Catheter out soon - need some advice

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Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 12/10/2008 7:58 AM (GMT -6)   
My catheter is due to come out at on Monday morning, December 15th.  It will have been in place for 32 days at that point since surgery.  I have several questions.
 
Will it hurt much being taken out?   I have never had one before.
Will I have uncontrollabe urine flow once it is taken out?
Do we need to bring any supplies to the doctor's office that morning?  The urologist office never said anything one way or the other.
Should taking out the catheter end all these horrible bladder spasms I still continue to have daily?
I don't understand if I will need diapers like Depends or some talk about pads or panty liners, this is all new ground to me, any information will help.
 
I cant wait to have this ever annoying and irratating catheter out of me.  Thanks for any help.
 
David in SC
Age 56, 56 at DX
 
PSA 2007 5.8
PSA 9-2008 14.9
 
3rd Biopsy 9-2008 Positive
7 of 7 cores positive, ranging from 40 - 90%
2 tumours noted, Gleason 4+3 and 3+4
 
Open RP surgery completed on Friday, November 14, 2008 at
St. Francis Hospital, Greenville, SC, Dr. Ronald Smith - Surgeon,
Non-nerving sparing, 4 days in hospital, staples removed 11/24/8
 
Post-surgery Pathlogy Report:
Gleason 3+4=7, pT2c pN0 pMx, Prostate 42 grams, tumor 20% cancer
Contained in capsular, neg. margins apex, bladder neck, right lobe, neg. in seminal vessels and lymph nodes. Left lobe: infiltrating tumor miscroscopically appears to extend to marked left posterior margin


lawink
Veteran Member


Date Joined Oct 2006
Total Posts : 621
   Posted 12/10/2008 8:02 AM (GMT -6)   
Hi David!

In Bob's case, there was no pain, effortless removal. He brought a depends pull up with him and a pad . . .wore both home. Not everyone has "uncontrolled" leakage, but there for sure will be drips and drops until you get used to having that catheter out. You of course need to be prepared.

Good luck and keep us posted!

;o) Linda & Bob
Bob (62) - Laproscopic Prostate Removal Sept 27, 2006 at age 60.
2 of 12 malignant biopsy samples - gleason 3 + 3 = 6.
Pathology - Gleeson 3 + 4; stage T2; cancer completely contained, even a second more aggressive, previously undetected cancer) PSA UNDETECTABLE Nov 2006; Feb, May, Oct 2007; May and November 2008.  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.


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4849
   Posted 12/10/2008 8:28 AM (GMT -6)   

It's pretty much painless.

You'll leak like Niagra Falls when it's first removed. Doc will point you to the toilet to see if you can stop the stream.

I used these:

http://www.cvs.com/CVSApp/catalog/shop_product_detail.jsp?filterBy=&skuId=264671&productId=264671&navAction=jump&navCount=3

Spasms will still be there.

 

 



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

 


glabers
Regular Member


Date Joined Nov 2008
Total Posts : 31
   Posted 12/10/2008 8:33 AM (GMT -6)   
Frankly, any level of pain to get it out was well worth it to me. As it was coming out, the nurse could have punched me in the face and I would've just smiled from sheer joy that it was being removed. For me, I was able to immediately pee, then stop, then pee and stop again. That was a good sign to the nurse. We then put my pad on and left after a brief conversation/consultation. (this was the day my wife pulled out the Elmo diaper, and we all went hysterical).

Bring extra pads and your questions. I'd take a nice painkiller in advance to both help you relax and assist with any possible pain, but I should tell you that I had no pain. Some sensations it was removed, but no pain. It's like giving birth to a tiny weeny baby. :)
Diagnosed:  8/24/08, age-47
Father died of prostate cancer at age 72
PSA 1.5 early 2007, 4.5 mid 2008, all remedies tried & reduced to only 3.2, uh oh.
Biop - 2 positives of 20 samples
Gleason - 3+3
RRP - 11/13/08 via Da Vinci by Dr. David Samadi, Mt. Sinai Hosp. NY
Post op biopsy - 75% of samples positive for cancer, Post op Gleason 3+4
some lymph Nodes tested, all negative
all nerves spared - I'm told
Catheter in for 1 week, using 1 pad a day. 
 
