Scheduled for Surgery

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Woodworker
Regular Member


Date Joined Apr 2010
Total Posts : 90
   Posted 6/10/2010 10:39 AM (GMT -6)   
 
I have been scheduled for DiVinci surgery on 6/25/2010.
 

The surgeon is very experienced (1200 procedures).

about 2 weeks ago I was sent to a separate practice that specializes in treating incontinence and

ED caused by prostate removal. They have started me on Cilalis 5MG daily and doing daily Kegels

so the incontinence will be more manageable.

I have ordered 3 months worth of Tadalafil from ADC.

 

I even have a pair of loose fitting sweat pants

 

I guess I am trying to say that I am want to be prepared as much as possible.

 

QUESTIONS:

Does anybody have suggestions about what pads to use or how to use them?

 

Is there anything I am leaving or should be considering?

 

I know my list may sound a bit obsessive. However, I am a person that doesn't like

surprises.

 

Any suggestions would be appreciated.

 

Kevin

 

 

Age 56

Biopsy 2 cores of 12  @25 percent. 

Gleason 3+4


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4848
   Posted 6/10/2010 10:53 AM (GMT -6)   

Good luck to you....

If your a boxer guy - go get ya some briefs for you pads...

I wore "depends" from CVS.


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
05/18/10 - 24 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


Burlcodad
Regular Member


Date Joined Nov 2009
Total Posts : 254
   Posted 6/10/2010 11:01 AM (GMT -6)   
At the risk of sounding like a cliche, everyone is different.
 
You may find that you will not need depends but rather just a pad.  I'd buy one package of depends of some type just to be prepared but also have some pads on hand.  If you buy the larger pads you can actually cut them in half if you find the incontinence not overwhelming.  I agree with Steve that the briefs hold the pad in much better than boxers so you may want to switch to them if you are a boxer guy.
 
Don't be depressed if the incontinence is significnat at first.  By experience is that it improves rather quickly. 
 
If you do a search there is an extensive list of things you may want to have for when you come home from the hospital - especially while the catheter is in place.
 
good luck
 
Ray
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
 
 
 


April6th
Regular Member


Date Joined May 2010
Total Posts : 264
   Posted 6/10/2010 11:09 AM (GMT -6)   
I am about 9 days out of surgery and overall am feeling great, considering. The day the catheter was removed I took a great leap forward in the recovery.

The one thing I wish I would have done was buy one of those plastic toilet seat risers to set on the toilet. Right after I got home from the hospital I was still very sore and stiff (when changing positions) and sitting down on the toilet was very difficult for several days.

Before the surgery, I bought the full Depends, plus waterproof pads for the bed and couch expecting the worst, but ended up just needing these things called Guards, which stick to the inside of your briefs. I bought the Depends brand but lots of guys buy the housebrand at Walgreens or similar.

Keeping the catheter tube lubed greatly increases comfort--they sent me home from the hospital with an ointment but neosporin is similar. You can get neosporin with 'pain relief' too if the tip of your penis gets irritated.

Best of luck with your surgery!
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 on 6/1/10.......waiting for post op biopsy


April6th
Regular Member


Date Joined May 2010
Total Posts : 264
   Posted 6/10/2010 11:13 AM (GMT -6)   
One other thing I bought at the suggestion of someone here---a donut shaped cushion/pad. It takes the pressure off of the crotch area plus seats you a little higher which makes getting up and down easier. I bought mine on Amazon for about $15.

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 on 6/1/10.......waiting for post op biopsy


142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7078
   Posted 6/10/2010 12:56 PM (GMT -6)   
Look at this post I did a few months ago on pads (fifth in the thread) -

www.healingwell.com/community/default.aspx?f=35&m=1699124

It covers the pads pretty well.
I'm going back to edit a couple of lines, so give me a few minutes.

Post Edited (142) : 6/10/2010 12:03:49 PM (GMT-6)


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 6/10/2010 1:04 PM (GMT -6)   

This site has a "list" which has been collaboratively put together by members.  It has lots of different topic, but a section for guys getting ready for surgery.  Check out this link:   Prostate Cancer: The Really Useful List made by HW people for HW people (it is located at the top of the list of threads).

