Update 2 weeks post surgery

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nasso
Regular Member


Date Joined Feb 2009
Total Posts : 27
   Posted 3/22/2009 5:01 AM (GMT -6)   
Hi,
 
The catheter is finally out this week and the sun is bright again - that thing is a major burden to keep for two weeks. Dr Walsh believes keeping the cath for 14 days gives the best outcome as for side effects. However, the biggest surprise post-cath was that incontinence did not present as a problem at all. I was equiped with depends and pads and actually wore them for two days just in case but so far didn't leak even a drop. I did keggels for a week or two before surgery - not sure it this helped. There are good surprises on the road to recovery from PCa!
 
Still feel a little burining sensation while urinatig, but otherwise the recovery is going great. Long walks, driving, keep stamina not a problem.  Still not ready for running, weightlifting, tennis, gym.
 
I wish everyone still looking for a treatment to soon find the best one for their case, and all on the other side a speedy recovery.


Age at DX: 43
PSA: 11/08:15.6, 01/09:16.6, 02/09:17.1
Biopsy 12/08 at USF Tampa
8/12 cores positive, GS 3+3,
perineural invasion in 2 cores
Staged T1c
CT, Bone, XRay negative
03/04/09 - Open Surgery at Johns Hopkins by Dr Patrick Walsh
Path Report: GS 6, Tumor Contained, margin clears, nodes+vesicles clean
Both nerves spared,
Catheter Out: 03/18/09
Incontinence : Resolved from day one, cant believe it
ED : some signs of life
Diet : Vegetarian, No-meat, no dairy diet since 01/09

Post Edited (nasso) : 3/22/2009 4:06:00 AM (GMT-6)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25382
   Posted 3/22/2009 7:55 AM (GMT -6)   
Nasso, glad to hear from you. Sure you are glad to be free of the cath after 2 weeks, I still don't miss the 63 days that I was on one. My dr. felt the longer cath time allowed better healing time around the bladder neck reconstruction. As much as I hated having one for so long, it may have been a blessing in disguise. I had virtually no incontinence problem afterward either. Most of what I have had, is more in my mind than in my body. ZGlad you are doing well, and I am sure you will be looking for the first post surgery PSA. It's kind of interesting to me that you had the real Dr. Walsh do your surgery. I loved his book, and had read it cover to cover several times before my surgery. My best to you in your recovery and healing.

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
 
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25382
   Posted 3/22/2009 7:56 AM (GMT -6)   
P.S. on the burning, the drug pyridium will cure that, but will leave your pee bright orange.
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
 
 


KrisP
Regular Member


Date Joined Mar 2008
Total Posts : 162
   Posted 3/22/2009 5:51 PM (GMT -6)   
Nasso, congratulations and wishing you a full recovery. Your journey has started out great - Good Luck!!
Occupation: Mechanical Engineer

Biopsy: 3/5/2008; Pre surgery: Gleason 6 (3+3), involving left lobe
t2b. DaVinci Surgery on 4/21/2008 in Austin by Dr Randy Fagin.[/color]

Pathologist report upgraded to a Gleason 7 (3+4); Margins: Clear

Second PSA (10/27/08) = < 0.1 Undetectable

Third PSA (02/11/09) = < 0.1 Undetectable


MWA44
New Member


Date Joined Mar 2009
Total Posts : 10
   Posted 3/22/2009 6:03 PM (GMT -6)   
My best to you.
I've just begun the process so I cannot give any info like these qualified gents on here.
The thoughts of a catheter really get me uneasy.
William

CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 3/24/2009 6:17 AM (GMT -6)   

Glad things are going well - take it easy and slide back into things gradually.  The catheter was the biggest nuisance in the whole deal for me.  Fortunately, I only had it for 10 days and I know it was important but I was sure glad to get rid of mr. hang. 

Keep up the good progress.  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


Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 3/24/2009 9:53 AM (GMT -6)   
Congratulations on the good progress, and especially the part about no problem with incontenence.  about the catheter, it was almost a non-issue for me . . . not really a bother for the two weeks it was in.  Stay well.

Age:  59 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

Bladder & Urethral:  Free

Seminal vesicles:  Not involved

Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%

Catheter:  Removed 12-days after surgery

Incontinent:  Yes (getting better, though)

Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08

Returned to work 9-29-08 (18-19 days post-op)

PSA test result, post-op, 10/08: 0.0; 12/08: 0.0

 

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