recovery after prostate surgery

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Regular Member

Date Joined Oct 2008
Total Posts : 56
   Posted 10/19/2008 2:25 PM (GMT -6)   
 My surgery was 4 1/2 weeks ago and I am still suffering from rectal pain and abdominal cramps when urinating and bowell movements. I find I feel ok in the morning but by about 1:00 to 2:00pm in the afternoon, I just run right out of any energy that I had. I am still taking it easy and am not back to work yet. I am taking tylenol 2 and advill for the pain but it only helps part of it. Some of the guys on hear I have talked,to, seem to have such great recoveries and didn`t experience some of these pains. My catheter was removed 2 1/2 week ago and I thought the pain and discomfort would lessen alot, but still feel like my insides were carved up. I have not had an erection yet, but I do find there is either swelling or some blood flow which enlarged the penis a littlle, but when that happens its quite painfull.
  I am not trying to complain here but, maybe my recovery isn`t as good as some others. I had chronic prostate infections over the last 25 years of my life( i`m 55)and maybe thats why I`m dealing with what I`m dealing with.
  If any other men are dealing with some of the things I`m dealing with I would like to hear from them. Or if there`s anything that worked for others in their recovery I would like to hear from them. Maybe I`m too impatient!!
Thanks Fred

Veteran Member

Date Joined Feb 2008
Total Posts : 1858
   Posted 10/19/2008 3:36 PM (GMT -6)   
You nailed it when you said "feel like my insides were carved up". That is exactly what happened. It is fairly easy for us to forget that this is major surgery so you should expect recovery to be drawn out. It is also easy to forget that we all recover at different rates so don't be in to much of a hurry to jump to the conclusion things are not going well based on another's journey. Keep your doc informed of how things are going and so long as he's happy with your progress then time will heal all wounds.
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07
4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)

Navy corpsman
Regular Member

Date Joined Aug 2008
Total Posts : 61
   Posted 10/19/2008 6:29 PM (GMT -6)   
Fred -
Make sure you are walking as much as you can without over doing it and be patient.  Everyone heals at different rates.
- John
Age:  44
We have a family history of PCa.  My Dad and uncle died from it at 65 and 53. My PSA velocity increased in the last 2 years and I had to talk my GP into refering me to a urologist.
Biopsy results:  5 of 11 cores positive, all 30%. Gleason 6. T1c. PSA 2.53  Date of biopsy 15MAY08.
Open RRP at Johns Hopkins with Dr. Partin on 09JUL08.
Pathology report:  Gleason 6, pT2, neg. margins, 0 lymph node and seminal vessical, organ confined, I lost 1 nerve bundle and 22 lymph nodes.
As of today, about a month after surgery, I feel at about 80%. Urinary control seems to be improving. Little Elvis has taken a nap and has not awakened yet. I hope when he wakes up he is well rested because he is going to get one heck of a workout.

Regular Member

Date Joined Oct 2008
Total Posts : 56
   Posted 10/19/2008 8:05 PM (GMT -6)   
I guess you are right about the different healing times. I guess I just get tired of the pain and the tiredness sometimes. I think I should heal faster than I probably should. Maybe I shouldn`t be listening to others who seem to have a faster recovery time.

Diagnosed Feb 08
PSA 6.3
gleason 3+3
first biopsy 1 of 10 needles positive
surgery Sept 18 08
bone scan negative
evidence of sinus histiocytosis?
involvement of the margins identified at right and left apex and right anterior surface
also perineural invasion
no extraprostatic extention
no seminal vesicle invasion
tumor cells aggressive features of moderate to severe pleomorphism
possible radiation depending on first  PSA  Nov 12

Veteran Member

Date Joined Nov 2007
Total Posts : 598
   Posted 10/19/2008 8:10 PM (GMT -6)   
i had a slow recovery from Da Vinci. I don't think open RRP would have been any harder for me. Be KIND to yourself. You HAVE been carved up. It took me all of 8 weeks to feel better.
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
PSA 0 at nine months.
Pad free on March 14 - (10 weeks.)
ED - Take 100mg viagra every night.
Totally usable erections at 10 weeks, which disappeared over the course of a month or two.
 Now limited success with cialis, viagra, rings, and luck. Waiting for that moment that is said to occur between nine and twelve months where things start to improve!

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