You have every reason to expect good pathology results, a quick recovery, minimal pain and quite probably NO incontinence after 6 weeks. You should, equally, expect to be in the zero club after your 1st PSA. The odds are strongly in your favor. As for post-surgery pain, Mac used about 20 of his 30 pain pills - all in the 1st 10 days.
The ED side of it takes work (if you’ve never taken ED drugs ask your surgeon or the PA if you should take some pre-surgery…ours recommended it). You will almost certainly be told by your doc to try to have 4 erections per week post-catheter removal - they won’t be like pre-surgery versions, but it’s vital to strengthen the oxygen and blood flow. (See - you and your wife don't have to just hold hands!) Something like 90% of prostatectomy surgeons globally DO recommend this so if your doc doesn’t, ask about it.
Highly recommend using the night bag 100% of the time (vs changing it out for the day bag) and taping it down perhaps even more securely than the nurse will when you are discharged…you want as little “penile movement” as possible to try to keep the cath centered and not rubbing around.) Mac’s catheter pain was minimal until he went in for the Cystogram prior to scheduled removal. A teeny leak kept the cath in for 1 more week but we walked all around the medical center right after the cystogram without the “extra” taping – that’s when cath pain started but was minor as long as movements were restricted. I guess once the tip of the penis gets sore, jostling the cath around that area means makes it real hard to heal. Use the Antiseptic cream they give you when you leave..it shouldn’t have any petroleum product in it.
Best of luck - Paella
Age 65 - 5'11" Weight 210 BMI 29.1
Overall Heath Condition: Good
No family history of prostate cancer
PSA in November 2001 = 1.0 slowly rising to 4.4 in Feb 2010 (eleven years)
Biopsy: 04/19/10: Gleason 3 + 4 with 5 of 12 positive
Robotic Radical Prostatectomy on 6/14/10 with both nerves spared
Path report – T3a; Gleason still 3+4. No tumor present in the seminal vesicles, margins or removed
lymph nodes. Perineural invasion? - yes. Extraprostatic focal presence? - yes
Cath had to stay in an extra week because of a “teeny amount” of leakage (cath pain began at this time
due to not taping the catheter down securely)
6/29/10 Cath removal a breeze.
1-week post cath removal = 1 pad ("Always") per day, no diapers and only very minor burning
3-weeks post cath removal = 1 pad at night, just in case. No pain
5-weeks post cath removal = peeing like a 40 year old!
1st post-surgery PSA planned for August 04, 2010. We are confident!