post surgery incontenience

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buckeye42
New Member


Date Joined May 2009
Total Posts : 12
   Posted 5/27/2009 10:10 AM (GMT -7)   
Hello, I am new to the site.I had my robotic surgery on may 13 2009.Had my cath removed on 5/22/09.Am I progessing at a normal time frame.At night I am dry ,during the day i driible.use about 2 pads per day.  my pca was as follows.Gleason score 3+3=6,psa 4.4,one core 5% at biopsys(out of 12cores).Gleason score remained the same after removal.only 1% of prostate contained cancer.Is this a normal amount to dribble during the day? will walking strenghen to pelvic floor muscles?

Geebra
Regular Member


Date Joined May 2009
Total Posts : 476
   Posted 5/27/2009 10:47 AM (GMT -7)   
Everyone is different, but 2 pads two weeks post surgery is very good. I used 8 pads a day for 13 weeks, then it started to get better. Walking is generally good - but ask your doctor if you can walk yet. I have not heard that walking helped with pelvic floor muscles, though.

Previous 5 biopsies over 4 years negative

Dx Nov 2007, age 46

PSA 29, Gleason 4+4=8

Decided to participate in clinical trial at Duke

6 rounds of chemo (Taxotere+Avastin)

1/8/2008

33.90

1/11/2008

29.50

1/31/2008

38.20

2/21/2008

32.00

3/13/2008

26.20

4/3/2008

26.60

4/24/2008

20.60

followed by surgery at Duke (Dr. Moul) on 6/16/2008

Gleason downgraded 4+3=7, T2c N0MX, one small positive margin

PSA undetectable for 8 months, then

2/6/2009

0.10

4/25/2009

0.17

 


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 5/27/2009 11:17 AM (GMT -7)   
I agree that you seem to be ahead of what many report here, congratulations. Walking was strongly recommended as a pelvic floor strengthening exercise by the nurse that gave me post-operative instruction. And of course kegel, kegel, kegel.

Judging by the experience of others, control of the last bit of leakage -- the difference between pads and no pads can take some time. So just keep at it.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3 + 4 = 7
CAT scan 1/09 negative, Bone scan 1/09 negative

Robotic surgery 03/03/09 Catheter Removed 03/08/09
Post surgical pathology report. Lymph nodes negative, Seminal vesicles negative
Surgical margins positive, Capsular penetration extensive Gleason 4 + 3 = 7
At 6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.


Dirtmover
Regular Member


Date Joined Apr 2008
Total Posts : 158
   Posted 5/27/2009 3:01 PM (GMT -7)   
buckeye , hello my brother ... your way ahead of the game at this point,continence is a funny thing , the dry at night thing is a great sign, i too wore just a couple a day infact they werent even pads they wee womens pantiliners,MUCH MORE COMFY, , for me i was dry at 10 weeks , personally i never did  the kegals, doc said it didnt make much difference in a guy my age, good luck and keep in touch your DEFINATLY on the right track.................dirt  smilewinkgrin
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
 1 year p.s.a. undetectable

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