Catheter removal after robotic surgery

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April6th
Regular Member


Date Joined May 2010
Total Posts : 264
   Posted 5/21/2010 6:54 PM (GMT -6)   
My surgery is still coming up but I did have a question.

My Uro/surgeon said during my consult that the catheter comes out in a week under normal circumstances.

How is it determined or tested that I have healed enough to have it removed or is it just assumed to be ready to come out unless I am having an obvious complication.

Also he said that my one week appointment to have it removed is with his nurse and he sees me two weeks after the surgery. Is this method similar to what others have experienced. I am sure that my Uro/surgeon would see me at the one week appt. if I am having complications but not if things are going smoothly.

Dan
Here are some of my stats:
Age:54
Father diagnosed with PC at age 72 - wasn't contained to prostate when found in 1992.
My PSA rose from 3.2 to 5.1 over the course of 1.5 years with Free PSA at 25% for the last two tests.
DRE showed no evidence of tumor but Uro thought my prostate was a little large for someone my age
PCa diagnosed 4/6/10 after biopsy on 4/1/10
1 out of 12 biopsy samples was positive with 5% of biopsy sample cancerous
Gleason 3+4
Da Vinci surgery scheduled for 6/1/10


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2243
   Posted 5/21/2010 8:04 PM (GMT -6)   
Dan,
Not sure what the procedure is called but they put me under a arc like machine and I think it was to make sure the bladder was full. Some of the old timers can answer your question better than I can. Hopefully it will be in no more than 10 days which appears to be the common time. keep us posted.
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 on 11/28/10
Starting IMRT on 1/18/10, Completed 39 tx at 70 gys on 3/12/10
6 week Post IMRT PSA .44 a drop from .5 but maybe more
Great family and friends
Michael


profman
Regular Member


Date Joined Jan 2010
Total Posts : 55
   Posted 5/21/2010 8:11 PM (GMT -6)   
Hi - the uro ordered a cystogram for me to have one week after surgery. In this procedure a fluorescent dye is squirted into the bladder (up the catheter) and they look for leaks where the urethra has been reconnected to the bladder. Unfortunately, I leaked, and the booby prize was to keep the catheter in for a second week. Catheter removal was by the nurse - I didn't see the doc again until 5 weeks after surgery.
Diagnosed 9/4/09, age 59
PSA 3.5, up from 1.8 year before
First biopsy showed 3/10 positive cores, Gleason 3+3, less than 10% involvement in all three cores, diagnosed as T2a; prostate size estimated at 32 gram
Thinking of Active Surveillance but
Second biopsy showed 5/10 positive cores, Gleason 3+3, left side (4 postitive cores) had 40% involvement
RRP on 12/15/09, home 12/16
Catheter out on 12/29/09 (failed cystogram earlier)
Path report was all good news, Gleason 3+3, no margin involvement, no perineural involvement, everything clean other than core of prostate, tumor on both sides, but more prevalent on left side, 5% involvement, 42 gram organ
Within two days down to one pad a day, pad free at six weeks
Back to work 1/4/10
First PSA 1/28/10 - nondetectable (<0.1), next scheduled June 2, 2010
ED present, although blood does flow after Viagra. working with pump now - still trying!


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 5/21/2010 8:32 PM (GMT -6)   
That is the essence of it. They pressure test it and look for leaks.

Also, if the surgeon has some trouble with the bladder neck reconstruction, he may just say two weeks to make sure it heals. My ureters came in the bladder very close to where they cut the bladder off. So I came out with 3 tubes. 2 to make sure the ureters stayed open, and the catheter. Two weeks ir was.

Yes the catheter is uncomfortable, but after having my walnut removed, the doctor tellling me it looked good in there, it was a minor thing.

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
1 year psa (364 days) .01


April6th
Regular Member


Date Joined May 2010
Total Posts : 264
   Posted 5/21/2010 8:35 PM (GMT -6)   
Thanks for the responses!

Dan
Here are some of my stats:
Age:54
Father diagnosed with PC at age 72 - wasn't contained to prostate when found in 1992.
My PSA rose from 3.2 to 5.1 over the course of 1.5 years with Free PSA at 25% for the last two tests.
DRE showed no evidence of tumor but Uro thought my prostate was a little large for someone my age
PCa diagnosed 4/6/10 after biopsy on 4/1/10
1 out of 12 biopsy samples was positive with 5% of biopsy sample cancerous
Gleason 3+4
Da Vinci surgery scheduled for 6/1/10


larch
Regular Member


Date Joined Apr 2010
Total Posts : 47
   Posted 5/21/2010 8:41 PM (GMT -6)   
Spoke to my uro about this a few weeks back.

