Saw this post, and thought I'd add my story about
After my biopsy diagnosis I did a lot of research on the disease and the two types of RP. I got 3 second opinions, and finally chose to have robotic surgery. I chose Dr. Arieh Shalhav and the U of Chicago, a major teaching hospital. I knew several people who had used the same doctor. Shalhav has done the procedure more than 2,000 times. I was comfortable with my choice, and expected to have a "normal" surgical experience.
Well, I can't say things were normal. I woke up in recovery and when one of the residents came in to check my JP drain, he discovered I was still bleeding. (Risk of bleeding is very low with robotic surgery; except for me.) I was still bleeding internally a couple hours later. My red counts were being monitored, and they kept dropping. Shalhav finally came in and told me he would need to go back in to clean up the blood and address any bleeder. It was another surgery, although only an hour. I was weak and didn't want to go through another operation. He said there would be one more blood test, and unless the count stabilized or went up, he was going back in.
Luckily, that count went up slightly, telling them the bleeding had stopped. No further surgery was needed.
During that post op period, I had fainted twice; probably from panic, etc.
I got 2 units of blood the next day, started to feel a bit better, and was discharged.
A couple days later I showered for the first time, and fainted again after drying off. Went to the local ER, and found my vital signs were normal. They told me my red count was rising and that patients with that level normally don't faint.
The fainting spells, combined with the weakness from blood loss, made me hesitant to get up and walk that much. I did a little but not that much.
Two weeks post surgery, my internist ordered an ultrasound of my legs just to rule out any clotting. Well, they found clots in both legs, and a small clot in my lungs. I was admitted to my local hospital and put on blood thinners, and ultimately on warfarin. I was hospitalized for 5 days until my INR was at a therapeutic level.
Now I will be on warfarin for about
6 months. That's the standard protocol after post surgery clotting issues.
As soon as I was discharged I felt good enough to start walking in earnest. Since that time I walk at least a mile a day outdoors. I feel myself again 8 weeks after surgery.
Bottom line is this is major surgery, and there's nothing routine about
it, or the recovery.
My continence has been good, and I'm just starting viagra therapy for ED.
Age at diagnosis-66 Diagnosed 6/16, PSA rise, then biopsy.
RALP 10/16 at U of Chicago, Dr. Shalhav. Experienced internal bleeding post op requiring transfusion of 2 units.
Pathology Gleason 3+4=7, tumor volume 15% Margins negative except for one focal margin, .1mm
PSA @ 6 wks <0.02
Post Edited (tennisplayer) : 11/29/2016 3:32:57 PM (GMT-7)