Pain After robotic surgery

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

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 5197
   Posted 1/23/2010 6:59 PM (GMT -6)   
Another post here got me curious. Supposedly there is a quicker recovery with robotic surgery. Hence one would expect less pain. I know I had laparoscopic knee surgery (torn meniscus in 2 places and arthritis) and it went well but was far from pain free.
 
So, what's the real deal on this surgery. For those who had the surgery, how was the pain. Did you require pain killers stronger than tylenol?
 
Also, was there a lot of lingering pain?
 
Someone mentioned that coughing/sneezing hurt a LOT. Correct?
 
Just curious and killing time.
 
Mel (T-3 and counting!)
63 years old
PSA-- 3/08--2.90;  8/09--4.01; 11/09--4.19 (Free PSA 24%), this after 45 days on cipro! DREs have always been normal.  
History of BPH/prostatitis. PCA-3 test: 75.9 (bad news, guaranteeing I have to do....): Biopsy on 11/30/09. Result of biopsy:

5 out of 12 cores positive. Gleason 4+3. More specifically: 2 cores were 3+3 (one 5% and the other 30%) on one side. On the other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C

REVISED BIOPSY REPORT: The previous was read by Umich. Slides were then sent to Dr. Menon at Ford Hospital. Here is their report (much better) -- changes in bold print below:

5 out of 12 cores positive. Gleason 3+4. More specifically: 2 cores were 3+3 (one 5% and the other 20%) on one side. On the other side, 3 cores were 3+4 (5%, 5%, 20%)

 Latest: Surgery with Dr. Menon at Ford Hospital, set for 1/25/10

 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 24195
   Posted 1/23/2010 7:27 PM (GMT -6)   
Mel, you must admit this time, that your question is very personal and extremely subjective. Personal in the sense that pain levels and pain tolerance are very unique from person to person. Proper pain management is such a definitive science. Some here have needed virtually no pain meds not only from robotic, but even with some open surgeries. It's kind of like comparing hospital time, some more, some less.

With my open surgery, and having a natural low tolerance for pain, I needed pretty strong meds in the hospital. I was on prescription pain meds for about 3 weeks after the big surgery.

You should know how you deal with pain in general, and the rest, I hate to say it this way, you won't know till you are done. But if you need it, best advice I can give is to take what you need, you arent' going to become a pain pill junky in your recovery. You will heal better and faster if you are not addressing untreated pain issues. That's a medical fact.

I have had more chronic pain post salvage radiation then I did with my actual main surgery. Some of my corrective surgeries have left me with a great deal of pain too. The other thing is, make sure you communicate clearly with your medical staff on pain matters. Understand the pain scale chart, and always give honest estimates. There's no prize for taking less, or lying about how much you really hurt, unless you tell them, they won't have a definitive way of helping you.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/10 - Corrective Surgery #4, and Caths #11 and #12 in at the same time


Herophilus
Regular Member


Date Joined Sep 2009
Total Posts : 478
   Posted 1/23/2010 7:50 PM (GMT -6)   

Mel

Discomfort absolutely, Pain with coughing YES, However as I have stated a number of times to friends and co-workers I had very few episodes of actual Pain. I don’t do Tylenol, but as soon as I could take my Aleve I didn’t need any additional medication for pain. You are very well informed. You will most probably have 5 abdominal stab wounds with the central wound being extended vertically. Your going to have pain from that trauma. I wish I would have known then what I know now. I would gladly go through this again if we were just talking about toleration of the pain. I have read your post regarding back pain. 8 years ago I woke up at 3:30 a.m. and had excruciating pain. I was in bed and wonder if something broke inside me. I wondered if I had gotten drunk and run over by my tractor,(again). But what I had was a herniated disc. It was bad enough that I had pain down my right leg that actually gave me foot drop. I was really lucky that I didn’t need to have surgery, (that was suggested) just lots of physical therapy and that is how I got into running. Just for clarification I would tell you that I think that I’m a normal person when it comes to toleration of pain. Your going to be just fine. Your back pain is going to be a huge trump in relation to the amount of pain from the robotic surgery. Back pain 10, robotic pain 3.1459265, or to completely ******ize things...a piece of Cake. Good Luck and Godspeed.

