Hip Replacement and Prostate Surgical Options

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NewspaperLover
Regular Member


Date Joined Sep 2009
Total Posts : 311
   Posted 9/29/2009 7:01 PM (GMT -6)   
I had a total left hip replacement two years ago, and I am wondering if that might preclude a DaVinci option for me?  A friend heard something along those lines and passed it on to me.  Wondering if any one here had heard of that as a limitation?  Have surgical consult tomorrow, so will raise the question.  At this rate, I am shedding parts of me at a pretty good clip.  Thanks.. 

goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2691
   Posted 9/29/2009 7:14 PM (GMT -6)   
I really don't see why. The hip replacement should not interfere with your prostate cavity. There's no hardware that protrudes out or anything.

But hey, I've been wrong before.
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)


Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2447
   Posted 9/29/2009 8:30 PM (GMT -6)   
Man talk about planning. Did you ever think to have the prostate replaced and zap the hip?

Seriously I don't think it will make any difference. They way they strap you to the table and as zonked as you are you won't care and nothing is going to move. Just tell them ahead of time so if it doesn't bend as far they want they should know not to break the darn thing.

Sonny
61 years old
PSA 11/07 3.0
PSA 5/09 6.4
Diagnosis confirmed July 9, 2009
12 Needle Biopsy = 9 clear , 3 postive
<5%, 90%, 40%
Gleason Score (3+4) 7 in all positive cores
CT Organ Scan - negative
Nuclear Bone Scan - Negative

da Vinci 9/17/09 Dr. Mani Menon Henry Ford Medical Institute

Post Surgery Pathology:
Gleason: Changed to (4+3) = 7
Stage: T3a
Tumor Volume 12.5%
ALL NERVES SPARED
Margins: focally positive right posterior mid level
Perineural Invasion: present
Seminal Invasion: absent
Venous Invasion: absent
Angiolymphatic Invasion: absent
Left Internal iliac lymph node: reveals zero
Right Internal lymph node: reveals zero


creed_three
Veteran Member


Date Joined Jan 2007
Total Posts : 762
   Posted 10/2/2009 6:59 PM (GMT -6)   
HI newspaper, Sonny makes a good point - the main thing is that they know,  so if you need extra support on that side or something extra in the recovery period they are all aware of the device, and most importantly they are all careful with you on that side. My husband had already had major back surgery previously and my issue was the actual lying on the operation table for op etc, and then recovery period lying down. They took this all into account when we shared our concerns and we basiucally told the doctor and any  nurses we came in contact with. He was therefore up within hours of his surgery, not for the prostate, but for his back. If it had "seized" up there would have been a problem all around - we knew this.  There was no problem and everyone seemed to understand why the issue was important to us. This particular injury (previous) had prevented my husband from working for many years, so it was a big thing to us as had taken many years to fix and he even had to re-train in his work..  however I agree with all others, that previous surgery of this kind should not really make a difference. Where is that "brainsurgeon"? He would be able to tell you.. Good idea to ask the doc tomorrow - all the best. Hope you can be reassured on this. kind regards, Lana

Creed_three - Husband 51 yrs (49 years at diagnosis)
PSA (2002) 2.1.  PSA (2006) 3.5.  1 x 5% core of 12 positive at biopsy. Open Radical Prostatectomy with nerve sparing April 2007. Gleeson 3 + 4 = 7.   Undetectable <.1 PSA since, specifically, June 2007-0.01, Oct 2007-0.02, April 2008-0.02: Oct 2008-0.03, Nov, 2008-0.02, April 2009-0.03. 

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