Just an update. After 31 days, the lymphocele drain came out today. An annoyance, a tube entering below your belly button, stitched into place, stiches aching and inflammed for awhile, changing the bandage and looking at this intruder, wearing a bag strapped to your leg, measuring output (started 500 mL, ended under 10 mL per day), backflushing saline or betadine into your body using a 3 way valve. The halfway mark, having yet another all-day hospital experience with the cat-scan and repositioning of the drain under semi-general anesthetic, relieving extreme fatigue and fever and shakes because fluid buildup was pressing on my kidneys. Even caused some urinary dripping, a couple of days of pads, a couple of nights of dribbly underwear.
Done. Over with.
On the primary front, urinary control seems to be excellent, and the wife and I will be trying out the modified equipment this weekend for sure. Based on responsiveness I've observed, I think things are going to be just fine, very very near to pre-prostatectomy.
The past is gone, the future yet to come. This moment, here and now, is nothing less than the totality of existence. I can't control my life, but I can shape this moment.
PSAs 1.6, 1.8, 2.0 at yearly intervals, mild DRE finding (hindsight unrelated) lead to biopsy
3/08 1st biopsy, 18 core. Pathologist 1, HPIN and ASAP, 0.5mm 1 core. Pathologist 2, carcinoma
7/08 2nd biopsy, 16 core. Pathologist 1, 1 core carcinoma. Pathologist 3, 3 cores carcinoma
12/22/08, Davinci at U of Washington hospital, Dr. William Ellis, 6 hr procedure, both nerves spared.
12/31/08 catheter out, dry immediately
Final path report:
79 g prostate gland
<5% cancerous, bilateral, T2c, Gleason 3+4, margins & seminal vessels clear, 14 lymph nodes negative
ED - some nocturnal erections even with catheter. 1st orgasm at two week mark. 50% erect.
1/10/09 - Lymphocele post-surgery complication. Kidneys threatened. 2 days hospital, drain installed.
1/22/09 - Drain blocked, CAT scan, repositioned, continue drain