Hero


Age 51, PSA 08/31/2009= 6.8, DRE Neg.
Biopsy 9/24/09 =10 of 12 positive. Gleason 6. involving up to 75%
da Vinci at Wash U, Barnes on 11/02/09
Modified Pathology, Gleason 4 + 3 = 7. Gleason 7 present throughout Prostate.  Negative surgical margins
4 of 4 periprostatic Lymph Nodes Negative, 10 of 10 pelvic Lymph Nodes Negative. Seminal Vesicles tumor free. No prostate extension
Post-op PSA 12/10/2009, Undetectable
12/12/2009, Pad Free and Started jogging.


coxjajb
Regular Member


Date Joined Nov 2008
Total Posts : 184
   Posted 1/23/2010 8:00 PM (GMT -6)   
Mel, My doctor gave me an RX for Darvocet to control pain. I'm no tough guy. I took one just before bed time to help me sleep but did not fill to need for pain control during the day. I found that holding a folded towel or pillow firmly on my lower stomach helped for cough or sneeze.
Age 51
Pre - Op PSA, 4.3
Gleason 3+4=7
Stage T1C
da Vinci Prostatectomy 8/1/08
No issues with incontinence since day 1 after catheter removal
Mild ED for about 10 months. Levitra worked well for me. No ED at one year.
PSA 0.00 at one year post


MaxBuck
Regular Member


Date Joined Jan 2010
Total Posts : 75
   Posted 1/23/2010 8:00 PM (GMT -6)   
Coughing and sneezing were really the only sources of pain I had post-surgery. (Catheter was more an annoyance than actual pain.) Neither was horrible, but neither was pleasant. I was given Percocet whenever I asked, but found the headache on the rebound was worse than the pain it was intended to treat, so I quit that pretty quickly and went straight to Tylenol.

I recommend religiously using the spirometer that they'll give you after you are rolled in from surgery - if you're not familiar, it's a device you exhale into to encourage full evacuation of the lungs. This will help minimize congestion and the subsequent coughing. USE IT FREQUENTLY! It's your friend.

(If nobody provides you a spirometer, ask for one. It's that important.)
Dx at age 56: Oct 09; PSA 5.8, followed up by 9.9 two weeks later (reproducibility of test - ?)
Biopsy ind cancer in 8/12 cores: Gleason 8 (4+4)
open radical retropubic prostatectomy Dec 4 09
Post-op pathology: 56 g weight, cancer in 21%, Gleason 7 (4+3, tert 5); margins clear, no lymph node involvement (0/9), perineural invasion present, T2c N0Mx (but showed clear from distant metastasis in pre-op bone scan and CT scan)
Continence data: 1 "panty liner"/day, with minor leakage when I get up from long seated position
ED pretty complete: some erection possible but current non-functional


zachattack
Regular Member


Date Joined Dec 2009
Total Posts : 97
   Posted 1/23/2010 8:59 PM (GMT -6)   
Mel,the robotic is much easier not much pain when you cough hold a pillow against your abdomen it helps a little.take care

Zach
age 55dx 12-2008,psa at biopsy 8.6
biopsy 12/12 gleason 3+4=7
da vinci surgery 6-09 nerve sparing by DR. John W. Scott (my hero)
Hospital 3 days cath 7days still leaking from cough(bad lungs)
still have ed may be the hormones.
9-09 psa 2.2 hormone inj
10-09 nuclear bone scan no results yet I will have gold markers placed 12-29-09
start rad 1-10-10
organ confined
extracapsular seminal vesicle involvement
lymph node involvement


Burlcodad
Regular Member


Date Joined Nov 2009
Total Posts : 254
   Posted 1/23/2010 9:14 PM (GMT -6)   

Id say the pain was a two at the worst.  My stomach felt tight but not painful.  I did use the pain medicine prescribed for several days more to keep my body loose than for actual pain. 

