Bad rash and itching after RRP and UTI with mersa was No Subject

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motocross dad
New Member

Date Joined Apr 2010
Total Posts : 1
   Posted 4/26/2010 9:44 AM (GMT -6)   
I am 48 years old with a family history of prostate cancer. I was diagnosed with prostate cancer in Dec 2009. Gleason score: 6. I had radical prostatectomy with the DiVinci in March by a highly recommended surgeon. Results were adenocarcinoma identified in the rgt lobe, limited to the prostate and did not involve the seminal vesicles nor lymph nodes nor margins; however, perineural invasion was identified. My surgeon showed no concern for the invasion. My concern is post-operative complications. I'm healthy and young and very active, but since the surgery I have developed pneumonia and UTI with mersa. This is 4-5 weeks after surgery. My continence is returning but I've suffered with the itching and burning of a bad rash. I'm presently on 2 different antibiotics and other meds for the rash and pain. Has anyone else suffered any complications after robotic prostatectomy? I really thought, even though this is major surgery, recovery would be less complicated. All I've read is how well everyone has done after this surgery.

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Post Edited By Moderator (James C.) : 4/26/2010 11:32:30 AM (GMT-6)

Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4848
   Posted 4/26/2010 10:20 AM (GMT -6)   

Welcome to the site...Sorry you have to be here..

You didn't mention where the  itching and burning of a bad rash is located?


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.

Regular Member

Date Joined Aug 2009
Total Posts : 374
   Posted 4/26/2010 10:51 AM (GMT -6)   

Hey Motocross........welcome to the site. Where did you have your surgery performed, and by whom? There may be guys on the site who have commonalties with you. MRSA is serious business, and I'm not sure I've seen that complaint on this forum. Not everyone has a textbook recovery following surgery, open or robotic, and the issues range form A-Z. Someone will be along who has similar experiences to yours. It might help if you can change your subject line to a more specific one, thereby alerting more members. Hang in there..........

Arnie in DE



Age 56 (biopsy & surgery)
PSA at Diagnosis-3.9
Biposy 8/19/08--4 of 12 cores positive; 5% involvement, Gleason 6 (3+3)
Surgery 1/26/09-DaVinci Robotic Prostatectomy at Presbyterian Medical Center/HUP-Phila, PA
Dr. David Lee
Pathology Report- Adenocarcinoma, no capsular involvement, seminal vesicles clear, lymph nodes clear, negative margins, Gleason 7 (3+4), Stage T2C, NO MX, Prostate 61.8 grams, gland involvement 2-10%
Catheter removed after 8 days, totally dry at 3 months. ED issues continue, Viagra (via ADC) nightly (100mgs), VED use in earnest at 6 months. "Ball Park Frank" plumping at this point......ED at 10 months continues to improve, albeit slowly. Continued daily use of 100mg Viagra (ADC). Discontinued pump use; manual stimulation to varying states of erections; achieved penetratable erection on a couple of occasions----At 13 months, nocturnal erections are frequent. Still taking 100mg of ADC Viagra nightly. Libido still in the dumper, but working on it with doctors.
3 month PSA--<0.1
6 month PSA--<0.1
10 month PSA--<0.1
13 monthPSA--<0.1

Regular Member

Date Joined Dec 2009
Total Posts : 154
   Posted 4/26/2010 11:59 AM (GMT -6)   
Hey dad, i think we all have a few weird bumps in the road as we go along. Mine was a hernia that came about after the surgery. You just have to work thru weirdness, i`m 3 months out now and starting get a normal life back. My hospital was very respectful of the infection issue and had me wash with special soap before hand and cleaned my room daily so i had no issues. Keep a good attitude and alll will be well.
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
Hernia repair Mar 2k10, hernia was side effect of the surgery

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4463
   Posted 4/26/2010 12:30 PM (GMT -6)   
Welcome to the Forum, Thanks for telling us of your unroutine recovery so far. Hope someone can provide you the answer you are looking for. Sadli, it appears you fall into the group who don't have a textbook recovery... cry
James C. Age 63
Gonna Make Myself A Better Man
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

Veteran Member

Date Joined Nov 2009
Total Posts : 7269
   Posted 4/26/2010 1:28 PM (GMT -6)   



Howdy. I'm seeing my doctor today as I too might have a hernia.

I may have additional questions for you.


63 years old . PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (Free PSA 24%),  after 45 days on cipro! DREs have always been normal. PCA-3 was about 75 (way above the 35 threshold). That led to:

Biopsy on 11/30/09. 5 out of 12 cores positive. Gleason 4+3. 2 cores were 3+3 (one 5% and the other 30%) on one side. On  other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C.  

Surgery with Dr. Menon at Ford Hospital, 1/26/10. He says all looked good. Spared nerves. Unfortunately: Pathology Report: G 4+3 (65%-35%). Cancer in 15% of gland. Lymph Nodes: Clear.  Perineural Invasion: yes. Seminal Vessical Involvement: No.  Extraprostatic Extension: yes.  Positive Margin: Yes-- focal-- 1 spot .5mm. Final Weight is 52.7 gms.  (Second opinion from Jon Epstein at Hopkins confirmed these results)

 Incontinence: joined that club-- definite leaks—1 pad/day. Night is dry, was  using 1 pad at night for security, but pretty much dispensed with that most nights. Update: no pads at night. No pads while at home, but still very uncomfortable. Use 1 pad for out-of-house activities. Suddenly got MUCH better on 3/10/10, almost overnight. Still some urgency but no pads about 90% of the time.  As of 3/12/10--completely continent! Uh...OH. As of about 3/16/10 problems with constant urgency although no pads needed--feels like an infection but none showing in urine.

First post-op PSA on 3/10/10--DRUM ROLL: 0.01 Next PSA in mid-June.

Veteran Member

Date Joined Sep 2009
Total Posts : 664
   Posted 4/26/2010 2:39 PM (GMT -6)   


MRSA and hospital associated pneumonia, (both really bad things), often require big gun antimicrobial therapy for successful cure.  The treatment with these medications can cause TBSU (total body screw up) as in Gastro-intestinal problems and your noted skin rash, and some more serious problems. The good news is that these complications are fairly manageable most of the time.  If it were I, or my family, I would want a consult with an infectious disease specialist, (I.D. Doctor) and continue the antimicrobial therapy, monitored by the specialist, until all physicians are positive (difficult to say positive in this text) that the darn drug resistant bugs are taken care of…you don’t want to do this again.

Best of luck


Age 51, PSA 08/31/2009= 6.8, DRE Neg.
Biopsy 9/24/09 =10 of 12 positive. Gleason 6. involving up to 75%
da Vinci at Wash U, Barnes on 11/02/09
Modified Pathology, Gleason 4 + 3 = 7. Gleason 7 present throughout Prostate.  Negative surgical margins
4 of 4 periprostatic Lymph Nodes Negative, 10 of 10 pelvic Lymph Nodes Negative. Seminal Vesicles tumor free. No prostate extension
Post-op PSA 12/10/2009, Undetectable
12/12/2009, Pad Free and Started jogging.

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