Anyone have concerns about being opened up again?

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t-dog
Regular Member


Date Joined Dec 2009
Total Posts : 154
   Posted 3/29/2010 8:46 PM (GMT -6)   
Hey folks, i`ve got to get this hernia fixed as it rreally makes my job etc just too difficult to do. Would you have any concerns getting back in there for some follow up repair? This deal has to get fixed but i`m kind of waffling on the idea of sticking tools back in there. Any thoughts? 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 performed Feb 2k10 by Dr Marc Milsten [hes got mad skills]
99% continent from cath out, mr happy fully functional at 2 weeks out!
path showed same gleeson with no other blips other than one slight margin, organ confined 20% right, 5%left, 34grams
 
 


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2229
   Posted 3/29/2010 8:54 PM (GMT -6)   
I wouldnt want it either Tim, but many on here have had the hernia repair. Keep us posted as I know it must be a tough choice to make.
Michael
Dx with PCA 12/08 2 out of 12 cores positive 4.5 psa
59 yo when diagnosed, 61 yo 2010
Robotic surgery 5/09 Atlanta, Ga
Catheter out after 10 days
Gleason upgraded to 3+5, volume less than 10%
2 pads per day, 1 depends but getting better,
 started ED tx 7/17, slow go
Post op dx of neuropathy
T2C left lateral and left posterior margins involved
3 months psa.01, 6 month psa.4, 6 1/2 month psa.5
Starting IMRT on 1/18/10, Completed 39 tx at 72 gys on 3/12/10
Great family and friends
Michael


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 3/29/2010 9:52 PM (GMT -6)   
Hey Tim, here's where I went for my hernia:

http://www.shouldice.com/

It is a world famous center and people come from all over the world to be 'done' there. I can't say enough positive things about my experience there and the quality of the repair job. I know it is foolish to recommend plumbers, or doctors, but I have no qualms about encouraging you to check them out. I have several friends who have had their hernias repaired there and they all were delighted.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
From "knock out" to wake up in recovery less than two hours.  Actual surgery 70 minutes
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
First post op PSA Sept 09  less than 0.02
PSA on Oct 23 test again less than 0.02
PSA on Jan 8 less than 0.02  
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7 
Feel free to email me at:  sheldonprostate@yahoo.com    


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2691
   Posted 3/29/2010 10:30 PM (GMT -6)   
Hernia repair is almost minor surgery compared to an RP. They are only going in far enough to insert mesh or repair the tear in the abdominal wall. I personally wouldn't worry about it affecting any thing but what they are fixing.

Having had several surgeries of multiple types, I don't like any surgery. More specifically I hate anethesthesia, but the hernia repair will be really staright forward.

Good luck.
Goodlife
 
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


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4835
   Posted 3/30/2010 6:27 AM (GMT -6)   
Ditto on the anethesthesia and waking up in recovery isn't my favorite thing to do.
 
Think on the bright side of getting it FIXED.
Age 55   - 5'11"   215lbs
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
11/20/09 - 18 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 3/30/2010 8:37 AM (GMT -6)   
Goodlife and Steve are right about the anesthetic business. I don't know what is normally done, but the surgery I had at Shouldice was with a local and some happy juice so it all was pretty much a dream. And, as they note, compared to a radical prostatectomy, it's no big deal. Not how you'd choose to spend the day, no doubt, but my experience was an easy one.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
From "knock out" to wake up in recovery less than two hours.  Actual surgery 70 minutes
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
First post op PSA Sept 09  less than 0.02
PSA on Oct 23 test again less than 0.02
PSA on Jan 8 less than 0.02  
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7 
Feel free to email me at:  sheldonprostate@yahoo.com    


STW
Regular Member


Date Joined Jun 2009
Total Posts : 292
   Posted 3/30/2010 1:39 PM (GMT -6)   
This is one of the reasons I asked the doc to do the hernia repair at the same time I had my prostate surgery. I figured it made sense since they were already in the neighborhood. I understand it increased my time under the knife by about 20 minutes. Needless to say, with everything else going on, I didn't notice any recovery issues from the hernia repair. I read somewhere that 20% of PCa patients have a hernia that could be repaired but, apparently, few take advantage of the opportunity. I suppose it isn't quite as easy as an add-on to robotic surgery.
Diagnosed at 54
PSA 8.7 Biopsy 1/7/09
4 of 6 cores positive, one at 90%
Gleason 3+4=7 Neg bone scan 1/15/09
One shot Lupron Depot 1/27/09 Tax Season
RP 4/29/09
Neg lymph nodes, postive seminal vesicle, 1 positive margin
Gleason 3+4=7 with tertiary 5
Catheter out at 2 weeks no nighttime incontinence Pad free week 5
PSA 6/6/09 <0.1; 9/10/09 <0.1; 3/11/10 <0.1


