Blood after AUS?

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divo
Veteran Member


Date Joined Jul 2008
Total Posts : 637
   Posted 9/10/2008 6:34 PM (GMT -6)   
Pete had the AUS surgery...He has been home one day, and has been sitting and lying down. In quite a bit of pain. He is bleeding from the incision in the scrotum? Is this normal? I am a little worried here...He seems to think it is OK....Di
Husband Pete
dx Jan 2001 age 67 gleason 4 + 3 PSA 16.5
seed implant and conformal radiation Lupron from Jan 2001 to Jan2002
2005 Dec PSA began to rise from .5 to 8 within 6 months
Salvage surgery at MSK 9/06
Fistula operation 2/07 MSK
Many cystoscopies and ER visits with strictures
catheter for one year....Catheter taken out Sept 07..
Total Incontinence since then....
PSA .52 3/07
AUS Operation at MSK Sept 8. Dr. Sandhu
Waiting for activation October 21 2008


Gene214
Regular Member


Date Joined Mar 2007
Total Posts : 422
   Posted 9/10/2008 9:22 PM (GMT -6)   

Divo,

You may have noticed from some of my posts that I had a problem with both my incisions following AUS & IPP surgery.  However, this developed about two or three weeks post surgery, not at the time of surgery.  If Pete is literally bleeding (red), I think I would contact the surgeon.  If it is merely "weeping" or seeping fluid, it probably is not anything to worry about.  But remember you have paid and/or are paying the surgeon to look after you.  I would call him... and I did call mine when things did not appear normal to me.  He never was worried, but of course it was not his body.

Gene214


PC diagnosed 12-06 @ age 63
Radical open removal 2-14-07, Gleason 3+3=6
Removal of stricture 6-07, incontinence continues
Scheduled for AUS & IPP 05-08
Surgeon cancelled one day pre-surgery, due to cardiac concerns
Nuclear stress 5/13/08
3 stents 5/27
AUS, IPP implanted 07-16-08
AUS, IPP was activated on 08-18-08.  They both work!
 


Berb
Regular Member


Date Joined Mar 2007
Total Posts : 93
   Posted 9/11/2008 3:09 AM (GMT -6)   
Hi Divo.  Mine did not bleed at all.  May be nothing to worry about, but I would contact the surgeon
 and set your mind at rest.
Berb
59 when diagnosed, now 60 years old
Da Vinci surgery Jan 10, 2007, nerves spared, no cancer detected outside prostate
Pre surgery PSA 8, Gleeson 3+4=7, T1C, 3 out of 12 biopsies had cancer
Complication 1: urine favoured drain tube over catheter, extra time in hospital, catheter in for 2 weeks
Complication 2 - urinary tract infection - Citrobacter (hospital bug), 6 weeks antibiotics cleared up
Complication 3 - fungal growth on genitals (candida albicans) probably from antibiotics
Aug'07 Urodynamic study for continuing incontinence 8 pads per day; diagnosed bladder neck stenosis
Oct'07 CT scan indicated nothing abnormal; cystoscopy showed narrowing at anastimosis - dialated
Dec'07 averaging 9 pads a day, started acupuncture (no benefit after 10 treatments)
Jun'08 AUS fitted
Aug'08 AUS activated - highly effective
Post surgery PSA tests: all undetectable


wiggyann
Regular Member


Date Joined Apr 2007
Total Posts : 171
   Posted 9/11/2008 5:35 AM (GMT -6)   
Susy,

So hope your husband will have be fine when the AUS heals.

He has been through so much and you have, also.

Wishing you much happpiness in the years to come :-)

Wiggyann

husband 68 when diagnosed, will turn 70 October 9th.
psa 7.3, stage T1c, 8 out of 12 cores positive.
Seven of them a 6 (3+3) one of them a 7 (3+4)
25 IMRT and a 90 seed pallidium implant in april of 2006
psa after one year down to 0.5
18th month psa in November.

