Pads and how can you tell when they are saturated?

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califlostnspace
Regular Member


Date Joined Jan 2009
Total Posts : 51
   Posted 2/21/2009 11:18 AM (GMT -6)   
I am having trouble telling when the Depends "Guards" pads are saturated and need changing.  I am 8 weeks post op and I change the pad two or three times a day mainly because I can't tell if they are wet or not without peeling it off the tighty whiteys to see if they are heavy with urine.  usually the pads are about the same weight as a new one when I peel them off.  I still have a little bit of stress incontinence.  too bad Depends does not make the blue insert change color when they are exposed to a certain amount of urine. 
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.


Bluenose
Regular Member


Date Joined May 2008
Total Posts : 260
   Posted 2/21/2009 1:02 PM (GMT -6)   

 

..you're doing great if that's the problem you have at hand.....there is no mistake when those things are full and need changin'.....Sounds like you're doing real well on the IC front.


 
  age: 53  Pre-op PSA Feb 08' 5.0, April 08' 4.1
  Biopsy 5.1.08, 5 of 15 cores postive, T2a, Gleason 3+4=7
  DaVinci performed 7.29.08
  Bladder sling installed, umbilical hernia repaired during surgery.
  Path report, "cancer fully contained, margins clear".
  Cath removed 8.8.08, ED therapy begins 8.9.08
  100mg Viagra three times a week, pump for ten minutes daily
  and hold for ten minutes.
  8.16.08 switched to Levitra 20mg, immediate results
  9.15.08 Pad free at night, one thin (light) pad during the day
  9.18.08 1st Post-op PSA Undetectable Zero's....Yes!
  12.22.08 2nd Post-op PSA  Zero's still...
  Pads gone 1.3.09, finally found the courage...Thanks ya'll
          ".....tryin' to reason with hurricane season...."
       


rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1131
   Posted 2/21/2009 7:06 PM (GMT -6)   
Sounds like you are doing great. When you change one, add water to the one you are going to throw away and see how heavy it is. That will tell you if you are leaking a lot.
 
Age 48
occupation accountant
PSA increased from 2.6 to 3.5 in one year
biopsy march 2008 - cancer present gleason 7
decision - surgery (robotic)
surgery may 9, 2008 - houston, tx
pathology report -gleason 8
margins clear
9 month  PSA <.04 (low as the machine will go)
continent at 10 weeks (no pads!)
ED is still an issue


kw
Veteran Member


Date Joined Nov 2006
Total Posts : 883
   Posted 2/21/2009 9:50 PM (GMT -6)   
Heck, Mine felt like a brick when they were full. Either that or I knew when my pants were wet.....lol.......had to laugh to keep from cryin!
Sounds like you are doing great...
KW
    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.  Working Great, only light drips and dribbles.
    Jan, 31st, 2009 - PSA 0.00  Next test in July, 2009  


stxdave
Regular Member


Date Joined Nov 2008
Total Posts : 65
   Posted 2/21/2009 11:33 PM (GMT -6)   
I hate to ask, but "why are you changing the pad". If you are just squirting a little when you get up out of a chair or when you lift something, there may not be enough to be concerned about.

I'd have to say you're doing tremendous.

Dave
Dx'd 1999, Age 60, PSA 43, Gleason (3+4=7), T3c
42-3d EBRT w/Lupron/Casodex for 24 months and PSA remaining to be <0.1 for the entire 24 month period.
July 2001 - 2nd opinion required to go intermittent ADT.
MDAnderson biopsy revised Gleason (4+5=9).
Intermittent ADT, Lupron only, with PSA threshhold established at 1.0.
March 2007 - Diminishing returns with Lupron, conferred with MDA urologist for bilateral orchiectomy. Uro asked for biopsy of prostate again. Biopsy resulted in tumors found with Gleason (5+4=9).
August 2007 - RRP and bilateral orchiectomy. PSA <0.1
99% continent immediately
September 2008 - PSA 0.45
November 2008 - PSA 0.67
December 2008 - Resume Casodex
December 2008 - Stricture in bladder neck requiring surgical removal. 99% incontinent immediately.


