Eating prior to Da Vinci

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kziz
Regular Member


Date Joined Feb 2007
Total Posts : 242
   Posted 3/13/2008 5:03 PM (GMT -7)   
My father in law is having surgery next friday.  He told us that his doctor said he could eat anything up until midnight on Thursday.  Kurt couldn't eat solids for 2 days before his surgery, and as I remember, that was the normal protocal with everyone here.  Has anyone else not had to do the dreaded Liquid Diet?  Thanks, Courtney
Kurt & Courtney
47 year old
Great Health prior to dx
Dx on 1/29/07
PSA 4.1
Gleason 3+3=6, both lobes
Stage T2c, I believe
Tumor involves 20% of cores, both lobes
Live in OK
Da Vinci scheduled 3-14-07 in Austin
Post-Op  Gleason 6, Stage t2c nx mx  YAAAAA HOOOOOO! 
1st PSA Post OP  Undetectable!!!!!!  OFF THE CHART
2nd CT scan, to recheck enlarged lymph nodes not related to PCa NO CHANGE relook in 6 months


DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 3/13/2008 5:30 PM (GMT -7)   

It varies with the doctor.

In my case, I had surgery on a Tuesday morning.

Was told to take an enema Sunday afternoon or early evening, then no solid food....only clear liquids (including jello but not red or orange) from then until my surgery.


Danman Bob
Age 57
Prostate removal November 2007
Gleason score 9, PSA 14
Biopsy result - 9 of 12 sticks showed cancer
Despite high Gleason score, cancer was confined to the prostate
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (1 to 2 pads a day)
Began using Osbon Erec-Aid Esteem manual pump for therapy mid-February 2008
Begain using Viagra 3 times a week December 2007 to stimulate blood flow


Cedar Chopper
Regular Member


Date Joined Mar 2007
Total Posts : 432
   Posted 3/13/2008 5:46 PM (GMT -7)   
Hi Courtney & Kurt,

I'm not certain what kind of surgery your father-in-law is having but, having had a half dozen abdominal surgeries, a shoulder-repair, and a tonsilectomy myself, I'll comment:

Yes, the primary reason for the food ban is anesthesia and while midnight seems to be cutting it closer than most, it could make sense- from just an anesthesia point of view- for a surgery planned maybe after 11am.

However, if there is going to be any extensive abdominal work (even if it is a possible thing, such as an unplanned aborting laperascopic to open the patient up) - then I personally would take some caution eating anything that might be constipating - beginning Wednesday after breakfast.
Even with the often planned pre-surgery enemas, this is a VERY helpful precaution for the patient that might have extensive abdominal or pubic cavity suturing.  
I personally switch to some green gatorade-like drink (not gatorade as it has yucky fructose now) at least 36 hours before any procedure - and stay active to "work things through."

Again, just from my personal experience, I wouldn't be surprised if an O.R. nurse doesn't call before Wednesday and go through a bunch of questions and give more directions, including moving some dietary restrictions back a little.

By the way,  ... you joined this forum about the time I had my surgery (in Austin, with Drs. Karnik & Shaw) and had your surgery about the time I went back to work.
     ..... Happy 12 months!

Your Friend,
CCedar
ICTHUS!

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.  PSA: 6 mths <.003  :)   9mths <.008
:)  1 Yr <.008 :)
At 1 yr, ED treated with 100mg Viagra Often -  5 Year Colonoscopy 19FEB08:  Clear!

StrictlyInc
Regular Member


Date Joined Dec 2006
Total Posts : 353
   Posted 3/13/2008 5:50 PM (GMT -7)   
I was told liquid only for the 48 hours prior to surgery. I had robotic surgery.
____________________

Prostate cancer diagnosed: May 15, 2006 (age 40)
Gleason score: pre-surgery 3+3=6; post-surgery 3+4=7
daVinci radical prostatectomy: July 25, 2006
size of tumor: approx 1.1 inches; negative margins from surgery

- number of pads/day at 3 months after surgery: 3 to 5
- number of pads/day at 4 months after surgery: 1 to 2
- number of pads/day at 6-18 months after surgery: 0 to 1

- 1st post-surgery PSA: 0 (Nov 2006); 2nd post-surgery PSA: 0 (Feb 2007)
- 3rd post-surgery PSA: 0 (May 2007); 4th post-surgery PSA: 0 (June 2007); 5th post-surgery PSA: 0

The search for timber: took Viagra/Cialis approx. every other day, ErecAid once a day, injections. Peyronie's diagnosed 7/5/07. Now on daily Cialis, L-arginine and pentoxyfylline. Peyronies has stabilized and significantly reversed.

