greenacres- ?'s regarding Dr. F. in Austin

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kziz
Regular Member


Date Joined Feb 2007
Total Posts : 242
   Posted 3/2/2007 4:27 PM (GMT -7)   
Kurt wants to know who removed your cath.  Was it Dr. F or his nurse?  We are strongly thinking about having cath removed back in OK.  We know we would miss out on face to face consult with Dr. F, however in booklet he sent us it says he is willing to do post consult via phone or internet.  Any thoughts would ba appreciated.  We talked to our Dr here today and he acted shocked that cath was to be removed 7 days following procedure.   Thanks, Courtney
Kurt & Courtney
47 year old
Great Health prior to dx
Dx on 1/29/07
PSA 4.1
Gleason 3+3=6, both lobes
Stage T2c, I believe
Tumor involves 20% of cores, both lobes
Live in OK
Da Vinci scheduled 3-15-07 in Austin


lifeguyd
Veteran Member


Date Joined Jul 2006
Total Posts : 664
   Posted 3/2/2007 6:29 PM (GMT -7)   
The catheter removal is no big deal if there are no follow up problems, My catheter was removed 8 days after surgery. The doc removed the staples , pulled out the catheter and said "looks good...see ya later".
Seven days is fairly typical for Da Vinci surgery. I have been told that open surgery is usually two weeks.

Actually, I had a few questions that he answered. Remember you will leak, so bring a guards pad to wear home.

If your catheter is not removed by your surgeon, I would suggest a urologist rather than a nurse, because he might better recognize any problems if they exist.
 
Da Vinci surgery 1/16/07
psa 11/05 (2.9)
psa 7/06 (6.7)
biopsy 10/16/06
Gleason 4+4=8
grade T2A
post op pathology- OK
age-65 going on 29
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1463
   Posted 3/2/2007 7:04 PM (GMT -7)   
Hey Folks,

I had "open" surgery (RRP) and had the catheter out after 6 days with no problems at all. Catheter was a nuisance and nothing more. Doc pulled it out and I didn't even feel it.

Jim
Age 72. Diagnosed 11/03/06. PSA 7.05. Stage T2B Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Pathological stage: T2B. Gleason 3+4. Cancer confined to prostate.
PSA on 1/3/07 - 0.04.  Next PSA on 4/4/07.
 
 "Cancer feeds on fear - starve it to death."


biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1463
   Posted 3/2/2007 7:39 PM (GMT -7)   
Not trying to set any record. An earlier post said that "... open surgery is usually two weeks". Point is that not all open surgeries take that long for the cateter to be removed.
Age 72. Diagnosed 11/03/06. PSA 7.05. Stage T2B Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Pathological stage: T2B. Gleason 3+4. Cancer confined to prostate.
PSA on 1/3/07 - 0.04.  Next PSA on 4/4/07.
 
 "Cancer feeds on fear - starve it to death."


kziz
Regular Member


Date Joined Feb 2007
Total Posts : 242
   Posted 3/2/2007 7:42 PM (GMT -7)   
With our local doc it is 2-3 weeks. We keep hearing about nurses removing cath. Just wondering what goes on at Dr. F's in Austin. Does he do it, or a nurse?
Kurt & Courtney
47 year old
Great Health prior to dx
Dx on 1/29/07
PSA 4.1
Gleason 3+3=6, both lobes
Stage T2c, I believe
Tumor involves 20% of cores, both lobes
Live in OK
Da Vinci scheduled 3-15-07 in Austin


kw
Veteran Member


Date Joined Nov 2006
Total Posts : 883
   Posted 3/2/2007 10:01 PM (GMT -7)   
Hey KZIZ,  My Dr's nurse removed the cath after the Dr looked at me.  Really it's no big deal.  She just had me stand up.  She released the saline that pumps up the bulb that holds it in.  Then the cath slid out with just a little pressure.
 
    BTW. Mine was in for 23 days due to some healing problems.  I guess I might have the record...in the wrong direction!!!!..heheheh 
 
    That's my story but you two do what you feel is right.
 