 
 
 
 


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 12/10/2008 9:27 AM (GMT -6)   
I had no pain with the removal. The doc deflated the balloon and it almost fell out on it's own. My bladder wasn't filled prior to removal to check for leaks like others indicated, nor was I to pee and stop and pee again with the doc checking. He just removed the little buddy and gave me a sample pull up diaper and said see you in a couple of weeks for the PSA test. I never had the spasms, so I can't comment if you will still have them or not. I leaked continually for almost two months...only recently has it improved to just a few pads a day.
Les
 
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


Bluenose
Regular Member


Date Joined May 2008
Total Posts : 260
   Posted 12/10/2008 10:25 AM (GMT -6)   

 

 No pain with removal, an unusual feeling though. My bladder was filled prior to removal. I was fine while sitting but when I stood to pee in the cup....whoaa, looked like a fire hose had been let loose! Finally gained control of that situation and filled said cup half-way, the other half, well you know.....it wasn't in the cup! Nurse came in and asked "did you pee", she looked around say's "oh yeah YOU did"! We were both laughing pretty hard. She said it happens all the time.....I went ahead put on my Depends pad (advice from the forum) and headed for the house. Only used one pad during the daytime early in my recovery to once in awhile I'll still slip on a liner....because, sometimes I'm just chicken..

  The Depends pads worked really good for me, I'd advise you to take a few of those....as far as a bucket and mop, they have those in the office!! :)  you'll do fine David, good luck brother!
 
   age: 53
   Pre-0p PSA  Feb. 08, 5.0
      4.22.08, 4.1
      PSA  spiked once about 8yrs ago to 5.0 three months later
      back to 2.9...then into the 1.2 range until my re-scheduled 
      "missed" appointment this past Feb.
      Biopsy 5.1.08 
      Gleason-3+4=7
      T2a
      5 of 15 cores positive
      Da Vinci scheduled..7.29.08..as I read somewhere on this 
      site....."the first show of the day"
       DaVinci completed 7.29.08, Bladder Sling installed, hernia repair 
       completed during surgery.    
        Sent home 30hrs,  JP drain in place 7days,
       Path report "cancer fully contained"....Margins clear
        Cath removed 8.8.08(ten days)...one lightly used pad 24 hours
        ED therapy begins 8.9.08. 100mg viagra three times a week,
        pump everyday and hold for ten minutes.
        8.16.08 switched to Levitra 20mg.......whahoo, got lucky...
        immediate results..... 
        9.15.08 pad free at night, one thin (light) pad during the daytime
        hours. Just because I'm chicken..!
         9.18.08 1st post-0p-PSA-Undetectable...Zero's!  Yes!
 
           ..."just tryin' to reason with hurricane season"..
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
       


hangin-in
Regular Member


Date Joined Sep 2008
Total Posts : 78
   Posted 12/10/2008 10:44 AM (GMT -6)   

My experience.

No pain with removal but definite discomfort. I brought along depends and pads to the office but it wasn't necessary because the Dr's office gave me an initial supply. No filling the bladder prior to the catheter coming out. However after removal, the nurse gave me lots of fluid to drink and had me wait in the area for 1-2 hours to be sure that I was urinating. Well, in my case. being one of the fortunate ones,  I didn't need the pads at all - full continence from the get go. I left the office after 2 hours.

Unfortunately, several days later I couldn't urinate and I had terrible pain. I was admitted to the emergency room and a catheter was reinserted and left in for several more days after which I didn't have any more problems. They think there must have been some swelling or some other blockage in the urethra that cleared up with the second catheter insertion.

Good luck to you.


Rising PSA 12/06=1.6 12/07=2.1 5/08=2.6
Biopsy 6/4/08 12 core 4 Positive 15%,15%,8%,3%
Diagnose @ Age 51 Gleason 3+3=6
Bone & Cat Scans Normal
Lapro Surgery 8/18/08 at Memorial Sloan Kettering
Pathology report stage T2c organ confined with positive apical margin Gleason 3+3 = 6 (with tertiary grade 4)
Catheter removed 8/26 - reinserted 8/29 - removed 9/2
No continence or potency problems from the get-go.
First post op PSA 10/2/08 < 0.05


DoingFine
Regular Member


Date Joined Sep 2008
Total Posts : 46
   Posted 12/10/2008 11:07 AM (GMT -6)   
I was also having bladder spasms (even while taking detrol). Although I did not really believe it when told they would stop when the catheter was removed . . . they did! No more spasms.

As with most everyone else, there was really no pain as the catheter was removed, just a strange feeling (then a happy feeling!).
Age at dx: 51 Age now: 52
Great health: Riding bike 200+ miles weekly; no symptoms
First PSA: 4.7 March 2008 (bummer)
Second PSA: 4.97 June 2008
Biopsy June 2008
Positive 5 of 12 cores (real bummer) T1c
Gleason 3+3
Bone scan: 7 July negative
RRP surgery 3 Sept 2008 at the Mayo Clinic: Rochester, MN
All clear
Catheter out 22 Sept 8:30 AM, catheter back in at 11:30 (not happy)
Catheter out 30 Sept (this time for good!)
Total continence, no erectile difficulties from day one (Cialis 10mg daily)
Back on bike 15 Oct. (42 days . . . with doc's approval)
Dec. 2 2008 psa Undetectable!


