swollen scrotum and other concerns

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sirius07
New Member


Date Joined Mar 2007
Total Posts : 10
   Posted 4/8/2007 7:19 PM (GMT -6)   
Had robotic this past tuesday 4/6-everything seems to be going fine...but have two
questions...any recommendations for swollen scrotum..and how long does that last? and
have a Jackson Pratt as well as Catheter...first what is it exactly that is being drained? and
it has not been decreasing remaining in 210 to 260 mi per day..any concerns there or is that
normal...other than that...no pain...had first bowel movement today..walking slowly 3 miles
per day...Age 54.... confused

lifeguyd
Veteran Member


Date Joined Jul 2006
Total Posts : 677
   Posted 4/8/2007 8:34 PM (GMT -6)   

Hi Sirius

The swollen scrotum is fairly typical.  Most people use ice to help reduce swelling.  I suggest a bag of frozen peas from your friendly grocery store.(flexible,easy to refreeze and dispose of) Be careful to not apply the icebag directly to the scrotum, use a dry towel so you won't get things too cold.

As far as the Jackson Pratt( that is the drain right?).  The only time I have heard of it staying in longer is when there is some internal leaking.  I know they examined mine the first night because the output was a bit more than usual.But It was removed befor I went home. Did your doctor explain what was happening regarding the drain?  If not, I would suggest you talk to him or one of his assistants again, so you understand. There are people on this forum with much more technical knowledge than I  who can explain better.

Good Luck with your healing


 
Biopsy 10/16/06
T2A,  PSA 4.7
Gleason 4+4=8 right side
adrenocarcinoma of prostate
DaVinci Surgery 01/16/07
Post op report,confirms Gleason4+4=8
no extra extension/invasion identified
age 65
Back on the golf course...
 
 


kw
Veteran Member


Date Joined Nov 2006
Total Posts : 883
   Posted 4/8/2007 8:38 PM (GMT -6)   
I had the swelling scrotum, but was not rally painful. Never felt the need for Ice.
Drain came out first or second day after surgery. If I remember it actually fell out when I got up for a walk.

Good Luck....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. Another 0.00.....:)
    Dr. said everything looks fine.  Continue to work Kegeal's. Leaking appears to have improved  after Cystoscope?!?!?!  Down to 3-4 pads per day!
    March 1st  Leaking has crept back up to 6 - 8 pads a day ??????? 
    March 8th Started Detrol LA to see if it helps with the leaking?
    March 29th Collagen injection into sphincter / bladder neck area to control excessive leaking.
    Return office visit May 2nd unless leaking starts agian.
    May 22nd Follow up and 3rd Post Op PSA
   


jackcc
Regular Member


Date Joined May 2006
Total Posts : 80
   Posted 4/8/2007 9:14 PM (GMT -6)   
Question about the drain.  Are you still emptying the drain and how many times per day do you empty it?  What were the instructions when you went home conserning the drain?

M. Kat
Veteran Member


Date Joined Jul 2006
Total Posts : 715
   Posted 4/9/2007 5:12 AM (GMT -6)   
sirius, Jeff did not have much of a problem with a swollen scrotum and his drain was removed before he came home. be sure to call your doctor with any concerns. kat
Husband Jeff 56 years old diagnosed July 27, 2006
PSA 6.5, 2 positive areas in biopsy, Gleason 3+3=6
Radical Retropubic Prostatectomy August 30, 2006
pathology report - all clear - cancer gone
1st post-surgery PSA test <0.1, 2nd post-surgery PSA test <0.1, 3rd PSA <0.1
no more pads Oct 12, 2006
first "real" erection with use of pump 12/16/06
3/07 - occasional dribbles and erections with Cialis and pump


Cedar Chopper
Regular Member


Date Joined Mar 2007
Total Posts : 432
   Posted 4/9/2007 7:15 AM (GMT -6)   

Sirius,

My good friend had two German Shepherds, Sirius & Real Sirius....  :)
                                        ^^
                                         v
His latest Shepherd is Thunderpaws....

Concerning for your drain still being in and producung, I will offer some ideas:

*  As you are walking a lot (3 miles daily)- this might keep some of the internal stitching bleeding a little more than others might experience.
*  My experience (8 major surgeries over 45 years) suggests the benefit of the exercise outweighs the minor bleeding.
*  Don't over-do it....  That is, don't pull any stitches.  Don't take aspirin, etc.  Some other pain killers thin the blood, too. 
*  Drink a lot of water and take a vitamin suplement with iron.
*  When you are fatigued, your thinking becomes skewed.  Don't take yourself too "Siriusly" - and rest.

