Post surgery pain

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lewvino
Regular Member


Date Joined Jul 2009
Total Posts : 384
   Posted 8/30/2009 8:31 AM (GMT -6)   
Today is 18 days post robotic surgery. Overall doing well and getting more stamina each day. The last two days I've noticed that the pain's I have been having have shifted from a skin outer type pain in the lower abdomen to being more of a deep inside pain. Almost feels like things inside are trying to perhaps stretch from a knotted position. Best I can do to describe it! If I push in deep on my abdomen It will cause a pain in deep. I'm assuming this is all part of the internal healing. The incisions are itching more now but not bad.
 
 
Age at diagnosis 54, PSA 5.1
Father treated for Prostate Cancer in 1997 with Proton Beam - Still doing well.
My Stats
Biopsy 04/08 12 cores, 5 positive
Gleason 3 Cores at 4+3=7, 2 Cores at 3+4=7
Perineural Invasion Noted on biopsy

Robotic surgery 08/12/09 at Vanderbilt, Nashville TN. 
 
Post Surgery - Dr. Spared 100% of Nerves on the left side.
Estimated that 50 - 70% of the nerves were spared on the right side.
 
Final Path report
20% of the prostate Invovled
Tumor graded at T2C
Overall Gleason 3+4 (7)
Lymph Glands Clear
Positive Margin 1.8 cm in length Noted in Right Apex


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 8/30/2009 9:06 AM (GMT -6)   
lew,

most of that sounds normal, and of course varies from person to person. while its a good thing to be walking and doing on the physical front, its not a good thing if you are overdoing it (not saying you are). Pain is one way the body is talking to you, some guys push it too hard, you are not that far out of surgery. Know you had robotic, but I feel they oversell the recoup time a bit much, you still had a major complex surgery, and your innards have gone through some serious changes. The internal sucturing and stiching can take time to get adjusted and to heal. Are you still on any pain meds? If not, perhaps you need to talk to your doctor. Some seem to think its some badge of courage to ditch the pain meds immediately. Wrong approach, untreated pain just retards your natural healing process, any nurse in the world knows that. Hope you feel better soon.

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, 8/9 .16
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, 8/14 met with Rad Oncl, 8/18 - laser scope surgery to clear blockage, now on Cath #7, 8/26 - cath removed
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


webstergl
Regular Member


Date Joined Mar 2009
Total Posts : 25
   Posted 8/30/2009 9:17 AM (GMT -6)   
I know when I had my surgery about 3 weeks out I had pains in the abdomin and pubic area, I went to see my uro and it ended up being bladder spasms, they put me on a med can remember the name turns your pee day glow orange but will help suppress the spasms. Doc told me that the bladder takes a while to adjust since they do have to do some repositioning once the prostate is removed to reattach the urethra

I would check it out with your doc though to be sure it isn't any thing but normal healing

Gary

Age 54 (Dx age 52)

11/06 severe prostate infection PSA was at 52

2/07  4th PSA still at 6.2

3/07 Biopsy

4/07 5 of 12 core samples positive with Gleason at 6 -7

6/07 Robotic Radical Prostatectomy

Pathology showed Cancer was organ contained

Last 3 PSA’s 0

11/08 Dx with BNC (Bladder Neck Contracture) due to scare tissue

3/08 Scheduled for TUI, as well either an AUS or Male sling not sure at this point which one


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 8/30/2009 9:33 AM (GMT -6)   
THe med that turns things orange is pyridium, usually a cheap generic one, helps with spasms but usually issued for urinary burning. With my long stints on catheters, ditropan was the best thing going for bladder spasms. How do you know if you are having one? Easy, feels like someone let off a small grenade in your bladder and there was no escape path for the charge, lol. Trust me, I have had hundreds of them literally being on 7 caths.

david
 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, 8/9 .16
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, 8/14 met with Rad Oncl, 8/18 - laser scope surgery to clear blockage, now on Cath #7, 8/26 - cath removed
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


lewvino
Regular Member


Date Joined Jul 2009
Total Posts : 384
   Posted 8/30/2009 9:46 AM (GMT -6)   

Thanks all for your insights. I think I over did it some on Wed, Thursday. Took it more easy Friday and saturday. I think it is just normal healing type pains. I take over the counter extra strength tylenol and it helps. I only take the heavy duty presciption pain meds about 2 times a week now at night.

I'll see how it does until Wednesday and see if it gets better or not.

Thanks again,
Larry


Age at diagnosis 54, PSA 5.1
Father treated for Prostate Cancer in 1997 with Proton Beam - Still doing well.
My Stats
Biopsy 04/08 12 cores, 5 positive
Gleason 3 Cores at 4+3=7, 2 Cores at 3+4=7
Perineural Invasion Noted on biopsy

Robotic surgery 08/12/09 at Vanderbilt, Nashville TN. 
 
Post Surgery - Dr. Spared 100% of Nerves on the left side.
Estimated that 50 - 70% of the nerves were spared on the right side.
 
Final Path report
20% of the prostate Invovled
Tumor graded at T2C
Overall Gleason 3+4 (7)
Lymph Glands Clear
Positive Margin 1.8 cm in length Noted in Right Apex


CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 8/30/2009 10:35 AM (GMT -6)   
Greetings, Larry.  I'd just echo what others have said - you are just a few weeks out from surgery and pains are a normal part of the healing process.  Listen to your body - when it speaks to you, you need to listen and take it a little easier.  We all want to get on with things, but listen to your body.  That is my wife the nurse speaking - can't live with someone for 36 years without it rubbing off just a little (and I heard it pretty regular after my surgery).  Glad you are making good progress and look forward to hearing continued good reports. David

Diagnosed Dec 2007 during annual routine physical at age 55
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 pos; 2 marginal
Gleason 3+3; upgraded to 4+3 post surgery
RRP 4 Feb 08; both nerves spared
Good pathology - no margins - all encapsulated
Catheter out Feb 13 - pad free Feb 16
PSA every 90 days - ZERO's everytime!
Great wife and family who take very good care of me


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 8/30/2009 11:08 AM (GMT -6)   
Remember that no matter how small the incisions, a prostectomy is major abdominal surgery. You will be having various pains for another couple of months. Typically the last pain to go is on the lower left because that was the largest incision and was where they had the drains which is to say it got the most trauma. It is sometimes a fine line to figure out what is normal healing and what is not. If you have any worry, do not hesitate to call your doctor. They are still treating you and would much rather head off something rather than have it become major.

As others have said, don't over do -- but by the same token, keep with an increasing program of moderate exercise (walk, walk, walk) Your body will heal much better as a result.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 8/30/2009 11:17 AM (GMT -6)   
RE: pain deep inside when pushing deep inside-------

Man: Doc, it hurts when I do this...
Doc: Then don't do that.....

(Thank you, thank you, I'll be here until Thursday. Try the veal, It's great!!)
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-.05ml 2X week continues
PSA's: .04 each test since surgery


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 8/30/2009 11:21 AM (GMT -6)   
James, you should get a doctor's fee for that advice, that was choice.

David/CPA - its scary some times: both named david, both accountants, both married to nurses, you 36 years, me going on 36 years.
 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, 8/9 .16
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, 8/14 met with Rad Oncl, 8/18 - laser scope surgery to clear blockage, now on Cath #7, 8/26 - cath removed
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

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