Driving after Da Vinci Robotic Surgery

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Modelshipwright
Regular Member


Date Joined May 2009
Total Posts : 215
   Posted 9/11/2009 6:35 AM (GMT -6)   
With my procedure coming up in a couple of weeks, I was wondering how soon after the catheter is out you would be able to drive the car assuming everything progressed well?  Does anyone care to comment on this?
 
Thanks,
Keep well,
Bill
Age 64. Diagnosed with Pca January 2009, PSA 5.6, Gleason 3+3=6, T1c, TRUS biopsies of prostate left adenocarcinoma of prostate involving part of 1/4 biopsy fragments, less than 10% of the surface area involved, CT scan clear. Robotic Assisted Laparoscopic Prostatectomy surgery for treatment - September 29/09.


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 9/11/2009 6:42 AM (GMT -6)   
Hi Bill,

I am almost sure there isn't any problem with you driving after the cath is removed. I think most doctors are inclined to ask you not to drive while the catheter is in place...but after the removal shouldn't be a problem. I drove home right after mine was removed.

Good luck on your upcoming surgery.
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


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2222
   Posted 9/11/2009 7:04 AM (GMT -6)   
Bill,
I waited for about 17 days but probably could have done it sooner. I finally bought a donut cushion and continue to use it as my truck is not the smoothest ride in town. Keep us posted on your surgery and I know you will do well.
Michael
Dx with PCA 12/08 2 out of 12 cores positive
59 yo when diagnosed
Robotic surgery 5/09 Atlanta, Ga
Catheter out after 10 days
Gleason upgraded to 3+5, volume less than 10%
Margins not involved
2 pads per day, 1 depends but getting better,
8/5 1 depend at night only
 started ED tx 7/17, slow go
Great family
Michael


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 9/11/2009 7:10 AM (GMT -6)   
I was told not to drive until my original catheter was out, which was for 30 days. They definitely don't want you to drive with staples in place or your original catheter or if you are still requiring prescription pain pills. If any thing happened in most states, they could get you for a DUI conviction from the medication alone.

Now interestingly, I have been on 6 other catheters since the original, and there was never any driving restriction on them.

Good luck to you.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20%, Contained in capsule, 1 pos margin
2009 PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/09 2nd corr surgery, 8/9 cath #7 - out after 38 days


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4829
   Posted 9/11/2009 8:19 AM (GMT -6)   
I too was told not to drive while the cath was in...Have no idea why?
 
I drove my dad to the airport three days after surgery and never slowed down. (had my cath in for five weeks)
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.


Bluenose
Regular Member


Date Joined May 2008
Total Posts : 260
   Posted 9/11/2009 8:38 AM (GMT -6)   

 

  My Doc never mentioned driving or not......I waited a few days, 3-4 don't remember which...slapped on the leg bag and was driving. Of course not if I'd popped a pain pill, didn't really use too many.

 When you get home though, shave your inner thighs, saves some uncomfortable moments when switching the tape securing the cath tube from one leg to the other. I forget who on here told me to do this....good advice though.  

 


 
  age: 53 @ Dx, Pre-op PSA Feb 08' 5.0, April 08' 4.1
  Biopsy 5.1.08, 5 of 15 cores postive, T2a, Gleason 3+4=7
  DaVinci performed 7.29.08
  Bladder sling installed, umbilical hernia repaired during surgery.
  Path report, "cancer fully contained, margins clear".
  Cath removed 8.8.08, ED therapy begins 8.9.08
  100mg Viagra three times a week, pump for ten minutes daily
  and hold for ten minutes.
  8.16.08 switched to Levitra 20mg, immediate results
  9.15.08 Pad free at night, one thin (light) pad during the day
  9.18.08 1st Post-op PSA Undetectable Zero's....Yes!
  12.22.08 2nd Post-op PSA  Zero's still...
  6.23.09 1yr Post-op PSA Still a zero..
  Pads gone 1.3.09, finally found the courage...Thanks ya'll
          ".....tryin' to reason with hurricane season...."
       


