Hi David: I had Gleason 9 Stage 4 Prostatic Ca.
This is a bit long but I can’t say this in a short message.
I am writing this as both someone who has been there. Seriously so, and also as a Registered Nurse who had taken care of men in the past with
the exact same problem. I am now retired.
First, since they are going to do an anastamosis of the urethra, might I assume they are doing robotic surgery? In re: to that part of the
procedure, I personally have had problems with stricture. But it has not changed my life much.
I had Gleason 9 stage 4 which is about the most serious you can get.
They first did a TURP, and was found to have the above. At that point the Dr I had then abruptly walked Into the exam room a week later and told me I
was going to die, and as such told me after I asked about options, said I should do nothing. What a jerk.
I got a referral to a good surgeon. That Dr said “hang on a sec. And said before doing anything we should get a full body scan to discover any
metastasis. None.
I had people praying all over the world for me, but none prayed more loudly than I did. Anyway the surgery.
This was a radical prostate robotic surgery. I actually downloaded the entire procedure in video and took the time to watch it. Then I knew what
I was up against. Wasn’t as bad as an open procedure for sure. Don’t do this unless you have a strong reserve to watch it.
All this said. The full body scan was negative for metastasis. You should have this done [full body scan] before your surgery for sure.
After procedure:
I had a foley for 3 weeks. Was not painful but it was annoying. I used a larger bed bag at night and switched to a leg bag during the day. You
should be sure they provide both for you post op for at home and show you clearly how to switch between them safely. That way you can go out during
the day and no one will see a bag. [a better life choice]
Side effects: If you still need to work, this may help you get back to it. If not it will help either way.
The pain was only severe day one and two. Then moderate for a few days and mild thereafter. My Dr did order pain meds but be careful with them and
don’t drink at all while you have that cath in.
Make absolutely sure you have bed protection, even with a cath in. Sometimes you have bladder spasms which can hurt and also pass urine around
the tube. And stay clean in the area around the insertion area of the catheter. [get some washable underpads as disposable ones may not stay
underneath you at night]
WARNING:
The Drs do not know how to address incontinence. The Nurses do but still most do not know how to really handle it in a home setting.
1. When the foley is removed, either in the Dr office, or in radiology, you will be incontinent. Wear protection when you go to have it out or both
you and the table under you..well you get it. Either wear or take a brief with you.
Incontinence will not wait for you to get back home, and they most likely will not address this. You will be wet almost immediately. Until
incontinence improves be prepared.
I am now three years post op. Still 90% incontinent. This is rare. Most men get at least half their control back or more. Some after just a few
months. But just in case you do not.
5. After three years I have learned that I didn’t know a tittle about Incontinent briefs.
PRIDE IS YOUR ENEMY
So, here in the US. We are proud. We get embarrassed just talking about “briefs” which are just exactly what they are. Diapers. But lets
call them briefs for prides sake.
6. So talk about protection.
If you get most of your control back a pull up will be all you need. They are expensive though and the cheapies are just exactly that. Leaking
crappy cheapies. Even some depend brands are just so.
If you don’t ever, never, totally want to have a leak day or night use common sense. I learned the hard way so I will maybe tell you what I learned
that even as an RN I didn’t know.
There are no leak proof briefs. There are only better ones that limit the possibility.
When one sleeps at night, most people do sleep on their sides from time to time. Get it?
Now in the US our pride has the better of us and all you can find at Walgreens or CVS or anywhere but the most expensive medical supply houses
are “breathable” briefs. They breathe. And anything air goes through, so can water. Get it?
I will watch this thread and if you wish will provide links where I purchase my briefs as when you search you will get some of the most outlandish
things showing up. I will provide direct links to what I use. Indeed you will need a heavy one when that foley cath first comes out. Be prepared.
The good:
I am still here, and recovery is the most likely outcome. I am now Living a normal life and doing fine with a below 0 psa three years post op.
I am back on my road bike and I am now riding 20-40 miles a day and still doing well.
As a retired RN I tell you. The surgery does work and is not as invasive as years past.
Recovery is faster, pain is less, and side effects save for the urethral anastomosis stricture and incontinence are remote.
The stricture if severe can be addressed with a minor procedure later on. The incontinence once managed will not change your life much. I even travel
hundreds of miles with no problem.
I did go through 43 radiation treatments after 8 months post op. That made me weak, an didn’t help side effects, but I am now 3 years post op,
cancer free, and alive living well.. So you see,
sometimes our pride can be our biggest problem. Was for me. In fact pride was my enemy.
As a christian I will pray for you. I don’t get on here often but if you need to talk message me and I will try to check more often. If all you
need is info on briefs. I will provide to you the most effective.
I can put the links simply in a reply but no time to do so right now Good Luck David. O yea, my name is also ... David.Still here, beautiful wife
of 34 years and happy.
this does not need to bring you down
Prayers your way and God Bless.
DavidsHope
edit on 1-10-2022 by DavidsHope because: (no reason given)