Life is not waiting for the storm to pass, it's learning to dance in the rain.


mb acoreano
New Member


Date Joined Feb 2009
Total Posts : 12
   Posted 2/22/2009 4:30 PM (GMT -6)   

Sounds like you are doing great after surgery, I am also being treated at UCSF by DR. Gotschalk and DR. Greene who is part of DR. Carroll's group, I am schedule to have gold markers implanted on 02/23/08 then go with IMRT and possibly follow up with cyberknife still waiting on insurance approval for cyberknife procedure. Can you enlighten me on the quality of treatment you received at UCSF.

Thanks

MB 


Age 57
DX 12/12/08
PSA 9 Second PSA 12
Biopsy 12/04/08 7 out of 8 cores positive 35-80% cancerous
Gleason Grade 8
Stage T2C
Bone Scan and CT SCan Negative
Lupron 3 month shot on 12/19/08
High Risk Patient


mvesr
Veteran Member


Date Joined Apr 2007
Total Posts : 823
   Posted 2/22/2009 4:42 PM (GMT -6)   

Hi

You can tell if you are leaking a lot by how heavy they feel.  If they don't feel heavy after wearing one all day, you are making progress.  I started out with a new one to go to work,  changed it when I went to bed and put a new one one in the morning, starting the process all over.

 

Mika

 


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
Got a shot last week and it was great
A year an a half of zero's
 


NV RTRD 2007
Regular Member


Date Joined Jan 2009
Total Posts : 75
   Posted 2/22/2009 6:10 PM (GMT -6)   
It's really easy to tell if saturated or not based on the weight of the pad. Even though I can probably go one pad for more than a day ( using only to catch the "dribble"), I change every night for sanitary purposes. Like you said, the one pad that I used for 24 hours seems like the same weight. By the way, I stopped using the Depends "guards". They're too thick. I am using my wife's pad. More comfortable and it's thin.
Age 54; Age DX 53
PSA: May 07- 2.9; Dec 07-4.3; Jan 2008- 6.1; May 2008- 6.4; Sep 2008- 7.3 ; Sep 2008- 9.6
Bone Scan: Mar 2007- Normal without evidence of metastatic disease.
Biopsy Mar 2008: 6/6 core right gland- No evidence of malignancy; 5/6 core left gland- positive Gleason score 3+3=6 average tumor volume 5 mm.Clinical Stage II.
Transrectal ultrasound at UCSF Jun 2008: 7x14x10 mm hypoechoic lesion in left gland. DRE positive, PSA Density- 0.23 and Prostate volume - 27 CC.
RRP: 4 Dec 2008; Discharged - 8 Dec 2008; Cath removed- 18 Dec 08.
Pathology Report: Prostate- 33 grams; L/R pelvic lymph node -No evidence of malignancy; Right Lobe- No definite tumor; Adenocarcinoma, Gleason 3+4.
Post PSA: 7 Jan 2009 - <.05.


califlostnspace
Regular Member


Date Joined Jan 2009
Total Posts : 51
   Posted 2/22/2009 11:01 PM (GMT -6)   
mb acoreano said...

Sounds like you are doing great after surgery, I am also being treated at UCSF by DR. Gotschalk and DR. Greene who is part of DR. Carroll's group, I am schedule to have gold markers implanted on 02/23/08 then go with IMRT and possibly follow up with cyberknife still waiting on insurance approval for cyberknife procedure. Can you enlighten me on the quality of treatment you received at UCSF.

Thanks

MB 


I would say the quality of treatment at UCSF was excellent.  for the most part the nurses and all the staff were very caring and concerned for my well being.  the rooms that I saw were mostly single rooms.  about the only problem I had was that a lot of the staff were asian with heavy accents which made it hard to understand some of them. 
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.


klondiker
Regular Member


Date Joined Feb 2009
Total Posts : 43
   Posted 2/22/2009 11:45 PM (GMT -6)   
Heck, When my get too heavy they tend to slip down my pant leg and out on the floor. :)
Age - 55
2004 PSA 2.7
2008 PSA 5.8
Sept 2008 PSA 5.66
Oct 2008 PSA 6.67
Biopsy on 11/25/2008 cancer found in 10% of one core , gleason 3+3=6
open RRP done on 1/14/2008. Pathology showed 20% of prostate cancerous, gleason 3+3=6, contained in capsule
First post op PSA 2/10/09 - 0.07
As of 2/11/09 down to one or two pads per day

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