- PGE1 batting average: .364 (4 for 11)
- Bimix batting average: .706 (12 for 17)
- Trimix batting average: .500 (1 for 2) Grand total 17 for 30 = .567

"Lost in the valley without my horses, no one can tell me what my remorse is..."


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8122
   Posted 3/13/2008 8:49 PM (GMT -7)   
Hi Courtney,
I ate light at dinner but was able to eat until 9:00pm the night before surgery, and was operated on by 11:30am. So I guess to say twelve hours prior was not a concern from my team. And I had no problems, but I would like to know what happened to the dinner I had the night before. I didn't have a bowell movement for three days after that dinner, and I ate OK the rest of the day and in the hospital.

Tony
Age 45 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007
Post-Op Pathology: Gleason 4+3=7, positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (1/08): <0.1
I will continue HT until May '09. 
Visit my Journey at:
 
STAY POSITIVE!
 
Prostate Cancer Forum Moderator


biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1463
   Posted 3/13/2008 9:01 PM (GMT -7)   
I had the complete clean out before surgery and liquid diet for 36 hours. Doc said it was because he would be close to the colon and if he had to repair it he didn't want anything in it. Said if I didn't get it clean and he had to fix it, I could end up with a permanent tube attached. I cleaned it out...

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."
 


B&B's World
Regular Member


Date Joined Mar 2007
Total Posts : 120
   Posted 3/13/2008 9:09 PM (GMT -7)   
I talked about this subject on a post during 2007...we saw mention of enema on the website instructions, but it seemed like a thoroughly uncomfortable step, and for what reason???? So, we called and they said, "oh no you don't have to do that!" The food had to stop at midnight, no problem...it was nice to keep it simple in a very complicated time.

Age 51

Gleason 3+3

PSA from 3.2 to 4.3 in one yr

Biopsy 11/06

DRE negative

4 of 12 cores positive, one lobe, less than 10%

Inflammation only second lobe

Stage T1C Clinical Dx

PSA prior to surgery: 3.9

Da Vinci Prostatectomy 2/27/07:

PCa in BOTH lobes 5-10% of gland

Gleason 3+3

Negative tissue margins

Bladder, seminal ves, vas deferntia negative

Two inguinal hernia repairs

Catheter removed 1 wk after surgery

Full continence (no pad needed) 1 wk after surgery, then intermittent drips 4 wks out

Full erection, 12th day after surgery

2 mo’s post-op, some ED after penetration

3 month PSA 0.03

6 month PSA non-existent

1 year   PSA  non-existent

Erectile function--up and running!

 


PianoMan
Regular Member


Date Joined Feb 2007
Total Posts : 365
   Posted 3/13/2008 9:43 PM (GMT -7)   
I had Davinci and was only told to have no solids or liquids after midnight the night before.  My surgery was scheduled for 3:30 the next day.  I ate a very light meal the evening before and had no problems.
To be honest, I didn't have much of an appetite the night before my surgery and I doubt your father-in-law will either.


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

Third post-surgery PSA -- Undetactable, 2/15/08

Post Edited (PianoMan) : 3/13/2008 10:58:55 PM (GMT-6)


IdahoSurvivor
Veteran Member


Date Joined Aug 2007
Total Posts : 1015
   Posted 3/14/2008 12:00 AM (GMT -7)   

Like Biker... I had the complete clean out... drinking what seemed like 5 gallons of that "tasty" fluid the afternoon before the day of da Vinci surgery.  tongue

That was followed by a clear liquid diet.  Broth was okay to have too.  I had surgery the next morning... less than 24 hours after the big purge.  Before the purge, I could eat anything.

I was back on solid foods the evening of the surgery day.

Idaho

"Idaho" ~ Barry

 

Da Vinci Surgery July 31, 2007… 54 on surgery day
PSA 4.3  Gleason 3+3=6  T2a  Confined to Prostate

1st PSA  9/11/2007   <0.04 (undetectable)

2nd PSA 12/10/2007  <0.04

My web site: http://pca-info.blogspot.com


CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 3/14/2008 6:38 AM (GMT -7)   

Hi Kurt and Courtney.  I had open surgery on Monday, Feb 4 at 7:30 AM.  My surgeon told me I could have a regular breakfast on Sunday and then only liquids after 8 AM Sunday morning.  I also had to take several pills along the way on Sunday.  Then nothing at all after 10 PM on Sunday night.  I had to be at the hospital at 5:30 AM Monday morning and he gave me an enema to do just before we left for the hospital at 5 AM. 