The short of it is that getting the catheter out quickly makes you feel better and more advanced, but this isn't a sprint race - and in the marathon, a bit of patience goes a long way.

Or, it's a short term pain, but having the catheter in for a few more days can mean major quality of life improvement for the following years

rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1132
   Posted 5/21/2010 8:47 PM (GMT -6)   
My experience was the same as some of the other posts. They shot die up me and took a picture to make sure I was healed. However, even with robotic surgery, my surgeon kept the catheter in 14 days. He believed the bladder needed time to heal and wouldn't take it out earlier. He actually took the catheter out instead of the nurse.
 
Age 48 at diagnosis
occupation accountant
PSA increased from 2.6 to 3.5 in one year
biopsy march 2008 - cancer present gleason 7
Robotic Surgery May 9, 2008 - houston, tx
Pathology report -gleason 8, clear margins
22 month  PSA <.04
continent at 10 weeks (no pads!)
ED is still an issue


142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7082
   Posted 5/21/2010 8:48 PM (GMT -6)   
I had my cath out after a week, and it was done by a nurse, as the doc was away that week, but he did call the next week to check on me.

I would have to guess that the time is based on average recovery. I did not have a pressure test or the like.

Post Edited (142) : 5/21/2010 7:54:15 PM (GMT-6)


rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1132
   Posted 5/21/2010 8:49 PM (GMT -6)   
Dan, I meant to ask you where you are having surgery?
 
Age 48 at diagnosis
occupation accountant
PSA increased from 2.6 to 3.5 in one year
biopsy march 2008 - cancer present gleason 7
Robotic Surgery May 9, 2008 - houston, tx
Pathology report -gleason 8, clear margins
22 month  PSA <.04
continent at 10 weeks (no pads!)
ED is still an issue


Herophilus
Veteran Member


Date Joined Sep 2009
Total Posts : 664
   Posted 5/21/2010 9:04 PM (GMT -6)   
My uro said to have my cath removed at day 10.  I did it myself at 6a.m. and never had a problem.
Hero
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 Non-Nerve Sparing on Rt.
Modified Pathology, Gleason 4 + 3 = 7. Gleason 7 present throughout Prostate involving 20% of the Gland. Surgical Margins Free of Tumor,
4 of 4 periprostatic Lymph Nodes Negative, 10 of 10 pelvic Lymph Nodes Negative. Seminal Vesicles tumor free. Extracapsular extension is absent Perineural Invasion is Identified, Vascular Invasion is not identified.
Post-op PSA 12/10/2009, Undetectable  <0.01
Post-op PSA 05/03/2010, Undetectable  <0.01
I hate this crap
Moved by individuals like Living1963

 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 5/21/2010 9:09 PM (GMT -6)   
Usually what determines the length of time with the catheter is how well the bladder neck to urethra connection is done. Typically would be 7 days on the short side and 14 days on the long. They had a lot of difficulty with my surgery at that juncture, and my original catheter stayed in place for 30 days, and to make a long story short, it was 63 days after surgery before it was ultimately removed. Hopefully, your surgery will go well and your catheter time will be short.

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


April6th
Regular Member


Date Joined May 2010
Total Posts : 264
   Posted 5/21/2010 9:22 PM (GMT -6)   
Dan, I meant to ask you where you are having surgery?

Shawnee Mission Medical Center (in a suburb of Kansas City).
The surgeon is Dr. David Emmott.



My uro said to have my cath removed at day 10. I did it myself at 6a.m. and never had a problem.
You are a braver man than I!

Dan
Here are some of my stats:
Age:54
Father diagnosed with PC at age 72 - wasn't contained to prostate when found in 1992.
My PSA rose from 3.2 to 5.1 over the course of 1.5 years with Free PSA at 25% for the last two tests.
DRE showed no evidence of tumor but Uro thought my prostate was a little large for someone my age
PCa diagnosed 4/6/10 after biopsy on 4/1/10
1 out of 12 biopsy samples was positive with 5% of biopsy sample cancerous
Gleason 3+4
Da Vinci surgery scheduled for 6/1/10


142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7082
   Posted 5/21/2010 9:40 PM (GMT -6)   
When my cath was removed, I wasn't even sure it had happened - the nurse did something and it was gone.

