Posted 2/20/2013 10:04 PM (GMT -7)
I just remember my surgeon telling me this when discussing the subject of salvage surgery. Due to the "blurring" so to speak of the surrounding tissues from the radiation, there is extreme risk to having severe rectal wall damage. Ending up with a colostomy is a real danger with this type of surgery, as well as permanent incontinence and permanent ED issues.
I am facing a similar problem, but with my bladder. I just visited an upper level surgeon at MUSC in Charleston, SC. Dr. Thomas Keane. I suffered great damage to my body from a blotched salvage radiation job after a failed prostate surgery. My bladder and bladder neck was fried. I ended up having to have my bladder by-passed with a Urostomy surgery (similar to a colostomy, but for urinary reasons). My bladder should have been removed at the time, but wasn't. Now 2 plus years later, the disconnected bladder is acting up, going bad, etc, and possibly may be cancerous. The operation to possibly remove it is highly complex, and very risky, and it could make things worse than they are. Was told point blank, that death was a possibility in this surgery, or I too could end up with a colostomy.
It's possible with his level of skill, Dr. Keane may do the type of surgery you suggest. Mine bladder operation is still early in the planning stages and no decision has been made. The surgeon is still not sure he's willing to do it, even though he is the most skilled surgeon in SC to undertake it.
Age: 60, 56 at PC dx, PSA 16.3
3rd Biopsy: 9/8 7 of 7 Positive, 40-90%, 4+3
open RP: 11/8, Catheter in 63 days
Path Rpt: 3+4, pT2c, 42g, 20% tumor, 1 pos margin
Incont & ED: None
Surgery Failed, recurrence within 9 months
Salvage Radiation 10/9-11/9, SRT failed within 9 months, PSA 4/12 = 37.x
Spent total of 1 ½ years on 21 catheters, Ileal Conduit Surgery 9/10,
7 other PC-related surgeries
Member of Prostate Cancer & Chronic Pain HW Communities since 10/2008
“I live in the weak and the wounded” – Session Nine (Movie)