lewvino --- shaving warning ! !

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Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 8/10/2009 10:33 PM (GMT -6)   
I am taking the liberty of starting another thread rather than replying, as I normally would, in the thread lewvino started about being off tomorrow for surgery on Wednesday.
 
In that thread someone suggested shaving before.  
 
When I had my robotic surgery not only didn't they shave the area they warned me that they'd cancel the surgery if I did.  Apparently studies show the skin scraping caused my shaving, opening little scratches, causes far more problems than leaving the hair in place.  They gave me a special sponge to wash the area with in the morning of the surgery but were very clear no shaving and said they had actually refused to operate on people who had shaved.
 
Make sure you know what the hospital policy is.
 
Aside from that it's such an easy thing you'll likely snooze through the whole thing.
 
One other warning.  Most people check out the surgeon.  Some the anesthetist.  But those aren't the most important.  Oh no.  That same daVinci is used for hysterectomies.  You want to find out who is loading the softwear that morning.  That's the person who really matters.
 
See you over here on the other side soon. 
 
Sheldon  AKA  Sleepless
 
 
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9, so far, so good
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"  


Colin45
Regular Member


Date Joined Feb 2009
Total Posts : 216
   Posted 8/10/2009 10:55 PM (GMT -6)   
I asked the doctor about shaving before my open surgery he said that it is much better if they do it and that if I were to do it before to make sure that I did not cut myself doing it in the end I let them do it for me
 
 
Age 64 From UK now in Thailand Baby boy born 2/14/2009
 First PSA was showing 9.73 on 1/21/09.   on 5/7/09 PSA 9.78  Free PSA 0.83   Free:Total  PSA 0.08 
1/28/09 Biopsy carried out 12 core results show no adenocarcinoma
5/15/0924 Core biopsy results Gleason'S Grade 3+2=5
Involving approx 30% of one out of 12 cores on each side no perineural or angiolymphatic invation identified
One side PIN High Grade Bone scan clear 
Open surgery 7/27/09
Prostate Gland weighting 34 grms
Gleason upgraded to 3+3 Tumour not closeto prostatic capsule Seminal Vesicles not involved by Tumour 6 Lymph Nodes negative for Malignant cells
 


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 8/11/2009 12:01 AM (GMT -6)   
When they shave you, you might notice that yellowy stuff when you come to, along with that shaved belly. That stuff is anticeptic and antibacterial. They use a specific shave cream as well...and it ain't Barbasol.

Also, like a preflight inspection, a pilot makes sure the plane is ready for flight and so does the surgeon. I took flying lessons and know this can be a tedious task. But a good surgeon will make sure the "ground crew" did their job correctly.

Just my two cents here...

Tony


 Age 47 (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 (May 11, 2009): <0.1
 
My Journal is at Tony's Blog  
 
STAY POSITIVE!

Post Edited (TC-LasVegas) : 8/10/2009 11:12:14 PM (GMT-6)


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4119
   Posted 8/11/2009 9:10 AM (GMT -6)   
Guys I must say I had open surgery and they shaved me after they put me out. Did not know I was clean till after recovery.

Jeff
Jeff T Age 57
9/08 PSA 5.4, referred to Urologist
9/08 Biopsy: GS 3/4=7
10/08 Nerve sparing open RRP- Path Report: GS 3+3=7 Stg. pT2c, margins clear
3 mts: PSA .05 undetectable
 10th month  PSA <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next


brainsurgeon
Regular Member


Date Joined Jul 2009
Total Posts : 137
   Posted 8/11/2009 9:41 AM (GMT -6)   
Shaving some hours before surgery opens tiny abrasions in the skin which become inoculated with your own skin bacteria. Shaving in the OR prevents this from occurring because the skin is disinfected at the same time. The skin is never sterile, but the numbers of normal flora are greatly reduced.
70 years old USA citizen
Prostatic carcinoma dxed June 2009 by PSA (7.0) and then Bx
PSAs yearly since 2001 ranged 1.52 to 7.0
Neg. CT and BS
4 of 8 biopsies positive (all right side) Gleason Score 3+4=7
Robotic assisted total prostatectomy and node excision July 2009 in Luzern, Switzerland
pT2c G3 pN0 (0/14)
Catheter out in 5 days (home in 3 days)
No incontinence
Potency: beginning tumescence??? at 3 weeks post-op