The only significant thing for me was that the nurse was hot, and I mentally, but not physically "responded", which confirmed to me that the nerves were really gone -

Burlcodad
Regular Member


Date Joined Nov 2009
Total Posts : 254
   Posted 5/21/2010 10:19 PM (GMT -6)   
Mine was 6 days after surgery done by the pa - quick with no tests of any kind
Diagnosed 9/09 at age 54  
PSA 6/09 1.3 
Stage 2b (biopsy done because of firmness felt on right side) 3 positive cores out of 12 (all less than 25%) Gleason 6
 
Surgery  1/13/10 at UP- Penn Presbyterian - Dr David Lee. Home 1/14/10 Nerves spared on both sides -Catheter removed 1/19/10  Path report scheduled for 2/11/10
 
Post OP Pathology Report Gleason score was upgraded to 7 (3+4)
no capsular involvement, seminal vesicles clear, lymph nodes clear, negative margins, gland involvement 2-10%
 
Since report was good and recovery going well next appt is now  the first psa test appt scheduled for 4/22
 
POST OP PSA   4/10 <0.1,
 
Incontinence - Initial 6 pads a day, 3 Weeks - 3 pads a day relatively dry at night , 3 Months mostly dry 0-1 pad per day
 
ED - yes but seeing some improvements - levitra 10 mg 2x week 3 months  100 mg almost daily
 
 
 


gtmriviera
Regular Member


Date Joined May 2007
Total Posts : 338
   Posted 5/21/2010 10:42 PM (GMT -6)   
A suggestion when you go to have it removed- be prepared with underwear and a large pad or adult undergarment like Depends.  I felt totally normal and went by my office on the way home.  Just after I got home there was a flood that I didn't feel coming and I was lucky that it didn't happen in the middle of my office.

Tim-from-Maine
Regular Member


Date Joined Apr 2010
Total Posts : 83
   Posted 5/22/2010 3:47 AM (GMT -6)   
I think what gtmriviera said is important enough to reiterate!

The hospital, Doctors, nurses, were sort of unconcerned/unaware about the fact that I had to get off the Cystogram table and walk through the halls back to the dressing/recovery area while leaking iodine and urine. They also seemed unaware that I might need some sort of a pad or Depend to get me home- and I was not prepared. So take a waterproof pad for the car seat and some Depends. It took a few hours for me to get the hang of clamping down with my pelvic floor muscles.
PSA Feb 09 - 9
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
SRT began May 3, 2010 - will do about 41 treatments
 
 


English Alf
Veteran Member


Date Joined Oct 2009
Total Posts : 2218
   Posted 5/22/2010 5:25 AM (GMT -6)   
Yeah. My catheter came out after about a week. And I had a cystogram to check for leaks before they'd take it out. (I was given the appointment for it the day I left hospital after surgery.

What did it invovle.

On the lower end of the catheter is a Y junction one branch is the output and is connected to the leg bag. The other branch is for input.
The Cystogram thus involves lying on a thing like an Xray table while a liquid that is visible to Xrays is fed into your bladder via the input arm of the catheter to fill it. (about 150ml was needed in my case and it took about 5 minutes, they used gravity to get it in there by hanging the bottle about four feet above me, so it's not like they suddenly squirt a great load of stuff into you or anything, but there was a strange sensation of things cooling down)

The staff then went off to the lead-lined room and watched on screens as the machine moved round me to look at the bladder from different angles. There was also a screen near me that I could watch it all on too, and every few moments someone called out to ask if I was okay.
The expert thus waited and watched for about a minute to assess the join, and then gave me the all clear and sent me upstairs to see the uro to get it removed.

Had the thing been leaking, then I would have been asked to leave the catheter in situ and repeat the test by coming back after at either ten days after surgery or two weeks after, depending on how much leaking had been found.

I did not see the surgeon, as they work with a team of one surgeon plus two nurse practitioners. And it was thus the nurse practioner who removed the catheter.
I sat on the edge of the examination couch with my feet apart and he told me to take a breath and the thing was out before I had finished taking that breath: there must have been about 15cm in me but it felt like only 1cm moved. The liquid that had been put in me had made things inside me cold and I guess that helped.
It did then feel like I was going to flood the place, but he put a pad in my underpants for me straight away and I had a spare with me already for the journey home.

