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RALP on Tuesday

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Prostate Cancer
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azroadrunner
Regular Member
Joined : Mar 2022
Posts : 75
Posted 5/14/2022 4:37 PM (GMT -6)
Haven't posted here in a while, hope everyone is doing well! Been busy transitioning between two jobs.

The day is almost here (Tuesday, May 17th). Will be having my RALP and hoping for the best. Pathology meeting with the surgeon is on June 2nd. Thanks to the many good suggestions here, I'm mostly ready to go (including the 5 gallon bucket for the cath bag). At this point I'm looking at the pathology report as the "critical moment", with the RALP the path to get there. Hoping this thing was caught early enough that maybe, just maybe, I can put a lot of this behind me.
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Michael_T
Veteran Member
Joined : Sep 2012
Posts : 4001
Posted 5/14/2022 4:42 PM (GMT -6)
Good luck to you--you're going to do great!
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mattam
Veteran Member
Joined : Aug 2015
Posts : 3747
Posted 5/14/2022 5:23 PM (GMT -6)
Sounds like you're prepared. Good luck!
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Pratoman
Forum Moderator
Joined : Nov 2012
Posts : 9178
Posted 5/14/2022 6:20 PM (GMT -6)
Good luck AZ, let us know how you are doing as soon as you are able. We had one member, can't remember who, that actually posted from the recovery room LOL. I cannot imagine.

You'll do great.
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DjinTonic
Veteran Member
Joined : Dec 2019
Posts : 1953
Posted 5/14/2022 7:27 PM (GMT -6)
We're all rooting for you, AZ! Be sure to post your post-op pathology report when you get it.

Djin
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azroadrunner
Regular Member
Joined : Mar 2022
Posts : 75
Posted 5/14/2022 8:18 PM (GMT -6)
Thanks for the kind words. I'm trying to make the best of this, but I think this will be a rough week. My RALP procedure is entirely outpatient, so I'll post something the same day for sure. But not too soon -- when I might say something stupid coming off of the anesthesia. My wife and I have reserved an Airbnb near the hospital for a few days afterwards.
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centralPAdude
Regular Member
Joined : Jan 2022
Posts : 82
Posted 5/14/2022 8:45 PM (GMT -6)

Somebody said...
but I think this will be a rough week.


Oh hell yes. It is some serious surgery, no matter how well hidden it is behind a few small incisions. Treat yourself to some TLC. Slow is smooth, and smooth is fast. Be patient, and keep your eye on the long term prize, not the short one.

Best of luck, AZ!
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Jack64
Regular Member
Joined : Oct 2021
Posts : 285
Posted 5/14/2022 9:28 PM (GMT -6)
Yea!!! good to see you finally getting this behind you. I wouldn’t post here right after the surgery. You will be held responsible for what you say. LOL. As always hoping for the best results.
Jack
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GardenPests
New Member
Joined : Jun 2018
Posts : 5
Posted 5/14/2022 10:53 PM (GMT -6)
Practice your Kegels. I was on pain meds for 3-4 days. The 1st post op day, 1st night at home, was tough. Don't be stingy when starting. With the small catheter bag, you can easily get up and move about. Good luck.
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azroadrunner
Regular Member
Joined : Mar 2022
Posts : 75
Posted 5/15/2022 7:03 AM (GMT -6)

GardenPests said...
Practice your Kegels. I was on pain meds for 3-4 days. The 1st post op day, 1st night at home, was tough. Don't be stingy when starting. With the small catheter bag, you can easily get up and move about. Good luck.

Speaking of pain meds -- I was given a script for Tramadol, 50mg. I tend to stay away from pain meds in general but this will be an obvious exception. The script was for only 7 pills, so I guess it's an indicator the pain shouldn't last too long? How bad is this post-RALP pain?
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mattam
Veteran Member
Joined : Aug 2015
Posts : 3747
Posted 5/15/2022 7:58 AM (GMT -6)
For me, the pain from the surgical cuts was short lived. I had a high level of discomfort from the gas they use to inflate your abdomen. That lasted about 36 hours. The pain pills didn't help so I stopped taking them.

Felt like I needed to take a big, big poop, but nothing was there. You're experience may be a lot better.
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mattam
Veteran Member
Joined : Aug 2015
Posts : 3747
Posted 5/15/2022 11:36 AM (GMT -6)
Azroadrunner,
I noticed you said your procedure will be "entirely outpatient." Meaning no stay in the hospital? If so, I find that very surprising. All the guys I recall spent at least one night in the hospital.
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patrickm
Regular Member
Joined : Feb 2021
Posts : 82
Posted 5/15/2022 12:13 PM (GMT -6)
I had my RALP in Santa Barbara in February 2021, checking in at 5AM and being released at 4:30PM the same day, which seems common here. I was glad I didn’t have to spend the night. The gas that was mentioned was quite painful for me, seeming to have worked its way into my shoulders. The only hiccup in my after surgery routine was not realizing how quickly the small catheter bag can fill up; One time I emptied it, laid down for a nap and woke up with it almost bursting. I was afraid I had screwed something up internally due to the “back pressure” but fortunately hadn’t. From then on, when at home, I used the big bag.

