely. Lasted about 3 days.
 
I was not warned, and called the on-call number. They said it was normal.
 
No chest bruising here.
Moderator - Prostate Cancer
(Not a medical professional)

DaVinci 10/2009
My adjuvant IGRT journey (2010) -
www.healingwell.com/community/default.aspx?f=35&m=1756808

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 24131
   Posted 3/22/2012 9:21 PM (GMT -6)   
I agree with the other posters, most of the swelling you described down below seems to be a common malady after prostate surgery. I, myself, had open surgery, and really didn't have any swelling or discoloration.

The large bruise, don't know what to think about it, other than its perhaps just another side effect of the surgery. Even when done roboticly, your body still has been through a major and traumatic surgery.

Hopefully, both issues will resolve in due time.

The mention of your urine being clear this soon is a good sign. Don't be surprised, even in the days ahead, that you don't pass surgical debris, small clots, small amounts of blood, etc. That would be in the range of normal too.

Good luck as you continue to recover, and please keep us up to date.

David in SC
Age: 59, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, original catheters 63 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06, 2/11 1.24, 4/11 3.81, 6/11 5.8, 12/11 14.0
Other: Spent total of 1 ½ years on 21 catheters, had Ileal Conduit Surgery 9/10
Member of Prostate Cancer & Chronic Pain HW Communities

svelte1
New Member


Date Joined Mar 2012
Total Posts : 14
   Posted 3/22/2012 9:22 PM (GMT -6)   
Yea, I was thinking this old boy was about to disappear and take the cathether with it. Hopefully it will be better in the morning, and oh yea I love the DaVinci surgery, there's no way I could have handled the laproscopic procedure this easily.

RandomPseudoNym
Regular Member


Date Joined Dec 2011
Total Posts : 135
   Posted 3/22/2012 10:16 PM (GMT -6)   
I was warned about this but did not have it.

Personal theory (not in any way factually substantiated) is that part of the reason I didn't have it is that I already had it, the only other time I visited a urologic surgeon. I chuckled quite a bit when the guy taking my prostate out needed me to sign a form indicating that he'd be sterilizing me - already had that snipped years ago. And when I did, things got all black and blue and swollen - so that's the source of my anecdotal theory about this.

The effect nobody told me about which my docotor was also surprised to hear (I may be a bit more frank than the average patient? or it's not common?) was that things were hanging lower - unfortunately the reason I knew that for sure is that they were striking toilet-water, and that had never happened before. Thankfully that has not (at least to that extent) been a permanent condition. But you can sing that song where ears were the "polite replacement for kids" and woggle them to and fro (never got to throwing them over my shoulder - just as happy not to.)

Drink a lot while you have the rubber snake - anything you flush out the catheter, you won't have to flush out without it.
3/9 psa 2.? ••• 3/11 PSA 4.08 ••• 6/11 PSA 3.8? but Free 8%
8/11 biopsy 1 of 12 G6 (5% or 20% - depending on pathologist)
Age 47 - after much research, RALRP/w bilateral nerve sparing 10/11
Post-Path: G6 neg margins, multiple/bilateral, confined to prostate, no perineural invasion, 5%, largest 9mm
12/11 - PSA <0.1

rollydog
Regular Member


Date Joined Nov 2011
Total Posts : 39
   Posted 3/23/2012 12:32 AM (GMT -6)   
hehe....my hubby had the same thing, I took photo's as evidence! i thought it was amusing, he on the other hand was not as impressed!!
Hubby's Numbers!
Raised PSA 8.1 September 2011
Biopsy October 5th 3 cores positive raning from 5% to 30%
Diagnosed October 7th 2011
Radical Perineal Prostotectomy November 23rd 2011 (nurves spared)
Post Surgery PSA 0.11 so commencing Radiotherapy 13th Feb 2011

dude1969
Regular Member


Date Joined Jul 2011
Total Posts : 357
   Posted 3/23/2012 9:39 AM (GMT -6)   
I didn't read the whole thread to know whether it has already been suggested or not, but what really helped me was aspirin and a hot/cold pack that I microwaved for 15-20 seconds and then sat on so that it was right under the scrotum. Sweet relief. Good luck. Didn't have much bruising, but there was some down there.

davidg
Veteran Member


Date Joined Feb 2011
Total Posts : 4093
   Posted 3/23/2012 10:04 AM (GMT -6)   
i had no swelling at all but had been told that it would be normal if I did.
40 years old - Diagnosed at 40
Robotic Surgery Mount Sinai with Dr. Samadi Jan, 2011
complete urinary control and good erections with and without meds
Prostate was small, 34 grams.
Final Gleason score 7 (3+4)
Less than 5% of slides involved tumor
Tumor measured 5 mm in greatest dimension and was located in the right lobe near the apex.
Tumor was confined to prostate.
The apical, basal, pseudocapsular and soft tissue resection margins were free of tumor.
Seminal vesicles were free of tumor.
Right pelvic node - benign fibroadiopse tissue. no lymph node is identified.
Left pelvic node - one small lymph node, negative for tumor (0/1)

AJCC stage: pT2 NO MX

DaSlink
Veteran Member


Date Joined Feb 2011
Total Posts : 667
   Posted 3/23/2012 11:03 AM (GMT -6)   
I remember when I first noticed the swelling. I did not panic because I was warned. I did how ever laugh out loud because to me that whole area looked like Jabba the Hut (Star Wars) with a crazy straw.
That phrase alone brought my wife to tears. It has the same effect on most people I tell that story too.
You just can't make this stuff up!
Every minute you fish or ride,adds an hour to your life!

