diVinci's done!

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Chatuge
Regular Member


Date Joined Mar 2010
Total Posts : 37
   Posted 4/23/2010 8:35 PM (GMT -6)   
The wife and I went to Atlanta on the 18th and checked into the Marriott next door to St Josephs.  On the 19th did all the pre-admission/pre-op and Dr Shah removed the prostrate about 1100 am on the 20th.  He said he was able to spare the nerves and everything went "smoothly".  He did say, however, the prostrate was so large he had to do some reconstruction to the bladder.  We checked out of St Josephs on the 21st and went back to the Marriott until this morning(23rd) when we headed home (about 2 1/2 hours).  Dr Shah said he wanted to think about how long he wanted to leave the cath in due to the extra work so right now it's open as to when the cath comes out-he was considering April 30 or May 3 so now it's all about getting over all the soreness and used to the cath!  It sure felt good to get back to the mountains!!  Thanks to all for your help in getting me to this point.
Age 67,married to the same one 45 years, PSA's: 10/05=2.35, 4/06=2.59, 7/07=2.94, 7/08=3.91, 10/08=4.42, 7/09=6.73, 1/10=7.68.  First 12-needle biopsy 2/09 revealed no cancer.  Second 12-needle biopsy 2/10 w/results received 02-16-10 revealed rt lateral base adenocarcinoma with approx 17% of submitted tissue involved, left base and left lateral mid diagnosed  as Prostatic Intraepithelial Neoplasia (PIN), High Grade, with the remaining 9 tissue samples ok.  My Gleason's score is a 7 (grades 3+4).  I considered HIFU clinical trials at UNC Chapel Hill however they accept nothing over a 3+3.  First appt with diVinci surgeon 3-22-2010.
-surgery scheduled 04-20-10.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 4/23/2010 8:41 PM (GMT -6)   
Congratulations, and welcome to the other side! Sounds like you had a pretty decent surgical experience, thats good. Probably feels real good to be back home, but better to recoup on your own turf.

Do the usual now: walk a lot when you can, drink lots of water, use those stool softeners, and if needed, use your pain meds - all that will help you heal faster and better.

On the bladder part, some longer cath time might be in your best interest, since extra surgical work was needed. My original cath after surgery was for a full 30 days, due to complications in that area. A little patience now, might make it easier for you down the road.

Keep us posted, and welcome back


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, 4/8 .04, next one:  July
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- 27 days, Cath #15 - 26 days, Cath #16 - 4/23 put in


Tim-from-Maine
Regular Member


Date Joined Apr 2010
Total Posts : 83
   Posted 4/23/2010 9:30 PM (GMT -6)   
I'm glad all went smoothly. Don't forget - lots of water.
Dx age 62 - March 2009 - Gleason 7
Surgery - da-vinci RP on April 29, 2009 Gleason upgraded to 9
Started VEGAN diet June 2009
3 month PSA - <.04
6 month PSA <.04
9 month PSA .05
12 Month PSA  .16
 
 


tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2845
   Posted 4/23/2010 9:50 PM (GMT -6)   
Chatuge - wishing you all the best on the other side - this is a great place to be since you have a host of new friends and buddies / buddettes who have already gone through your part of the journey - and help you understand and cope with the ups and downs of recovery - here's to a steady recovery and lots of zero's down the road!
hugs
BRONSON
.................
Age: 54 - gay - with common-law spouse of 13 years, Steve - 60
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: - April 8, 2010 - 0.05 - I am in the ZERO CLUB - hooorah!
Next PSA - October 8, 2010 - TBA -
............


142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7084
   Posted 4/23/2010 9:53 PM (GMT -6)   
Welcome to our side of the fence. All the walking, water, and use the pain meds when needed are the same suggestions I have, so already done.

goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 4/23/2010 10:13 PM (GMT -6)   
There, that wasn't so bad.  Two weeks is pretty standard for cath if anything unusual is encounterd.  No matter how uncomfortable it is, you don't want it to come apart later.
 
Be sure and get a written copy of the surgical path report, and a copy of the surgeons report.  They are good to have in your files.
 
Keep us updated on your progress.
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
1 year psa (364 days) .01


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 4/23/2010 10:48 PM (GMT -6)   
Good to have you over on this side.

Here's to a life of zeros!

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"
 
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7 
 
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
PSA on April 9 less than 0.02 
 
  


Magaboo
Veteran Member


Date Joined Oct 2006
Total Posts : 1211
   Posted 4/24/2010 12:34 AM (GMT -6)   
Hi Chatuge,
 
Congratulations on the completion of your diVinci and welcome to the other site. Happy hear that is went smoothly.
Wishing you a quick and complete recovery.
 