 


logoslidat
Veteran Member


Date Joined Sep 2009
Total Posts : 6051
   Posted 6/10/2010 2:01 PM (GMT -6)   
To me the key to continence after surgery is about 60% surgeon skill and 40% your fitness level in the pelvic area. I have been a distance runner for over 40 years and this really helped me in that area. I had the pads, diapers etc waiting for the flow after catheter was removed. It didn't happen. What Im saying is if you are fit and have a good surgeon, you wont be incontinent for long. If not fit now, definitly kegal, that is how you will be stopping the flow from now on. For anyone who is 2 to 3 mos out from surgery, start, jogging, running hills, it will help.
Oh yeah, If you are not fit , start slow and easy, consistency is key here, not intensity.
age 66 First psa 4/17/09 psa 8.3, 7/27/09 psa 8.1
8/12/09 biopsy 6 out of 12 pos 2-70%, rest <5% 3+3
10/19/09 open rrp U of W Medical Center, left bundle spared
10/30/09 catheter out. continent from the jump.
pathology- prostate confined, only thing positive was the report.everything else negative
9% of prostate affected. gleason 3+4, I suppose thats a negative
After reading pathology myself, gleason was 3+4 with tertiary 5, 2-3 foci That is a negative, but I am a positive !!
Ed an issue but keeping the blood flowing with the osbon pump
Dec 14,2009 psa 0.0 May 10 2010, psa 0.0

" Hypocrisy is vice's homage to Virtue " read it in Bartlet's book of quotation years ago stuck with me, can't remember who said it.


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4848
   Posted 6/10/2010 2:16 PM (GMT -6)   
hmmmm. I was 25 pounds overweight/out of shape and a smoker and was dry in a few months.
 
Have told this a few times....But at my 3 month meeting my surgeon said he wanted me off pads by the next 3 month meeting...He said it like I had some sort of choice. Three days later on a Saturday - I didn't use a pad and haven't needed one since. "Mind over Bladder"
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
05/18/10 - 24 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 6/10/2010 2:39 PM (GMT -6)   
Good luck on your upcoming surgery, sounds like you are getting all your ducks lined up.
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 - 31 days, 5/24 put in Cath #17


deer hunter
Regular Member


Date Joined Jan 2010
Total Posts : 250
   Posted 6/10/2010 7:15 PM (GMT -6)   
The list that Casey refer you to is the best one llots of luck
Best on your surgery
Enjoy every day
DEERHUNTER
dx age 57 01/06 open RP 4/06 psa in 01/06 8.1  surgery path report Gleason 3+4=7 poorly differentiated  tumor was 90%involved in both lobes surgical margins postive. in the right apex and right radial margins tumor grade G3  perineural invasion present high grade of PIN found  T2c NX MX PSA 0706  .01 10/06 .02 01/07 .03 04/07 .04  06/07 .05  07/07 .08 07/07 bone scans pelvic ct neg. 08/07 proscintic scan neg.9/07 psa.10 net with rad onc. wanted to do SRT but i did not do it 10/07  saw a new dr at Emory University [my old dr urg. suggested second opinion ]  bone scans negs ct scans pelvics neg. biopies of the bladder and adrinal glands neg.another proscintic scan neg.12/07 Psa .11 clinial trial Emory injected with protons to try and find the cancer cells no luck 3/08 psa .17 06/08 psa .23 psa 09/08 psa .32 12/08 psa .39 3/09 psa .39 6/09 psa .43  meet with medical onc. he said  i might have waited to long to start SRT 7/09 psa .50  another bone scan ct scan all neg.MRI neg. meet rad. psa the last of 7/09was .55 onc. 7/09 started casdex 50mg 1 day for 30 days 2 shots of lupron started rad treament 10/09 40 treatments 75 gm 12 shots each time all aroud pelvic finished 12/09  psa .07 and psa 01/10.05 next dr visit 03/10 wait and see 3/10 psa.05 5/14/10  family doc done blood work at my request her lab psa .01  

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