A website to provide support for people who have or have had any type of cancer, for their caregivers and for their family members.
Page 1 of 15 12311 ... LastLast
Results 1 to 10 of 143

Thread: What I Need to Know About Da Vinci surgery

  1. #1

    What I Need to Know About Da Vinci surgery

    This is dedicated to our future Da Vinci friends (Such as Ralph P)...

    In no particular order, most of this stuff was probably mentioned or I read a dozen times but somehow it either never penetrated my thick skull or I did not put enough importance to it:
    • Make the nurse go through how to use the catheter several times. DO IT YOURSELF. You make think you get it but you really don't
    • Bacitracin (or whatever ointment your Dr likes) is your friend. ask the Dr beforehand so you have plenty at home
    • Your catheter pee will be red for a while. don't be too alarmed. Some Drs give you a color chart to match up the colors with your progress.
    • You may have a low-grade fever. Have a towel on top of your pillow when sleeping. Don't be to alarmed but call the Dr if it goes over 101 degrees.
    • If you have a recliner, plan on using it to sleep. I could not even imagine getting in and out of a regular bed
    • sleep in the recliner overnight a few days before the surgery. That way the first time won't be the first time immediately after the surgery.
    • For a few days after the surgery, you will need someone to help you push the recliner in and help to get up onto your feet.
    Last edited by ddayglo; 12-15-2013 at 03:30 AM.
    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)

    8/13 11/13 2/14 8/14 2/15 8/15 3/16, 8/16, 3/17,9/17,4/18, 9/18 PSA undetectable
    3/19: .1 (damn), 4/19,6/29 retests: .1 (damn)


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

  2. #2
    Senior User
    Join Date
    May 2013
    Posts
    252
    good ones ! Id love to see others add to it.

  3. #3
    I would add that the catheter will move in and out a bit but will not come out. Mine looked to move out about 3/4" after I got home and it nearly freaked me out. I was convinced the balloon had deflated and bad things were about to happen.

  4. #4
    Your stomach will be swollen. You'll be amazed how swollen it will be. If it's the summer, buy a couple of pairs of "old men" LOOSE shorts and underwear at least two inches wider than your normal waist side.

    Edit: Your stomach will be BLOATED.
    Last edited by ddayglo; 12-15-2013 at 03:31 AM.
    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)

    8/13 11/13 2/14 8/14 2/15 8/15 3/16, 8/16, 3/17,9/17,4/18, 9/18 PSA undetectable
    3/19: .1 (damn), 4/19,6/29 retests: .1 (damn)


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

  5. #5
    Senior User
    Join Date
    Jan 2013
    Posts
    257
    Something like this would be great as a sticky on top of the forum. It's a great resource for men and people could add to it.
    Biopsy right prostate: Benign tissue
    Biopsy left prostate: Prostatic adenocarcinoma, Gleason score 7 (4+3), tumor involves 2 of 10 cores & 5% of total tissue sampled, Stage T1c, positive for PNI
    TRUS measured prostate volume 19.36 cc - Stage T1c
    66 Pd-103 seeds implanted 3/13
    PSAs: 4.76 5/12 - 4.23 8/12 - 3.98 10/12 - 4.9 2/13 - 2.9 6/13 - 2.7 11/13 - 1.31 3/14 - 1.07 7/14 - 0.69 10/14 - 1.6 3/15 - 2.0 6/15 - 0.64 8/15 - 0.68 4/16 - 0.16 11/16 - 0.12 6/17 - 0.12 6/18

  6. #6
    Experienced User
    Join Date
    May 2013
    Posts
    61
    Greetings,

    Thanks much ddayglo (and others) for posting these. I go tomorrow for my pre-op blood typing and after that should be set to go for next week. Has the swelling in your abdomen subsided? My wife picked up some neosporin although I am pretty sure my doctor recommends vaseline for the catheter. Either way I will have whatever they recommend as well. I have recliner's in my theater room but am not so sure how they might be for sleeping overnight. Our bed is pretty high which will make getting in an out a little easier. I will have to see about that.

