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mgl
Regular Member


Date Joined Feb 2007
Total Posts : 122
   Posted 3/1/2009 9:35 AM (GMT -6)   
What is the average time after surgery to become pad free?
inquiring for a friend
50 years old
gleason 3+4=7 psa5.8 clinical stageT3a
Da vinci surgery April10 2007 Mayo clinic Rochester, Mn.
extraprostatic extension Gleason -same
pelvic lymph nodes -negative
Catheter out April 19
psa aug 2007 0.28
37 treatments IMRT ended 10/26/07
psa Jan 29 2008 0.10
psa april 30 0.14
psa aug 21, 0.16
psa dec 17 o8 , 0.16


kw
Veteran Member


Date Joined Nov 2006
Total Posts : 883
   Posted 3/1/2009 9:41 AM (GMT -6)   

    I'm probably the last guy your friend wants to hear from.  But, everyone is different.  Over all from what I have seen here the last two and a half years is that most guys get near to normal recovery between 6 and 12 months.  Some get it sooner and some take a little longer.  And a few like myself have to go the Sling or AUS route to get somewhat normal control back.

    I wish your friend well in his treatment and encourage him to keep workin and try not to get down about it if he is a "leaker".  Life does get better and go on.

  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  


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2458
   Posted 3/1/2009 1:14 PM (GMT -6)   
I started my Kegel exercises 3 weeks before surgery. I also exercised on a regular basis all my life and have done stomach crunches as well. It has been just under 2 weeks since my catheter was removed and I'm now dry at night and use only one pad during the day. Most of the leaking occurs during my 3 mile walk. I usually don't leak while sitting down. Standing up quickly, lifting object, coughing, sneezing, laughing are the things that trigger a few drops to leak. I recommend to your friend to do the Kegel exercises (3 sets of 10) 3 times a day. It may help speed up continence.
Age: 67
Retired in 2001 and living in Austin TX.
PSA 3.5 free PSA 11%
Dx 12/30/08
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed on Feb 9th
Surgeon: Dr. Randy Fagin, Austin TX.
Post op Pathology report:
Prostate weighed 57 grams
size:5.2 x 5.0 x 4.9 cm
10-20% involved
Bilateral
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx
Negative margins
Lymph nodes: not dissected
seminal vesicles clean


kcragman
Regular Member


Date Joined May 2008
Total Posts : 240
   Posted 3/1/2009 4:04 PM (GMT -6)   
I believe most guys go dry between 3 and 6 months, although a lot of guys on this board have been faster. Some take longer, and a few never make it.
Everybody is different.

kcragman
Age: 53; 52 at DX
March 2006: PSA 2.5
Dec 2007: PSA taken for insurance application. I did not see the results until late
Jan '08 - after I was rejected. Their lab said PSA 4.5.
Feb 2008: PSA 3.7.
March 2008: Biopsy. Gleason 7 (4+3) 12 cores taken. 5 on the left side were
cancerous and the 6th was suspect.
May 5, 2008: Da Vinci robotic laparoscopy at GW Hospital, Washington DC.

Post op: Gleason 9 (4+5). 15% of prostate involved. Stage: pT3a. Negative margins. Lymph node and nerve samples taken, and appeared to be cancer free.

July 2008: PSA at 7 weeks was undetectable.
August 2008: PSA at 14 weeks (3 months) was undetectable.
Nov 2008: PSA at 6 months was undetectable.
Feb 2009: PSA at 9 months was undetectable.


Dirtmover
Regular Member


Date Joined Apr 2008
Total Posts : 158
   Posted 3/1/2009 4:51 PM (GMT -6)   
if you look on this site you will see that although continence somewhaat depends on surgeon ,age and phsical condition,MOST men have continence in 10  to 15 weeks , i was completly continent in 10 weeks and thats a no bull crap continence, i could sneeze .drink beer ,go on roller coasters ect, tell your buddy not to worry ,get a GOOD surgeon and the rest he shouldnt  have to worry about, there are exceptions ,but they are rare, ,,dirt