Best of luck, and move around as soon as you are (reasonably) comfortable doing so.
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azroadrunner
Regular Member
Joined : Mar 2022
Posts : 75
Posted 5/15/2022 12:43 PM (GMT -6)

mattam said...
Azroadrunner,
I noticed you said your procedure will be "entirely outpatient." Meaning no stay in the hospital? If so, I find that very surprising. All the guys I recall spent at least one night in the hospital.

Yep, outpatient. In around 9am and out the same day. The surgeon I'm using says he recently started this protocol and it works well.
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halbert
Veteran Member
Joined : Dec 2014
Posts : 5758
Posted 5/15/2022 1:00 PM (GMT -6)
RE Pain meds:

I had my surgery around noon, and a night in the hospital with release the following afternoon. The night shift nurse gave me a dose of Dilaudid IV during the night. I took a single dose of something strong for the drive home (2 hrs in the car, in mid-winter), and I think I took one more dose the next day. After that, Advil did the job.

The key is to get up and out of the chair at least every couple of hours and walk around for 5 minutes. Drink lots of water (yes, you'll be dumping the bag a lot, deal with it). Take metamucil and stool softeners (Dulcolax or it's generic). It's ok to sleep in the chair the first night or two.
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MarkInNova
New Member
Joined : Oct 2017
Posts : 18
Posted 5/15/2022 2:17 PM (GMT -6)
Best of luck to you on your surgery and for a good pathology report to follow. My surgery was also on May 17, five years ago and, although pathology was slightly worse than expected, I have undetectable PSA to this day!
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Jack64
Regular Member
Joined : Oct 2021
Posts : 285
Posted 5/15/2022 3:15 PM (GMT -6)
Az, my daughter has kidney disease and lost one kidney many years ago. She gets kidney stones about every three months in the remaining kidney. I had one kidney stone a few years ago and it tops the list for pain that I have had throughout my life. She was always given narcotics for the pain. She would always get nauseous and dizzy on them. The last kidney stone she had the doc gave her Tramadol and she said it not only took away the pain, but no nausea. See you on the other side.
Jack
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Ray57
New Member
Joined : Jun 2016
Posts : 19
Posted 5/17/2022 5:32 AM (GMT -6)
Wish you the very best and a speedy recovery.
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Ray57
New Member
Joined : Jun 2016
Posts : 19
Posted 5/17/2022 5:50 AM (GMT -6)

Jack64 said...
Az, my daughter has kidney disease and lost one kidney many years ago. She gets kidney stones about every three months in the remaining kidney. I had one kidney stone a few years ago and it tops the list for pain that I have had throughout my life. She was always given narcotics for the pain. She would always get nauseous and dizzy on them. The last kidney stone she had the doc gave her Tramadol and she said it not only took away the pain, but no nausea. See you on the other side.
Jack

Hey Jack do you know about this plant for kidney stones?

body of post deleted. I'm sure intentions were good, but you are offering an alternative treatment, not as a complement to standard of care treatments, but instead of, or at least it seems that to me.
Judgement call, but the post doesnt feel like it would serve anyone well so i've deleted it. Feel free to discuss with Jack offline via email if you choose.

Thanks for understanding

Post Edited By Moderator (Pratoman) : 5/17/2022 8:35:19 PM (GMT-6)

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azroadrunner
Regular Member
Joined : Mar 2022
Posts : 75
Posted 5/17/2022 5:40 PM (GMT -6)
RALP went well -- I'm back from the hospital. The surgeon said no complications or issues and all went according to plan and as expected. It's the best I could have hoped for! I do have my little friend the catheter here biting my ankle, but it's a small price to pay to hopefully get this behind me. Catheter comes out on June 2nd.
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mattam
Veteran Member
Joined : Aug 2015
Posts : 3747
Posted 5/17/2022 5:56 PM (GMT -6)
Congratulations! Great to hear!
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DjinTonic
Veteran Member
Joined : Dec 2019
Posts : 1953
Posted 5/17/2022 5:58 PM (GMT -6)
Good job and welcome to the other side, AZ! Follow all your discharge instructions, including lifting restrictions, and avoid constipation. Stool softeners and walking are your friends smile
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azroadrunner
Regular Member
Joined : Mar 2022
Posts : 75
Posted 5/17/2022 6:01 PM (GMT -6)

DjinTonic said...
Good job, AZ! Follow all your discharge instructions, including lifting restrictions, and avoid constipation. Stool softeners and walking are your friends smile

Thanks for the reminder about the stool softener -- I'll take one or two right now. Am getting up and walking every now and then -- actually, the discomfort is less when I'm standing, but I don't want to over do it, either. Going to try to sleep in a bed tonight, but if it's too uncomfortable I'll shoot for the recliner. Fortunately this Airbnb has a nice recliner in the living area!
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DjinTonic
Veteran Member
Joined : Dec 2019
Posts : 1953
Posted 5/17/2022 6:10 PM (GMT -6)
Yes, don't overdo the walking either--your body will let you know what's enough.

Djin

Post Edited (DjinTonic) : 5/17/2022 6:21:19 PM (GMT-6)

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azroadrunner
Regular Member
Joined : Mar 2022
Posts : 75
Posted 5/17/2022 6:14 PM (GMT -6)

DjinTonic said...
Yes, don't overdo the walking either--you're body will let you know what's enough.

Djin

Definitely getting blood in my urine -- trying to drink more to flush it out and water it down!
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