Belly-fat pooch after Da Vinci surgery

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Regular Member

Date Joined Aug 2007
Total Posts : 118
   Posted 2/23/2008 12:00 PM (GMT -6)   
OK, so I know this is not that important in the grand scheme of things, so I can understand if you are laughing right now. However, in my quest to get back in shape after surgery, I have noticed that the fat around my mid-section has changed shape, in particular near the port sites close to the navel. Has anyone else experienced this?
Age:45 (44 when diagnosed)
Father diagnosed and cured at age 52.
08/21/07: Diagnosed with T1c cancer
1 of 12 biopsy cores positive; 10% tissue
Gleason score: 3+3=6
PSA level prior to biopsy: 4.3 (velocity < 0.4ng/ml)
10/19/07: da Vinci prostatectomy by Dr. Vipul Patel
              Difficult surgery due to prostate inflammation.
              Both nerve bundles spared.
              Spongy erections began within 24hrs of surgery!
10/24/07: Catheter out; down to 1 Serenity pad/day next day.
              Final pathology: neg margins, no capsular penetration,
              Gleason 3+3=6, 5% tumor involvement, multi-focal.
11/04/07  First usable erection with Cialis
11/22/07  Thanksgiving - Bye-bye, pads
01/17/08  First post-surgery PSA result: < 0.008 ng/ml

Veteran Member

Date Joined Nov 2007
Total Posts : 598
   Posted 2/23/2008 1:50 PM (GMT -6)   
I have a small gully right at the large incision above my navel. It indents about a quarter inch. I figure I'll say it's an old war wound. It says on my operative report that he removed some fat at the pubic bone ---- I had liposuction! I'm hardly overweight...maybe a little...But I think the fat will reposition to level out except where it's held by scar tissue. There go my washboard ABS! AT least I now have an excuse!

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
Saved both nerve bundles.
Path Report:  Stage T2cNxMx
-Gleason (3+3)6
-totally contained to prostate,
-10% involvement in L & R Mid lobes

Tim G
Veteran Member

Date Joined Jul 2006
Total Posts : 2361
   Posted 2/24/2008 11:34 AM (GMT -6)   
I had open surgery and had a little rearrangement of body fat, ending up with a small pouch of fat near one side of my navel.  I'm at a normal weight. My urologist said it would go away in time, which it has, to some extent, but not as quickly as I thought it would.

Age 59  PSA velocity quadrupled in 1 yr (0.6 to 2.6) 
1 of 12 biopsies positive (5%) 
Open surgery June 2006 
Cancer confined to one small area Gleason 5 
PSA's non-detectable

Regular Member

Date Joined Jan 2008
Total Posts : 218
   Posted 2/24/2008 7:55 PM (GMT 0)   
keeo in mind also, you were head down for the procedure and things do slip iand slide on the inside. Some will in time move back.
12/06/07 DaVinci and open prostate surgery after difficulties in breathing stopped the davinci.
Walked a lot
90% control the day the catherter removed.
pad only for a sneeze before the week was out
No pads most of the second week.

Cedar Chopper
Regular Member

Date Joined Mar 2007
Total Posts : 432
   Posted 2/24/2008 3:24 PM (GMT -6)   

I have had many different abdominal and pubic surgeries over time since the 1960s (appendectomy, inguinal hernia, laperotomy'/spleenectomy, incisional hernia repair with retention sutures [most warping of the terrain], and now open ventral-pubic prostatectomy).
This is to say I have some experience in the rehabilitation of scar tissue in the area.
I also love food and I am always fighting the "battle of the bulge." 
Old scars and adipose tissue seem eager to betray my lack of discipline.

Fat tissue is so unforgiving that your best bet is to try to lose it!
In addition to dietieng and exercise (I still vote for speed-walking) - in addition to these normal responses to that "extra belt" I seem to fight more and more as the years go by - 
I also massage the area of the scar tissue
I especially massage the actual scars - sort of a pinching move in the direction of closure.

I have found that working on various core/trunk muscle groups with aerobic routines also helps shape the distended muscles and fat.
I'm not suggesting achieving the "six-pack" but perhaps avoiding the "keg!" eyes

Your friend,


2 Years of PSA between 4 and 5.5  + Biopsy 23DEC06 
Only 5 percent cancer in one of 8 samples.  +  Gleeson 3+3=6
OPEN R P 16FEB07 at age 54. 1+" tumor - touching inside edge of gland.  + Confined:)
Pad Free @ 14 weeks.  Six Month PSA <.003  :)   Nine month PSA <.008
At 9 months, ED treated with Pump Exercises & 100mg Viagra Daily
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