Galileo
Veteran Member


Date Joined Nov 2008
Total Posts : 697
   Posted 12/10/2008 11:42 AM (GMT -6)   
Mine wasn't painful coming out. Uncomfortable (a slight burning) but it was over in seconds and then FREEDOM.
I had a nurse do it. Before taking it out, she squirted sterile water up the cath tube into my bladder. When it felt full, she did the removal. She had me standing over a container to catch the outflow.
I took a deep breath and exhaled steadily through the removal. Maybe that helped me, I don't know.

Water, urine, a little blood, all gushed out.

I brought along something--pads, I think--to wear home. Maybe it was Depends.

It was a happy day.


Best wishes.
Galileo

Dx Feb 2006, PSA 9 @age 43
RRP Apr 2006 - Gleason 3+4, T3a, N0M0, pos margins
PSA 5/06 <0.1, 8/06 0.2, 12/06 0.6, 1/07 0.7.
Salvage radiation (IMRT) total dose 70.2 Gy, Jan-Mar 2007@ age 44
PSA 6/07 0.1, 9/07 <0.1, 12/07 <0.1, 4/08 <0.1, 11/08 <0.1
http://pcabefore50.blogspot.com


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 12/10/2008 11:43 AM (GMT -6)   
Thanks for all the stories here, gives me some more confidence, even though I take the meds for the spasms 4x a day, still have them bad at times, mild at others, just trying live out the next 4 1/2 days with the catheter inside me. As far as the rest of my healing, I feel mostly good, espec. around the incision, very little pain there, no longer require pain meds of any sorts, precription or over the counter. Patience is definitely one of the biggest factors when dealing with PC I conclude, and I am just barely getting started after surgery.

David in SC
Age 56, 56 at DX
 
PSA 2007 5.8
PSA 9-2008 14.9
 
3rd Biopsy 9-2008 Positive
7 of 7 cores positive, ranging from 40 - 90%
2 tumours noted, Gleason 4+3 and 3+4
 
Open RP surgery completed on Friday, November 14, 2008 at
St. Francis Hospital, Greenville, SC, Dr. Ronald Smith - Surgeon,
Non-nerving sparing, 4 days in hospital, staples removed 11/24/8
 
Post-surgery Pathlogy Report:
Gleason 3+4=7, pT2c pN0 pMx, Prostate 42 grams, tumor 20% cancer
Contained in capsular, neg. margins apex, bladder neck, right lobe, neg. in seminal vessels and lymph nodes. Left lobe: infiltrating tumor miscroscopically appears to extend to marked left posterior margin


chrisinmaine
Regular Member


Date Joined Aug 2008
Total Posts : 31
   Posted 12/10/2008 1:25 PM (GMT -6)   
For me the joy of removal erased any memory of pain--if it even existed at all. A deep breath, then an exhale as it was being pulled out worked as an effective distraction to the extraction. I am not a great pee on demand person so I did not go right away. After a few attempts they sent me away for a few hours, suggested that I drink some water and come back and empty my bladder. I drank about a quart and held it with no leaks. They then gave me an ultrasound and that confirmed that my bladder emptied ok. That was the best pee of my life! Other than the occasional drip for a week or two I only had to wear very small pads. I had spasms while the catheter was in but never after it was out. I am a lucky man.
Age 51
March 08 PSA prior to biopsy 6.65
PSA caught in life insurance exam.
Completely asymptomatic.
April 08 Biopsy: Gleason Grade 3+4=7
Tumor in 5 of 13 cores
July 22, 08 Radical Robotic Prostatectomy
All nerves spared
Pathology: Margins clean, Seminal Vesicles negative for tumor
Gleason Grade 3+4=7 Percent Gleason Grade 4-20% no Gleason grade 5.
First post-op PSA scheduled for 10/08
Very minor incontinence since catheter removal on 7/29
ED assisted by low dose of Levitra. So far so good.
I feel very, very lucky.
First post op PSA 11/19/08 <.02 undetectable!


