Prolonged JP drains after open surgery?

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wife33
New Member


Date Joined Jan 2009
Total Posts : 18
   Posted 3/19/2009 9:09 PM (GMT -6)   
Did any of you have JP drains in for a prolonged period (2 or 3 weeks or even more) following open prostatectomy?  The doctor says its within normal limits but would be interested in knowing if it has happened to others.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25382
   Posted 3/19/2009 9:18 PM (GMT -6)   
Hello and welcome here, wife33,

After my open surgery, the JP was removed (quite painfully as a remember) right at 24 hours after surgery while still in the hospital. I have heard of some being in as much as a week, but never as long as you are saying. What reason does your husband's doctor give for it being in so long?

David in SC
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery   2/9 .05, 6 month on 5/9
 
 


wife33
New Member


Date Joined Jan 2009
Total Posts : 18
   Posted 3/19/2009 9:54 PM (GMT -6)   
Believe it just has to do with more abdominal fluid (probably mostly lymph fluids) needing to be removed. 

BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 3/20/2009 5:52 AM (GMT -6)   
If I remember rightly one of our members had the drain in for quite a while after having a good number of lymph nodes removed and you are right.....it was to remove the build up of lymphatic fluid in the abdomen. hopefully it will be gone before too much longer.
Bill
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07
4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)
PSA February 09 <0.01


Bluenose
Regular Member


Date Joined May 2008
Total Posts : 260
   Posted 3/20/2009 8:23 AM (GMT -6)   

 

  Hey there. I had mine in for eight or nine days post-surg. It was going to be removed in the hospital but I was still draining too much for it to be removed that second day so I got to go home with it. I was just one that kept on with the fluids I guess. My girlfriend is a triage nurse so she got to take it out after I finally stopped filling the thing up. So, while laying on my couch she pulled that puppy out.......quite uncomfortable I may add. After some hystrical laughing, and locker room rants, she finally got the thing out. Most uncomfortable part of the whole trip, pre-surg, post-surg....it was done fast though.


 
  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...."
       


hb2006
Regular Member


Date Joined Nov 2008
Total Posts : 299
   Posted 3/20/2009 12:32 PM (GMT -6)   
I had mine out on the first day after surgery but I don't have any excess fat around my stomach or abdomen. I don't know if that makes a difference but my waist is a 35. It had stopped draining within 12 hours after the surgery.

The constipation was a much worse issue.
Age 60
PSA 2007 4.1
PSA 2008 10.0
Diagnosed April 2008
Biopsy: 6 of 12 cores positive
Gleason 4 + 5 = 9
CT and Bone Scan negative
Open surgery at Shawnee Mission Medical Center May 21, 2008
Right side nerves spared
Radical prostatectomy and lymph node dissection
Cather removed on June 3rd, totally dry on July 9th
pT2c
lymph nodes negative
PSA Sept 28, 2008 0.00
PSA Jan 22, 2009 0.00


Gerbe
Regular Member


Date Joined Sep 2008
Total Posts : 42
   Posted 3/20/2009 3:32 PM (GMT -6)   

I had lymphoceles appear a couple of weeks after surgery (a lymph fluid cavity from sampling lymph nodes) which caused a severe fever and fatigue collapse reaction, so they put in a drain, a small tube 3" below my belly button that went to a 3 way valve and a leg bag like a catheter bag.

Different experience, but just sharing what I went through.  I lived with it for a month.  It was necessary to be careful to bandage it securely so that it didn't get yanked around, and I had to change my own bandage to get through showering and stuff.  It was very very strange to look down with the band aid off and see this tube coming out of me.  But basically, it did not cause me any problems (except for having to be repositioned once because it got stopped up.  That was a fever and daylong visit to the doctor and a heavily sedated procedure and a near miss on rehospitalization).  My anxiety focused on getting the volume of fluid expelled from the lymphocele to decrease (it started at 500 mL a day, and had to be below 25 mL to get the tube yanked) which was done by time and back injecting betadine through the 3 way valve.  The removal was lay on your back, cut the stitches, and yank.  I was surprised at how quick and painless that was, nothing at all.

Anyhow, bottom line, you can live with such a thing for quite awhile and go about your business.  Good luck to you! 


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.
Age 59
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
Aftermath notes:
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
2/10/09 - The lymphocele drain comes out.


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 3/20/2009 4:18 PM (GMT -6)   
Aha! It was Gerbe's story that I was struggling to recollect. Another clear demonstration of why this site is such a great resource.
Bill
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07
4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)
PSA February 09 <0.01


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 3/20/2009 4:19 PM (GMT -6)   
I guess I lucked out.
Mine was removed the next morning regardless of having 10 nodes removed at surgery. In most cases the tube does not go home with you. But as noted, there are cases of it staying in for longer periods.

Tony
Age 46 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 16, 2007
Geason 4+3=7, Stage pT3b, N0, Mx
Positive Margins (PM), Extra Prostatic Extension (EPE) : Bilateral Seminal vesicle invasion (SVI)
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (January 13, 2009): <0.1
 
My Journal is at Tony's Blog  
 
STAY POSITIVE!


kw
Veteran Member


Date Joined Nov 2006
Total Posts : 883
   Posted 3/20/2009 7:20 PM (GMT -6)   
Mine was taken out the day after surgery! I guess there could be a reason to have it in longer.
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  


CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 3/20/2009 7:50 PM (GMT -6)   
Greetings, everyone.  My surgery was on Monday and my drains came out on Wednesday right before I went home.  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


Bluenose
Regular Member


Date Joined May 2008
Total Posts : 260
   Posted 3/21/2009 10:12 AM (GMT -6)   

 

  ..as said i kept mind for a time, I also had umbilical hernia repaired during sugery, sling installed and checked on a couple nodes  at the same time....Doc said sometimes he has to send us home with the thing. It was uncomfortable coming out, all two foot of it. The only part that really bothered me through the whole ordeal....


 
  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...."
       


wife33
New Member


Date Joined Jan 2009
Total Posts : 18
   Posted 3/22/2009 8:18 AM (GMT -6)   
Thanks for the responses. Obviously, this isn't very common but hopefully will come out all right.
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