Well Tony, in some ways you are quite right. Based on my dr. remarks on Monday, he has admitted that the difficulty stems from my open surgery, where the urethera joined the bladder after the removal of my prostate. He's been doing this for 26 years now, considered the best in all of SC, and that mine was the most difficult he'd ever encountered. That's why he had me on a cath for one month after surgery instead of the 10 days to 2 weeks as normal. That's why after 2 failed attempts of getting me off the cath, he wasn't totally surprised. He said during the surgery, if he did too much, it would have left me perm. incontinent for life, and if he didn't do quite enough, blockages.
With this corrective surgery, he said he is in the same situation, too much opening will leave me incontinent, and too little won't solve the problem. Once he frees his patient of cancer, his number one concern, particularly at my age, is the continence issue. So in many ways, he has one chance to do this correction right on Tuesday, and I am hoping he takes all the time he needs, and does the best he can. I don't want to stay on caths the rest of my life, nor do I want be in diapers the next 20 plus years.
David in SC
Age 56, 56 at DX
PSA 7/7 5.8, 7/8 12.3, 9/8 14.9, 10/8 16.4
3rd Biopsy 9-2008 Positive 7 of 7 cores positive, ranging from 40 - 90%, G 4+3 & 3+4
Open RP surgery November 14, 2008 at St. Francis Hospital, Greenville, SC, Dr. Ronald Smith - Surgeon, Non-nerve sparing, 4 days in hospital, staples removed 11/24/8, Catheter out on 12/15/8 on day 32. Day 33, urine stopped flowing, new catheter put in 12/16/08, Catheter out 12/29/08. After 7 hours, complete stoppage again, emergency room put in Catheter #3 early evening of day 45, still 12/29/08. 1/5/9 - Cath #3 out, dr. did cycloscope, saw potential blockage, put in Catheter #4, 1/9/9 - pre-op, 1/13/9 - corrective operation scheduled at St. Francis
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.
First PSA Post Surgery Scheduled now for 2/9/9