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Thread: Constipation getting worse after DaVinci

  1. #1
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    Constipation getting worse after DaVinci

    I had my DaVinci 7 days ago (7 Nov), and all went well according to surgeon.

    I was put on Laxatives in the hospital immediately, and mostly only had liquid diet, very few solids.

    I have been eating more soups and Bran cereal 3x per day since Monday 11 Nov.

    Nothing seems to work though, and the bloat and pain is getting more severe every day.

    I also walked Mon & Tues for 45 mins each, and I am about to go walk today as well.

    Still taking the laxative.

    Should I ask for enema or some such?
    Initial PSA 24 in Oct 2012
    Highest PSA 37 in April 2013, then Casodex 150mg per day before surgery
    PSA 14 in July 2013
    PSA 20 in Aug 2013
    PSA 10 in Oct 2013
    Gleason 5+4 orig, later reduced to 4+3. All 12 cores cancer
    MRI, Bone PET scan, Soft-tissue PET scan spring 2013
    Locally advanced, appears limited to prostate and seminal vesicles
    Second bone PET scan late Sept 2013, surgery 7 Nov 2013 I hope
    Schedule for Da Vinci surgery 7 Nov 2013, then radiation to mop up later

  2. #2
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    Seems that's a problem with any surgery where you are out completely. The fact that you had your prostate out makes it more more painful. You want to get that taken care of some how fast! They gave me a suppository at day three and that got things going. I had a few days that were a bit of a hassle. All I can tell you is fruit , salad. Lots of water and walking. Try to walk every hour or so. Good luck !

  3. #3
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    Constipation is a common problem after surgery, especially if you are still taking pain medications like Dilaudid whose common side effect is constipation. The anesthesia during surgery caused your intestine to be dormant and it takes a while to get things going again. Some takes longer than others.

    I took Colace and drank a lot of prune juice and did not take food with lots of fiber for a while to keep the stool soft until I recovered.

    Consult with your doctor if things are not getting better.
    PCa Dx at 65. PSA 2.5 in 2000, 8.4 in 6/09. Three negative biopsies in between. 6/10 PSA 10.7, biopsy 1 of 12 cores 5% cancer, Gleason 3+3
    CT, bone scans & MRI all negative
    Da Vinci 8/10; nerve sparing, catheter out in 7 days; no incontinence, no ED
    Post Op Pathology pT2N0Mx: organ confined; negative margins; lymph nodes & seminal vesicle not involved but PNI present; cancer extensive within prostate, multifocal G 3+3 and tertiary G 4+
    9/10, 12/10, 3/11, 6/11, 6/12, 6/13, 12/13 PSA <.1

  4. #4
    Prune Juice, watermelon, don't push too hard. Ask the Dr before trying an enema.
    BD: 1959 PSA 4.9 11/2012 (no symptoms)
    Biopsy 12/2012 Negative
    PSA 5.9 05/2013 (still no symptoms)
    Biopsy 6/2013 3+4 (thank goodness for PSA tests)
    1 core positive (upper left), 1 suspicious (lower left) out of 12
    DRE: bump right side T1c; PCA-III = 20 (normal)

    Da Vinci 7/18/2013: Invasive carcinoma involves left lobe of prostate only, extends from left apex to posterior mid region of left lobe Gleason 7/10 (4+3); G4 tumor comprises 75% of invasive carcinoma present
    Estimated total volume of carcinoma in entire prostate gland: 10%
    TNM: T2b NX MX (Stage IIA)

    8/25/13; 11/4/13 8/1/14- PSA undetectable
    One light pad per day, minor leakage, semi-erections

    My Story:
    T-Minus-36-Hours-until-da-Vinci...
    Catheter is Out!

  5. #5
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    ddayglo is correct. DO NOT give yourself an enema before consulting with your doctor. The area where the prostate was removed needs to heal. The enema could perforate your bowel and that would be BAD!

    Fran
    BD 1950
    DRE in 2005 showed right lobe enlarged/hard
    Biopsies in 2006 and 2009 both negative
    Biopsy May 2013 positive 1 of 14 cores
    4+3=7 T2a. PSA 2.9
    daVinci surgery 7/17/13 by Dr. Dennis LaRock
    Final pathology 7/29/13
    Tumor size 1.5 cm
    PC found on both lobes (biopsy indicated one)
    T2b Gleason 4+3=7
    Negative margins
    first post surgery psa 8/30/13 undetectable
    second post surgery psa 11/23/13 undetectable

