Just had my prostrate removed two days ago,,feel pretty rough, hope i made the right decision......
Posted , 9 users are following.
robotic prostrate removal
0 likes, 21 replies
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Notes on Just had my prostrate removed two days ago,,feel pretty rough, hope i made the right decision......
greg43014 steve82587
Posted
romneyj steve82587
Posted
Hi Steve,
I had my prostate removed (robotic) 8 weeks ago. Because I'm on steroids for another problem I couldn't take ibuprofen and the 1st 2 days post surgery were not good. After the 1st 4 days I actually began to feel ok. Most of the problem is CO2 induced (surgical emphysema with considerable phrenic nerve pain in the right shoulder and bubble wrap skin all over the chest and shoulders).
My catheter came out after 11 days and urine just flowed out at the time and I wondered if it would ever get right but I was continent at night (when in bed) from the first night and totally continent (no pads) in 5 and a half weeks.
I had my left neurovascular bundle removed due to invasion from the prostate, but was semi potent even on the first night after the catheter was removed and find achieving orgasms to be no problem.
I feel happy I made the right decision. I'm sorry to have lost the nerves and blood vessels on the left hand side but 8 weeks later I'm now as fit as I was before the op.
Good luck Steve. Those first days post op are truly evil I know but you will be feeling better every 12 hrs now and once you hit the 4 day mark you'll be good if you are anything like I was.
Romney
steve82587 romneyj
Posted
n-mac romneyj
Posted
Interesting, as this lastes description seems to meaningfully contradict what you said just 12-days ago, which was as follows:
>>I am still less than 7 weeks on from my RP - like you, the neurovascular bundles were removed on one side but I seem to be lucky enough to have small signs of life though nothing that would be considered more than a hint of a beginning.
>>Things I shall certainly be using in conjunction with daily cialis (about to start that) are the vacuum pump and maca which I hear seems to help (?). L-arginine is a non-specific veno-dilator (it releases NO) so may not be more effective than viagra or cialis which are more specific... Nitroglycerin (another veno-dilator) applied directly might be effective but you would have to wear rubber cloves to apply it and then be sure to wear a condom!! The simplest solution is the purpose-made drug alprostadil.
?Which story is the true story?
romneyj n-mac
Posted
Lol, both are true. There is no contradiction. I was semi potent = signs of life. There is no way i could then or can now (even having taken cialis for a week) enter a vagina but there is hope when you have a level of potency early on as I'm sure you will realise. I did not mention having a orgasm as I had not realised at the time that many guys continued to have problems with that. On this occasion I gave a bigger picture as Steve was clearly going through that difficult first few days.
Today I spoke to my nurse to arrange the organisation of a vacuum pump and started maca last Friday. The next step for me if I cannot regain full potency will be alprostadil pessaries though I think that the evidence is that if you begin with a level of potency you are likely with vacuum and cialis to regain full potency over a year or two (cialis is recommended currently over 3 yrs)
n-mac romneyj
Posted
Thanks for the explanation romneyj. So are you saying that you've been able to have orgasms pretty much since several days after surgery, but that they've been achieved with a flacid penis by means other that penetration? If that is the case, then I see it as a good sign because it means that the orgasmic related nerves remain functioning and firing, so to speak.
I'm curious to know this level of detail as my RALRP is scheduled for 1-week from today at MSKCC in NYC, and I've found myself getting ever increasingly anxious over it.
All the best.
romneyj n-mac
Posted
Lol, it's interesting the conversations we have on this site
Flaccid is probably inaccurate as it need to have some life in it to do anything with it but somewhere between flaccid and semi-erect. Yes, my first orgasm was on the day my catheter was removed (11 days post surgery) - and yes as you so delicately put it, by means other than penetration. It seems generally that RALRP gives the surgeon far more control than traditional surgery. For sure the continence data is excellent by comparison - the potency data is currently being collected here in SE UK where I had mine but is also known to be better.
romneyj n-mac
Posted
Good luck with your surgery, though I believe you won't need it. Grit your teeth for the first 4 days. They are not especially comfortable but they are worth it.
n-mac romneyj
Posted
Best.
geoff90305 steve82587
Posted
Geoff
steve82587 geoff90305
Posted
anthony70342 steve82587
Posted
Wishing you well Steve. That's one of the things that's concerning me. The doctor told us what to expect but it's the "doctor" who has probably not gone through this before that has to deal with the emotions and the "what's next" dilemma. Oh well. I guess God is the deciding factor. Take care.
auntiebeanie steve82587
Posted
Steve, my husband had RARP in November. Recovery from op itself was good not too much pain. However one one side of nerves spared. Used pump after 8 weeks. It produces erection but goes down immediately he stops it. Finds ring very uncomfortable. Viagra made him ill. Now on cialis. Not working yet. There is some life there but not enough for sex. Urinary wise had catheter in for two weeks post op. On removal gushed out for 2 days but then was continent at night within a week. Still got stress incontinence and uses pad but he forgets to do his legal exercises which is the key to regaining continence. His clear of all cancer and that is the important thing. Nerves takes time to heal. Some people have very quick recovery some don't. You are all different. Ensure you talk to your partner. It is important to have support. Good luckx
steve82587 auntiebeanie
Posted
barney34567 steve82587
Posted
If PCa was suspected of being localised to the prostate and you're relatively young, then surgery is a good solution. I had RARP last September.
Healing takes time.
even if you feel strong and active in the days or weeks post surgery, don't strain yourself. The best you can do is walking. A bit and then a bit more. Most days, not every day. Don't exert yourself.
3 months post-op and my contingency came back.
Stay positive.