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 3/30/2010 1:45 PM (GMT -6)   
I will be the odd duck here, I enjoy being put under, have around 17 times in my life so far. I have never had any nausea or trouble coming back out of it. And some of the nicest nurses I have ever met were the angel nurses in the recovery room. To me, there's a certain bliss to getting pulled into the blackness of nothingness. You feel nothing, you think nothing, you remember nothing, for a brief moment in time.
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
Incontinence:  1 Month     ED:  Non issue at any point post surgery, no problem post SRT
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, 3/6 Cath #13 out - 4 days, Cath #14 out - 27 days, Cath #15 - 3/29


skeener
Regular Member


Date Joined Dec 2009
Total Posts : 214
   Posted 3/30/2010 1:59 PM (GMT -6)   

Had a hernia repaired twice in Ontario 25 years ago.  Failed both times after only a number of months and I was and am not a heavy exerciser.

After the failures, when I saw my urologist about a pee problem, he said why are you not going to the Shouldice Institute in Toronto.  By the time I arrived there I had two hernias.  

Sheldon is right -- at Shouldice they give you a local anaesthetic and happy juice.  25 years later I have had no further problems.

You can google Shouldice repair to see the technique.  One would think it would be performed in the US.

If you want more US information, google hernia repair -- there is a forum at Penn Hernia Insitute, for example, which is interesting.

By the way, my experience with hernia repair supposedly by a good surgeon was the reason I made sure that I had one of the best surgeons in Canada do my prostatectomy.

Skeener


Age:  63 
Biopsy: May 09 showed 2 of 12 cores positive for prostate cancer -- 1 at 5% and 1 at 25%.  Cancer indicated as non aggressive.  Gleason Score: 3+3.
RRP on Oct 23/09 in London, Ontario.  Excellent surgeon. 
7 Weeks Post Op -  The fears I had about bad things about the operation and recovery did not materialise except of course ED!!.  Otherwise, everything went very smoothly.  Incontinence not a problem.  Wear a pad when out just in case. Pain was never a problem.
Pathology:  Unremarkable 
First followup PSA and Visit: Feb 11/10 - 0.0.
 
Next PSA May
Next doctor's visit in 6 months      


Galileo
Veteran Member


Date Joined Nov 2008
Total Posts : 697
   Posted 3/30/2010 5:24 PM (GMT -6)   
I'm going to see a surgeon next month. My guts are trying to come out my navel!
Galileo

Dx Feb 2006, PSA 9 @age 43
RRP Apr 2006 - Gleason 3+4, T2c, NX MX, pos margins
PSA 5/06 <0.1, 8/06 0.2, 12/06 0.6, 1/07 0.7.
Salvage radiation (IMRT) total dose 70.2 Gy, Jan-Mar 2007@ age 44
PSA 6/07 0.1, 9/07 and thereafter <0.1
http://pcabefore50.blogspot.com


tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2845
   Posted 3/30/2010 6:56 PM (GMT -6)   
My Dad had three failed hernia operations, lots of pain, lost a testicle in one botched job, and finally went to Shouldice - and had no problems after that - ...

Wishing you all the best - find the best place for you - and here's to a speedy recovery

hugs
BRONSON
.................
Age: 54 - gay - with common-law spouse of 13 years, Steve - 59
PSA: 04/2007- 1.68 - 08/2009 - 3.46 - 10/2009 - 3.86
Confirmation of Prostate Cancer: October 16, 2009 - 6 of 12 cancerous samples , Gleason 7 (4+3)
Doctor: Dr. Mohamed Elharram -Urologist / Surgeon - Peterborough Regional Health Centre
Radical Prostatectomy Operation: November 18, 2009 , home - November 21, 2009
Post Surgery Biopsy: pT3a- gleason 7 - extraprostatic extension - perineural invasion - prostate weight - 34.1gm -
ED Prescription: Jan 8/2010 - started daily 5mg cialis - girth back to normal -but not much length - will go for trimix in April when I see doc
Incontinence: Feb 2010- 3-5 pads/1-2 clothes changes/day- March 3, 2010 - week 14 after surgery -finally seeing improvement - March 29- incontinence better - 1-2 pads a day - one pad at night
location: Peteborough, Ontario, Canada
Post Surgery-PSA: to be announced - April 8, 2010
............


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 3/30/2010 7:02 PM (GMT -6)   
Bronson, that really sounded tough for your poor dad. Sorry.

