1. Driving with a catheter? 2. Why no dairy or carbonated drinks? 3. Is the prostate removed whole?

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mariateresa
Regular Member


Date Joined Jun 2007
Total Posts : 95
   Posted 8/30/2007 7:09 PM (GMT -7)   
OK more questions:

1. Rod would like to know why he can't drive with a urinary catheter?

2. Does anyone know why dairy products and carbonated beverages should be avoided prior to surgery and after surgery?

3. In reference to the robotic surgery: Does anyone know if the prostate is removed whole or in pieces? How do they do it with those little incisions?

Thanks!!!!!!!

Maria Teresa
Husband Age 55 Maria Teresa age 44

Total PSA 8 on 05/21/07

DRE: prostate bumpy

Biopsy on 07/16/07: 5 out of 8 cores positive, Gleason Score 8 (3+4+5)**

CT of the abd/pelvis; Bone Scan; Xrays done on 08/13/07: Normal

Robotic Surgery Scheduled for September 11, 2007


**"Report to the Nation on Prostate Cancer" published by the Prostate Cancer Foundation, page 11: "In some cases, the pathologist might identify a third pattern, which is less common but that has a higher grade than either of the first two patterns that comprised the Gleason score. The presence of this third pattern might indicate that the tumor is more aggressive than the Gleason score would otherwise imply. For example, if a Gleason 4+3 tumor also has some grade 5 cells, the cancer would be considered as being of higher grade disease overall."


Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 8/30/2007 8:22 PM (GMT -7)   
Hi Maria Teresa,
 
Well, the day is almost here. Rod will be in such good hands. Our thoughts and prayers will be right there with he and you.
 
Your questions.
 
Now Paul drove with his leg bag. Within a couple of days of surgery he just HAD to go run an errand. He drives a big truck so I wasn't concerned as to whether he could get in and out of the vehicle. I was more concerned with him straining himself. Not much I can do other than tie him down so, he went. nono    After that he pretty much drove himself when ever he took a notion.
 
 
As for fizzy drinks. Carbonation is gassy! Some of the worst tummy aches are the result of patients drinking soda after too soon after abdominal surgery. That may not feel so good so lay off the soda for a few days after and a day or so before. The pain it may cause wouldn't be worth it. Dairy takes longer to digest. That one is a given. A couple of days either side should be good. Antibiotics are given to surgery patients and as we know, that some times causes loose stools for days. Dairy may make that worse. Don't want any tummy cramps :>(
 
As for the prostate. There are 5, sometimes 6 small (maybe an ") incisions. One of those is made a little larger (about 2") to pull the prostate through after its been bagged (yes, it is bagged). The organ is removed whole. Hope this helps.
 
Swim
 


IdahoSurvivor
Veteran Member


Date Joined Aug 2007
Total Posts : 1015
   Posted 8/30/2007 9:56 PM (GMT -7)   

Hi Maria Teresa,

Swimom got it right, and yes, dairy makes some people gassy too.  So they ask that you avoid it so it doesn't cause problems during and after surgery.

If you'd like to see a "G-rated" version of a complete da Vinci surgery, look here:
http://www.brynmawrurology.com/McGinnisDaV.html  This is all done with animated graphics (not the real thing), so you won't get queazy.  The video shows how the prostate is removed.  It helped me a lot prior to surgery.

Your husband is going to do fine. :-)

Kind regards,

Barry (Idaho)


Age: 54
PSA: 4.3
Biopsy: T1c, 3+3=6, 2 pos. samples in one side of prostate
Da Vinci 31 Jul 2007: saved nerve bundle on side of non-cancerous side
Final pathology: Confined to prostate, T2a, 3+3=6
Working to get back into good shape
Waiting to take that first post-op PSA
My awareness web site: http://pca-info.blogspot.com


Cedar Chopper
Regular Member


Date Joined Mar 2007
Total Posts : 432
   Posted 8/31/2007 3:27 AM (GMT -7)   
Maria Teresa,

Just to chime in a bit with Swim and Idaho:
1.  I wouldn't drive much for the first week after surgery as roads are a little bumpy.
     It is not just the catheter that is the worry here.  There are a lot of sutures in the
     pubic cavity that are mending and they need time!  (Walking is good.  Lifting is bad.)
     But some of our physicians leave the catheter in longer and after 7 days I was encouraged
     to drive as I felt like it.  (I wore the catheter for 21 days.  My physician likes to
     support the sutures on the urethra with the catheter tube while they heal. 
     He refers to this as his "superstition," but his team actually have a patent pending
     on some secret technique here....)
2.  Before surgery I can understand any diet restrictions.  Anesthesiologists will cancel 
     any major surgery if the patient ignores these rules. After surgery -  say two days
     if your digestive tract is "working,"  I don't understand the restrictions.
     I've had a lot of major surgeries and the main rule was afterwards to start slow.
     During and after any general anesthesia, they watch for anything that can cause
     nausea or gas until you're back up to speed.  Also, your husband might have other
     health reasons for these restrictions  (e.g., a history of kidney stones).
3.   For the most very important accurate post-surgery biopsy:
     THE PROSTRATE MUST BE REMOVED WHOLE!  While surgeons that do more surgeries
      have more practice and should be better surgeons, this is the danger for rushing
      to do so many a day that surgeon makes an unintentional incision in the prostrate.
      This makes the pathologists crazy.