After surgery I could only have clear liquids through Tuesday (the day after) and then had a soft breakfast on Wednesday morning before they sent me home midmorning on Wednesday. 

I told some of my friends my prostate must have weighed 11 pounds because that is how much weight I lost between Sunday morning and Wednesday afternoon.  By the way, I am now 5+ weeks post surgery and my surgeon still has me on a stool softener.  I guess I am in one of those groups that is very concerned about the bowel and making sure everything works.  I can't complain - all of my doctors have treated me very well throughout this whole process and I am doing really well.  I'm sure your father in law will as well. 

Best wishes that all will go well.  We will be praying for you and your family in these days.  David


Age 55
Diagnosed Dec 2007 during annual routine physical
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 positive with 2 marginal
Gleason 3 + 3 = 6
RRP 4 Feb 08
Both nerves spared
Good pathology - no margins - all encapsulated - Gleason 4 + 3 = 7
Catheter out Feb 13 - wore pad for couple of days - pad free Feb 16
Great wife and family who take very good care of me


lawink
Veteran Member


Date Joined Oct 2006
Total Posts : 621
   Posted 3/14/2008 6:57 AM (GMT -7)   

Hi!

Bob too had the "big cleanout" . . .was on only liquid for 2 full days before surgery, special liquid and tablets the night before.  Surgery was at noon the following day.  The doctor also mentioned surgery being easier with a colon that is completely empty as it's so very close to where he's working.

Best of luck!  Our prayers go out to you and your Dad.

;o) Linda & Bob


Bob (61) - Laproscopic Prostate Removal Sept 27, 2006.
2 of 12 malignant biopsy samples - gleason 3 + 3 = 6.
 
Pathology - cancer completely contained, even a second more aggressive, previously undetected cancer)
PSA UNDETECTABLE Nov 2006, Feb, May, Oct2007.  ONE YEAR!!!! WHOOO HOOOO! 

Bob also has two secondary conditions -- Polycythemia (elevated red & white cells & platelets) and . . Myelofibrosis) -- If anyone has experience with or information on these, please email us.


kziz
Regular Member


Date Joined Feb 2007
Total Posts : 242
   Posted 3/14/2008 7:24 PM (GMT -7)   
Hi all! Very interesting and congrats cedarchop on 1 year also!!!!! Kurt is one year out today!!!!!! YEAH!!!!! So what I am hearing from this blog is that it is doc related. No need seen for the 2-3 day liquid diet. Very interesting!!!! We as patients have to take control!!!!!! This site taught me that. We must take control over our lives, and I have seen this more and more over this last year. God Bless you All! Courtney
Kurt & Courtney
47 year old
Great Health prior to dx
Dx on 1/29/07
PSA 4.1
Gleason 3+3=6, both lobes
Stage T2c, I believe
Tumor involves 20% of cores, both lobes
Live in OK
Da Vinci scheduled 3-14-07 in Austin
Post-Op  Gleason 6, Stage t2c nx mx  YAAAAA HOOOOOO! 
1st PSA Post OP  Undetectable!!!!!!  OFF THE CHART
2nd CT scan, to recheck enlarged lymph nodes not related to PCa NO CHANGE relook in 6 months


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8122
   Posted 3/14/2008 7:53 PM (GMT -7)   
Big congrats to Kurt!
Woo~Hoo. Dang I don't do that as well as Lee. Yipppeeee. Dang I messed that one up too.

How 'bout this:

God Bless you guys! You certainly have my hope and prayers for your continued success! scool

Tony


Age 45 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007
Post-Op Pathology: Gleason 4+3=7, positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (1/08): <0.1
I will continue HT until May '09. 
Visit my Journey at:
 
STAY POSITIVE!
 
Prostate Cancer Forum Moderator


kziz
Regular Member


Date Joined Feb 2007
Total Posts : 242
   Posted 3/18/2008 4:09 PM (GMT -7)   
Thanks Tony, Right back at you!!!!! You and your wife our in our thoughts and prayers often! Keep up the good fight. Courtney
Kurt & Courtney
47 year old
Great Health prior to dx
Dx on 1/29/07
PSA 4.1
Gleason 3+3=6, both lobes
Stage T2c, I believe
Tumor involves 20% of cores, both lobes
Live in OK
Da Vinci scheduled 3-14-07 in Austin
Post-Op  Gleason 6, Stage t2c nx mx  YAAAAA HOOOOOO! 
1st PSA Post OP  Undetectable!!!!!!  OFF THE CHART
2nd CT scan, to recheck enlarged lymph nodes not related to PCa NO CHANGE relook in 6 months

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