Ten days post surgery it it still uncomfortable to sleep on my side but other than that no pain at all.

 

 


diag 9/09
 
age at diag 54
 
PSA 6/09 1.3
 
stage 2b (biopsy done because of firmness felt on right side)
 
3 positive cores out of 12 (all less than 25%)
 
Gleason 6
 
Surgery  1/13/10 at UP- Penn Presby with Dr David Lee. Home 1/14/10 Nerves spared on both sides -Catheter removed 1/19/10  Path report scheduled for 2/11/10
 
 


lja3
New Member


Date Joined Oct 2009
Total Posts : 13
   Posted 1/23/2010 9:15 PM (GMT -6)   
I think most people have relatively low pain.  However, I experienced a lot of abdominal pain for almost 6 weeks.  Took Vicodin as needed.  Am pain free now that I am 10 weeks out, but it was very rough for me in the beginning.  everyone is completely different.
Larry
  • 55 years old
  • Diagnosed 8/27/09
  • PSA went from 1.2 to 3.4 over 18 months
  • Gleason 4+3=7
  • 3 of 12 cores positive
  • Cancer 5% of biopsied tissue
  • Perineural invasion not identified
  • Cat scan negative
  • Bone scan negative
  • Had da vinci RP on Monday, November 9th
  • Surgery took 7 hours, lost 2 liters of blood, transfused 2 pints 
  • No cancer found outside of prostate
  • Strong abdominal pain for 6 weeks post surgery
  • PSA on January 5th at 0.001.
  • Using 1 pad a day and 1 pad at night
  • Next check-up on May 5th


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 1812
   Posted 1/23/2010 9:28 PM (GMT -6)   
My pain was pretty severe, but didnt like the pain meds either. Having said that that was an anesthia error after they started my surgery and they had to pull me out from under the robot to put the iv back in a vein. Good thing I was asleep, but I hurt all day long for about 4 weeks and then it began tapering off. Woke up with my left arm wrapped in warm towells and when I was finally able to look at it, it was 2-3 times its normal size as was my hand. When I looked at the other guys walking around the hall later that day I knew they were feeling a lot better than I was. Some people have minimal pain and hope you are one of those. It wil go well for you.
Michael
Dx with PCA 12/08 2 out of 12 cores positive 4.5 psa
59 yo when diagnosed
Robotic surgery 5/09 Atlanta, Ga
Catheter out after 10 days
Gleason upgraded to 3+5, volume less than 10%
Margin slightly involved
2 pads per day, 1 depends but getting better,
8/5 1 depend at night only, now none
 started ED tx 7/17, slow go
Post op dx of neuropathy
3 months psa.01, 6 month psa.4, 6 1/2 month psa.5
Starting IMRT on 1/18/10
Great family and friends
Michael


Ricky2
Regular Member


Date Joined Dec 2009
Total Posts : 96
   Posted 1/23/2010 11:18 PM (GMT -6)   
This surgery was the first major surgery that I ever had so I don't have much to compare to, but I found robotic surgery to be a walk in the park. Very little pain. Never used any of the pain pills they sent me home with. Just the inconvenience of the catheter (hurt a little when they pulled it out) and the leaking that followed. Now almost 100% dry..

Good Luck to you!

Ricky
Age 70

PSA 5/2008- 3.6, PSA 7/2009- 6.1, retested 9/2009-5.1.
Biopsy 9/2009. 4 of 12 positive. Gleason 3+4=7
CT and bone scan negative.
Robotic De Vince Surgery 10/29/2009. 1 night in hospital. No pain. Cath out on 11/6
Pathology Report: Gleason score 3+4. Margins slightly involved <.1mm to .25mm. Perineural invasion present, stage pT2c. Tumor 18%. Seminal Vesicle - absent, Lymph Nodes 0 of 6.
Continence- first 4 weeks after cath out Dry at night, rest of time, bladder held nothing. 6-7 pads per day. as of 12/30 no pads most of time. almost dry except for a few drips. I keep doing Kegels.
ED. Started VED on 12/17. 15 min every other day. 20mm cilias twice a week. No sign of life yet.


DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 659
   Posted 1/24/2010 1:15 AM (GMT -6)   
Mel,

So for me it went like this: Woke up in recovery room, felt like I had to pee, but otherwise no pain. Still groggy. Went back to sleep. Later, in the hospital room, the nurse asks me to rate my pain on a scale of 1 to 10. I don't remember what I said, seven maybe. He then asked if I wanted him to inject some morphine into my IV. I thought, why not, never tried it before. So he did, and I did feel better in less than a minute. The pain was not as bad, say, dental work, but with the morphine I felt fine. Next day, they gave me Percocet to take home. I did take some, but only for a day.

At a different level, when walking around, I felt like I shouldn't stand up completely straight, as this seemed to make surgical area hurt. This persisted for weeks, but I could stand up nearly straight with no problem. Went to work like this and nobody seemed to notice.

DJ
Diagnosis at age 53. PSA 2007 about 2; PSA 2008 4.3
Biopsy September 2008: 6 of 12 cores positive; Gleason 4+3 = 7
CT and Bone scan negative
Da Vinci surgery at City of Hope December 8, 2008
Radical prostatectomy and lymph node dissection
Catheter out on 7th day, replaced on 8th day, out again 14th day following negative cystogram
Pathology: pT2c; lymph nodes negative; margins involved; 41 grams, 8% involved by tumor; same Gleason 4+3=7
PSA 1/22/08 non-detectable! 8-)
4/23/09, 07/30/09, Oct 2009 still undetectable!


brainsurgeon
Regular Member


Date Joined Jul 2009
Total Posts : 136
   Posted 1/24/2010 2:03 AM (GMT -6)   
With the robot, I had no pain. The portal wounds were sore if I pressed on them, but no pain with movement, coughing, sneezing, or walking. I took a few Motrin type pills because the nurse handed them to me.
70 years old (1939) USA citizen
Prostatic carcinoma dxed June 2009 by PSA (7.0) and then Bx
PSAs yearly since 2001 ranged 1.52 to 7.0. Doubled from 3.5 to 7.0 in one year.
Neg. CT and Bone Scan
4 of 8 biopsies positive (all right side) Gleason Score 3+4=7
Robotic assisted total prostatectomy and node excision July 2009 in Luzern, Switzerland by Dr. A. Mattei in the Kantonsspital. New Gleason was 4+4=8
pT2c G3 pN0 (0/14)
Catheter out in 5 days (home in 3 days)
No incontinence
Positional neurpraxia in hip and knee resolved 90+% in 5 months.
Potency: beginning tumescence??? at 3 weeks post-op. Still happens at 3 months PO. Nearly usable one month later. At 5 mo. with 100 mg Vitamin V, pretty good. Now beginning 5 mg Cialis daily.
3month PSA less than 0.01
6 month PSA less than 0.01


Red Nighthawk
Regular Member


Date Joined Oct 2009
Total Posts : 289
   Posted 1/24/2010 7:32 AM (GMT -6)   
Mel, I had robotic surgery on Sept. 15th in Boston. They wheeled me into the operating room awake and showed me where the surgeon will be and where I will be. They asked me to slide over to the operating table and that's the last thing I remember until I woke up in the recovery room. The nurse asked me to rate my 'pain', but I didn't really have any, so I said about a two or three. They gave me some chicken broth to eat and that's about it. The wonderful nurses got me up doing laps right off the bat, and that turned out to be a way of life even up to now. Walking is big. I stayed one night in the hospital and when leaving they gave me a vicadin for the 1 1/2 hour ride home, in case my wife hit some bumps or pot holes. Bring a lap pillow for your ride home. I never used the prescription for vicadin, and didn't need any other medication. Like all the guys say, the catether is really the worst of it. Getting out of bed can hurt a little at first because you will have very little strength in your abdomin muscles. This weaknes lasted about three days and gradually got stronger every day. I learned to use my arms and legs more to get out of bed. I had never had surgery before, so I suppose I expected much more pain than I actually had, which was practically none. I trip to the dentist is worse. Good luck.
Age: 62
Pre-op PSA: 4.1

