Blood Transfusions During Surgery

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Tim G
Veteran Member

Date Joined Jul 2006
Total Posts : 2332
   Posted 11/20/2008 12:13 AM (GMT -6)   
In the time I've been on the forum (two-plus years) I can't remember reading that anyone had a blood transfusion during prostate-removal surgery.
Did any of your get blood? If so, how much?  Did you bank your own blood (autologous units) ahead of time?
I asked my surgeon if he wanted me to donate my own blood ahead of the surgery and he said, "No, we won't need it."  As it turned out I lost some blood during open RPP, but didn't need to be transfused.
PSA quadrupled in 1 yr (0.6 to 2.5)  
DRE neg  1 of 12 biopsies pos (< 5%) 
Open surgery June 06 at age 57
Organ confined to one small area Gleason 5   
PSA's undetectable  < 0.1  

Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4840
   Posted 11/20/2008 6:47 AM (GMT -6)   

I keep forgetting to ask my surgeon about my complications that required a transfusion. He told my sister while I was in recovery something about having larger then expected blood vessels etc...

One of the advantageous of robotic surgery over the conventional method is the small amount of blood loss…Or so they say.


Age 53   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Gleason - 6
(biopsy done March 4, 2008-> 2 of 12)
06/25/08 - Da Vinci robotic laparoscopy
10/03/08 - 1st Quarter PSA -> less then .01

Surgeon - Keith A. Waguespack, M.D.

Las Colinas and Plano Offices


Regular Member

Date Joined Sep 2006
Total Posts : 187
   Posted 11/20/2008 7:45 AM (GMT -6)   
I was told SOMEWHERE that it is actually a good sign where your surgeon doesn't ask you to bank blood for a RP.  Means he hasn't had bad experiences.

Age 48 - pre-surgery PSA 39 (at age 45)
Open Radical Prostatectomy 6/9/2006
Pathological Stage T3a, Positive Surgical Margin
Gleason 3+4
PSA rose to .24 in November of 2006
6 month hormone therapy initiated December 1. 2006
36 sessions of IMRT Ended Feb 1, 2007
PSA as of May 25, 2007 undetectable
PSA as of November 29, 2007 undetectable
PSA as of May 14, 2008 undetectable
Next PSA November of 2008

Veteran Member

Date Joined Jul 2008
Total Posts : 966
   Posted 11/20/2008 9:24 AM (GMT -6)   
Well...I wanted to donate blood prior to my surgery, but my surgeon said it wouldn't be needed. Day after surgery I had to have two units of blood...go figure.
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal-Gland 38 cc
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral (Perineural Invasion present at base)
Gleason (3+3) 6  Stage T1C
August 23 - Bone Scan - Hips, Spine and ribs marked uptake - X-Ray showed clear -Hooray
Sept 9 2nd DRE - questionable - TRUS...shadow in base - Gland now 41 cc
Robotic Surgery Sept 18, 2008
Pathology October 1,2008
Gleason 7 (4+3) Staged pT2c NO MX
Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
4 tumors in prostate - largest being 6 cm 
PSA Oct 08 <.05

Regular Member

Date Joined Apr 2008
Total Posts : 270
   Posted 11/20/2008 9:33 AM (GMT -6)   
I was told that it was not necessary to donate your own blood. I forget the number but it was some high number of so many operations the doc had done and never required blood. So, it was going to be statistically a very small chance to need blood. If it were needed there was blood available (not my own). I did not require additional blood.

Age 61 (now 62)
Original data - pre-operation
PSA: 5.1
T1C clinical diagnosis, Needle biopsy - 10 cores, Gleason 7 = 3+4 in 1 core (40%), 7 cores Gleason 6 = 3+3 ranging from 5% to 12%
All scans negative
Lupron administered 4/9/2008 for 4 months (with idea I would undergo external beam radiation followed by seed implants - then I changed my mind).
Robotic DiVinci surgery - Dr. Fagin (Austin) May 19th
Post operative - pathology
pT2c NX MX
Gleason 3+4
Margins - negative
Extraprostatic extension - negative
seminal vesicle invasion - uninvolved
1st Post PSA <.04
2nd Post PSA <.1 10/30/2008

Elite Member

Date Joined Oct 2008
Total Posts : 25382
   Posted 11/20/2008 10:56 AM (GMT -6)   
In my recent surgery, was told to expect one to two tranfusions, but ended up needing zero, though there was blood loss, was asked not to bank any blood ahead of time

David in SC
Age 56, 56 at DX
PSA 2007 5.8
PSA 7-2008 12.3
PSA 9-2008 14.9
Biopsy 9-2008 Positive
7 of 7 cores positive, ranging from 40 - 90%
2 tumours noted, Gleason 4+3 and 3+4
Periunual Invasion noted
Additonal High Grade PIN noted
Open RP surgery completed on Friday, November 14, 2008 at
St. Francis Hospital, Greenville, SC, Dr. Ronald Smith - Surgeon,
Nerve bundles not able to be spared, awaiting pathology report, Cath scheduled to be removed on 12-15-2008,

Regular Member

Date Joined Jun 2008
Total Posts : 407
   Posted 11/20/2008 5:39 PM (GMT -6)   
No transfusions here, though my Urologist did ask If I wanted to donate a couple of pints just in case.

