Posted 5/10/2009 9:57 AM (GMT -6)
Had open RP last Tuesday afternoon. Didn't talk to the surgeon myself post-op, but my wife did. Prostate removal uneventful, both nerve bundles spared and apparently not damaged. No visual evidence of spread. Pathology results, catheter removal and stitches removed in 2 weeks. Surgical and nursing staff were very compassionate and professional.
Had some pain in recovery room which was well taken care of by staff and morphine. Was sitting up 2 hours later with visitors and out of bed to a chair 12 hours later and walking around 18 hours later. Only real pain was from gas and bloating when bowels started working again...I saw a couple of comments from others about this.
Went home less than 48 hours after surgery. Had a home nurse follow-up to review catheter care and other home care info. Removed incision dressing myself on Saturday, had a shower and had my wife re-apply dressing. Back to normal, but light eating and taking stool softeners. Penis, groin and scrotum are a bit of a swollen mess, but no real pain...about the same as when I had a hernia repaired a few years ago.
Catheter not a problem as yet. Followed Dave in SC's advice and will probably stick with large bag. Have been walking circles in my house and around my back patio. My dog thinks I've lost my marbles and now just sits and watches. I have a home office in my basement and I'm up and down those stairs a few dozen times a day.
In hindsight, I think I had more pain and discomfort after my hernia surgery...or maybe I knew what to expect a little better this time?
All in all, I'm doing well and thankfull that I am.
I'll keep you posted on my progress.
Best wishes to all.
PS: Every once in a while, I get a huge zing at the end of my penis...almost like an electrical zap. Not painful, but uncomfortable for a second or so...could these be bladder spasms?
Lower left groin hernia: mesh and large scar: surgery early 2006
Nov/Dec 07 and March 08 and now Dec 08: Severe perineal pain (between scrotum and rectum). Septra/Bactrim for 8 months (Nov 07-Jun 08) for diagnosed prostatitis.
PSA start of 2008: 5.3..... PSA June of 2008: 7.3
14 DRE all benign or nothing felt
TRUS Biopsy Nov 08: Got copy of pathology (see below). Prostate about 40 cm sq.
General Health: pretty good, 5' 10", 180 lbs, slim.
Bone scan Dec 08: Negative
Barium enema X-ray (March 09 due to several days of blood in stool)
MRI with endorectal coil (April 09 as part of a study)
3D advanced TRUS (April 09 as part of a study)
CT (April 09 as part of a study)
Biopsy Pathology: 5 of 8 cores positive, adenocarinoma in both lobes. 30%-65%. One core perineural invasion. 2 cores "foamy" and suspicious. All +ve cores, 3+3 GS 6.
Open RP surgery: 1st week of May 09.
Physical State: 10 miles brisk walking per week (border collies), 20 minutes/day hard weights plus 5 minutes per day elliptical trainer (target before surgery is 20).
Mental State: Mostly good. Sometimes questionable.