Cedar Chopper


~~*~~*~~*~~*~~*~~*~~*~~*~~*~~*
2 Years of PSA between 4 and 5.5
Biopsy 23DEC06 
Only 5 percent cancer in one of 8 samples.
Gleeson 3+3=6
Radical Prostatectomy 16FEB07 at age 54.
1+" tumor - touching inside edge of gland.
Confined:)
***************
Texas Hill Country
FRESH Produce Department Manager
Have you had your 5 colors today?


sirius07
New Member


Date Joined Mar 2007
Total Posts : 10
   Posted 4/9/2007 8:40 AM (GMT -6)   

Thank you for your responses. Jackcc, according to instructions it could take 2 to 3 week for drainage to get below 30ccd..I am unsure what is draining and why...I just left an em with dr.....Ceder Chopper...thanks, what benefits does the walking actually do (this is my first surgery...good shape beforehand, was swimming 3 miles per week...as you suggest, I am not overdoing it, have not had any pain, not taking any pain meds...what I am concerned about is that the cat will not be removed? until drainage gets down...im waiting to hear from the drs. office....Question: What causes some people to have a drain...while most get it removed before they leave the hospital? 


lifeguyd
Veteran Member


Date Joined Jul 2006
Total Posts : 677
   Posted 4/9/2007 9:47 AM (GMT -6)   
Hello again Sirius
I mentioned in my previous answer that the Jackson Pratt drain was in place to signal and empty leaking. I was told that occasionally urine leaks from the bladder after surgery. The drain often has a pink tinged fluid that is a combination of urine and blood. The discharge in the drain is usually an indicator of some leakage from the bladder. I am retelling this from a drug addled recall of a bedside conversation with a doctor, so I may have it all wrong. So, as I said before, talk to your urologist so you understand your specific situation.
 
Biopsy 10/16/06
T2A,  PSA 4.7
Gleason 4+4=8 right side
adrenocarcinoma of prostate
DaVinci Surgery 01/16/07
Post op report,confirms Gleason4+4=8
no extra extension/invasion identified
age 65
Back on the golf course...
 
 


Cedar Chopper
Regular Member


Date Joined Mar 2007
Total Posts : 432
   Posted 4/10/2007 3:37 AM (GMT -6)   

Sirius :-) ,

There are so many benefits from walking.  I can only speak from experience:

Walking lets you begin working the General Anesthesia off ASAP.
It lets you develop an appetite and helps get your digestive track working.
Walking involves coordination and balance:  especially important as parts are removed and moved.
It can be tentative (getting up to go to the restroom) or vigorous (speedwalking) and is low impact.  This allows maximum "workout" for every patient.
It requires no equipment.  It can be done with a catheter, IV, drain, etc. in place.
Being ambulatory in itself is of course critical.
However, walking generally makes me feel better about myself - especially a walk in the woods with my two shepherds (Esther & Francisco) as scouts.

Drain time?  Regardless of our progress in medicine and science, medical practice is still an "art." 
I speculate that physicians weigh the benefits of the drain  versus the ability of the patient to take care of it at home.  Lifeguyd's comments seem reasonable: monitoring and taking some of the workload from the body's healing process.
Those that stay in the hospital longer probably have it in longer as well.
The robotic procedure was abandoned for my surgery after an hour of trying to get through adhesions formed after a laparotomy/spleenectomy (automobile accident, 1977).  My stay in the hospital was 3 1/2 days.  The drain came out the day before I left the hospital.

An example of the differences in physicians: My physician leaves the catheter in for 21 days to ensure the urethra/bladder stitching heals.
Other benefits might include keeping the patient moving a little slower and encouraging fluid intake (instead of beginning the incontinence watch immediately) giving other traumas from surgery time to heal.

After the surface wounds heal, swimming will be good for you, too!  ICTHUS

Cedar Chopper


~~*~~*~~*~~*~~*~~*~~*~~*~~*~~*
2 Years of PSA between 4 and 5.5
Biopsy 23DEC06 
Only 5 percent cancer in one of 8 samples.
Gleeson 3+3=6
Radical Prostatectomy 16FEB07 at age 54.
1+" tumor - touching inside edge of gland.
Confined:)
***************
Texas Hill Country
FRESH Produce Department Manager
Have you had your 5 colors today?


sirius07
New Member


Date Joined Mar 2007
Total Posts : 10
   Posted 4/10/2007 4:19 PM (GMT -6)   
Thanks once again. Your response is sensible and logical. I wish the good dr. could do the same...I get different info from the dr..and his assistants....the dr. says the drain has to be less than than
30cc while his assistants say 150 before it is removed...you will say speak to the dr. directly...very difficult..considered one of the best in NYC...and i must say very, very, hard to get
a hold of...i cant say much about their people service....hopefully the operation is as good as his reputation...so far the jackson drain has been in for 1 week and the amount has increased a little each day....
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