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 8/11/2009 9:50 AM (GMT -6)   
In my open surgery, they only trimmed it as short as posible with clippers, no shaving performed..From the bottom of the breast bone to half way down the testicles.
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP 110gms.- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
22 mts: ED- 50 mg Viagra 3X week, pump daily,Trimix 30/1/20-.10ml 2X week continues
PSA's: .04 each test since surgery


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 8/11/2009 10:41 AM (GMT -6)   
Same here..no shaving was allow. They just trimmed real close with scissors, not a blade. Oh and the comment about checking the software...might check the calibration date as well. Thats what I asked when they wheeled me in...I think I got a bigger dose of drugs to knock me out after that statement...seems nobody was amused.
You are beating back cancer, so hold your head up with dignity
 
Les
 
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral w/PNI - Gleason (3+3)6 Stage T1C
Robotic Surgery Sept 18, 2008
Pathology October 1, 2008 - Gleason 7 (3+4) Staged pT2c NO MX - Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
PSA 5 week Oct 2008 <.05
                   3 month Jan 2009 .06
                   6 month Apr 2009 .06
                   9 month Jul  2009 .08


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3739
   Posted 8/11/2009 11:24 AM (GMT -6)   
They shaved me from sternum to pen*s. When I came to it looked like they shaved off Willie too. Kind of like getting one free penisectomy with every prostatecotomy. He's back now and so is the itching. Jeff
Age 56. Perfectly healthy with no problems until getting the results of my first routine PSA test on April 8th: 17.8. My GP does not believe in general PSA screening so I did not get results during my 50 year physical.
May PSA: 22.6, 3 weeks later: 23.2.
June 10 Biopsy 7 out of 12 cores positive, Gleason 6=3+3.
Bone scan and C/T scan negative.
----------------------------------------------
7/21/2009 Radical prostatectomy by Da Vinci @ University of Rochester
Left nerve gone, right spared.
----------------------------
7/31/2009: Catheter removed and Pathology report received
Gleason 3+4=7 Tumor size: 2.5 x 1.8 cm location: both lobes and apex.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX


Jstars
Regular Member


Date Joined Oct 2005
Total Posts : 489
   Posted 8/11/2009 12:02 PM (GMT -6)   
Nobody hit me with that one, dude!

I did my own shave -- did not get reprimanded for it or anything -- and did not get out of the surgery either.

Can't believe they would postpone for something like that -- I'd be pissed!!

Still shaved/manscaped even now after 6 months due to using the VED. My wife really likes it that way so we'll stay with it (no itching for me -- maybe because fairly fine hair -- not coarse).
Age 58, 195lbs, 6'4", 57 at DX, PSA Aug2008 7 4 ... June2007 4.7 (BPH + LUTS)
Biopsy Nov2008 1 of 12 cores 5%, Gleason 3+3 - Sona showed size 140+ cc (110 grams post op).
02/03/09 open RRP surgery , Nerve sparing both sides, 1 day in hospital, Day 4 first BM,
Pathology Report: All margins clear - No Invasive spread - no change in Gleason score.
02/18/09 Cath out, passed a 1cm oblong STONE within hours.
03/06/09 Started Levitra@20mg / Viagra@100mg / (04/01) Cialis@20mg -- no real effect (thru 07/2009).
04/01/09, 07/07/09 PSA <0.1 - Stone Was Oxalate stone -- X-ray showed no additional stones.
Next up (so to speak) -- MUSE(1000mg) -- on 08/07/09.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 8/11/2009 1:40 PM (GMT -6)   
A very large and tall man, with the sense of humor of a game show host shaved me as they prepped me for my surgery. It humiliated me at the time, but knew it was needed. Never did itch after like they said it would ,even one of my nurses said to rub coconut oil if it itched.
Age 57, 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
 Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
2009 PSA   2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, scarring closed up bladder neck, corrective laser surgery scheduled for 8/18
 
