Da Vinci Procedure Amazing

[Pmann]

Folks,

I had the Da Vinci removal of my twenty year old irradiated prostate this past Friday. Side effects minimal so far except for pain at robot introduction site above my navel.

I am familiar with long ugly scars from previous hip replacement and fractured femur and legs and I am so thankful to not have those issues now.

Go back for catheter removal on Thursday, kind of enjoying not having to get up to go pee all the time but probably should not even suggest that.

Never thought I would be at this point after all those years of ADT and all those SEs but this is the path my God has put in place for me.

Prayers for all those who are waging a much harder fight than me.

[Justfor_]

Catheter removal only after anastomosis tightness is verified by cystography (x-raying for possible leak detection).

[Pmann in reply to Justfor_]

Thanks for the insight

[Justfor_ in reply to Pmann]

I had the catheter for a whole month and 3 cystographies. The ones at 6 and 15 days showed leakage. Some irrisponsible doctors remove it blindly just playing the odds.

[ck722 in reply to Justfor_]

The removal is quick and painless. It might take a full year to get leakage under control.

[Justfor_ in reply to ck722]

Sorry, you got it all wrong!

I was cautioning against "internal" leakage not external. Anastomosis* is the surgical joint of the pre-op downstream the prostate urinary track to the post sphincter of the bladder.

In engineering terms this would be called splicing. The trouble is that there is a considerable difference in diameter between these two parts. The bladder side is much wider than the other. The surgeon will try to bridge the two in a mechanical way with suture. Tightness will be performed by the body growing new tissue to fill any slits. The catheter bypasses this splice point to give the body enough time to seal the joint. If the catheter is removed earlier than needed urine will leak inside the patient's body, a dire situation.

* "Stoma" in Greek is mouth and the preposition "ana" is indicative of doing something again.

Hence, anastomosis is the formation of a new mouth piece.

[mrscruffy]

Had great luck with the DaVinci procedure 5 1/2 years ago still have an erection and no incontinence. Only problem was the hernia left from procedure, dieting and exercise took care of it quickly

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

Do you mean you still have a 5 1/2 year old erection? Man oh Man I would settle for just 10 minutes.....

Good Luck, Good Health and Good Humor.

j-o-h-n Tuesday 01/18/2022 11:15 PM EST

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

😂

[Karmaji]

Strange is this game of God ..Enjoys making humans sick and then we pray for our recovery...Why He or She or It plays such games...

conditioned mind keeps creating virtual powers....in fear

For ancients...

Connect to being...happiness shines...

[Burk in reply to Karmaji]

Excuse me, but God does not "enjoy making people sick" The Bible says that he "Heals our diseases; He redeems our life from destruction; and He crowns us with lovingkindness and tender mercies". That's my God!!

[Pmann in reply to Burk]

That is the God I am talking about as well

[ck722]

Not a game, a plan carried out. He is reminding us that our lives are finite.

[Don_1213]

@Pmann - If I understand this correctly (I believe some people may have missed this) - you had salvage surgery to your prostate AFTER having it treated with radiation 20 years ago?

This is the treatment scenario so many urologists claim can't happen?

[Pmann in reply to Don_1213]

Yes sir you are correct. I was led to believe the same for many years. After five years of looking for metastasis and finding none we did MRI followed by positive biopsy, MO referred me to urologist specializing in robotic surgery and we took it out. Don’t really know what this means long term but excited it happened. Can’t really hurt except for new side effects and that is OK.

[Tommyj2 in reply to Pmann]

VERY interesting. I don’t think I have enough prostate left to even DO a biopsy after my radiation but we can’t locate the source of my rising PSA anywhere....will be interested in how you ( and your PSA) progress after this procedure....

[Pmann in reply to Tommyj2]

Urologist told my wife there was not much left but more importantly urethra looked healthy

[Tommyj2 in reply to Pmann]

Are you hoping( expecting) that removal of the remaining prostate tissue will also remove what remaining cancer you have??.... is there reason to believe this is the case?? Rooting for you.

[Pmann in reply to Tommyj2]

I think that is the case but when I go to urologist tomorrow that will be my first question. They did dissect a couple of lymph nodes nearby and those results will be importantOf course getting my Eligard shot as well as usual but that’s OK

[Hidden in reply to Tommyj2]

I'm in the same boat. Rising PSA (to 1.7) and axumin scan a couple of weeks ago could not pinpoint the cause. I still have my prostate after HIFU.

[MateoBeach]

Thanks for highlighting an exception to the conventional view that you can’t do RARP after prostate RT. Apparently the right surgeon can!

[MateoBeach]

Send flowers to her office!