Age:  59 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

Bladder & Urethral:  Free

Seminal vesicles:  Not involved

Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%

Catheter:  Removed 12-days after surgery

Incontinent:  Yes (getting better, though)

Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08

Returned to work 9-29-08 (18-19 days post-op)

PSA test result, post-op, 10/08: 0.0


James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4462
   Posted 11/20/2008 5:53 PM (GMT -6)   
My doc said I didn't need to stock any blood, but my getting out of the recovery room was delayed due to unexpected blood loss, due to the 110 gm. gland to remove and the extra blood loss dealing with it. My pressure dropped out the bottom for a while, but I didn't get a transfusion. I did have to take iron pills for a couple months after (uck!)
James C.
Co-Moderator- Prostate Cancer Forum
Age 61
4/19/07 PSA 7.6, referred to Urologist, recheck 6.7
7/11/07 Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07 Path report: 3 of 16 PCa, 5% involved, left lobe , GS 3/3:6.
9/24/07 (open) Retropubic Radical Prostatectomy performed
9/26/07 Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
Present- 1 year: ED- Viagra, pump continues, no response- Trimix .10ml x 2 weekly continues
Post Surgery PSA's: 3 mts-.04, 6 mts.-.04, 9 mts.-.04, 1 Year-.02.

Veteran Member

Date Joined Apr 2007
Total Posts : 823
   Posted 11/20/2008 7:14 PM (GMT -6)   
Hi Tim G. I asked my Dr if I needed to bank my own blood. He gave me his low percentages of the need for blood and he was right, I didn't need any.

age at dx 54 now 56
psa at dx 4.3
got the bad news 1/29/07
open surgery Duke Medical Center 5-29-07
never more than 2 pads
Tossed the pads this spring
ED still a problem
first year PSA less than zero

Veteran Member

Date Joined Nov 2006
Total Posts : 883
   Posted 11/20/2008 7:17 PM (GMT -6)   
    My Doctor did not anticipate much blood loss during my (open) RRP.  Unfortunately I did develop a bleed the evening after the surgery and ended up needing two units of blood.  I have had a few problems with other proceedures with bleeding issues.  I also seem to bruise (show signs of bleeding) easily after surgical proceedures  So, I may just be an easy bleeder.  I know sometimes I have a heck of a time getting a shaving knick to stop bleeding.  I also have an occasional nose bleed that will take some time to stop.
    Hope this helps,
    43 at Dx and Surgery (RRP)
    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

Regular Member

Date Joined Sep 2008
Total Posts : 72
   Posted 11/21/2008 12:01 AM (GMT -6)   
Because I had a hernia mesh problem that the doc was going to have to work around, He was scared I might lose blood. He felt I should donate a pint. Anyway, I didn't use any of it. They told me my blood loss was some very insignificant number.

Don't get discouraged!!
Diagnosed Feb 2008  54 years old
3+4=7 gleason
7.5 PSA
4 out of 20 biopsies were cancerous
daVinci Robotic surgery July 24, 2008
Univ of Calif San Francisco Med Center  Dr Peter Carroll
In hospital 2 nights altho I had option of leaving the next day but stayed due to distance home.
Contained in prostate, not spread
Six weeks post surgery PSA less than .01

Regular Member

Date Joined Jan 2008
Total Posts : 276
   Posted 11/21/2008 8:59 AM (GMT -6)   
I didn't need a transfusion, surgeon reported only a 50cc blood loss, I was glad to hear it.

46 you when diagnosed, now 48
Pre-Op PSA 9.9
1 of 12 cores positive, Gleason 3+3
DaVinci on 9/5/2007
Post-Op Gleason 3+6, Negative Nodes and Margins
Less than 1% of prostate involved with CA
3 Month PSA 0.01, 6 Month PSA 0.01, 9 Month PSA 0.01
One Year PSA 0.01
Incontinence resolved 9/15/2007, one day after cath removal
ED showing significant improvement.
Occasional Success with Oral Meds
Success with BiMix

Regular Member

Date Joined Sep 2008
Total Posts : 143
   Posted 11/21/2008 4:09 PM (GMT -6)   

Banked two units of my O-negative and needed both for my RRP. Wound up in ICU and ran a very close debate about needing another tranbfusion (someone else's blood) for the first 48 hours after surgery. Luckliy, I made it though with just my own two units.


Age 59 at diagnosis (Now 60)
PSA 4.4
05/15/2008 – Biopsy
Gleason 3+3=6
Most cores positive 40% or more, some 100%
Bone scan and pelvic/abdomen CT show no visible metastasis
06/15/2008 – Began two months Casodex 50 mg
07/01/2008 – Trelstar shot (3 month dose)
09/15/2008 – Retropubic Radical Prostatectomy
Pathology: Staging pT2c pN0 MX
Gleason post op: 3+4=7
No discrete tumor mass
Bilateral involvement
No capsular penetration (carcinoma extends into but not through capsule bilaterally)
Perineural tumor invasion (PNI): present
Perineural margin: Free of carcinoma
Bladder neck: Free of carcinoma
Distal (Urethral) Margin: Carcinoma present
Seminal Vesical: None present
Lymph Nodes: 18 nodes free of metastatic carcinoma
10/13/2008 - PSA <0.1 - disclaimer: I had HT, so...
12/01/08 - Begin 35 treatments EBRT (adjuvant radiation because of concern for positive distal margin and PNI)

New Member

Date Joined Sep 2008
Total Posts : 13
   Posted 11/21/2008 5:29 PM (GMT -6)   
I had my RP on Sept. 9 of this year.  I had given one pint autologously, but didnt have time to get the second pint in before surgery.  I was given 3 pints during surgery, mine plus 2 others.  Cant say how I feel about that but I am here.  I was still anemic when I was sent home, and was told to take 3 iron pills a day.  I took one a day to keep the constipation at bay until that catheter came out.  Right now, no problems. 

Age:  55
Pre-op PSA:  6.7
Gleason:  3+3 = 6
Surgery Sept. 9, 2008, Mercy Hospital Pittsburgh Pa
Post Surgery PSA results "Not Detectable"

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