 


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4848
   Posted 8/11/2009 1:57 PM (GMT -6)   
Trim and easy on the sideburns is what I got. No mention was ever made about shaving before surgery.
 
With the HUGE number of people dieing in hospitals from infections not related to their illness - I like the idea of not doing anything before hand.
Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 8/11/2009 4:08 PM (GMT -6)   
very good point steve, keep the liability on the hospital side
Age 57, 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
 Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
2009 PSA   2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, scarring closed up bladder neck, corrective laser surgery scheduled for 8/18
 
 


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 8/11/2009 4:34 PM (GMT -6)   
I used to be an orderly in a hospital, and it was our job to shave male patients. Nipples to knees for abdominal surgery. Hated it.

That is pretty much a thing of the past anymore with the antiseptic scubs they have know. Som eof the older surgeons still do it because thats the way they've always done it.

Jimstars, maybe they just thought yiu were a very fastidious man who didn't like pubic hair .
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks due to anatomical issues with location of ureters with respect to bladder neck.  Try 3 tubes where no tubes are supposed to be for 2 weeks !
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 8/11/2009 6:11 PM (GMT -6)   
least i wont have to go through that ordeal when i have my corrective surgery next tuesday, one less thing to be humiliated about

david in sc
Age 57, 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
 Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
2009 PSA   2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, scarring closed up bladder neck, corrective laser surgery scheduled for 8/18
 
 


Ralph Alfalfa
Regular Member


Date Joined Nov 2008
Total Posts : 469
   Posted 8/11/2009 7:38 PM (GMT -6)   
If I'd shaved myself it would have been more lika a self-sacrifice than a clean, close shave.  With diminishing near vision it would have been nasty.  One instruction they did give me was to shower as usual the morning of surgery and after that, scrub the surgical area again with a separate washcloth.  Nice idea.
 
Bob
 AGE:57
 Dx: October,27(the day after my birthday)
 Psa 14.5
 Gleason:(4+3) 7 T1c
 Bone scan:Negative
 Cat scan: Negative
 Biopsy: 4 of 12 positive, left side, pre-cancerous on the right.
 Confined to prostate.
 DaVinci Jan. 19th, No lymph node involvement, all margins clear.
 8 week PSa <0.01
 Gleason downgraded to (3+4)7
 6 month Psa , 0.1 
Fully continent...ED progressing as expected.


Jstars
Regular Member


Date Joined Oct 2005
Total Posts : 489
   Posted 8/11/2009 8:26 PM (GMT -6)   
Goodlife,

That is interesting to know that shaving is mostly a thing of the past. Now that you mentioned it (not shaving) I remember that I also shaved the area on each arm where I figured they were going to put the IV in -- both arms to cover all bases. Of course they put IV in on the hairy back of my hand! (Then I remembered that is where they do that mostly). I shaved so that the darned tape would not be pulling out all the hairs on removal. I still do an arm area every time I go for my PSA. Also that was one of the main reasons for the manscape for me -- so no Depilitating via ripped off tape. Turns out THAT part worked out good -- even for the catheter taping on the inner leg and the little tapes used to re-inforce the sutures (I did not have the staples -- yeeha for that). And the BIG tape swatches over the sterile pad covering. I was clean for all those places -- no hairs.
Age 58, 195lbs, 6'4", 57 at DX, PSA Aug2008 7 4 ... June2007 4.7 (BPH + LUTS)
Biopsy Nov2008 1 of 12 cores 5%, Gleason 3+3 - Sona showed size 140+ cc (110 grams post op).
02/03/09 open RRP surgery , Nerve sparing both sides, 1 day in hospital, Day 4 first BM,
Pathology Report: All margins clear - No Invasive spread - no change in Gleason score.
02/18/09 Cath out, passed a 1cm oblong STONE within hours.
03/06/09 Started Levitra@20mg / Viagra@100mg / (04/01) Cialis@20mg -- no real effect (thru 07/2009).
04/01/09, 07/07/09 PSA <0.1 - Stone Was Oxalate stone -- X-ray showed no additional stones.
Next up (so to speak) -- MUSE(1000mg) -- on 08/07/09.


