Latest on surgical clips

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Jerry1
Regular Member


Date Joined Mar 2007
Total Posts : 460
   Posted 10/17/2009 9:42 AM (GMT -6)   
 
 
Well I went back to Orlando yesterday for the surgeon to hopefully remove the clip that had worked its way into my urthea and had formed a stone from the urine.  The doctor had hoped it would work it way out and I would pass it but no such luck.  The burning and pressure to go was getting worse.  Well it turns out after the scoping yesterday that I now have two clips that have worked their way into my urthea and have both formed stones they are oblong and side by side and covered with calicum deposits my wife watch the procedure on the big screen the doctor had and saw the stones and my newly healed bladder.  Luckily everything else looked good and healed nicely according to the doctor.  However, he did not want to try and take them out in the office but of the pain and possible bleeding.  They are going to call me on Monday to schedule an out patient procedure in the hospital in the next week or so to remove them.  He said at this point it is safe to retrieve because they are all the way out and would not cause a tear or leakage problem later.  He also said it was possible I could pass them but he was not sure how long that would take and I have had a year today of burning everytime I uriniate which is not fun.  He said this happens in about 1 in a 100 cases.  According to him they leave in 6 clips that tied off blood vessels during robotic surgery hopefully the other 4 will not decide to work their way into my urthera.  Went for my yearly PSA on Thursday and hoping no bump up last one 0.1.    
Age 69
DX 8/13/08 , PSA 4.0, Biopsy 14 samples 1 positive 12% of sample,
Gleason Score 4+4 =8  Bone scan and MRI negative
Da Vince surgery on Oct 17, 08 Florida Hospital Dr Vipul Patel
Post Gleason report  3+3= 6 Lymph nodes on both sides negative
margins Negative  Stage II (pt2a) 
Cath out on October 29th left in longer due to small leak.
11/19/08 dry no more pads
12/2/08 first PSA <0.1
 3/6/09 6 Month PSA 0.0
6/3/09 9 month  PSA 0.1
7/14/09  PSA still 0.1
6/12/09 new gleason score of 4=4
Developed stone in bladder may require surgery
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 10/17/2009 9:46 AM (GMT -6)   
Jerry, sounds like you got a good plan in place to rid yourself of the clips. Sorry you have been going through all that pain for so long.

I hope this cures the problem for 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% cancer, 1 pos margin
Post Surgery  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, 8/9 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl.agree to start radiation, mapping on 9/21/9, 9/24 - mtg with uro/surg, 9/29- pre-op, 10/1 - 3rd corr. surgery - suprapubic cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 10/17/2009 10:13 AM (GMT -6)   
Jerry, I recently had a lower back x-ray and the doc was startled to see that I had a 'box-his description' of clips in me, I estimate maybe 40 or so, vein and artery clips to control bleeding during my open. Spread all over my abdomen. It was sorta freaky to see so much of them still in me.
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
24 mts: PSA's: .04 each test since surgery, Bimix .3ml PRN or Trimix .15ml PRN


Jerry1
Regular Member


Date Joined Mar 2007
Total Posts : 460
   Posted 10/17/2009 3:11 PM (GMT -6)   
 
 
James,
 
Hard to believe they leave in these clips I guess it's normal and usually heals and they do not move but I guess we are just the lucky ones.  Glad yours are not causing any problems.
 
 
 
David,
 
Thanks for the reply I also hope this will resolve the problems really hurting today after having that camera up the little guy.
 
Jerry1 
Age 69
DX 8/13/08 , PSA 4.0, Biopsy 14 samples 1 positive 12% of sample,
Gleason Score 4+4 =8  Bone scan and MRI negative
Da Vince surgery on Oct 17, 08 Florida Hospital Dr Vipul Patel
Post Gleason report  3+3= 6 Lymph nodes on both sides negative
margins Negative  Stage II (pt2a) 
Cath out on October 29th left in longer due to small leak.
11/19/08 dry no more pads
12/2/08 first PSA <0.1
 3/6/09 6 Month PSA 0.0
6/3/09 9 month  PSA 0.1
7/14/09  PSA still 0.1
6/12/09 new gleason score of 4=4
Developed stone in bladder may require surgery
 


Kbars
Regular Member


Date Joined Jun 2009
Total Posts : 38
   Posted 10/20/2009 3:44 PM (GMT -6)   
Jerry, I to had a couple of the clips work they way out into the bladder neck. This was found a month after the robotic surgery. They were found during a follow up cystoscopy for the first of the many blockages I had at the bladder neck. The Urologist went ahead and removed them to get them out of the way since the area was already healed. I hope all went well for you during the removal of the clips. Kbars      
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