Sam Benton
Regular Member


Date Joined Dec 2008
Total Posts : 35
   Posted 12/10/2008 4:05 PM (GMT -6)   
That catheter drove me crazy, and I was nervous when they removed it. But the nurse told me to take a deep breath and let it out while she pulled and it was uncomfortable but not painful. I read that a lot of you guys use depends. I have been using a triangle shaped pad called Tena anyone heard of them? they fit pretty well.

Rolerbe
Regular Member


Date Joined Dec 2008
Total Posts : 235
   Posted 12/10/2008 4:53 PM (GMT -6)   
I really liked the Tena (Serenity) pads. They fit much better and are the right 'weight' (i.e. light) for me. I bought a pack before the surgery, then could not find them anywhere afterwards having been discontinued by all the local pharmacies. I'm using the depends pad now, but its bigger than I need and much less comfortable. :-(

RBinCountry
Regular Member


Date Joined Apr 2008
Total Posts : 270
   Posted 12/10/2008 4:59 PM (GMT -6)   
Purg,
I was filled up with solution prior to removal and told to hold it when the catheter was pulled out. I had no pain or discomfort whatsoever, and found amazingly that I could hold the solution in me. Later though I started the leaking. In fact on the way home I stopped and got a big diet Coke at the drive thru - that was a mistake. By the time I got home I had soaked down the pad.

The men's pads will hold a lot, and I never found them to fail in that regard. Even when I was at my worst no one esle knew the difference. I would definitely take a pad to wear from the office. You will need standard brief underwear. Don't worry - it will be a glorious trip to be rid of the catheter.

RB
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


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 12/10/2008 5:39 PM (GMT -6)   
Thanks one and all, I knew by now that I could count on all of you for some real rounded opinions. Made me feel a little bit more confident. I did something either brave or stupid today, couldnt stand being stuck in the house on a very rainy day all alone, and since I had my wife put on my leg bag this AM, I took off and drove for the first time even with the cath in place. My dr. had told me not too. I went to WalMart 2 miles away to pick up some med, went to drive in at Mickey D, picked up 3 items at the grocery store, and stopped and bought a lottery ticket, then came home. Was gone for an hour total, but totally wiped out by the time I got home, didn't realize how weak I really am coming up on the 4 week mark from surgery. Told my wife I won't try that stunt again until after the cath is out next Monday.

David in SC
Age 56, 56 at DX
 
PSA 2007 5.8
PSA 9-2008 14.9
 
3rd Biopsy 9-2008 Positive
7 of 7 cores positive, ranging from 40 - 90%
2 tumours noted, Gleason 4+3 and 3+4
 
Open RP surgery completed on Friday, November 14, 2008 at
St. Francis Hospital, Greenville, SC, Dr. Ronald Smith - Surgeon,
Non-nerving sparing, 4 days in hospital, staples removed 11/24/8
 
Post-surgery Pathlogy Report:
Gleason 3+4=7, pT2c pN0 pMx, Prostate 42 grams, tumor 20% cancer
Contained in capsular, neg. margins apex, bladder neck, right lobe, neg. in seminal vessels and lymph nodes. Left lobe: infiltrating tumor miscroscopically appears to extend to marked left posterior margin


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 12/10/2008 5:50 PM (GMT -6)   
Not a wise move to drive with the cath in place. If you had an accident your insurance could deny the claims even if you did not have any medication in you at the time. And to make matters worse, the other party could sue for negligence on your part (triple damages anyone)...you knew you weren't suppose to drive in the first place. Not scolding...but you were lucky this time.
Les
 
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


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 12/10/2008 6:06 PM (GMT -6)   
Les,

Point well taken, I get it. It was a one time moment of madness or weakness, never felt comfortable the entire time.

David
Age 56, 56 at DX
 
PSA 2007 5.8
PSA 9-2008 14.9
 
3rd Biopsy 9-2008 Positive
7 of 7 cores positive, ranging from 40 - 90%
2 tumours noted, Gleason 4+3 and 3+4
 
Open RP surgery completed on Friday, November 14, 2008 at
St. Francis Hospital, Greenville, SC, Dr. Ronald Smith - Surgeon,
Non-nerving sparing, 4 days in hospital, staples removed 11/24/8
 
Post-surgery Pathlogy Report:
Gleason 3+4=7, pT2c pN0 pMx, Prostate 42 grams, tumor 20% cancer
Contained in capsular, neg. margins apex, bladder neck, right lobe, neg. in seminal vessels and lymph nodes. Left lobe: infiltrating tumor miscroscopically appears to extend to marked left posterior margin


Bluenose
Regular Member


Date Joined May 2008
Total Posts : 260
   Posted 12/10/2008 8:48 PM (GMT -6)   

