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Symptoms after surgery&progress since surgery.

User
Posted 08 Dec 2015 at 07:38

Hi im 6 weeks post De Vinci,first blood test since surgery last week was 0.09.Surgeon said margins were clear,reason for post is im getting some discomfort on left side of scrotum,not painfull all the time&testes dont seem enlarged.Is this common after surgery.I have referred myself to an incontinence clinic,although dry at night i leak sometimes during the day.I have also been prescribed viagra to be taken twice a week,i take delivery of a vacuum pump today&have been referred to an ED clinic.I also have been referred to see a Doctor of radiology to see if i wish to take part in a RADS trial.Ive found the incontinence getting better week by week&am trying to do the PF exercises.Any advice would be greatly appreciated.

Regards.Polarbear2.

User
Posted 08 Dec 2015 at 10:30

Hello mate
As someone said to me , this is a MUCH larger op than you think, and although pain isn't too bad there has been lots of muscle and flesh cut to access the surgery site itself. Firstly take it easy ok. You sound really eager to get better as did I at 48 yrs old. So patience is key. I'm now exactly at 6 months post op. My testicles were AGONY for ages although not swollen or bruised. My pubic area and thighs are still numb and this can be normal and may never recover. All I was given was a pump which I have used every day. I think it's vital you try to get an erection as often as possible to keep things working. I'm gutted I've had zero return of natural function yet. The pump works great and I can use it effectively for penetration whenever needed. My orgasm was awfully weak to start with , then got back to maybe 70% of my norm. Now unfortunately it's getting rubbish. This is upsetting me immensely. I have quite a lot of pain in my bladder area which has been put down to adhesions , where wounds stick and heal together. I didn't have da vinci but hand laparoscopic which may explain my apparently slower healing and recovery. Although we liked and trusted my surgeon he was very heavy handed ( flash back to the cystoscopy from hell arggghh ). On a good note I was dry immediately and only wear a pad if out for a whole day. This is not needed either but gives me extra confidence. My cancer has spread and has not been cured. This could also be giving me problems.
Your results look good. Someone can advise you about RADS probably. I wish you all the very best with recovery. It's an awful disease which affects you mentally as well. We are all here to help. Good luck
Chris

User
Posted 08 Dec 2015 at 13:25

Hi Chris,thankyou very much for your swift reply&advice,im sorry to hear of your setback.Everyone on here is so posetive,please keep me iinformed of your  progress.

Very Best Wishes.

PB2.

User
Posted 08 Dec 2015 at 15:21

Hi PB2,
had you ever had a vasectomy (the snip)? If not, you have now had it done as part of your op and if you ask any of your mates who have had the snip they will probably recall pain in the scrotum being one of the side effects. Everything has been shifted and mucked about so pain and twinges should not be a surprise.

As for the trial, it depends on your liking for a bit of a wager I think. I have never been in a betting shop in my life but others love the thrill. With a post-op PSA of almost 0.1 you could enter the trial on a 'just in case' basis but have to be prepared for the possibility that you are going to have unnecessary treatment with unnecessary side effects. Alternatively, you could decline the trial but then find your PSA starts to climb and you end up with salvage treatment.

Talk to the oncologist - ask exactly why the trial was suggested to you, what the different arms are and what happens if you go on the trial but it becomes clear later that you need the option that was another arm.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 08 Dec 2015 at 19:25

Hi Lyn,thankyou for your concise(as ever )reply,my local GP who i saw yesterday looked into the trial&emailed to say he thought it was a good idea to go for.Your thoughts are mine in that am i needlessy putting myself through treatment of my own choosing that may set me back.Wow like you say its a gamble&a lot of food for thought.How are things with your family's situation,good i hope.

I wish you&yours a Happy Christmas&New Year.

Regards.

PB2.

User
Posted 09 Dec 2015 at 21:18

Hi I would definitely speak to the oncol. That's what I did when my post op PSA came in at 0.06. She decided to keep an eye on my PSA which started to creep up over a couple of months. When it reached 0.089 she recommended RT which I had and I don't regret that decision.

Your PSA may start to drop but it won't hurt to keep an eye on it over the next month or so

Bri

User
Posted 10 Dec 2015 at 09:50

Hi Brian,thankyou for your reply&if i needed the radiotherapy i wouldnt hesitate to have it.But the thin the oncologist will want to talk to me about is going on a volountery radicals trial,which could be either watchfull waiting,radiotherapy or lastly hormone treatment.As its a random trial you have no say in which of the three you will get,my dilemma is am i going to be putting myself through more discomfort volunterily,i know im going to have to decide yes or no but its on my mind.My thoughts were see what the next PSA test was like in 6 weeks&decide then after talking to my surgeon.Hope you are recovering well.

Happy Christmas&New Year.

PB2.

 
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