Are you put under for surgery?

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rick27
Regular Member


Date Joined Sep 2010
Total Posts : 71
   Posted 9/11/2010 6:36 AM (GMT -6)   
I was wondering: Aren't you put under for this operation? I thought I would be "asleep" and wouldn't see all of the following that is in the sticky post:

"If you elect for the robot surgery, you find yourself in an extremely strange room, practically up-side down, with your body pumped full of gas, and cold steel arms rooting around in your innards, while being manipulated by a guy across the room sitting at a video game consol."

History: 2 brothers with prostate cancer
Age 56
PSA at age 40: 2.5
PSA at age 45: 4.7. DRE normal. Advice, biopsy (I waited)
PSA at age 52: 8.0. DRE normal. 1st biopsy 12 cores, negative
PSA at age 55: 9.5. DRE normal. 2nd biopsy positive 2 of 14, gleason 3+3.
PSA at age 56: 9.2. DRE normal. 3rd biopsy positive 4 of 14, gleason 3+4.

Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4849
   Posted 9/11/2010 6:46 AM (GMT -6)   
Yes...You'll be out and won't see any of that.
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.
Growing old is mandatory; growing up is optional..

BobCape
Regular Member


Date Joined Jun 2010
Total Posts : 416
   Posted 9/11/2010 6:48 AM (GMT -6)   
Hi. You will go to sleep in a room, wake up in another room. You will never know anything about the operation.

rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1132
   Posted 9/11/2010 7:19 AM (GMT -6)   
I was out for 6 hours. I was in a fog for a few days. It took a while for everything to get out of my system.
 
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

rick27
Regular Member


Date Joined Sep 2010
Total Posts : 71
   Posted 9/11/2010 9:38 AM (GMT -6)   
Thank God for that. Thanks for the replies. The sticky post at the head of this forum is a little misleading on that.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25394
   Posted 9/11/2010 9:52 AM (GMT -6)   
most men are pre-drugged in the pre-op room, and many dont even remember being wheeled to the operation room. you wont see or feel a thing, or even remember any of it
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 ?
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, on Catheter #21, will be having Ileal Conduit Surgery in Sept.

60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2243
   Posted 9/11/2010 10:21 AM (GMT -6)   
That quote is basically very true but leaves out the part that you will be asleep. Now they put the IV in me and wheeled me into the room and I saw the robot but shorthy thereafter I was asleep. No one told me they would shave my pubic hair while I was asleep either. Guess I should have known that they would.
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

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25394
   Posted 9/11/2010 10:31 AM (GMT -6)   
i was shaved in the pre-op part, very well wide awake
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 ?
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, on Catheter #21, will be having Ileal Conduit Surgery in Sept.

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3744
   Posted 9/11/2010 10:53 AM (GMT -6)   
I don't remember leaving my room nor returning. I woke up in the 23 hour recovery room feeling like carp and had a rubber tube where I used to have a pen*s. That was the first indication that someone had done something to me.

coxjajb
Regular Member


Date Joined Nov 2008
Total Posts : 184
   Posted 9/11/2010 5:39 PM (GMT -6)   
I remember being wheeled into the operating room. I saw the robot. Someone asked me how I was doing. I said I was nervous. The person told me ....you have only a few more seconds. Next thing I remember was waking up in recovery.
Age 51 @ DX
Pre - Op PSA, 4.3
Gleason 3+4=7
Stage T1C
da Vinci Prostatectomy 8/1/08
No issues with incontinence since day 1 after catheter removal
Mild ED for about 10 months. Levitra worked well for me. No ED at one year.
PSA 0.00 at 24 months post op

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3895
   Posted 9/11/2010 6:33 PM (GMT -6)   
Purgatory is correct..here is my experience. Check into hospital 6AM, fill out a few forms, sent to pre-op waiting room, a soft, quiet place, lots of room, couches, free telephones. Nurse comes in calls your name, "Please come with me". Kiss wife good-by..We go into pre-op through a secure door, into a little cubical with a hospital gurney. Nurse says "strip naked, put on this Jonny, put your things in this bag." Leave ALL your valuables and jewelery at home. Bring only your drivers license and a credit card for the co-pay..

Once on the gurney,back raised so you can see what's going on, the pre-op nurse will start an IV and put some leggings on to prevent blood clots. She asks some more pointed questions. Anesthesiologist shows up, introduces himself. Explains exactly what he is going to do. This included telling me about the epidural injections in the back to control post-op pain for 24 hours.. He then said "You will not remember any of this because the sedative I'm going to give you now produces a 20 minute amnesia" He then injected something into my IV and it was LIGHTS OUT...The next thing I remember was waking up in the recovery room, staring at the ceiling lights and feeling pretty crappy..Nurse was right there, playing question and answer games, asking about pain..(I had no pain)..After a while, it was up to my room in the same bed I was in, no moving from one bed to another. My wife was there waiting for me.