Diagnosed November 2007   (43 years old )
PSA 3.9 / Gleason 6 / TC1 6 cores 1 shows 25%
Sugery scheduled 5/29/08 - City of Hope - Dr. Mark Kawachi
 "First show of the day"
 and now for the new ive been waiting for
 FINAL PATH REPORT:gleason upgraded to 3+4 T2c bilateral disease,tumor involvment 5%
extra prostatic extention:absent
seminal vesical invasion :absent
pathological staging:pTNM pT2 ORGAN CONFINED
margins free of carcinoma
usable erections ;6-6-08 with little blue pill
continence; 1 pad a day, dry at night
continence a non issue at 10weeks


jerseycity
Regular Member


Date Joined Nov 2008
Total Posts : 123
   Posted 3/3/2009 7:15 PM (GMT -6)   
I am at 5 months from open surgery. At this point I am at 1 and sometimes 2 pads a day. I have a very active day. It started to get better for me at 4 months. Prior to that I was using 4 to 5 per day. I also wear briefs for added protection. Dry at night now also. In early stages I could not actually urinate during day because it all went into pad. I still get up 2 or 3 times a night and do a full pee. So you can see we are all different. I feel it will take me a year to be mostly dry.

 3-17- 8 went to Bruce Springsteen concert , great time
3-18-8 routine exam
3-19 doctor called said psa was elevated
what's a psa?
referred to Uro, had several more blood tests.
PSA steady at 4.75
biopsy  June 08 , 12 cores, 4 on left confirmed , right clear
gleason 3 + 3 T1c
research time.
decieded on open RP, Head of Uro  is my Doctor
Surgery done 10-1-8 by Dr See at Frodoret Hospital in Milwaukee
Cathater out 10-13 no problems
Post op,  organ confined, gleason up to 4 + 3, all clear margins
T2c 20% volume, very good outcome I feel
Incontinent and ED.  Time will tell, was told all nerves  saved.
back to work 11-5-8.
 
Rich man in a poor mans shirt.


CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 3/3/2009 7:53 PM (GMT -6)   

I was blessed with being "almost" fully continent only a few days after the catheter came out.  It probably took 6 months before I could pick up more than just a few pounds without leaking a drop or two.  I still drip just a little on occasion with certain degrees of sexual stimulation but that too seems to be getting better and fortunately is only a drop or two but always seemingly at the wrong time. 

I did do the Kegels or at least a version thereof for the six weeks after diagnosis and prior to surgery.  Whenever I urinated I stopped the stream several times.  That seemed to be helpful in helping me control the flow after surgery. 

Trust this helps.  David


Age 55
Diagnosed Dec 2007 during annual routine physical
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 positive with 2 marginal
Gleason 3 + 3 = 6
RRP 4 Feb 08
Both nerves spared
Good pathology - no margins - all encapsulated - Gleason 4 + 3 = 7
Catheter out Feb 13 - wore pad for couple of days - pad free Feb 16
Great wife and family who take very good care of me


Gunner59
Regular Member


Date Joined Nov 2008
Total Posts : 109
   Posted 3/4/2009 6:41 AM (GMT -6)   
I'm at just over 5 months past surgery (had laproscopic, not Davinci). Just got to the point where I don't use a pad at night anymore, but use one during the work day as I get a bit of stress leakage lifting, climbing stairs and ladders and getting in and out of my service truck. Even so, I don't have much in the pad at the end of the day. I suspect when mu current supply of pads runs out in about 2 weeks, I'll switch to a panty liner, like a lot of guys here have, just to keep from having the "moist undie" syndrome.

As you can see from the responses, there is a great variance in continence after surgery, but as stated above, the 3-6 month range seems to be the most common.
Age 48 at diagnosis
3 Jul 08 PSA 27.21
Biopsy positive 3+3=7 9 of 24 punches
Bone scan clear
22 Sep 08 Laproscopic Radical Prostatectomy and bilateral pelvic Lymphadenectomy
Gleason 3+4 after prostate removal, lymph nodes clear
Stage T2B
PSA at 3 months=undetectable


NV RTRD 2007
Regular Member


Date Joined Jan 2009
Total Posts : 75
   Posted 3/4/2009 8:09 PM (GMT -6)   
I am 3 months post op and I am using one pad (women's type) a day since about the mid January. I am thinking of not using one at night but my wife doesn't agree yet. She's still got that lingering question, how about if it will leak?. I am proud to say that I never leaked on our bed ever since. I am completely dry in the morning, though I get up quite often to go to the bathroom. Just like some of the other posts here, the pad is just an assurance to catch occassional drip. I work in a warehouse and I am constantly movign around and lifting stuff but the pad holds pretty good. It doesn't have much after a whole day.
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.

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