Post-op pathology:
Gleason grade: 3+4=7, present in both lobes, at least 1.1 cm, and occupying less than 5% of prostate by volume. pT2c NX MX
No lymphatic/vascular invasion present.
Seminal vesicles and extraprostatic soft tissue free of tumor.
Inked margins are free of tumor.
High grade prostatic intraepithelial neoplasia is present
Robotic RP: Sept. 15th, 2009 1 day in hospital, cath out on 9th day
Post-op PSA: at 4 weeks --> .04 (undetectable)
ED: Improvement is very slow to non-existent. Doc has not put me on ED drugs yet.
One pad for the first six weeks. Two pairs of underpants now just to play it safe.
Surgery: Dr. Jim Hu. Brigham & Women's Hospital, Boston


LenB
Regular Member


Date Joined Jul 2009
Total Posts : 102
   Posted 1/26/2010 9:57 AM (GMT -6)   
After my DaVinci surgery I only need 2 Tylenol for discomfort. Actually I had no pain.
Age: 65
DX: 7/10/09
Gleason: 7
Biopsey: 2 chips with some cancer cells out of 30.
Robotic Surgery: 9/10/09
Cath out: 9/23/09
1st post op PSA: 10/20/09 <0.1
2nd post op PSA:  1/25/10 <0.1
 


142
Forum Moderator


Date Joined Jan 2010
Total Posts : 5873
   Posted 1/26/2010 10:27 AM (GMT -6)   
Mel,
I used "the button" half a dozen times in the 4 days they kept me. It was extreme discomfort, not severe pain. I had more significant problems with nausea in the hospital.

I took home Norco 10-325, 30 tabs in the script, took 10 in the two weeks following DaVinci(had more pain at night from the catheter and related swelling than anything). Did not want to get dependent on the meds, but wanted to sleep. I have taken a total of 4 ibuprophen since then.

I've had broken bones and crown preparations that were much more painful.

That said, I am the one who mentioned pain when sneezing. If you can hug a pillow when you sneeze, it is bearable. I still have a spare pillow in the chair next to me. On the second or third in a row for the first few days, it was off to the pill bottle. It is still a bother to be avoided, but not real pain (DaVinci +13 weeks).

Thor2160
New Member


Date Joined Dec 2009
Total Posts : 3
   Posted 1/26/2010 4:25 PM (GMT -6)   
Compared to the implant surgery I just had, the robotic was a cake walk. Up and walking a few hours after surgery. If not for the catheter would have been back to work in a day or two.
49 years old
Prostatectomy January 2007
rising PSA
Radiation July & August 2007
rising PSA
Casodex & Finasteride - 2008
rising PSA
Hormone implant July 2009
lowest PSA since diagnosis - Oct 2009 = 0.7


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 1/26/2010 4:36 PM (GMT -6)   
First of all, remember that this is not a toughness contest. Pain tenses the body and slows healing.

I took pain killers the first couple of nights so that I got a good sleep. After that I didn't need them. But every person is different. Do remember that painkillers lead to constipation so if you need them, be sure to take laxatives as well -- getting your bowels moving is important to healing.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads
6 mo. PSA 0.00 -- 1 light pad/day


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 24195
   Posted 1/26/2010 5:26 PM (GMT -6)   
Geezer, I think you got the point about pain management right on the head. And yes, if you are on pain meds, even mild ones, they tend to be consitpating, so compensate with stool softeners and/or mild laxatives as needed, clearing this with your dr. of course. Even the ditropan I have to keep taking for spams is a constipating drug, so I factor that in too.