I was writing in my journal this morning about expecting unimagined and inexplicable blessings.
I'm imagining a train-car load of these for you and yours!  ;->

Your Friend,

CCedar
ICTHUS!

kdnole
Regular Member


Date Joined Jun 2007
Total Posts : 152
   Posted 8/31/2007 5:32 AM (GMT -7)   
Yea, the gas pains are the worst pain you'll have after surgery so any way to avoid adding to that is a plus.

I didn't drive for 10 days while I had the catheter in because the Dr. instructed me not chance damaging the sutures and avoiding any chances to slow down the healing process. Not to mention avoiding any chances of getting in an auto accident.

I had 4 incisions just above the belt line space out, another just to the right of the belly button and the 2" incision starting in the belly button extending up where they took the bagged prostate out.
Age 44
PSA 4.8
Gleason 3+3=6
T2
Da Vinci 7/31/07 @ Duke
2.5 hr. surgery, released from Duke with in 14 hrs.
Saved both nerve bundles. 
Foley out 8/10/08
Positive Pathology Report 
New Gleason 7
Left side near nerve bundle invloved
Oncology visit in the near future for radiation
Back to work 3 weeks following surgery - Sales


mvesr
Veteran Member


Date Joined Apr 2007
Total Posts : 823
   Posted 8/31/2007 4:39 PM (GMT -7)   
Hi mariateresa. I usually do most of the driving. The cath hurt when the tube pulled so bad with any small movement. I didn't feel like driving with it in. Moving the brake and gas and moving my right leg pulled the tube. Please don't let him drive while he is taking any narcotics for pain. He doesn't want to have a wreck, that would be terrible and even more painful. Just tell him to cool his jets, real brave men let their wives drive them around sometimes. Just till Mr. Hang comes out. Gas is bad and anything that causes it or constipation should be avoided. Gas pains were the worst pains I had.

Good luck

Mika-mvesr

biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1463
   Posted 8/31/2007 9:09 PM (GMT -7)   
Hi Maria Teresa,

I had to drive my wife to ER a couple of days after surgery. Made it okay but don't recommend driving that soon.

You should watch the DaVinci surgery on the internet referenced above. It is really interesting and should bolster your confidence in the procedure...

Jim
Age 73. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Pathological stage: T2C. Gleason 3+4. Cancer confined to prostate.
PSAs from  1/3/07 - 7/18/07 0.00. 
T level on 4/2/07 - 48     On 7/16/07 - 613
Started Tri-Mix on 8/7/07.  .02 ml and 50 mg Viagra.  It works!!!
Next PSA and T tests on 10/17/07
 
"Patience is essential, attitude is everything."
 


uncledan
Regular Member


Date Joined Aug 2007
Total Posts : 120
   Posted 9/1/2007 11:15 AM (GMT -7)   
As I am retired and didn't have any where I had to be except the Dr's office for Mr. Hang's removal I didn't drive for 14 days. Twice my wife took me out to meet some friends for dinner and once to the Dr. office. When I did start driving I had no pain and was not hampered in any way. I suggest your husband wait at least until the catheter is removed. As for milk or dairy products they I was told they have a tendency to cause constpation and you sure don't want that at this time. Uncle Dan
Age 67
10-06 PSA 5.44 01-07 PSA 6.47
CT and Bone scan negative
Biopsies 05-07, 2 of 6 positive
Gleason Score 7 (3+4) Stage T1c
da Vinci surgery 08-14 RAP, scar tissue,
Lymph nodes 2 R & 1 L, R & L seminal vesicles. Negative
Pathology report cancer encapsulated 7 (4+3) Stage T1c
8-31 Using small pad when going out, Sleeping without pad


mariateresa
Regular Member


Date Joined Jun 2007
Total Posts : 95
   Posted 9/1/2007 4:38 PM (GMT -7)   
Thank you for all of your very good responses. I printed them and gave them to Rod to read. He appreciates it! We just got done watching the video and found it very helpful (thank you Barry for the link). You guys are so sweet!

Maria Teresa
Husband Age 55 Maria Teresa age 44

Total PSA 8 on 05/21/07

DRE: prostate bumpy

Biopsy on 07/16/07: 5 out of 8 cores positive, Gleason Score 8 (3+4+5)**

CT of the abd/pelvis; Bone Scan; Xrays done on 08/13/07: Normal

Robotic Surgery Scheduled for September 11, 2007


**"Report to the Nation on Prostate Cancer" published by the Prostate Cancer Foundation, page 11: "In some cases, the pathologist might identify a third pattern, which is less common but that has a higher grade than either of the first two patterns that comprised the Gleason score. The presence of this third pattern might indicate that the tumor is more aggressive than the Gleason score would otherwise imply. For example, if a Gleason 4+3 tumor also has some grade 5 cells, the cancer would be considered as being of higher grade disease overall."

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