TheoTeacher
Regular Member


Date Joined Jul 2009
Total Posts : 47
   Posted 8/12/2009 9:52 PM (GMT -6)   
Shaving?
No one told me before the surgery that I'd be clean shaven. In fact there were many little bits of info I didn't get!
It was the day after surgery when the 30 something nurse was checking on things down there that I noticed my bare skin from above the belly button to my crotch! I said, "They shaved me?"
Her reply was, "Hell yeah! But some men come in clean shaven, really clean shaven!"
Not me!
Now that I'm out at the beach the new growth on my belly is looking a bit strange and does get a stare or two!

The old lady tells her young grandchild, "Try not to stare at the strange man dear!"

Paul1959
Veteran Member


Date Joined Nov 2007
Total Posts : 598
   Posted 8/13/2009 9:33 AM (GMT -6)   
I shaved myself before surgery - a PCa guy suggested I do it myself as part of therapy, I suppose! Anyway, I did it a few weeks before surgery. surprise - my wife loved it. It has remained shaven to this day. My family doc and good buddy told me more than half of his male patients manscape and probably a third shave completely. I have since noticed at the gym that it is true. It is just how most men under 50 groom these days. Remember the 70's when the more hair the sexier! LOL
Paul
46 at Diagnosis.
Father died of Pca 4/07 at 86.
10/07 PSA 5.06 (Biopsy 11/07 1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC www.roboticoncology.com
Saved both nerve bundles.
Path Report: Stage T2cNxMx
-Gleason (3+3)6
Pad free on March 14 - (10 weeks.) Never a problem since.
ED - at one year, ED is fine with viagra.
One year PSA - undectable!

ED Website: www.FrankTalk.org - frank discussions of Erectile Dysfunction - check it out.


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3739
   Posted 8/13/2009 11:42 AM (GMT -6)   
I'm a hairy guy. (If anyone ever doubted we are descended from apes I'm the missing link.)
They shaved a 2" wide swath across my chest below the nipples for EKG leads (I guess). They also shaved me from the bottom of my sternum down. Leaving a hairy 2" wide black band across my chest. It looks like a happy face with my nipples for eyes. What the ? Obviously the surgeon ordered one thing and the anesthesiologist ordered something else. But come on! Would it have killed them to finish it off so my chest doesn't look like Groucho Marx?!?! Stick a cigar in my navel and I'm all set!
By the way, if anyone ever needs study subjects for butt to head hair transplants, I'm your guy!
Age 56. Perfectly healthy with no problems until getting the results of my first routine PSA test on April 8th: 17.8. My GP does not believe in general PSA screening so I did not get results during my 50 year physical.
May PSA: 22.6, 3 weeks later: 23.2.
June 10 Biopsy 7 out of 12 cores positive, Gleason 6=3+3.
Bone scan and C/T scan negative.
----------------------------------------------
7/21/2009 Radical prostatectomy by Da Vinci @ University of Rochester
Left nerve gone, right spared.
----------------------------
7/31/2009: Catheter removed and Pathology report received
Gleason 3+4=7 Tumor size: 2.5 x 1.8 cm location: both lobes and apex.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX

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