I then had to sit in the waiting area till I had been able to go to the WC and pee and then I could go home. So I guess I was done about 30 minutes later.

The actual problem that day was that it was the same day that I got my post-op pathology, which was an upgrade from what I had had before. (Gleason 7 instead of 6 and there was tumour in my seminal vesicles)

So make sure you get a cystogram.
Make sure you have suitable clothing and pads with you.
The removal of the catheter itself is a very swift thing.
If you're not sure about anything then ask.
If something hurts then say so.
If you want some help then ask for it (you may find it difficult to get off the machine for instance or to sit up)

If you think you are going to leak on the floor or wherever just say so. I often think I am going to pee during RT and have warned the staff. (There is a microphone and speaker system so we can communicate ) As yet it's been okay. And the nurses dealing with me all through various things over the last year were and are very reassuring about leaking or making a mess not being a problem. (After my biopsy the nurse actually washed everything for me while I lay there, and that was much messier than a bit of pee. She then offered to get me a coffee too!)

Anyway all the best with surgery.

Alfred
Age at Dx 48 No Family history of Prostate Cancer
Married 25 years, and I cannot thank my wife enough for her support.
April 2009: PSA 8.6 DRE: negative. Tumour in 2 out of 12 cores. Gleason 3+3.
RALP (nerve-sparing) at AVL-NKI Hospital Amsterdam on 29th July 2009. Stay 1 night.
Partial erections on while catheter still in. Catheter out on 6th Aug 2009.
Dry at night after catheter came out
Post-op Gleason 3+4. Tumour mainly in left near neck of bladder.
Left Seminal Vesicle invaded, (=T3b!)
no perineraul invasion, no vascular invasion. clear margins,
Erection 100% on 15th Aug 2009, but lots of leaking of urine
Stopped wearing pads on 21st Sept 2009
Pre-op style intercourse on 24th Oct 2009 !! No use of tablets, jabs, VED etc. but...
Nov 17th 2009 PSA = 0.1
Can still get erections okay, and almost no leaking of urine, but since December 2009 I don't have orgasms, instead I just have intense pain in place where prostate used to be.
Mar 17th 2010 PSA = 0.4!!! referred to radiation therapist
April 13th 2010 CT scan.
April 28th 2010 Started Radiation Therapy (66Gy - 33 sessions)


142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7082
   Posted 5/22/2010 11:31 AM (GMT -6)   
The "underpad", an absorbent material on a water-resistant backing, is a must have in the car and around the house in the post-surgery days. You'll want them in car seats, chairs, etc. just in case. They come in a couple of sizes, about 24" x 30" and 30" x 36", usually packs of 10 or 20. If you have a Walgreen's, watch the sales - these are often a loss-leader.

I had severe bladder spasms with a lot of leakage around the catheter tube, so had to wear the diaper if I had to get out, or ever sit up for a long period of time. In that case you need the Depends "adjustable" - they split on the side and adjust with a velcro like fastener. That way you can put them on over the cath tube with less difficulty. So by default I had an extra with me the day they pulled the cath.
Once the cath is gone, if you need pants, the standard Depends Men's was my preference. Tena is also good, but expensive.

If you are in the States, go to the Depends web site - they offer a sample pack of pant & pad - one per household (I signed up good friends as caregivers and got an extra). Also Tena and Coloplast will send a sample pack. At Tena, you choose the product. Coloplast is more a drip collector which is for minimal leakage, so I suggest the "5420 Extra". They sent a 10 pack, but these are terribly expensive and hard to find.
Get the free samples - if you don't need them, you saved money. If you do, you will be better prepared.

Since I was in free-flow mode for months after the cath, I know all too much about pants & pads.

Post Edited (142) : 5/22/2010 11:53:54 AM (GMT-6)


April6th
Regular Member


Date Joined May 2010
Total Posts : 264
   Posted 5/22/2010 12:47 PM (GMT -6)   
I just checked with a friend of mine who had his prostatectomy from the same surgeon I am going to have for my surgery. No crystogram before they removed it.