Without proper pain management, one's recovery can take longer, or even relaspse. So why suffer needlessly.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/10 - Corrective Surgery #4, and Caths #11 and #12 in at the same time


MaxBuck
Regular Member


Date Joined Jan 2010
Total Posts : 75
   Posted 1/26/2010 7:39 PM (GMT -6)   
geezer99 said...
First of all, remember that this is not a toughness contest. Pain tenses the body and slows healing.

I took pain killers the first couple of nights so that I got a good sleep. After that I didn't need them. But every person is different. Do remember that painkillers lead to constipation so if you need them, be sure to take laxatives as well -- getting your bowels moving is important to healing.
Great, great post. Important for all to remember, at all points of the process. Kudos, geezer!
Dx at age 56: Oct 09; PSA 5.8, followed up by 9.9 two weeks later (reproducibility of test - ?)
Biopsy ind cancer in 8/12 cores: Gleason 8 (4+4)
open radical retropubic prostatectomy Dec 4 09
Post-op pathology: 56 g weight, cancer in 21%, Gleason 7 (4+3, tert 5); margins clear, no lymph node involvement (0/9), perineural invasion present, T2c N0Mx (but showed clear from distant metastasis in pre-op bone scan and CT scan)
Continence data: 1 "panty liner"/day, with minor leakage when I get up from long seated position
ED pretty complete: some erection possible but current non-functional


NewspaperLover
Regular Member


Date Joined Sep 2009
Total Posts : 215
   Posted 1/26/2010 8:19 PM (GMT -6)   
It hurt more than I thought it would.  5 incisions + belly button.  Needed combo of hydrocoedine + sleeping pill to sleep at night for the first two weeks.  After one week, I tried walking more than 5 - 10 minutes at a clip, and found that it hurt too much.  After two weeks I was able to walk 30 - 45 minutes.  After three, back to an hour plus. Very tender for about 6 weeks.  Took that long before I could sleep on my sides -- before that, pulled too much.  Also, surgeon didn't mention it before, but shoulders ached a lot for 36 hours after surgery -- gas they pump into you.  Normal, I'm told.  After two weeks, things progressed very well.  Other aspects of recovery went fine.  Had hip replacement two years ago -- that was a steeper climb.
 

NewsPaper Lover

 

Age 66

PSA:  6.0  on 07/31/09 having risen from 4.2 on 12/02/08.  Free PSA 23.5%.Other PSA History: 4.3 on 05/01/08; 3.3 on 11/15/07; 3.1 on 05/20/07; 4.0 on 11/30/06; 3.40 on 09/01/05.

 

Biopsy:  09/04/09  13 snips;  two positive.  Right Mid  4+3 = 7 and 15% of the total volume.   Right Lateral Mid 4+3 = 7 and 20% of the total volume.

 

DaVinci robotic surgery:  11/05/09.  Post surgery pathology:  margins clean, no invasion of seminal vessels, no upgrade of the Gleason scores, no evidence of cancer outside the prostate capsule.

 

Cathether removed one week later:  11/12/09.   No  incontinence.  Stopped pads after two days.

  

 

 

larryandangieohio
Regular Member


Date Joined Jan 2010
Total Posts : 44
   Posted 1/26/2010 11:18 PM (GMT -6)   
The surgery itself didn't present any real problems or pain for me! ... It was the associated problems of the co2 and consitpation that was the real source of pain. After a week that finally that finally passed (PUNN INTENDED)!

Age:58  PSA 8/06 8.74,  10/09 7.46,  12/22 6.50

Needle Biopsy  11/10/09: 16/16 cores positive 2 - 85% of tissue,

Gleason score 7 (3+4 with tertiary pattern 5). CT,Bone, and PET scans all negative.