 

  ah heck David, sometimes you just have to go for it!!  Even if you do get a spankin'.....


 
   age: 53
   Pre-0p PSA  Feb. 08, 5.0
      4.22.08, 4.1
      PSA  spiked once about 8yrs ago to 5.0 three months later
      back to 2.9...then into the 1.2 range until my re-scheduled 
      "missed" appointment this past Feb.
      Biopsy 5.1.08 
      Gleason-3+4=7
      T2a
      5 of 15 cores positive
      Da Vinci scheduled..7.29.08..as I read somewhere on this 
      site....."the first show of the day"
       DaVinci completed 7.29.08, Bladder Sling installed, hernia repair 
       completed during surgery.    
        Sent home 30hrs,  JP drain in place 7days,
       Path report "cancer fully contained"....Margins clear
        Cath removed 8.8.08(ten days)...one lightly used pad 24 hours
        ED therapy begins 8.9.08. 100mg viagra three times a week,
        pump everyday and hold for ten minutes.
        8.16.08 switched to Levitra 20mg.......whahoo, got lucky...
        immediate results..... 
        9.15.08 pad free at night, one thin (light) pad during the daytime
        hours. Just because I'm chicken..!
         9.18.08 1st post-0p-PSA-Undetectable...Zero's!  Yes!
 
           ..."just tryin' to reason with hurricane season"..
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
       


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 12/11/2008 9:36 AM (GMT -6)   
Sorry David...didn't mean to sound so harsh...after all the old saying...It's better to ask for forgiveness than for permission. Anyway...its just a few days and all this catheter will be behind you...and then you can lament like I did for your buddy....<smiling>
Les
 
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


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 12/11/2008 10:30 AM (GMT -6)   
Les,

No harshness detected, no foul. I knew I shouldn't have, my wife was suspicious I was going to make a get away that morning when I asked for her help putting on the leg bag. My youngest son was suppose to come over yesterday afternoon and drive me around, but he ended up working a double shift on his job. I was so upset and disapointed, I said screw it, I am out of here, and thus I went. I can now wait the last 3 1/2 days to get this annoyance out of me. Its pouring rain here in SC, not much incentive to go anywhere. There may be times I wished I could just pee in a bag and not worry about it, but I can't imagine that right now. 32 days of this is quite enough for my liking.

David in SC

P.S> Wonder when they will do my first post surgery PSA?
Age 56, 56 at DX
 
PSA 2007 5.8
PSA 9-2008 14.9
 
3rd Biopsy 9-2008 Positive
7 of 7 cores positive, ranging from 40 - 90%
2 tumours noted, Gleason 4+3 and 3+4
 
Open RP surgery completed on Friday, November 14, 2008 at
St. Francis Hospital, Greenville, SC, Dr. Ronald Smith - Surgeon,
Non-nerving sparing, 4 days in hospital, staples removed 11/24/8
 
Post-surgery Pathlogy Report:
Gleason 3+4=7, pT2c pN0 pMx, Prostate 42 grams, tumor 20% cancer
Contained in capsular, neg. margins apex, bladder neck, right lobe, neg. in seminal vessels and lymph nodes. Left lobe: infiltrating tumor miscroscopically appears to extend to marked left posterior margin


RBinCountry
Regular Member


Date Joined Apr 2008
Total Posts : 270
   Posted 12/11/2008 5:51 PM (GMT -6)   
Well,
I guess I need a licking also - I drove the hour and a half back to the doc the day mine was removed (simply because my wife's driving gets on my nerves). I didn't think anything about insurance etc.. I do recall that I tired much more easily the first few weeks out from surgery.

You're going to be a happy uncorked recoverer - keep us informed and enlightened. Best wishes...

RB
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


Dave7
Regular Member


Date Joined Jul 2006
Total Posts : 202
   Posted 12/11/2008 7:47 PM (GMT -6)   
The nurse took mine out and it hurt. She stuck a syringe in the little y-tube extension and extracted the fluid from the bulb that was holding the thing in place.
I don't think she extracted all the fluid because it hurt like hell when she pulled it out.

I needed to have it reinserted later and the next time it was removed a doctor did it. He filled one and a half syringes with the fliud he extracted before he pulled it out. The nurse had only used one syringe and I guess she figured that was good enough. Or perhaps it was her sick way of extracting vengence upon men in the world.

It shouldn't hurt if they extract all the fluid in the bulb holding it in.
Age:54
PSA 5/22/06: 5.6
Divinci surgery: 9/14/06
Gleason: 3+3
Organ confined, clean margins.
Both nerve bundles spared.

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