Magaboo

Born Sept 1936
PSA 7.9
-ve DRE
Gleason's Score 3+4=7, 2 of 8 positive
Open RP 28 Nov 06 (nerve sparing), Post op staging T3a
Gleasons still 3+4=7
Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06, Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05; Sept.=.08; 3 days before Rad Start=0.1
Salvage RT completed (33 sessions - 66 Grays) on the 19th Dec., 08.
PSA in Jan., 09=0.05; July 09=<0.04; JAN 10=<0.04


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 4/24/2010 8:09 AM (GMT -6)   
Welcome to the other side, follow the directions and continue with your recovery.. smilewinkgrin
James C. Age 63
Gonna Make Myself A Better Man www.youtube.com/watch?v=a6cX61oNsRQ&feature=channel
4/07: PSA 7.6, Recheck after 4 weeks Cipro-6.7
7/07 Biopsy: 3 of 16 PCa, 5% invloved, left lobe, GS3+3=6
9/07: Nerve Sparing open RRP, 110gms, Path Report- Stg. pT2c, 10 gms., margins clear
32 Months: PSA's .04 each test since surgery, ED continues: Bimix- .3ml PRN, Trimix- .15ml PRN


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4119
   Posted 4/24/2010 8:21 AM (GMT -6)   
Welcome to the other side. As David said. It is in your best interest to keep the rubber snake. Only recomendation I can give is Walk Walk Walk.

Cajun jeff
9/08 PSA 5.4 referred to Urologist
9/08 Biopsy: GS 3+4=7 1 positive core in 12 1 pre cancer core
10/08 Nerve-Sparing open radical
Surgery Path Report Downgrade 3+3=6 GS Stage pT2c margins clear

3 month: PSA <0.1
6 month: PSA <0.1
10 month:PSA <0.1
1 year: PSA <0.1
16 month:PSA <0.1

ED - Started Cialis at 3 months, tried all 3, 6 months added pump, 9 months Tried MUSE (YUCK) Bad experience.
1 year mark Found new Urologist visit was at 14th month post surgery
Started Injections, Caverject! (Success)
17 month: ED making improvements : Oral Meds gets me 85%


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2243
   Posted 4/24/2010 8:45 AM (GMT -6)   
Chatuge,
I was thinking about you and glad it went well. We stayed at the same Mariott, but there is no place like home. Keep us posted and my best to you and your family.
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


Timm
Regular Member


Date Joined Feb 2010
Total Posts : 83
   Posted 4/24/2010 11:16 AM (GMT -6)   
Congrats, had mind done on the 14th, the longer the cath's in the easy it is to deal with, just glad that whole surgery thing is behind us.

Good luck, Tim


58yrs.
PSA. 6.58
geason 7
bio. 8 of 12 cores pos.
robot 4/14
Cath. out 4/26

Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2461
   Posted 4/24/2010 2:50 PM (GMT -6)   
Cahtuge,
Welcome to the other side. I wish you a quick and painless recovery and a life time of zeroes down the road. Please keep us posted.
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 5 months
2 months 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 months PSA test 1/21/10 result 0.004
14 months PSA test 4/19/10 result 0.005


keysailfisher
Regular Member


Date Joined Dec 2009
Total Posts : 347
   Posted 4/24/2010 6:38 PM (GMT -6)   
Welcome to this side of your journey. about the time you get adjusted to the cath it will be time for it to come out. Hope recovery goes smoothly. And for you to Timm.
 
Neal
age 45
psa 3.09
Biopsy results 12/9
Left side base 3+3=6 21% 2/2 cores positive
Left side mid  3+3=6 100% 2/2 cores positive
Left side apex 3+4=7 88% 2/2 cores positive
Right side - 0/6
CT & Bone scan negative
Davinci Feb. 5th 2010/ cath removal 2/16
 
Gleason-3+4=7
Extent of tumor-Bilateral
Extraprostatic Extension-Absent
Seminal Vesicles-Negative for tumor
Surgical Margins-Rt apical margin focally positive
lymphovascular invasion-Suspicious in areas of capsular involvement
Regional lymph nodes-One node negative
Stage-T2c NO Mx
Incontinence-yes/ Down to 1 pad at 6 weeks out
PSA 3/29/10 <0.01


Gleason7
Regular Member


Date Joined Feb 2010
Total Posts : 111
   Posted 4/25/2010 7:00 AM (GMT -6)   
Catheters? From many posts I read here, to me it's unclear which catheter is involved.
There are two methods for draining urine.....the penile and the pubic catheters. From what I read here many guys are having to deal with a penile catheter for up to a week or more. While my prostate was three times normal size and additional time / stitches required to reattach the urethra to the bladder / my penile catheter came out the day after my Henry Ford robotic proststectomy and the pubic catheter came out ten days later. While the penile catheter was in a very short...it was a "pain in the penis" for the few seconds it took for it's removal! Would imagine the longer it's in, the more painful it is when it's removed.

74 years old. Vatikutti prostatectomy 2/10/10
3+4=7 prior to and post op.
nerves spared, margins clean, ct and bone scans clear.
zero pads around home but an occasional sneeze or heavy lift / leak. Wear a pad when away from home for many hours just in case!!!
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