Post-surgery hernias, Anyone else experience this?

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PianoMan
Regular Member


Date Joined Feb 2007
Total Posts : 365
   Posted 2/2/2008 7:48 PM (GMT -7)   
Hi All:  Things have gone wonderfully for me over the past year.  The surgery and healing went well.  The PSA has been undetectable etc.
 
But now -- I've got this inguinal hernia going on -- on both sides of my gut.  I was feeling perfect a month ago but now I'm aching like I was the first week after surgery.
 
My family doc checked me out, confirmed the hernia and said I should see a surgeon if it's aggravating me enough.
 
I did a bit of Googling and saw that a lot of post-op prostatectomy patients tend to develop these hernias.
Have any of you dealt with this?  Are there exercises you know of that could help me deal with the hernia(s) and avoid another surgery?  Or would exercising create more problems?  Any input would be appreciated.
 
Thanks,
Tom

D.O.B - 8/9/52

PSA: First ever was 9.8 in late Oct. ‘06, two weeks later, 10.1

DRE: Negative

Biopsy results 11/22/06.  Both lobes involved.  Six out of eight cores positive - from 100 percent to 90, to 60, to 50, two 20s and two zeros.

Gleason 3+3 = 6

Da Vinci Robotic RP surgery, City of Hope, Jan 12, 2007

Post surgery pathology – Organ confined, Gleason still 6, margins clear.  Volume of tumor much less than biopsy suggested.  12 percent overall.

First post-surgery PSA -- Undetectable, 2/20/07

Second post-surgery PSA -- Undetectable, 9/11/07


Paul1959
Veteran Member


Date Joined Nov 2007
Total Posts : 598
   Posted 2/2/2008 8:09 PM (GMT -7)   
Interestingly enough, Inguinal hernias are a form of birth defect. you've had them since birth - it's where your testes descended through your abdominal wall into your scrotum shortly before birth. Those openings are supposed to close up. If they don't, they hang around until the day your intestine bulges through. I learned all this cause our son had them - both sides. The doc said he had 85 year old patients coming in with these birth defects. From what I've learned...Swimom can correct me...the surgery stretches the abdominal wall and these holes open up a little bit. There really is nothing that you can do other than wear a truss which simply pushes the intestine back through the hole. I've had friends who had the surgery and it really was no big deal. They do laproscopic and it is not much pain...gee, where have i heard that before? my father had this and lived with it for a while but they just tend to get worse. If the intestine twists, you;re in real trouble. You've got some time, probably, but it might mean an emergency surgery down the line if something happens.
Just what you needed after all this. Sorry....this is the kind of stuff that can drive you nuts.
Paul
47 at Diagnosis.
Father died of Pca 4/07 at 86.
1/06 PSA 3.15
1/07 PSA 4.6      (Biopsy 3/07 just suspicious)
10/07 PSA 5.06   (Biopsy 11/07  1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC  www.roboticoncology.com
Saved both nerve bundles.
Path Report:  Stage 2cNxMx
-Gleason (3+3)6
-totally contained to prostate,
-10% involvement in L & R Mid lobes
 
 


PianoMan
Regular Member


Date Joined Feb 2007
Total Posts : 365
   Posted 2/2/2008 8:46 PM (GMT -7)   
Hi Paul:  Thanks for the reply.  My family doc described the testicle drop like you did. 
I'm the only male from the maternal side of my family who did not have a hernia.  My grandfather, uncles cousins and nephews had them but I thought I'd evaded the bullet.
Any opinions out there in terms of fixing these hernias would be appreciated.  I've heard about the screen/mesh thing, but I've heard there are problems associated with that procedure.


D.O.B - 8/9/52

PSA: First ever was 9.8 in late Oct. ‘06, two weeks later, 10.1

DRE: Negative

Biopsy results 11/22/06.  Both lobes involved.  Six out of eight cores positive - from 100 percent to 90, to 60, to 50, two 20s and two zeros.

Gleason 3+3 = 6

Da Vinci Robotic RP surgery, City of Hope, Jan 12, 2007

Post surgery pathology – Organ confined, Gleason still 6, margins clear.  Volume of tumor much less than biopsy suggested.  12 percent overall.

First post-surgery PSA -- Undetectable, 2/20/07

Second post-surgery PSA -- Undetectable, 9/11/07

Post Edited (PianoMan) : 2/3/2008 3:10:08 PM (GMT-7)


biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1463
   Posted 2/2/2008 10:58 PM (GMT -7)   
Hey Tom,

I had hernias on both sides because I had undescended testicles when I was a kid. The did surgery and repaired both sides. I had to wear a truss when I played sports and it was an embarassing thing in the locker room.

Get it fixed. If a gut twists through you will be in trouble. Not fun but it beats the alternative...

Jim
Age 73. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Catheter out on 12/13/06.  Dry on 12/14/06.
Pathological stage: T2C N0 MX. Gleason 3+4.
PSAs from  1/3/07 - 1/17/08 0.00. 
Next PSA test on 7/17/08
 
"Patience is essential, attitude is everything."
 


GreenAcres
Regular Member


Date Joined Jul 2006
Total Posts : 474
   Posted 2/3/2008 6:09 AM (GMT -7)   
Pianoman - my husband had a pre-existing hernia going into prostate surgery and our surgeon advised we could get it fixed 8 wks following da Vinci.

Got a truss and made it a few more months before the pain was so unbearable walking was difficult. The hernia surgeon we chose suggested an open because he had to do a "reverse" patch due to scarring from prostate surgery. (Mesh went on top instead of behind, leaving a little "pooch." Doc assured us that patch wasn't going anywhere.) It was a breeze, really, (easy for me to say) by comparison. No stitches, just glue - rode home sitting up and alert, very little pain to speak of, and then no exertion until the next appointment for an all clear.

There were some issues with mesh patches, along with recalls, but I believe that is past. We were pretty adamant about a lap procedure, but 2 different docs said open was the way to go for ease of access and in a lump sum the amount of incision was the same, just all in one area.
Husband: Age 67
PSA had doubled in 14 mos to 4.3/Gleason 6
da Vinci 8/06 in Austin with Dr. Randy Fagin
Post surgical path shows encapsular penetration; possible bladder neck involvement.
PSAs remain undetectable; no further treatment at this time.
Next PSA: April 08

Post Edited (GreenAcres) : 2/3/2008 6:40:42 AM (GMT-7)


PianoMan
Regular Member


Date Joined Feb 2007
Total Posts : 365
   Posted 2/3/2008 12:17 PM (GMT -7)   
Thanks for the input GreenAcres. Sounds like I'm in your hubby's boat. I'll be setting up an appointment next week with a highly-regarded general surgeon here in Vegas. I'll keep ya posted.

This business of aging sucks....sometimes I feel like a car with about 300 thousand miles on it.
Best to ya and keep on smilin'!
Tom

D.O.B - 8/9/52

PSA: First ever was 9.8 in late Oct. ‘06, two weeks later, 10.1

DRE: Negative

Biopsy results 11/22/06.  Both lobes involved.  Six out of eight cores positive - from 100 percent to 90, to 60, to 50, two 20s and two zeros.

Gleason 3+3 = 6

Da Vinci Robotic RP surgery, City of Hope, Jan 12, 2007

Post surgery pathology – Organ confined, Gleason still 6, margins clear.  Volume of tumor much less than biopsy suggested.  12 percent overall.

First post-surgery PSA -- Undetectable, 2/20/07

Second post-surgery PSA -- Undetectable, 9/11/07

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