Here's my latest update from RALP to one day past catheter removal. Bottom line up front - surgery no problems, catheter had it's issues, but in general all is going ok.
o 19 May 2010 (Wed) - Robotic Assisted Laparoscopy Prostatectomy at U. Penn Presbyterian by Dr. David Lee.
§ Lasted about 80-90 minutes. Dr. Lee indicated he was a little delayed since I brought in a regular DVD for recording the surgery and they had to get their audio-visual guy to switch back from HD.
§ Don't remember anything from pre-op when I was given "something to take the edge off" to waking up in my hospital room. Don't even remember seeing the robotic setup, although the nurse says I saw it.
§ clear urine the morning after surgery (i.e., no blood)
§ first BM on Fri, two days after surgery
§ coughing, sneezing an issue (need to press firmly on abdomen). The only wound at issue is the large one for prostate removal. The other five wounds are totally non-consequential.
§ Used Advil a couple of days just to relieve discomfort from coughing (mostly from the pollen in the air, but initially from intubation during surgery), but it was otherwise not necessary to take any pain meds.
§ initially refrained from bending over for the first couple of days, but no problem by day three.
§ only used stool softener for two days, but it does help while needed.
§ walking two miles daily on treadmill without difficulty. Started off breaking the walks up in half mile sessions, but extended them over time.
§ sitting in one place for long is uncomfortable. A pillow or donut are helpful on hard surfaces.
o 25 May 2010 (Tue) - catheter removal
§ catheter did not come out easily, so the nurse had to use a little extra pull, which made it a slightly painful experience, but it was only for a few seconds. The nurse indicated it usually comes out pretty easily.
§ Had difficulty getting a stream of urine prior to leaving the doctor's office. Mostly a bunch of drips, but eventually a short weak stream.
§ The remainder of the day I didn't have any stream of urine and also experienced pain near the base of my penis, but I believe that was due to some trauma due to the catheter removal. Called the nurse and she said to take an anti-inflammatory (so I think she also believed it was due to the trauma). Took Advil.
§ Levaquin (antibiotic) caused some gas and BMs were a little watery.
§ That night, I had additional pain on an hourly basis starting at about 11 pm. Felt like strong urges to urinate, but the best I could do for much of the night was just drips of urine. Took additional Advil. By 5 am the next morning I had a weak stream and no pain.
o 26 May 2010
§ Urine basically under control. When I feel the urge to go, I go, but I have to go right away or else it starts without me. Going on a regular basis prevents any problems. But first urination of the morning was extremely painful when the flow stopped (no pain during urination). The pain lasted for a long minute or so. Afterwards, no pain at all. The post-catheter instructions said urination would be painful for a couple of days, but I figured it would be a burning sensation during urination, which was not the case. Took an Advil. The pain may have been due to the catheter removal, because I didn't urinate as hard later in the day and there was no pain, burning, etc.
§ Wounds from the surgery are not an issue at all. Have scabbed over. Minimal bruising.
§ restarting Kegels (had started back in Feb when first diagnosed)
§ starting on half a 20 mg Levitra every other day.
Age 53, father died of PCa, PSA: 10/16/09 - 2.8; 1/11/10 - 3.8
Biopsy 11/25/09, 11 core samples - HG PIN on right side
Biopsy 2/17/10, 11 core samples - left side, adenocarcinoma, Gleason 6, one core at 5%
Notified of dx on 3/12/10 (27th wedding anniversary)
MRI 3/17/10 and bone scan, 3/23/10, indicate: gland volume is 27mL, PCa is confined to prostate, seminal vesicles and vas deferens are unremarkable.
RALP conducted 19 May 2010 by Dr. Lee at U. Penn Presbyterian