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 9/11/2009 10:24 AM (GMT -6)   
I drove about a week after it was out. The only issue I had was incontinence. Make sure to cover the seat with a blue pad if you expect you wife to ever drive the car again. Even if you don't leak, it's a courtesy - like putting the seat down. (It's 7 weeks for me and I have not had to worry about the toilet seat position. I either pee outside or in the shower.)
Jeff
DX Age 56. First routine PSA test on April 8th: 17.8.
May PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, Gleason 6=3+3. Bone scan and C/T scan negative.
----------------------------------------------
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 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
Extraprostatic extension present; Perineural invasion: present, extensive
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
----------------------------------------------
One Month Status:
Potency - 9/7 7 weeks Still no activity
Incontinence - 8/20 3-4 full pads per day
9/7 3-4 full pads per day (I'm going to try cutting down on fluids. Bad idea, I know)
Post Surgery PSA - 9/3 6 weeks - 0.05

Post Edited (Worried Guy) : 9/11/2009 1:11:56 PM (GMT-6)


lewvino
Regular Member


Date Joined Jul 2009
Total Posts : 384
   Posted 9/11/2009 10:38 AM (GMT -6)   
I drove the day after the cath came out with no problems. Just make sure you still aren't taking pain meds while driving.

Larry
Father treated for Prostate Cancer in 1997 with Proton Beam - Still doing well.
My Stats
Age at diagnosis 54, PSA 5.1
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


engineer55
Regular Member


Date Joined May 2009
Total Posts : 121
   Posted 9/11/2009 11:44 AM (GMT -6)   
I had surgery wednesday and was driving saturday, but i was suppose to wait the 7 days when I had a catheter.  The most significant pain after surgery is stomach mucsles and gas bubbles. Really no pain for the cutting
Dx'ed 5/08 one core 2%  out of 12  3+3 gleason
DREs all negative
PSA was in the 3-4 range then jumped to 7
I have the enlarged prostate, on the order of 100cc.  After taking Avodart for 3 months  my
PSA was cut in half.
I did Active S for a year but concluded that I didn't want a life
of biopsies and Uro meetings.
DaVinci on 6/24/09  UCI Med Center  Dr Ahlering, long surgery based on size and location
Final was 5% one side all clear, but had a huge 90 grm prostate
Now we work on pee control, ok at night but sitting is a big problem.


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 9/11/2009 1:19 PM (GMT -6)   
Engineer just reminded me. My wiastline increased 4 inches right after the surgery! Good thing I had sweat pants. about the time the catheter came out I was still 2 inches above normal and my jeans didn't fit. In some states it is illegal to drive your car in your underwear. ;-)
DX Age 56. First routine PSA test on April 8th: 17.8.
May PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, Gleason 6=3+3. Bone scan and C/T scan negative.
----------------------------------------------
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 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
Extraprostatic extension present; Perineural invasion: present, extensive
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
----------------------------------------------
One Month Status:
Potency - 9/7 7 weeks Still no activity
Incontinence - 8/20 3-4 full pads per day
9/7 3-4 full pads per day (I'm going to try cutting down on fluids. Bad idea, I know)
Post Surgery PSA - 9/3 6 weeks - 0.05


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 9/11/2009 1:25 PM (GMT -6)   
Gee, I lost 35 lbs in the first two months after my open surgery. If a doctor puts a written restriction on you involving driing, and you drive and get into a wreck, it can spell serious trouble for you in a lawsuit and with your DMV.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20%, Contained in capsule, 1 pos margin
2009 PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/09 2nd corr surgery, 8/9 cath #7 - out after 38 days


jackcc
Regular Member


Date Joined May 2006
Total Posts : 80
   Posted 9/11/2009 1:52 PM (GMT -6)   
My doctor said he'd like me to wait 5 days at least. Its because of the amount of pressure you have to put on the brake pedal. Especially a quick stop. The pressure could hurt the incisions. I was in a hurry to drive because my wife was in a hospital and I had to check on her ASAP. I drove there every day. I was super incontinent but didn't let it slow me done. You shouldn't have to wait long. Just try not to have to slam on the brakes. I still had the cath in and wore a leg bag.

engineer55
Regular Member


Date Joined May 2009
Total Posts : 121
   Posted 9/11/2009 3:43 PM (GMT -6)   
Best advice I got was to get draw string pants, I think it was the nurse that told me. You need something loose with the catheter
Dx'ed 5/08 one core 2%  out of 12  3+3 gleason
DREs all negative
PSA was in the 3-4 range then jumped to 7
I have the enlarged prostate, on the order of 100cc.  After taking Avodart for 3 months  my
PSA was cut in half.
I did Active S for a year but concluded that I didn't want a life
of biopsies and Uro meetings.
DaVinci on 6/24/09  UCI Med Center  Dr Ahlering, long surgery based on size and location
Final was 5% one side all clear, but had a huge 90 grm prostate
Now we work on pee control, ok at night but sitting is a big problem.


