Geez, boys and girls, what a day. Was at hospital 2 hrs prep, 1 hour in OR, and 2 1/2 hours recovery. Due to dehydration, it took 2 nurses 4 attempts to get in an IV. Usually they can get it on the first attempt. 2 were very painful, but last 2, they used liberal amount of pain killers to accomplish.
Of all 6 of these surgeries, this was the most painful in recovery, thus the extra time spent there. They couldn't get me to keep from shaking so bad, with 4 heated blankets, they still had to put a heating unit through a hose to stabilize that. Did wake up to two new caths, the new SP didn't really hurt, but the foley was a killer. It had to pass through the heavily enflamed urethra and bladder neck. Took 3 doses of morphine to even begin to cut the pain. The SP is the active cath, and the foley is there to keep the bladder neck open so that it can heal, and it is plugged off.
My dr. told my wife, that the scarring wasn't as bad as he thought, but he did clear it back open best he could, but reported, even 7 full months after radiation has ended, that there is severe swelling and inflamation from the radiaton, and saw very little if any improvement there. That is the bad news. He discussed for the 1st time with my wife, the possibility of advance urinary bypass or reconstructive surgery, and still may set up a meeting the expert from Duke in a couple of months. He feels that a natural healing solution is growing unlikely at this point in time.
Put me on a strong antibiotic, re-newed my normal pain meds, and wrote a script for a much stronger pain med, to be used as needed for the next 36-48 hours. He wants the foley left in as long as I can stand it, 10 days if possible, but realizes that the spasms will be more severe with both in place, and may have to be removed in 3-5 days. Since my wife is a nurse, gave her the ok to remove it if needed.
Wants to see me Tuesday in person, and see how I am doing at this point. Had excellent care once again at St. Francis, scary how many of the staff knew me from prior surgeries, a certain comfort in a twisted way.
Glad to be home. Wife was a real trooper for me, again. The doctor and all nurses treated me like royalty, it was just a rough OP this time, further convincing me that this is definitely the last of the corrective ones like this.
On meds, resting, need to stay off my feet the rest of the weekend, need to heal from this. Will still be getting my next post radiation PSA test within the next 2 weeks, but thats a whole other worry.
Thanks for all you guys prayers and supports. Who would have ever dreamed of being on cath nineteen?
David, very sore, 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 cath #6 - 41 days, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, mapped 9/9, 10/1 - 3rd corr. surgery - SP cath, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, Cath #10 43 days, 1/19 - Corr Surgery #4, Caths #11 and #12 ,Cath #11 - 21 days, Cath #12 - 41 days, 3/2- Corr Surgery #5, Cath #13 - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 31 days, 5/24 put in Cath #17