Posted 4/6/2007 8:52 PM (GMT -7)
Here's what my doc told me. Don't lift anything over 5 lbs for 3 months. Walk 1 mile a day with the catheter in, and when the cath comes out, walk 3 miles a day. Before the cath comes out, and when you are not walking, keep your feet up -which means when you are at the computer, put your legs up and put the keyboard on your lap.
My uro team hounded me about keeping my legs up and keeping my TED hose on until I went back to the doctor to get the cath out. I forget which book, Scardino's or Walsh's, but one says the most prevalent cause of death after prostate surgery is pulmonary embolism, or a blood clot traveling from the leg veins to the lung. This will stop your clock real fast, as I saw it do to my grandmother.
The heck of it is that surgery and cancer can both make one hyperclottable; therefore, the emphasis on TED hose and keeping your legs up, but also walking to keep venous return flowing well from the legs and not pooling down there so clots can't form. So, what happened to me? I got a big clot in my arm, because they didn't tell me to walk on my hands.
So, unless you use a 5 lb bowling ball, bowling is out. Walking is good, and it doesn't seem like you can get too much of it. BUT AGAIN, ASK YOUR DOCTOR for his advice about your limitations.
PSA (10/04): 2.9; PSA (2/06):4.4, on Androgel (serum T about 450) at age 56; negative DRE, no symptoms.
PSA (5/06):5.7 with a free PSA% of 8, OFF Androgel (serum T 163).
Biopsy (5/06): 4/12 samples positive; postitive samples only on right side; max Gleason 4+3=7 (in 2 of the 4 -from area nearest bladder. One was 40% of sample, the others less than a mm. thick.
DaVinci robotic-assisted laparoscopic radical prostatectomy + bladder lift + Right nerve plastic surgery (8/23/06).
Catheter out 4 weeks postop, due to internal pinhole leak at bladder-urethra junction.
Pads-Not needed after about 2 weeks post-cath, but gotta go a lot more often.
Final pathology report:T2c-both sides,but in capsule; neg. margins, neg. lymph nodes, neg. seminal vesicles; final max Gleason still 4+3=7.
1st Follow-up PSA (11/7/06): <0.008 !!!; serum T: 195 - still OFF Androgel (at present). Low T may delay return of erectile function (in presence of one damaged nerve).
2nd Follow-up PSA (3/19/07): <0.003 !!!; serum T: pending
Testosterone Level (3/19/07): 163, down from November 2006!
Uro-Endocrinology Consult (3/28/07): Prescribed Testim gel 1% once a day, and recheck PSA and T-level in a month.