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
Incontinence:  1 Month     ED:  Non issue at any point post surgery, no problem post SRT
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, 3/6 Cath #13 out - 4 days, Cath #14 out - 27 days, Cath #15 - 3/29


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3734
   Posted 3/30/2010 7:27 PM (GMT -6)   
Hey Tim,
Mine kept popping out; I kept pushing it in. I even tried duct tape stuck on top of my undershirt. What an idiot.
It won't go away by itself. Just man up, and do it. (said the wimp afraid to stick himself with a 31 ga needle.)
Jeff

tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2845
   Posted 3/30/2010 8:28 PM (GMT -6)   
thanks David - the third operation - was by , allegedly, the best internationally known doctor for hernias - ... he used Dad as a guinea pig and used cat gut to sew it back together inside... it failed within 6 months... the trapped fluid swoll up the scrotum and cut off the blood supply and that is how he lost the testicle.... -

mind you, Dad found out what the doc had done to him after the fact ..

that is why it is so important to discuss all details ( especially with the presence of a spouse - taking notes) so you get what you agree on - whether it is hernia, RP, davinci, hrt, etc.....

hugs
BRONSON
.................
Age: 54 - gay - with common-law spouse of 13 years, Steve - 59
PSA: 04/2007- 1.68 - 08/2009 - 3.46 - 10/2009 - 3.86
Confirmation of Prostate Cancer: October 16, 2009 - 6 of 12 cancerous samples , Gleason 7 (4+3)
Doctor: Dr. Mohamed Elharram -Urologist / Surgeon - Peterborough Regional Health Centre
Radical Prostatectomy Operation: November 18, 2009 , home - November 21, 2009
Post Surgery Biopsy: pT3a- gleason 7 - extraprostatic extension - perineural invasion - prostate weight - 34.1gm -
ED Prescription: Jan 8/2010 - started daily 5mg cialis - girth back to normal -but not much length - will go for trimix in April when I see doc
Incontinence: Feb 2010- 3-5 pads/1-2 clothes changes/day- March 3, 2010 - week 14 after surgery -finally seeing improvement - March 29- incontinence better - 1-2 pads a day - one pad at night
location: Peteborough, Ontario, Canada
Post Surgery-PSA: to be announced - April 8, 2010
............


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 3/30/2010 9:03 PM (GMT -6)   
Bronson, my friend, that's good advice for any of our newer brothers/sisters here. The devil is always in the detail. My dr. and I have a great relationship actually. I always hand the receptionist a typed note from me, and say, give this to Dr. Smith before I get called back.. On it, I bring him up to day in summary form of what has happened/not happened from my prior visit. I also make an opinion of where I think I stand, and what my expectations are. When he comes into the room, it stops me from getting tongue tied or stuttering or completely forgetting what I wanted to discuss or go over. People seem to forget, dr's aren't mind readers, the more a patient can communicate to the doctor, the easier it makes for the dr. to help you.

When discussing a major treatment or op, I always have a notebook going, and if its convenient or major enough to need my wife, she is my back up set of ears/eyes, and as a nurse, she understand the jargon that I don't always understand.

Can I assume your father is still with 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
Incontinence:  1 Month     ED:  Non issue at any point post surgery, no problem post SRT
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, 3/6 Cath #13 out - 4 days, Cath #14 out - 27 days, Cath #15 - 3/29


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 3/30/2010 9:59 PM (GMT -6)   
On a lighter note this thread reminds me of going to see my doctor about the hernia.

I walked into his office and he was sitting at on a chair by his little desk and I said, "I think I've got a hernia," and without getting up he said, "you've got a hernia and I want you to go to Shouldice --- I'll get you booked for surgery."

"Hold on," I said, "how do you know I've got a hernia? You haven't examined me?"

He said, "Easy. In 40 years of practicing medicine I've never had a man come through my door and say, 'I think I've got a hernia,' who didn't have a hernia. It is the only medical condition I know of where the patient's diagnosis is always 100% correct."

Not much about doctors makes me smile with fond memories, but my hernia experience from self-diagnosis to being "done" at Shouldice is all pleasant memories.

By the way, Skeener is right. Shouldice has its own proceedure for hernia repair. Others think it overkill --- Shouldice prides itself on your being able to carry your suitcase out the door and having a virtual 100% no return policy. Once you're fixed, you're fixed.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
From "knock out" to wake up in recovery less than two hours.  Actual surgery 70 minutes
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
First post op PSA Sept 09  less than 0.02
PSA on Oct 23 test again less than 0.02
PSA on Jan 8 less than 0.02  
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7 
Feel free to email me at:  sheldonprostate@yahoo.com    


Gleason7
Regular Member


Date Joined Feb 2010
Total Posts : 111
   Posted 3/31/2010 12:58 PM (GMT -6)   
74 years old had my second or L side patched on December 8th 2009 a Detroit Beaumont hospital satellite in Lake Orion Mi. Got there at 8:00 AM and was home by 10:30 AM.....then my Vattikuti robotic prostatectomy on Februare 10th at Henry Ford Detroit. All that's left is a colonoscopy April the 8th and I will be ahead of Obabacare....To your original question / hernias are nothing anymore.
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