    Thanks guys!
    Age: 50
    PSA Trend: 2003/1.86, 2004/2.06, 2005/2.12, 2006/2.08, 2007/2.12, 2008/2.62, 2009/3.47, 2010/2.90
    Jan 2011 PSA = 6.95 - Biopsy, 12 cores benign, 1 shows high grade PIN
    October 2011 PSA = 4.53
    October 2012 PSA = 6.85
    April 2013 PSA = 6.64
    April 2013 - Second biopsy, 12 cores, 1 positive for Adenocarcinoma, 5 % involvement, no tumors, Gleason 7 (3+4), Stage T1c
    July 30, 2013 - Had DaVinci Robotic Prostatectomy: Dr. Michael Esposito, New Jersey Center for prostate cancer & urology at Hacksensack University Medical Center
    Pathology Report: Cancer present on both sides but contained within center of prostate capsule, negative margins, Gleason 7 (3+4) remained unchanged
    No issues with incontinence or sexual function.
    Three post surgery PSA's = 0.
    Here is my story

  7. #7
    swelling has subsided; from what I read here it will really go down (as time goes on).

    EDIT: meant bloating, not swelling
    Last edited by ddayglo; 12-15-2013 at 03:32 AM. Reason: Edited by moderator at request of original poster.
    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)

    8/13 11/13 2/14 8/14 2/15 8/15 3/16, 8/16, 3/17,9/17,4/18, 9/18 PSA undetectable
    3/19: .1 (damn), 4/19,6/29 retests: .1 (damn)


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

  8. #8
    I wonder if Dayglo really means bloating. I never had any swelling but plenty of bloating. As the gas worked it's way out I felt much less bloated and more normal. Also, when I asked for some cream for my penis, I got a prescription for lidocaine cream which works great.
    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
    18 month post surgery psa 2/17/15 undetectable
    5 year post surgery psa 3/20/18 undetectable

  9. #9
    Quote Originally Posted by Flkjr View Post
    I wonder if Dayglo really means bloating.
    Yes, bloating. Not Swelling. I've used the wrong world, sorry for any confusion
    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)

    8/13 11/13 2/14 8/14 2/15 8/15 3/16, 8/16, 3/17,9/17,4/18, 9/18 PSA undetectable
    3/19: .1 (damn), 4/19,6/29 retests: .1 (damn)


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

  10. #10
    Moderator Top User HighlanderCFH's Avatar
    Join Date
    Nov 2011
    Posts
    7,211
    Good idea to make this a sticky, which I just did.

    It would not hurt for us to keep listing things that newly diagnosed patients might want to be aware before da Vinci -- and also open -- surgery.

    For that matter, we could also start similar threads based on what to be aware of before the other major PC treatments.

    Chuck
    July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA 9/ 2011 = 5.7.
    Local uro DRE revealed significant BPH, no lumps.
    PCa Dx Aug. 2011 age of 61.
    Biopsy DXd adenocarcinoma in 3/20 cores (one 5%, two 20%). T2C.
    Gleason 3+3=6. CT abdomen, bone scan negative.
    DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
    Surgeon was Dr. Matthew Tollefson, who I highly recommend.
    Final pathology shows tumor confined to prostate.
    5 lymph nodes, seminal vesicules, extraprostatic soft tissue all negative.
    1.0 x 0.6 x 0.6 cm mass involving right posterior inferior, right posterior apex & left
    mid posterior prostate. Right posterior apex margin involved by tumor over 0.2 cm length,
    doctor says this is insignificant.
    Prostate 98 grams, tumor 2 grams.
    Catheter out in 7 days. No incontinence, minor dripping for a few weeks.
    Seven annual post-op exams 2012 through 2018: PSA <0.1
    Semi-firm erections without "training wheels," usable erections with 100mg Sildenafil.
    NOTE: ED caused by BPH, not the surgery.

 

Similar Threads

  1. PSA creeping up after Da Vinci surgery
    By white08gt in forum Prostate Cancer Forum
    Replies: 18
    Last Post: 12-07-2014, 12:52 AM
  2. Side effects after Da Vinci Robotic Surgery!
    By markpw2 in forum Prostate Cancer Forum
    Replies: 27
    Last Post: 03-27-2013, 08:46 PM
  3. Exercising after da vinci surgery
    By stevemcqueen in forum Prostate Cancer Forum
    Replies: 9
    Last Post: 02-19-2013, 01:27 AM
  4. Da Vinci Surgery?
    By jaxon12 in forum Colon Cancer and Rectal Cancer Forum
    Replies: 1
    Last Post: 03-03-2010, 06:05 PM
  5. Da Vinci Surgery for International Patient
    By proscancdavinci in forum Prostate Cancer Forum
    Replies: 3
    Last Post: 05-14-2009, 08:33 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •