Need some board wisdom

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Regular Member

Date Joined Dec 2009
Total Posts : 154
   Posted 2/10/2010 11:11 AM (GMT -6)   
Hey folks, so far only slight leakage and no pad needed since left the docs office. What i`m having trouble with is the gastro issues. My tummy is still very gurgly, bubbly, etc. Lots of burping and farting and trying to get the colon working regularly. Any tips or advise would be much appriciated. Also how long did most of you stay on the stool softeners? Thanks Tim
Dx at 50 in 12/09 Merry Christmas its cancer....
3 of 12 positive, right side only, psa at dx 2.6 free%14
gleason 3+3=6
routine physical, no symptoms
Da Vinci scheduled Feb. 2k10

Veteran Member

Date Joined Jul 2008
Total Posts : 966
   Posted 2/10/2010 11:34 AM (GMT -6)   
Hey Tim...only thing I know is to make sure you move about alot...walking is great for example. Watch your diet and it will all straighten out soon. I was off stool softeners after I had the first movement. Then it took several weeks before things seem to calm down.

Everyone is different when it comes to how we react to anthestics and others will chime in soon.
You are beating back cancer, so hold your head up with dignity
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
                 12 month Oct 2009 .09 

Veteran Member

Date Joined Nov 2007
Total Posts : 598
   Posted 2/10/2010 11:38 AM (GMT -6)   
It will be gurgly for about a week. Drink lots and avoid gassy foods. Foods that are high in fiber, but low in gas are best. Oatmeal, most vegetable except for peppers, onions, Broccoli, other words, green beans, carrots, and LOTS of sweet potato and squash. that should settle things down really quickly.
Stay on your stool softener for as long as the cath is in.  I would also ween yourself off it gradually.
My 2cents
Paul ED website for PCa guys

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
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.
Two year PSA - undetectable!

Veteran Member

Date Joined May 2009
Total Posts : 2692
   Posted 2/10/2010 2:45 PM (GMT -6)   
I found that Milk of Magenesia really helped me.
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 .
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)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injection
No pads, 1/1/10,  9 month PSA < .01

Ed C. (Old67)
Veteran Member

Date Joined Jan 2009
Total Posts : 2461
   Posted 2/10/2010 3:07 PM (GMT -6)   
I felt bloated for over a month after my surgery. I found that walking helps a lot, also watch what you eat. Avoid gas producing food such green vegetables such as broccoli, lettuce. Nuts, and spicy spicy foods (onions, garlic) should be avoided. Also I used collace as a stool softener.
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 in circumference.
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
8 months PSA test 10/9/09 result <0.1
11.5 months test 1/21/10 result 0.004

Veteran Member

Date Joined Aug 2009
Total Posts : 670
   Posted 2/10/2010 3:37 PM (GMT -6)   
Simethicone (Maalox Anti-gas, Gas-X, etc) will reduce gas in your bowels. Helped me, along with the other suggestions folks are providing.
All the activity in your gut is a good thing - it means that your digestive system is active again. Pain meds can cause your system to seize, and they look for those signs for confirmation that things are moving along again.
Gleason, 3+4; PSA, 7
Robotic Prostatectomy, March 2008 (Age 48 then), nerves both sides spared, post surgery analysis confirmed 3+4 Gleason,
cancer contained, no penetration, lymph nodes clear
PSA consistently <0.1 since surgery until Oct 09, 0.1; retested Oct 09, <0.1, Jan 10, 0.2; retest confirmed 0.2

Forum Moderator

Date Joined Jan 2010
Total Posts : 7084
   Posted 2/10/2010 4:20 PM (GMT -6)   
As to softeners - I've been taking Docusate Calcium (used to be called Surfak before they were bought out, there are three or four brands - you usually have to ask for it - Drug Emporium puts it out on the shelf - Target, WalMart, and Kroger have it, but behind the counter). I discovered that it is not generally available in Europe.
My colo-rectal surgeon said it was the least abusive of the softeners to your system, and suggested taking it daily. It does not induce a BM, just makes sure the next one is softer.
I had cleared the BM hurdle day+3, but it took a week after that for things to get regular again.

DaVinci 23 Oct 09

Veteran Member

Date Joined Aug 2009
Total Posts : 670
   Posted 2/11/2010 12:28 AM (GMT -6)   
I'd recommend Miralax (it just draws more water into the stools), or metamucil (although it can generate some gas), and gradually taper off of it as you are more able to be regular. Docusate is also good as a softener. As your doc has probably mentioned, you don't want to bear down at all early on so you need the help.
Gleason, 3+4; PSA, 7
Robotic Prostatectomy, March 2008 (Age 48 then), nerves both sides spared, post surgery analysis confirmed 3+4 Gleason,
cancer contained, no penetration, lymph nodes clear
PSA consistently <0.1 since surgery until Oct 09, 0.1; retested Oct 09, <0.1, Jan 10, 0.2; retest confirmed 0.2

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