Da Vinci laparoscopic prostatectomy performed on Jan. 07, 2010 at IU Simon Cancer Center…  Indianapolis, IN  

Prostate size: 42 g Gleason score (primary + secondary):  4 + 3 = 7

Primary pattern (%):4, 60%  Secondary pattern (%): 3, 35%   Tertiary pattern (if present) (%): 5, 5%

Greatest dimension, largest tumor focus: 34 mm Additional dimensions: 27 x 9 mm 

Histologic type: Adenocarcinoma   Variant histology present: No   Multifocality: Yes

Extraprostatic extension: Yes   Seminal vesicle invasion: No   Cancer at surgical margin:No  

Bladder neck involvement: No    Lymph-vascular invasion: No    Perineural invasion: Yes

Catheter removed Jan-19-10  Dry Nights 2 pads/day  Baseline PSA checkup appt 2/3/10

 


lewvino
Regular Member


Date Joined Jul 2009
Total Posts : 384
   Posted 1/27/2010 8:23 AM (GMT -6)   
I was surprised that I had more pain with Davinci then I thought I would. But my wife reminds me I do not tolerate pain very well. On a scale 1-10 I would rate mine at a 8 or 9. They actually changed the pain meds twice to give me more comfort. Please don't let that scare you though as I am very happy with the surgery was just surprised based on others feedback. My six month check up is on Feb. 15th and doing great overall.

another Larry.
Age 55 / age at diagnosis 54, PSA 5.1
Robotic surgery 08/12/09 at Vanderbilt, Nashville TN. 
Final Path report:
20% of the prostate Invovled
Tumor graded at T2C
Overall Gleason 3+4 (7)
Lymph Glands Clear, Positive Margin Noted in Right Apex
 
First post Surgery PSA - 0


woodguy5
New Member


Date Joined Jan 2010
Total Posts : 10
   Posted 1/31/2010 3:38 PM (GMT -6)   
Hello everyone,

I am new here. Had my prostate removed roboticly 1/6/10 My first time in a hospital got myself ready for the worse! I have to say I had no pain what so ever never took any pain pills at all. Just a little tenderness where they did the incisions to me that was just like healing from an average cut. The catheter was more of a pain in the neck than anything else. Be prepared for incontinence when the catheter is removed got mine out 12 days ago Jan 19th much improvement in that time.

Age: 43

Diagnosed 12/3/09

Biopsy 1 out of 14 samples

Gleason 3+3=6

P.S.A. 3.9

English Alf
Veteran Member


Date Joined Oct 2009
Total Posts : 2080
   Posted 2/1/2010 2:37 PM (GMT -6)   
Hello
(Hello everyone and anyone. I've not been able to post for weeks as IE8 was blocking everything, but I'm here via Google Chrome now)

I've just reached 6 months since my op.

I only ever needed paracetemol after coming out of hospital the day after (but they did give me a prescritpion to get soemthing stronger from the pharmacy if I'd needed it)

Walking was almost the "best medicine"

Six months on I still have an ache around the big navel scar almost all the time. And if I forget myself and suddenly leap, on a chair to get something off a high shelf then I also get an ache inside.

I was warned not to forget that while the holes on the outside are smaller with robotic there is almost the same amount of chopping on the inside and it is major surgery.

The only thing that has elft me curled up in agony since the op are orgasms, a few of which were the most painful thing I've experienced (apart from the biopsy)

Which all goes to show how subjective it all is.

Alf
New Topic Post Reply Printable Version
Forum Information
Currently it is Thursday, October 02, 2014 5:25 AM (GMT -6)
There are a total of 2,231,883 posts in 248,362 threads.
View Active Threads


Who's Online
This forum has 156885 registered members. Please welcome our newest member, eva krotoa.
239 Guest(s), 9 Registered Member(s) are currently online.  Details
Chapelle, THE HAPPY TURTLE, Arbee_DC, babatera, geeker, getting by, ceecee600, RFNick, Melaine


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