Dan
Here are some of my stats:
Age:54
Father diagnosed with PC at age 72 - wasn't contained to prostate when found in 1992.
My PSA rose from 3.2 to 5.1 over the course of 1.5 years with Free PSA at 25% for the last two tests.
DRE showed no evidence of tumor but Uro thought my prostate was a little large for someone my age
PCa diagnosed 4/6/10 after biopsy on 4/1/10
1 out of 12 biopsy samples was positive with 5% of biopsy sample cancerous
Gleason 3+4
Da Vinci surgery scheduled for 6/1/10


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 5/22/2010 2:56 PM (GMT -6)   
I have already had 15 catheters removed, about to have my 16th removed on Monday. If it is a foley catheter, coming out your penis, the way my dr does it is best way. He has me stand up in front of him. The real trick is to have the dr or nurse to slowly extract the fluid from the balloon holding it in side you. Some help wants to just let it out with one quick action, that can create both pain and back pressure up the cath. Release the fluid slowly, and while standing, in most cases, the cath will just start sliding out on its own to the floor. The dr. does put a pad on the floor so that its not a slippery mess.
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


DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 818
   Posted 5/22/2010 6:31 PM (GMT -6)   
Dan,

You still reading all this? It's informative to hear all the different experiences. Here's mine: First removal was after 7 days. No cystogram, they just figured it was enough time to heal. The nurse was a funny old lady. I had to pee in front of her to prove I was ready to go. But, clogged up and had to have another one put in. Second time, they did a cystogram first. And peed in front of a different nurse. Turned out better the second time.

DJ
Diagnosis at age 53. PSA 2007 about 2; PSA 2008 4.3
Biopsy September 2008: 6 of 12 cores positive; Gleason 4+3 = 7
CT and Bone scan negative
Da Vinci surgery at City of Hope December 8, 2008
Radical prostatectomy and lymph node dissection
Catheter out on 7th day, replaced on 8th day, out again 14th day following negative cystogram
Pathology: pT2c; lymph nodes negative; margins involved; 41 grams, 8% involved by tumor; same Gleason 4+3=7
PSA 1/22/08 non-detectable! 8-)
4/23/09, 07/30/09, Oct 2009, Nov 09, Feb 10 still undetectable (<0.01)!


Runer
New Member


Date Joined Feb 2010
Total Posts : 19
   Posted 5/24/2010 8:44 PM (GMT -6)   

My doctor removed it for me but it is something hat a nurse can certainly do.  Word of advice, make sure you take pads with you and put it in immediately.  I started leaking profusely as soon as I stood up to dress.

I had urine leaking through the urethra as well as through the catherer tube during the 7 days.  I didn't notice until removal which means that for 7 days there was urine seeping under the tape holding the catherer in place.  When the tape was removed I was left with a very nasty fungal infection on my leg where the tape had been.  Make sure you keep the area clean even though the catherer is in place.  I was so afraid to mess with it that I wouldn't even look down.  Big mistake. I was miserable for 7 days after removal.

Good luck.


2/97---Total colectomy with J Pouch surgery. stage 1 colon cancer. Total removal, no chemo or radiation was needed.
8/09---routine physical, 4.4 psa
11/5/09---diag: 1 out of 12 cores positive 3+3 Gleason
1/26/10 robotic prostatectomy. 3+3 Gleason, Clear margins
 3/9/10---psa <0.1
3/26/10---2 month post op.  This week for the first time felt stirrings of an erection. Long ways still to go though. 7 pads per day
4/12/10--- 3 pads today!
4/30--- 3 months post op.  1 pad the whole day today and no pad last night at all with just a couple of spots. Life is definitelay getting better.


April6th
Regular Member


Date Joined May 2010
Total Posts : 264
   Posted 5/24/2010 9:05 PM (GMT -6)   
Thanks guys for the info.

One week to go before the surgery. Wife is on edge but I am ready for it and ready to get on with my life without a prostate. I am hoping for the best but know things don't always turn out as planned and am prepared to deal with it if the post surgery isn't what we are hoping for.

The info in this group has been great and talking to my two friends (here in KC) who had the same surgery by the same surgeon have had a calming effect on me too.

Dan
Here are some of my stats:
Age:54
Father diagnosed with PC at age 72 - wasn't contained to prostate when found in 1992.
My PSA rose from 3.2 to 5.1 over the course of 1.5 years with Free PSA at 25% for the last two tests.
DRE showed no evidence of tumor but Uro thought my prostate was a little large for someone my age
PCa diagnosed 4/6/10 after biopsy on 4/1/10
1 out of 12 biopsy samples was positive with 5% of biopsy sample cancerous
Gleason 3+4
Da Vinci surgery scheduled for 6/1/10

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