kw
Veteran Member


Date Joined Nov 2006
Total Posts : 883
   Posted 9/11/2008 9:44 PM (GMT -6)   
I agree that if it is bleeding bright red or a fairly large ammount I would call the Doctor for sure. If is just seeping I would wait a few more days to see if it will heal up. I do not know if Pete is letting things "air out" or not. But I found it helped to sit for a while with eveything exposed to the fresh air (Inside the House that is!!!).
Good luck with the recovery
KW
    43 at Dx and Surgery
    PSA 5.7, Biopsy 3 of 12 positive (up to 75%) all on left side of prostate, Gleason 7
    RRP on Oct. 17, 2006 - Nerves on right side saved. All Lab's clear. 
    Cathiter in for 28 days due to complications in healing. Removed Nov. 9, 2006
    First Post op PSA on Dec. 11, 2006  Undetectable 0.00.
    ED workable and usable with Viagra.
    Feb. 20th, 2007 - Feb. 4th, 2008  Cystoscope, Two Collagen injections,Second Opinion Consultation for Incontinance at OU Medical Center, Bio-Feedback training, Chiropractic, Accupuncture  to try to resolve ongoing incontinance (4-6 pads a day)  All PSA's 0.00.
    Feb. 22nd, 2008 - Surgery to install the AMS AdVance Male Sling.
    March 27th, 2008 - Sling not working, Little or no improvement.
    April 18, 2008 - Collagen injection.  Back to using 4-6 full pads a day within a week.
    May 14, 2008 - Another collagen injection to try to Band-Aid the leaking for our June cruise.  Will start making conusultation appiontments for AUS after we return.
    July 14th, 2008 - AUS consultation with Dr. Morey at UT Southwestern (Dallas).
    July 30, PSA 0.00.
    Aug. 22nd, 2008 - AUS Surgery by Dr. Morey
    Oct. 6th, 2008 - AUS Activation by Dr. Morey
     


divo
Veteran Member


Date Joined Jul 2008
Total Posts : 637
   Posted 9/13/2008 9:02 AM (GMT -6)   
It has been six days, and Pete has a lot of pain on the right side. He cannot get up by himself out of bed. He needs me to pull him up. Scrotum is still swollen, but the side pain is what is really hurting....We called the nurse, and she didnt seem concerned. Did any of you guys with the AUS implants have this side pain. We are thinking it might be where the surgeon cut through the muscle to put the cuff in....Di
Husband Pete
dx Jan 2001 age 67 gleason 4 + 3 PSA 16.5
seed implant and conformal radiation Lupron from Jan 2001 to Jan2002
2005 Dec PSA began to rise from .5 to 8 within 6 months
Salvage surgery at MSK 9/06
Fistula operation 2/07 MSK
Many cystoscopies and ER visits with strictures
catheter for one year....Catheter taken out Sept 07..
Total Incontinence since then....
PSA .52 3/07
AUS Operation at MSK Sept 8. Dr. Sandhu
Waiting for activation October 21 2008


Gene214
Regular Member


Date Joined Mar 2007
Total Posts : 422
   Posted 9/13/2008 3:10 PM (GMT -6)   

Divo,

I had no such pain in my side.  I do not know exactly where the cuff, tubing, or reservoir goes in, but it's my impression either everything goes in in the scrotum incision or in the incision between scrotum and rectum (if he had an incision there).  I do not think that muscle would have been cut.  I think the surgeon would have "tunneled" up to place the reservoir for the saline solution in the abdomen. "Tunnelling" is how my surgeon placed my saline reservoir.  

Is his release valve on the right side?  Mine is.  If so, that is probably the reason for the pain because the "tunneling" would disturb some of the tissue.  Moreover, the reservoir must have some kind of fastener (to something) to keep it in place.  I don't know exactly how it is fastened, but I feel certain it is.  But I did not have pain there.  I think doctors and nurses can be too brief in their answers.  It would be good if the surgeon or his nurse would take the time to explain why Pete may be having that kind of pain, since they are not worried. 

Has his incision bleeding stopped? 

Gene214



PC diagnosed 12-06 @ age 63
Radical open removal 2-14-07, Gleason 3+3=6
Removal of stricture 6-07, incontinence continues
Scheduled for AUS & IPP 05-08
Surgeon cancelled one day pre-surgery, due to cardiac concerns
Nuclear stress 5/13/08
3 stents 5/27
AUS, IPP implanted 07-16-08
AUS, IPP was activated on 08-18-08.  They both work!
 


divo
Veteran Member


Date Joined Jul 2008
Total Posts : 637
   Posted 9/13/2008 5:26 PM (GMT -6)   
Thanks Gene, Yes, the bleeding has almost stopped, however, his pain on the right side is still very strong....I think you may be correct in your talking about the tunneling of the saline reservoir. Dr. Sandhu , who was the surgeon, at MSK, made an incision in the right side of the abdomen, and also under the scrotum....I will call again on Monday, and request some more answers if the pain does not subside... We are at the mercy of the medical profession... Diane
Husband Pete
dx Jan 2001 age 67 gleason 4 + 3 PSA 16.5
seed implant and conformal radiation Lupron from Jan 2001 to Jan2002
2005 Dec PSA began to rise from .5 to 8 within 6 months
Salvage surgery at MSK 9/06
Fistula operation 2/07 MSK
Many cystoscopies and ER visits with strictures
catheter for one year....Catheter taken out Sept 07..
Total Incontinence since then....
PSA .52 3/07
AUS Operation at MSK Sept 8. Dr. Sandhu
Waiting for activation October 21 2008