  6. #6
    Senior User MartyAtx's Avatar
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    I had the same issue. It took me 8 days to have a bowel movement. I had been taking stool softeners and nothing. What saved me was Milk of Magnesia. The doctor had me take that and I was having bowel movements the next day. What a relief!
    Good luck,
    Marty
    Age 63
    2/07 PSA 5.5
    2/09 PSA 7
    1/13 PSA 14.2
    12 Core Biopsy 3/13 Results Suspicious
    12 Core Biopsy 4/13 Positive for PC
    Left Apex: Prostatic Adenocarcinoma
    Gleason Score 4+3=7
    1 mm; 5% of tissue
    Size 56.4 grams
    Bone Scan Negative

    Da Vinci Surgery 6/24/13 Nerve Sparing, age 62.
    Post Op Path Report
    87 Grams (Big One), 5x5x5 cm.
    Largest focus within Left and Right Apex
    Gleason Score 3+4=7 (was 4+3)
    Staging Pt2c pN0
    Occupying less than 10% Prostatic Volume
    Positive Margins Extending to Right and Left Apex Margin
    No Extra Prostatic Extension Identified
    No Lymphovascular or Perineural Invasion Identified
    Left and Right Pelvic Lymph Nodes Negative. Two nodes taken from both.
    Negative Base Lateral, Seminal Vesicle, Vas Deferens
    Additional Findings: Microscopic focus of 3+3=6 Acinar Acencocarcimoma,0.2 cm, Right Posterior, Confined to Prostatic Parenchyma.
    PSA 09/13 <0.05
    PSA 01/14 <0.05
    PSA 04/14 <0.05
    PSA 07/14 0.06

  7. #7
    Also, do NOT force things or push too hard... risk of hemorrhoids...
    BD: 1959 PSA 4.9 11/2012 (no symptoms)
    Biopsy 12/2012 Negative
    PSA 5.9 05/2013 (still no symptoms)
    Biopsy 6/2013 3+4 (thank goodness for PSA tests)
    1 core positive (upper left), 1 suspicious (lower left) out of 12
    DRE: bump right side T1c; PCA-III = 20 (normal)

    Da Vinci 7/18/2013: Invasive carcinoma involves left lobe of prostate only, extends from left apex to posterior mid region of left lobe Gleason 7/10 (4+3); G4 tumor comprises 75% of invasive carcinoma present
    Estimated total volume of carcinoma in entire prostate gland: 10%
    TNM: T2b NX MX (Stage IIA)

    8/25/13; 11/4/13 8/1/14- PSA undetectable
    One light pad per day, minor leakage, semi-erections

    My Story:
    T-Minus-36-Hours-until-da-Vinci...
    Catheter is Out!

  8. #8
    Senior User Bob_R's Avatar
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    just a thought, have you stopped taking all pain medication, that sometimes contributes to being bound up?

  9. #9
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    Location
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    For what it is worth. Several years ago (approx 15) I had a lower bowel obstruction which required surgery. Don't ever want to go through that again.
    Anyway, after the surgery the surgeon recommended that I take Metamucil daily and to eat a bowl of Fiber One cereal every day. I have been doing that and even after my DaVinci this past January I have had no problems.
    Just thought you might want to check with your surgeon and see if what worked for me, might work for you.
    Age: 65 / At surgery
    10/01/12 PSA 5.7 & climbing
    10/25/12 Transrectal biopsy / results T2 b/c Score of 3-4 & 4-3 / Gleason Score 7
    10/28/12 Consultation with Surgeon Dr. Vipul Patel (6,000+ surgeries) for Da-Vinci Radical Prostatectomy (my choice)
    01/11/13 Da-Vinci Prostatectomy, Florida Celebration Hosp. (above surgeon), Cancer confined within prostate capsule & none found in margins or lymph nodes.
    02/26/13 PSA test <.01
    06/11/13 PSA test <.01 and Testosterone 510
    09/09/13 PSA test <.01
    01/15/14 PSA test <.01
    07/21/14 PSA test <.01

  10. #10
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    Metamucil was my stool softener of choice after my daVinci. Never had a problem.
    BD 1950
    DRE in 2005 showed right lobe enlarged/hard
    Biopsies in 2006 and 2009 both negative
    Biopsy May 2013 positive 1 of 14 cores
    4+3=7 T2a. PSA 2.9
    daVinci surgery 7/17/13 by Dr. Dennis LaRock
    Final pathology 7/29/13
    Tumor size 1.5 cm
    PC found on both lobes (biopsy indicated one)
    T2b Gleason 4+3=7
    Negative margins
    first post surgery psa 8/30/13 undetectable
    second post surgery psa 11/23/13 undetectable

 
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