I was very thirsty, was allowed to drink water with crushed ice in unlimited amounts. I felt a little nauseous, complained about it, was given a shot in the IV line, nausea went away..Could not even THINK about eating anything, but did manage to sip some chicken bullion, jello..about 10 hours post-op I told the nurse I had been on my back for 12 hours and that I'd like to try standing. She helped me get out of bed and stand. I had a huge burp, felt GREAT to burp...She asked if I felt like walking..Sure I said and off down the hall I went, pushing the IV stand..

The only lasting negative problem from the surgery has been getting my vocal cords and throat back in order. They shove a breathing tube down your throat and pump gas into you for 4 hours and that raises heck with your throat and breathing. The coughing hurts like heck but you must do it to clear your lungs..By day 5 or 6 you will be almost back to normal. I've been walking AT LEAST a 1/2 mile a day since day 2, that helps a LOT getting things moving and working again. Lets you sleep better too..

It's just another "Walk In The Park"..
Age 68.
PSA at age 55: 3.5, DRE negative. Advice, "Keep an eye on it".
PSA at age 58: 4.5
PSA at age 61: 5.2
PSA at age 64: 7.5, DRE "Abnormal"
PSA at age 65: 8.5, DRE " normal", biopsy, 12 core, negative...
PSA age 66 9.0 DRE "normal", 2ed biopsy, negative, BPH, Proscar
PSA at age 67 4.5 DRE "normal"
PSA at age 68 7.0 third biopsy positive, 4 out of 12, G6,7, 9
RRP performed Sept 3 2010

rick27
Regular Member


Date Joined Sep 2010
Total Posts : 71
   Posted 9/11/2010 6:51 PM (GMT -6)   
It sounds a lot better than I have been imagining. Thank you.
History: 2 brothers with prostate cancer
Age 56
PSA at age 40: 2.5
PSA at age 45: 4.7. DRE normal. Advice, biopsy (I waited)
PSA at age 52: 8.0. DRE normal. 1st biopsy 12 cores, negative
PSA at age 55: 9.5. DRE normal. 2nd biopsy positive 2 of 14, gleason 3+3. both cores <5%
PSA at age 56: 9.2. DRE normal. 3rd biopsy positive 4 of 14, 3 cores <5%, 1 core 7% Gleason 3+4 in 1 core, prostate 81cc

F8
Veteran Member


Date Joined Feb 2010
Total Posts : 3998
   Posted 9/11/2010 8:29 PM (GMT -6)   
rick -- when they say "fight cancer" i've found that the only thing i have to fight is the fear, and your fears are normal.  you'll be fine.  take care.
 
F8
age: 55
PSA on 12/09: 6.8
no symptoms, no prostate enlargement
12/12 cores positive....gleason 3+4 = 7
ADT, brachy and IGRT

Newporter
Regular Member


Date Joined Sep 2010
Total Posts : 225
   Posted 9/12/2010 9:21 AM (GMT -6)   
I had my Da Vinci surgery on 8-23-10. The only bad part was anticipation: Waiting for surgery and worry about the unknown were actually the hardest part.

I had no knowledge of the surgery, One moment I was saying hi to my surgeon in the pre-op room at 7:30am and the next moment I was looking at my wife in my room after surgery and looking at the clock in the room reading 1:30pm. There was no pain during the hospital stay after surgery, nor after going home. I was up and walking the afternoon of the surgery but had to stay for two days post surgery because I did not have bowel movement. The only discomfort was my throat due to the breathing tube but it was like a sore throat requiring only a couple of Tylenols. Catheter was inconvenient but bearable and it was in for only 7 days. I have no incontinence the moment they took out the Catheter and urination now is like when I was a 20 yr old (I had BPH and urination problem before surgery). My friend had open RP a few years back and he told me the surgical site was quite painful for a while. If you are scheduled for a Da Vinci, I don't think you need to worry too much. Looks to me like for most of us, surgery was OK.
Age 65 Dx; 3/10 PSA 10.7, 6/10 biopsy positive Adenocarcinoma, Gleason 3+3 & several atypia; Clinical stage T2; 7/10 CT, Bone Scan, MRI all negative

8-23-10 RRP; Pathology Stage: Negative margins, Lymph nodes, Seminal Vesicle; multiple Adenocarcinoma sites Gleason 3+3 with tertiary Gleason grade 4. AJCC Stage: pT2,N0,Mx,R0

Catheter out 8-30-10 full continent partial potency day 1, great surgeon!

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7270
   Posted 9/12/2010 5:06 PM (GMT -6)   
Fairwind:
 
You just reminded me of one aspect of my surgery: I did have severe nausea and couldn't eat. They gave me an injection of something into the IV and that eased the problem. That was the first evening. I was fine the next day and was released
 
Mel
PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (PSAf: 24%), PCA3 =75 .
Biopsy 11/30/09. Gleason 4+3. Stage: T1C. Current Age: 64
Surgery: Dr. Menon @Ford Hospital, 1/26/10.
Pathology Report: G 4+3. Nodes: Clear. PNI: yes. SVI: No. EPE: yes. Pos. Margin: Yes-- focal-- 1 spot .5mm. 100% continent by 3/10. ED- in progress. First post-op PSA on 3/10/10-: 0.01. PSA on 6/21/10--0.02. Next PSA late Sept.

geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 9/12/2010 5:33 PM (GMT -6)   
In pre-op I told the nurse that I was looking forward to seeing the DaVnci machine but she told me that I wouldn't remember it because the anesthesia causes retroactive amnesia. Well, I saw the machine covered with plastic bags and standing in the corner but that is the last I remember before waking up back in my room with my wife next to me.