kw
Veteran Member


Date Joined Nov 2006
Total Posts : 883
   Posted 9/13/2008 11:01 PM (GMT -6)   
    I guess there are different ways to install the AUS.  I had complete perineal incision and a 1 inch incison on the left side of the scrotum.  I assume the works were installed through the perineal area.  The relief valve sits right on top of the left testicle.  I had no incision in the abdomen area?
    Good luck to you,
    KW
    43 at Dx and Surgery
    PSA 5.7, Biopsy 3 of 12 positive (up to 75%) all on left side of prostate, Gleason 7
    RRP on Oct. 17, 2006 - Nerves on right side saved. All Lab's clear. 
    Cathiter in for 28 days due to complications in healing. Removed Nov. 9, 2006
    First Post op PSA on Dec. 11, 2006  Undetectable 0.00.
    ED workable and usable with Viagra.
    Feb. 20th, 2007 - Feb. 4th, 2008  Cystoscope, Two Collagen injections,Second Opinion Consultation for Incontinance at OU Medical Center, Bio-Feedback training, Chiropractic, Accupuncture  to try to resolve ongoing incontinance (4-6 pads a day)  All PSA's 0.00.
    Feb. 22nd, 2008 - Surgery to install the AMS AdVance Male Sling.
    March 27th, 2008 - Sling not working, Little or no improvement.
    April 18, 2008 - Collagen injection.  Back to using 4-6 full pads a day within a week.
    May 14, 2008 - Another collagen injection to try to Band-Aid the leaking for our June cruise.  Will start making conusultation appiontments for AUS after we return.
    July 14th, 2008 - AUS consultation with Dr. Morey at UT Southwestern (Dallas).
    July 30, PSA 0.00.
    Aug. 22nd, 2008 - AUS Surgery by Dr. Morey
    Oct. 6th, 2008 - AUS Activation by Dr. Morey
     


Berb
Regular Member


Date Joined Mar 2007
Total Posts : 93
   Posted 9/14/2008 12:54 AM (GMT -6)   
Hi Divo,
 
I had the same procedure as your husband - incision in the perinium and also in the lowwer abdomen where they placed the reservoir.  This soreness you are describing does not sound normal.  I would definitely get it looked into.  You would want to rule out infection. 
 
This is a very good article that describes the AUS: http://www.acticon.com/DAM_public/5107.pdf
 
 
Regards
Berb
 
 
 
 

59 when diagnosed, now 60 years old
Da Vinci surgery Jan 10, 2007, nerves spared, no cancer detected outside prostate
Pre surgery PSA 8, Gleeson 3+4=7, T1C, 3 out of 12 biopsies had cancer
Complication 1: urine favoured drain tube over catheter, extra time in hospital, catheter in for 2 weeks
Complication 2 - urinary tract infection - Citrobacter (hospital bug), 6 weeks antibiotics cleared up
Complication 3 - fungal growth on genitals (candida albicans) probably from antibiotics
Aug'07 Urodynamic study for continuing incontinence 8 pads per day; diagnosed bladder neck stenosis
Oct'07 CT scan indicated nothing abnormal; cystoscopy showed narrowing at anastimosis - dialated
Dec'07 averaging 9 pads a day, started acupuncture (no benefit after 10 treatments)
Jun'08 AUS fitted
Aug'08 AUS activated - highly effective
Post surgery PSA tests: all undetectable


divo
Veteran Member


Date Joined Jul 2008
Total Posts : 637
   Posted 9/15/2008 7:09 PM (GMT -6)   
Thanks Berb....Just read all that...a little scary, but, hopefully Pete's AUS will work as well as yours. The pain in his abdomen seems to be going down. Diane
Husband Pete
dx Jan 2001 age 67 gleason 4 + 3 PSA 16.5
seed implant and conformal radiation Lupron from Jan 2001 to Jan2002
2005 Dec PSA began to rise from .5 to 8 within 6 months
Salvage surgery at MSK 9/06
Fistula operation 2/07 MSK
Many cystoscopies and ER visits with strictures
catheter for one year....Catheter taken out Sept 07..
Total Incontinence since then....
PSA .52 3/07
AUS Operation at MSK Sept 8. Dr. Sandhu
Waiting for activation October 21 2008

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