Hernia.

[pjoshea13]

New paper below [1].

Live long enough & we are likely to suffer most of the common male medical indignities. & so, it's my turn to experience a hernia. My GP spoke about trusses & so on & I was surprised that he didn't steer me towards surgery. After a month or so, with discomfort increasing, I saw a surgeon, & even he seemed to be steering me away from surgery.

He told me that it would have to be open surgery because of my prostatectomy.

From the new paper:

"The association between radical prostatectomy and inguinal hernia development is complex and unclear."

"Following RP, the space of Retzius, also known as the retropubic space, develops adhesions with the surrounding tissue, causing difficulty during IH repair. Conversely, IH repair for a previous IH before RP also induces severe adhesions around the space of Retzius and results in some difficulty during RP procedures."

I doubt that my RP of 14 years ago had anything to do my hernia, but it complicates treatment.

The PCa-hernia literature on PubMed goes back to 1951, & there are 255 hits for <prostate cancer hernia>. But I suspect that this is a new topic to most here.

-Patrick

[1] onlinelibrary.wiley.com/doi...

[YostConner]

Interesting information. Hope you feel better.

[AlanMeyer]

I used hernia belts to successfully control hernia pain for years. Once I found the right belt for my needs, I was satisfied with it. The main problem was just the inconvenience (and potential embarrassment in public restrooms) of undoing and redoing the belt when I had to urinate. Eventually however the belts weren't enough and I had pain in spite of them. I had laparoscopic surgery. I called my health maintenance organization, spoke to a nurse in the surgery department, and asked her who did the most hernia repairs and was he the one she'd recommend. She gave me a name and I was happy with the results.

I didn't need the open surgery so I can't say how tough it might be.

Best of luck with it.

Alan

[Mrkharn]

Ugh. Good luck.

I had a triple hernia procedure last year with laparoscopy. (Navel and right and left inguinal).

One of my responsibilities was moving the office files. Not anymore

The inguinal cuts have not healed well and the procedure was not as easy as I thought it would be. Just to laugh or to cough was extremely painful after the surgery.

But one of my brothers had two done last month, open surgery, and he is fine.

I wish you the best with it.

Mark

[Firespooks]

Since my radical prostatectomy I’ve had 3 inguinal hernias repaired. 1 open surgery and 2 robodic. By far the OPEN surgery was less painful for me.

[BigRich]

Good luck with the procedure.

Rich

[Winston40]

I have had two inguinal hernia surgeries since my radical prostatectomy. The surgeon for the first hernia told me that it would have to be open due to scar tissue. The second hernia was repaired by a surgeon who made no promises, but said he was pretty sure he could do it laparoscopically. He was successful. I found the laparoscopic surgery to be far less painful. I would definitely consult with a couple of surgeons deciding.

[j-o-h-n]

I had two inguinal hernias repaired at the same time that I had my RPD (open surgery). Went in on a Friday, out on a Monday morning (At MSKcc). A bit of discomfort but not a biggie,

Good Luck and Good Health.

j-o-h-n Sunday 06/24/2018 8:02 PM EDT

[leswell in reply to j-o-h-n]

Unlucky/lucky you! Three and done. Basically, we’re jealous. Leswell had two separate open inguinal surgical repairs several years apart and no RPD, alas. The most recent hernia repair, I would say, was urgent, necessary, and highly successful.

[j-o-h-n in reply to leswell]

Yep my doc uses duct tape.... Thank God Les' doc uses gorilla glue...

Good Luck and Good Health.

j-o-h-n Friday 07/27/2018 5:06 PM EDT

[leswell]

This is one more development you did not need! Your decision is more complicated than ours, but we hope for successful surgery in spite of your previous RPD. Wishing you wisdom and the best surgeon. And now back to your post on ipatasertib, Zytiga, AKT, PTEN, Ursolic acid, and HOLY BASIL. Interesting.

[Grumpyswife]

My husband’s hernia showed up 3 years after RP and shortly after radiation. When I saw it I thought it was something caused by the radiation so we into see the RO.

It turned out to be an easy one done in an outpatient surgical center.

Shortly afterward his internist thought he felt another hernia on the other side. This time we had learned about a doctor called the hernia king in Minneapolis. We consulted him and were told there was no second hernia. It was some other oddity with no surgery required.