Incisional hernia repaired after RALP

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Ricky2
Regular Member


Date Joined Dec 2009
Total Posts : 97
   Posted 7/15/2010 11:30 AM (GMT -6)   
Hi Folks,

I am home today recovering from a incisional hernia repair. My surgeon thinks that when my RALP was done that the abdominal wall above the belly button was pulled to tight resulting in the circulation being cut off, thus causing the hernia. A side effect from RALP that I never read about anywhere. Oh Well, there goes my beautiful abs...

Ricky2
Age 70

PSA 5/2008- 3.6, PSA 7/2009- 6.1, retested 9/2009-5.1.
Biopsy 9/2009. 4 of 12 positive. Gleason 3+4=7
CT and bone scan negative.
Robotic De Vince Surgery 10/29/2009. 1 night in hospital. No pain. Cath out on 11/6
Pathology Report: Gleason score 3+4. Margins slightly involved <.1mm to .25mm. Perineural invasion present, stage pT2c. Tumor 18%. Seminal Vesicle - absent, Lymph Nodes 0 of 6.
Continence- first 4 weeks after cath out Dry at night, rest of time, bladder held nothing. 6-7 pads per day. as of 12/30 no pads most of time. almost dry except for a few drips. I keep doing Kegels.
ED. Started VED on 12/17/2009. Every other day for 15 min. Cialis .20 mm twice a week
PSA 02/08/2010 <.1
02/22/10 Trimex injection .2ml less than 50% just a little discomfort.
PSA 05/14/2010 <.1
ED still no natural erection at 5/14/2010. Trimex at .5 cc gives 80% erection..urn to increase potency of trimex..pg to .45.


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4848
   Posted 7/15/2010 12:58 PM (GMT -6)   
If it'll make you feel any better - I had my hernia repaired before PCA surgery. And it left less of a scar then the prostate surgery.

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.


April6th
Regular Member


Date Joined May 2010
Total Posts : 264
   Posted 7/15/2010 2:48 PM (GMT -6)   
Ricky,

Just curious....do you think too much activity/exercise/lifting too soon contributed to the hernia.

The reason I ask is that I am a little worried about a hernia too--no physical signs of one though. I sometimes think I am pushing too hard (starting to lift heavier things and cycling more and more) and sometimes can feel the workout in my stomach area (no pain, just that the muscles are getting a bit of a workout. I have told my Uro (just today at my 6 week exam) and he said "no problem" and to keep doing what I am doing. But the incision sites are just a little tender sometimes.

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
Pathology report shows cancer confined to prostate and all other tissue clean
PSA 7/15/10 Zero Club membership card issued (trial membership with 90 day renewal)


brainsurgeon
Regular Member


Date Joined Jul 2009
Total Posts : 137
   Posted 7/15/2010 2:53 PM (GMT -6)   
The hernia is a recognized and rare operative complication. I was told this by a resident who had seen one in his staff's cases (300)
70 years old (1939) USA citizen
Prostatic carcinoma dxed June 2009 by PSA (7.0) and then Bx
PSAs yearly since 2001 ranged 1.52 to 7.0. Doubled from 3.5 to 7.0 in one year.
Neg. CT and Bone Scan
4 of 8 biopsies positive (all right side) Gleason Score 3+4=7
Robotic assisted total prostatectomy and node excision July 2009 in Luzern, Switzerland by Dr. A. Mattei in the Kantonsspital. New Gleason was 4+4=8
pT2c G3 pN0 (0/14 nodes +, Margins, etc. clear
Catheter out in 5 days (home in 3 days). No incontinence
Positional neurpraxia in hip and knee resolved 90+% in 5 months.
Potency: beginning tumescence??? at 3 weeks post-op. Still happens at 3 months PO. Nearly usable one month later. At 5 mo. with 100 mg Vitamin V, pretty good. Now beginning 5 mg Cialis daily. 11 months post-op had first usable erection.
3month PSA less than 0.01, 6 month PSA less than 0.01, 11 month PSA remains less than 0.01


Ricky2
Regular Member


Date Joined Dec 2009
Total Posts : 97
   Posted 7/15/2010 9:43 PM (GMT -6)   
Dan,

My surgeon thought that I may have made it worse by lifting, but it was probably already there. I noticed the hernia after I had lifted a lot of heavy stones up at the cabin and carried a refrig with my son. There is a right way and wrong way to lift things and I don't always do it right. I would think that good exercise would strengthen the abdominal wall.

Ricky
Age 70

PSA 5/2008- 3.6, PSA 7/2009- 6.1, retested 9/2009-5.1.
Biopsy 9/2009. 4 of 12 positive. Gleason 3+4=7
CT and bone scan negative.
Robotic De Vince Surgery 10/29/2009. 1 night in hospital. No pain. Cath out on 11/6
Pathology Report: Gleason score 3+4. Margins slightly involved <.1mm to .25mm. Perineural invasion present, stage pT2c. Tumor 18%. Seminal Vesicle - absent, Lymph Nodes 0 of 6.
Continence- first 4 weeks after cath out Dry at night, rest of time, bladder held nothing. 6-7 pads per day. as of 12/30 no pads most of time. almost dry except for a few drips. I keep doing Kegels.
ED. Started VED on 12/17/2009. Every other day for 15 min. Cialis .20 mm twice a week
PSA 02/08/2010 <.1
02/22/10 Trimex injection .2ml less than 50% just a little discomfort.
PSA 05/14/2010 <.1
ED still no natural erection at 5/14/2010. Trimex at .5 cc gives 80% erection..urn to increase potency of trimex..pg to .45.

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