Age 52 Dx age 53 daVinci surgery
prostate volume 32 grams
Biopsy 12 cores with 7 positive
Gleason score of 7
Psa at surgery 49.8
RRP on 01/25/11
PT3a
margin involved-Left anterior
lymph nodes clear
1st PO Psa 0.26 03/16/11
2nd PO Psa 0.08-05/19/11
3rd PO Psa 0.05-08/22/11,4th-01/25/12 0.09.
Lots of ED

tvwohio
Regular Member


Date Joined Sep 2010
Total Posts : 168
   Posted 3/23/2012 7:37 PM (GMT -6)   
My wife still teases me 11 years after I had my RP about the basketballs I had right after surgery.
If you consider the seminal vesicles were probably removed, resection of the ureter, if he didn't have some brusing then they may not have done the same which I had.
 
I didn't have robotic but I think it is par for the course.  Just don't take any pictures unless you want to tease him later.
 
Congratulations - it is the next day of the rest of your lives.  We mark 11 years in June.  I was 50.
 
God Bless and thoughts and prayers are with you and yours
 
Tom of west central ohio
 
Prostrate Cancer 2001 RP 50 years old PSA 6.8 Gleason 3 + 2 40% T3bNxMo moderately differentiated adenocarcinoma RP - cancer apex area, nerve sparing not successful Bulking using both collagen and teflex unsuccessful for continence. 4 sets of strictures within 1 yr after RP - 3 manual and 1 rotorotor -9/2010 stricture - suprapubic catheter folled by Homan Laser. AMS800 1/22/11. Dry 3/9/2011

svelte1
New Member


Date Joined Mar 2012
Total Posts : 14
   Posted 3/25/2012 10:45 AM (GMT -6)   
9 days post-op, urine flow is at a trickle and painful after catherter was removed on day 7. Bowel movements are great after using an enema, it seems every time I go unrinate it I have to make number 2. I was hoping the urinating discomfort would end after a day but that's not the case so far.

svelte1
New Member


Date Joined Mar 2012
Total Posts : 14
   Posted 3/25/2012 10:48 AM (GMT -6)   
I'm 50 years old, not sure if I mentioned that before, prostate weighed 47 grams after removal, cancer in 50% of left side, 5% of right side, both seminal vesicles free of cancer and both Lymph nodes(left and right) cancer free.

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 5864
   Posted 3/25/2012 1:05 PM (GMT -6)   
Svelte1,
Consult with your doctor/surgeon about how to regulate the bowel movements. Also for any urinary issues, as any infections or blockages need to be addressed immediately.
 
My surgeon warned me very strongly against using an enema. Better said, he told me not to do that. The reason might not be clear, but if you consider the location of your prostate (just a DRE finger's distance inside your rectum) and the surgery area that runs along one side of the rectum, the risk of pushing an enema bottle tip up there becomes evident.
 
Mine reviewed the stool softeners that I have been taking regularly after other colo-rectal surgery, and made suggestions using those.
 
And yes, for the first few months it made a lot more sense to sit down for any voiding functions, as there was no predicting what was going to happen.
 
At 9 days post-op you can't expect to see improvements. If there are some, be very happy.

tvwohio
Regular Member


Date Joined Sep 2010
Total Posts : 168
   Posted 3/25/2012 7:06 PM (GMT -6)   

Svelte
 
I agree don't use enema's use stool softners and drink lots of water.   You may have continence problems but that is par for the course.
 
Don't rush yourself, it takes a good 6 weeks of healing and then adjustment.   Not certain if you are doing kegels but you may want to also do them daily - don't over do just per doctor's orders.
 
Good Luck, you will be fine - prayers and thoughts with you
Tom of west central ohio
Prostrate Cancer 2001 RP 50 years old PSA 6.8 Gleason 3 + 2 40% T3bNxMo moderately differentiated adenocarcinoma RP - cancer apex area, nerve sparing not successful Bulking using both collagen and teflex unsuccessful for continence. 4 sets of strictures within 1 yr after RP - 3 manual and 1 rotorotor -9/2010 stricture - suprapubic catheter folled by Homan Laser. AMS800 1/22/11. Dry 3/9/2011

svelte1
New Member


Date Joined Mar 2012
Total Posts : 14
   Posted 3/26/2012 8:32 AM (GMT -6)   
Thanks 142 and tvwohio.

I have to consider the fact that one nerve was spared and the other not because of concern although lab results says it was cancer free after removal. Last night I woke up with a semi-hard one and that was a a good sign I thought. I do the kegels 4 times each day and as often as possible when I think about it. I have stool softener but I did not ask my doctor for a recommended type. I can't expect much after 3 days having the cath removed. Urinating is painful but I think it will get better, I had the cath for 7 days and that was very uncomfortable.
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