Oh, I do remember being shaved. The orderly who did it told me that some docs chewed him out if he did it badly but that my doc just looked very sad and that was worse than being chewed out.

That night they had cuffs on my lower legs that inflated every few minutes to prevent blood clots -- I imagined that it was just my cat trying to find a comfortable place to sleep and it didn't bother me.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads
6 mo. PSA 0.00 -- 1 light pad/day
9 mo. PSA 0.00 -- 1 light pad/day ED remains
12 mo. PSA 0.00 -- still one light pad and ED
16 mo PSA 0.00 -- light pad just for security, ED still an issue

cantexplain
Regular Member


Date Joined Jun 2010
Total Posts : 74
   Posted 9/12/2010 7:30 PM (GMT -6)   
Reading the responses to this query, I am reminded of few things:
1. the first "indiginity" was the fledgling nurse shaving my privates. Ah, well, after a DRE and so on, who cares?
2. It definitely is "lights out" whenever the anesthesiolgist decides it's "good night now" Dont' worry about what you might see in the OR:  I, too, saw the machine that I would be strapped into, and the Da Vinci station which was, well, all the way on the other side of the OR.  Very interesting, and by the way, Dr. Gas, when will I be going asleep?  Bye bye, within seconds once he turns the switch.
3. I was nauseous upon wakening:  the prior post refer to a drug that they slip into the IV:  it was a perfect and I fell back asleep and had no more issues with that.  Ask for help:  I couldn't imagine hurling an hour after waking up when there is a simple solution to nausea and they have at the ready.
4. Final issue:  the nitrous gas pumped into your abdomen might cause issues.  For me, 20- hours or so after the surgery I was in great pain.  Make sure the nurse or attendant knows you're not referring to intestinal gas.  It's in your shoulders and neck and it composed of  gas pockets that will be absorbed in your body, not expelled at either end.
Good luck, you'll do great.
Age at Dx: 56
DaVinci Prostatectomy: 10/28/98

Stage: T2C

Gleason - 3+4 = 7

Prosate: 52 grams

Incontinence - absolutely at first, better with time and kegels

ED - Indeed

Married, father of two (boys 19 and 17)

10 months later: member of the "zero" club, working on one "safety" pad for 24 hours. Took Cialis for 6 months (no apparent affect), Tri-mix works, though!

April6th
Regular Member


Date Joined May 2010
Total Posts : 264
   Posted 9/12/2010 7:46 PM (GMT -6)   
I have a couple of trivial questions I wondered about since my surgery.

1) Why did they shave me on the operating table? It would seem more sanitary and less messy to do it in another room, then clean me up and then wheel me in for the surgery. I kind of imagined the floor of the operating room looking like the floor of my local barbershop. They must have a powerful vacuum attached to the clippers or there would be hair all over the place

2) If they were pumping up my abdomen with gas, how did they keep my abdomen inflated with it when I had 6 incisions that it could escape from?

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 tested on 7/15/10: Zero Club membership card issued (trial membership with 90 day renewal)

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25394
   Posted 9/12/2010 8:50 PM (GMT -6)   
dan

never heard of being shaved in the OR area. its usually done in the pre-op phase before the gurney takes you to the OR.
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 ?
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, on Catheter #21, will be having Ileal Conduit Surgery in Sept.

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3895
   Posted 9/12/2010 9:57 PM (GMT -6)   
If they shaved me, I didn't know anything about it. I got the inflating leg bindings too. Between them and the 4 hour checks for vital signs, I got little sleep that first night.

Hey Geezer, how did you manage the positive margin and the 16 month zero club membership?? I NEED to know that secret!!

sm416
Regular Member


Date Joined Sep 2010
Total Posts : 27
   Posted 9/13/2010 2:00 PM (GMT -6)   
Rick,
Couple of things that I have experienced post surgry (no problem with da Vinci) but I was not really informed about what the catheter would do, it does cause swelling to the point of what part is what, looks more like a grapefruit. That cleared up after the catheter was removed. The other thing that I am dealing with is some discomfort urinating and low flow. My doctor has indicated that it may be scar tissue in the urethra or swelling, or both. The sensation can be confused with an infection. Best thing to do is to have patience and if you are really concerned about something.....ask...ask...ask! Hope you get good treatment and you have nothing but good results before, during and after.
Age: 58 Married 28 Years.
Initial PSA 2.9 elevated to 5.7 before Robotic RP surgery
33% of 1 of 12 biopsy points (left side near bladder)
August 9th Prostectomy with 3D Robotic Surgery
August 16 Staples and cath removed
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