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 9/11/2009 3:48 PM (GMT -6)   
If you have been building stamina by walking, then driving after the catheter is out is no problem. But for me the issue was learning to manage incontinence – note I said management, not the incontinence itself. about the third or fourth day I had to cut short some local errands, throw a plastic bag on the car seat and head home to change both my pad and my pants. By the eight day I drove a longer trip 1 ½ hours each way with a carefully planned bathroom break at the beginning, middle and end and I was fine.

Remember that you will be under a maximum lifting restriction of 5 or 10 pounds, so don’t plan any errands for heavy stuff.

I think the restriction on driving with the cath in is a safety issue. As many of us know, a wrong move can cause quite a bit of pain and that could distract you from your driving. There is also the issue that in an accident the catheter could act like a lever and do internal damage.
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


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2691
   Posted 9/11/2009 4:16 PM (GMT -6)   
I think the key answer is, do what your doctor advises. My doctor didn't really impose any restrictions, If it feels bad, don't do it. I drove 3 days after surgeru with the cath, and it didn't bother me in the least.

Obviously, from the above posts, evry doctor has a little different post op intructions. Some, maybe much of it, is for legal liability on his/her part, the rest is for our good.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
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)
5 month PSA <.03 (undetectable)


CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 9/11/2009 4:26 PM (GMT -6)   
Greetings everyone.  Before surgery my doc said no driving as long as I still had the cath and as long as I was taking prescription pain meds.  I only took the pain meds the first day home from the hospital and then switched to OTC so was free to drive when my cath came out on day 9.  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


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2458
   Posted 9/11/2009 4:47 PM (GMT -6)   
I drove the day the catheter was removed.
Age: 67 at Dx on 12/30/08
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09 Dr Fagin, Austin TX
Pathology report:
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Posterior lateral lesions measuring 1.5 x 1.4 x 1.0 cm showing focal capsular penetration over a distance of 3mm.
Prostatic adenocarciroma accounts for approx. 10-20% of the hemisphere.
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx, Negative margins
seminal vesicles clean, lymph nodes: not dissected
continent after 4 months
8 weeks PSA test 4/7/09 result <0.1
5 months PSA test 7/9/09 result <0.1


rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1131
   Posted 9/11/2009 5:42 PM (GMT -6)   
I drove the day the catheter was removed. However, I was very sore and could not turn around and look at traffic. I was one of those people that drove straight and used the mirrors.
 
Age 49
occupation accountant
PSA increased from 2.6 to 3.5 in one year
biopsy march 2008 - cancer present gleason 7
Robotic Surgery May 9, 2008 - houston, tx
Pathology report -gleason 8, clear margins
12 month  PSA <.04 (low as the machine will go)
continent at 10 weeks (no pads!)
ED is still an issue but getting better


Modelshipwright
Regular Member


Date Joined May 2009
Total Posts : 215
   Posted 9/12/2009 6:13 AM (GMT -6)   
Thanks to everyone who replied to my question about driving. Waiting until after the catheter is out makes a lot of sense to me.

Regards,
Keep well,
Bill
Age 64. Diagnosed with Pca January 2009, PSA 5.6, Gleason 3+3=6, T1c, TRUS biopsies of prostate left adenocarcinoma of prostate involving part of 1/4 biopsy fragments, less than 10% of the surface area involved, CT scan clear. Robotic Assisted Laparoscopic Prostatectomy surgery for treatment - September 29/09.


dogbot
Regular Member


Date Joined Aug 2009
Total Posts : 147
   Posted 9/12/2009 7:38 AM (GMT -6)   
Here in England I was told to wait at least 2 weeks after catheter removal in order for the stomach muscles to heal . The main concern was heavy braking causing a problem leading to hernias. I also have found an increase in waist size after surgery, but I hope that in time I shall come back down to my usual 32". 3 month follow up now booked for the 29 th Sept.
Diagnosed February 2009. Gleason 6, Psa 7.2, 12 core biopsy, and then Mri scan, which showed organ specific.
DaVinci at Addenbrookes, Cambridge, England 18th May 2009.  Nerves removed one side.
Catheter in for 8 days, no pain, no post op problems apart from an infection, cleared with antibiotics.
Some aching around the penis, which still occurs.
6 week psa 0.1, post op pathology all good, confirming pre op tests. Ed a problem, no treatment as yet.
Light ladies pad during the day, just to control a slight dampness and a Tena for  men pad at night for occassional leakage.
Awaiting 3 month consultation at the moment.
Sept 09 - still awaiting consultation. 99% dry during the day, tena pad at night just in case.

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