RPP and Hernias?

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califlostnspace
Regular Member


Date Joined Jan 2009
Total Posts : 51
   Posted 1/16/2009 3:28 PM (GMT -6)   
I was wondering, does the RPP procedure make one more prone to having hernias where the inscisions were made?  I have already had two inguinal hernias repaired years ago with mesh.  my job is very physical with lots of lifting, pushing, pulling, etc.  (I am a government fleet mechanic and I keep 27 Harley Davidson Police Road Kings on the road). 
I have been released to go back to work on modified duty at week 4 post op.  I will be doing paperwork in the office until I can resume my normal duties. 
6'3"
205 lbs.
age at diagnosis:  51
diagnosed summer of 08
no symptoms
PSA  4.4
bone scan was normal
Radical Robotic Prostatectomy done with Da Vinci at UCSF on 12/23/08 by Dr. Peter Carroll
catheter removed 1/7/09
my local urologist referred me to a urologist at UCSF for the Da Vanci operation mainly because I had two
mesh panels in lower abdomen due to 2 hernia repairs 12 and 16 years ago
3 weeks post op I get a path report:   
 Your pathology results looked great.  Your final tumor grade was a Gleason 3+3, which was the same as your biospy grade.  The tumor did not extend outside of the prostate and all surgical resecetion margins were negative (meaning no tumor left behind).  The tumor did not involve the seminal vesicles.
Basically, the pathology is about as good as we could have hoped for.


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4840
   Posted 1/17/2009 5:16 AM (GMT -6)   
Since no one else has chimed in yet....I'd guess "probably not" more prone.
 
When I was doing my abdominal hernia surgery, I was told there are no guarantees that the repair would last forever.
Age 53   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
 
06/25/08 - Da Vinci robotic laparoscopy
Catheter in for five weeks.
Dry after 3 months.
 
10/03/08 - 1st Quarter PSA -> less then .01
NEW-> 01/16/09 - 2nd Quarter PSA -> less then .01
 
Surgeon - Keith A. Waguespack, M.D.
Las Colinas and Plano Offices 


califlostnspace
Regular Member


Date Joined Jan 2009
Total Posts : 51
   Posted 1/19/2009 9:10 PM (GMT -6)   
Steve,
did they use mesh to repair your hernia?
6'3"
205 lbs.
age at diagnosis:  51
diagnosed summer of 08
no symptoms
PSA  4.4
bone scan was normal
Radical Robotic Prostatectomy done with Da Vinci at UCSF on 12/23/08 by Dr. Peter Carroll
catheter removed 1/7/09
my local urologist referred me to a urologist at UCSF for the Da Vanci operation mainly because I had two
mesh panels in lower abdomen due to 2 hernia repairs 12 and 16 years ago
3 weeks post op I get a path report:   
 Your pathology results looked great.  Your final tumor grade was a Gleason 3+3, which was the same as your biospy grade.  The tumor did not extend outside of the prostate and all surgical resecetion margins were negative (meaning no tumor left behind).  The tumor did not involve the seminal vesicles.
Basically, the pathology is about as good as we could have hoped for.


lifeguyd
Veteran Member


Date Joined Jul 2006
Total Posts : 681
   Posted 1/20/2009 1:41 AM (GMT -6)   
califlostnspace said...
I was wondering, does the RPP procedure make one more prone to having hernias where the inscisions were made?  I have already had two inguinal hernias repaired years ago with mesh.  my job is very physical with lots of lifting, pushing, pulling, etc.  (I am a government fleet mechanic and I keep 27 Harley Davidson Police Road Kings on the road). 
I have been released to go back to work on modified duty at week 4 post op.  I will be doing paperwork in the office until I can resume my normal duties. 

     Yes
 
There have been several men here who reported that they had hernias after prostate surgery.  You should do some research and discuss it with your urologist.
 
http://linkinghub.elsevier.com/retrieve/pii/S0022534705658740
 
 
 
 


PSA up to 4.7 July 2006 , nodule noted during DRE
Biopsy 10/16/06 ,stageT2A
Aggressive Gleason 4+4=8  right side
DaVinci Surgery  January 2007
Post op confirms gleason 4+4=8
No extension or invasion identified
Few continence problems
PSA 90 day (-.01)  , (6 month -.01) , (9 month +.02) , (1 year +.02) ( 18 months +.02) (two years+.02)
One side nerve spared
success but some plaque with bimix 
born in 1941

Post Edited (lifeguyd) : 1/19/2009 11:46:33 PM (GMT-7)


califguy
Regular Member


Date Joined Sep 2008
Total Posts : 72
   Posted 1/20/2009 9:55 PM (GMT -6)   

I never even thought about that until one day recently when we were moving HEAVY stuff at work. (I work in maintenance.) After several really heavy things I thought...hernia. But nothing happened. So must not have been too bad....

Bill turn


Don't get discouraged!!
CalifGuy
 
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
Five month PSA less than 0.1  Lab did wrong type of PSA test so this test was not as accurate.


mlbsm
Regular Member


Date Joined Mar 2008
Total Posts : 85
   Posted 1/21/2009 7:10 PM (GMT -6)   
I underwent RRP on March 23, 08

My Dr. Told me to lift nothing heavier than a gallon of milk UFN.

# weeks after surgery, I helped move my house "Just a little".

I will be scheduling surgery for my inguinal hernia next month or so.

ADVICE: Let your wife and kids do EVERYTHING.

:)) Billy
DIAG. 2/08
DRE POSITIVE
PSA 6.8
CONTAINED, LEFT SIDE, GLEASON 9
LUPRON, (3 MO.) 2/28
RRP, 3/26, HOME 3/31
GLEASON SCORE, 3+4
TUMOR CONFINED TO THE PROSTATE, INKED EXTERNAL SURFACE FREE OF INVOLVEMENT. VD AND SV CLEAR AS WELL AS LYMPH NODES AND A BLADDER SECTION.
PSA 5/21 O.O1 UND TESTOSTERONE 0
PSA 6/30 O.OI UND TESTOSTERONE 10
PSA 9/30 O.O1 UND TESTOSTERONE 311
PSA 1/12 O.O1 UND. TESTOSTERONE 219
ED, BUT I CAN FIND WAYS AROUND IT.


Lungman
Regular Member


Date Joined Jan 2008
Total Posts : 276
   Posted 1/22/2009 9:03 AM (GMT -6)   
Any surgical procedure that opens the abdominal muscular wall leaves one more prone to hernias, and RRP is no exception. In my case, I didn't develop a hernia, but got a little sore at largest incision site because I overdid it physically, took it easy after that for 6 to 8 weeks.
Randy
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

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