Post Operation

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Roy123
New Member


Date Joined Jul 2010
Total Posts : 10
   Posted 9/26/2010 8:31 PM (GMT -6)   
Much Obliged; to Everyone for great advice prior to operation.  Results: Age 69, PSA 5.7, Gleeson 3+4=7, clinical stage T2b, complications.......former fractured pelvis.  Turned down for laproscopic due to scar tisssue however, thanx to advice here, I found a sympathetic open surgeon who agreed to do it.  Operation Aug 5th.. Home Aug 7th.  Catheter out Aug 13th.  Post op. results: negative margins, 5-10% concentration, 48 grams weight, T2C stage,  Gleeson 3+4=7, PSA 0.01.  Doctor says he had hell getting it out amidst scar tissue but he obviously was good and "got 'er done".  My gratitiude to him is immense.  I'm still moderately incontinent but notice regular improvement and predict pratically dry sometime around in Oct . 
Question: Does anyone have advice re: post operative constipation?  I can't seem to find a stool softener that works reliably.  Enema works good but wonder if I can somehow overuse this method, plus do not like to have to rely on this.
Thanks again to all for past tips and please note that I highly recommend placing confidence in experienced open surgeon.
Roy123

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7078
   Posted 9/26/2010 8:45 PM (GMT -6)   
I use a softener that is less common, but still over-the-counter, suggested by my colo-rectal surgeon a few years back. I use 1 daily (in the evening).
Docusate Calcium, 240mg.
CVA and Walgreens have house brands, there is also "Rugby". Kaopectate bought the "Surfak" name, but a pharmacist will recognize "Surfak" as well.
 
Works for me. I tried Docusate Sodium, but it was too strong.
 
A little bit of mineral oil late at night will do wonders, but perhaps too well.
 
Just my experience -

kbota
Regular Member


Date Joined Aug 2010
Total Posts : 487
   Posted 9/26/2010 9:04 PM (GMT -6)   
Every Uro Surgeon states emphatically to NOT do enema's for several months after RRP. Significant risk of perforation due to thinning of the rectal wall at the location where the prostate is peeled away from the rectum. Be careful when buying stool softeners. Some of them also contain stimulants. I made that mistake, and went from constipated to a bad case of the runs.

I found that using a stool softener WITHOUT a stimulant along with a bulking agent seemed to help the most. The problem with many of the bulking agents is that you then wind up with severe gas.

Oh well,....Seems that everything has a tradeoff of sorts

good luck

k
Age 57 at Diagnosis
May, 09 PSA 2.26
June, 10 PSA 3.07 Free PSA 18%
Met with Uro, DRE +
June, 10 Biopsy, 7 of 12 cores, up to 60%, 4+5=9
July 21, 2010 - RRP
Nodes negative
Vesicles negative
tumor contained in capsule, still 4+5=9
perineural invasion extensive
Aug 5, 10 catheter out
Sept 3, 10 PSA - 0.00 (great big whew)
As of 9/3/2010, I'm 99% continent - only occasional stress incontinence !

Postop
Regular Member


Date Joined Feb 2010
Total Posts : 385
   Posted 9/26/2010 9:29 PM (GMT -6)   
Miralax. Stool softener and stimulant. Works if Docusate doesn't do it. If works, buy in bulk at Costco.

NEIrish
Regular Member


Date Joined Aug 2010
Total Posts : 245
   Posted 9/27/2010 9:47 AM (GMT -6)   
Senna and Colace for hubby, but neither worked for awhile. It was the biggest problem for the first week post surg. and he was fixated about it. We tried Mineral Oil one night with no results. Literature says you can over-use laxatives and bring about the opposite result -yikes. Keep with the stool softeners as directed. Enemas, as kbota pointed out, are against almost all the uro surgeons's advice unless administered in the hospital. My husband was instructed to delay his colonoscopy (he's due) for at least 9 months.

And a side note: although he was no longer constipated after the first week, he often had the sensation of not being "completely emptied" for a couple of months afterwards. We've attributed it to the 95 gram prostate which had bulged towards the rectal wall. We had no idea til then that he had prostate enlargement since there were no symptoms. Now, however, all is well with that end of the bod.
Husband 60yrs., no symptms: PSA 10/04 2.73, 12/06 3.64, 5/09 3.9, 10/09 4.6, 1/10 5.0w/ free PSA 24
6 core biop 4/1/10 path rept: rt mid: adnocarc. G=3+3, 5% of core; R apx v. susp. minute ca, R base bnign w/ mod. atrophy, L side atrphy only; 2nd opnion JH confrmd
MRI - 15mm nodule
BiLatRP surg 7/6/10, path: T2c, nodes, sem.ves, extra caps. neg., adenoc both sides G=3+3 cntinent, Viagr-8/27 ED
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