    KW
    43
    PSA 5.7 - Discovered during Annual Physical with Family Practice Dr.
    Gleason 7
    Biopsy - 3 of 12 positive (up to 75%) all on left side of prostate
    RRP on Oct. 17, 2006 - Nerves on right side saved.
    All Lab's clear.  No Cancer outside prostate
    Cathiter in for 3 weeks due to complications in healing. Removed Nov. 9, 2006
    First Post op PSA on Dec. 11, 2006  Undetectable 0.00
    Office visit on Jan. 19th due to continued excessive urine leakage.
    Feb.20th Cystoscope and 2nd Post Op PSA. Dr. said everythign looks fine.  Continue to work Kegeal's. Leaking appears to have improved after Cystoscope?!?!?!  Down to 3-4 pads per day! 
    May 22nd Follow up (unless incontenance does not improve by mid March) and 3rd Post Op PSA
   


GreenAcres
Regular Member


Date Joined Jul 2006
Total Posts : 474
   Posted 3/3/2007 6:51 AM (GMT -7)   
Hi, Kziz.

A nurse (male as it happened to be), removed the catheter in Dr. F's office. Seven days is typical with da Vinci. However, he doesn't take any chances as some on here will testify, there can be complications.

First, he sent us for an X-ray, just before the cath removal appointment. We took the film with us to his office. Dr. F. reviewed it and deemed all to be well. He told us that rarely is there any reason to leave the catheter in any longer than that.

If the post-op path report looks good, and all is well, you'd be in good hands with a home uro. His booklet explains so well all the post recovery steps and he (a nurse) can prescribe by phone the choice of viagra/cialis/etc. Dr. F. recommended getting on one of those for ED within a week or two following cath removal. He doesn't want you to "use" it; just get the blood flowing.

Please don't hesitate to ask any specifics about Dr. F/staff/hospital. I'm more than happy to help in any way.

I'm editing this. Now that I think about it, I'm pretty sure it was one of Dr. F's surgical techs who removed the cath.


Husband age 65
PSA on 5/1/06: 4.2 (had doubled in 13 mos. and rising monthly)
DaVinci Surgery 8/2/06
T2a (at biopsy)
T4c (at pathology) w/cancer cell leakage into fatty tissue
Post-Surgical PSA on 10/3/06 - undetectable!
Update: 11/1/06 - perhaps bladder neck involvement; 30%-50% chance of recurrence
Future: PSA tests twice-yearly for now
 

Post Edited (GreenAcres) : 3/3/2007 7:10:29 AM (GMT-7)


kziz
Regular Member


Date Joined Feb 2007
Total Posts : 242
   Posted 3/3/2007 8:50 AM (GMT -7)   
Thanks greenacres. That is what we needed to know. That makes the choice of coming home to have the cath removed easier for Kurt. If there are any complications, we will stay. Kurt came home last night just wondering if we were making the right decision regarding coming home. He wanted to know if Dr. F removed it himself, but since not, coming home is the plan. One week, five days and counting.....
Thank you. Courtney
Kurt & Courtney
47 year old
Great Health prior to dx
Dx on 1/29/07
PSA 4.1
Gleason 3+3=6, both lobes
Stage T2c, I believe
Tumor involves 20% of cores, both lobes
Live in OK
Da Vinci scheduled 3-15-07 in Austin


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8122
   Posted 3/7/2007 7:26 PM (GMT -7)   
Hi Courtney, Kurt,
A week to go for you and I wanted to let you know I feel great. My daVinci surgeon was excellent as yours will be as well. But aside from my uncertain things in the pathology the surgery was a minor event now. I walk good distances daily and have 99.9% control of my bladder. I cut the lawn today for additional excercise and will take an evening walk. I believe the walks help alot. They help me mentally and physically. I recommend that you do them asap after surgery. I did not walk long distances with the catheter, but I did walk frequently. Once the catheter came out I was walking a couple miles a day. Funny cause I never did that often before. But I do feel well and wish you will feel the same just a few weeks after. My third week "anniversary" isn't until Friday, but I cannot believe how well things are at least from the surgery.

Our Prayers and Love,
Tony & Ruth

kziz
Regular Member


Date Joined Feb 2007
Total Posts : 242
   Posted 3/7/2007 7:49 PM (GMT -7)   
Thank you TC and Dave. We continue to pray for great things for both of you. Courtney
Kurt & Courtney
47 year old
Great Health prior to dx
Dx on 1/29/07
PSA 4.1
Gleason 3+3=6, both lobes
Stage T2c, I believe
Tumor involves 20% of cores, both lobes
Live in OK
Da Vinci scheduled 3-15-07 in Austin

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