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Wife asking yet more questions

User
Posted 20 Dec 2015 at 11:29
Hello sorry to be asking more questions but my husband is due to have op 29 dec consultant removing prostate and been told that there will be ed after as husband told consultant to take whatever he had to remove as much of the risk. Consultant surprised cancer in all samples as mri showed only 1.7 cm but said that could be as low grade, Gleason is 7 3&4 he is removing lymph nodes to check too, is this normal does it normally show on mri - v worried if so can this be treated with radiotherapy? Staging on letter to Dr is tc1 first psa 13.1 then went down to 9.6 had water infection which was how pc found. Thank you for being there.
User
Posted 20 Dec 2015 at 13:08

Hi Jayne,

I had da Vinci assisted RP 

During pre op discussions nerve sparing was mentioned by me.......my surgeon said his first priority was to remove all of the cancer as far as he was able.. ...
If he thought that nerve sparing was possible he would do that.... ( I had 50% nerves spared ) check out my profile
I still suffer with ED and need chemical and /or mechanical assistance  even with 50% nerve sparing..

It will be almost certain that if all hubby's nerves were to be removed he will need medication or mechanical help of some sort to be able to achieve a usable erection..

3 or 4 lymph nodes close to the prostate were also removed for dissection as a precaution ....I think this is pretty normal routine for most surgeons.
Until the prostate and associated tissue has been removed and analysed in the Lab you are never sure as to the extent of the disease.

MRI scans will not pick up any microscopic cancer cells, so it is possible that small amounts of the disease can be missed.

Hopefully further treatment ie radiotherapy etc will not not be needed in your hubby's case... but until he has had his post op histology report and subsequent PSA tests  he won't know for sure...

Best wishes
Luther

User
Posted 20 Dec 2015 at 14:33

Hi
Your hubbies stats look "good" ! Especially the T1 bit . Luther's advice is spot on . I had 18 lymphs removed and was T4 and 5 lymphs had cancer . But totally different in your case . However, yes normal to pull a few out to look at them. I had both nerve bundles spared during surgery yet remain 100% impotent at exactly 6 months post-op. I'm fully continent.
Such an awful time of year for you , but at least you are getting it out at a very early stage hopefully.
My best to you
Chris

User
Posted 20 Dec 2015 at 15:50
Thank you it really helps talking to someone who has been through it encouraging my husband to join. Know we can get through the side effects we've a strong marriage just v scared of pc and future. Jayne
User
Posted 20 Dec 2015 at 16:14

Jane you need an experienced surgeon ie who has done 100's if not 1000's of these operations and doing them on a weekly basis.
I would have thought with a T1 staging that nerve sparing was very possible.
My surgeon had done over a 1000 ops and I told him to save my life whilst trying to reduce side effects. He said he would remove what he needed to.
He spared my nerves and removed 15 lymph nodes which were all clear.

Hope all goes well
Bri x

User
Posted 20 Dec 2015 at 16:49
Thank you Chris just v scared. You are right awful time of the year but determined next christmas all being well go away to forget, normally I'm Mrs Christmas but this has destroyed that, house v sad and just going through motions. Husband determined our son is 18 6 weeks after op and wants him to take him out for a drink. Jayne
User
Posted 20 Dec 2015 at 17:37

Sounds great
Strangely I'm NOT Mr Christmas normally . But my son is only 5 ( even though I'm 48 -- Don't ask ) . Ive actually made an extra effort having gone through everything you are going through at present . I'm sure ill be around for christmas's to come , but this might be my healthiest for a long while.
I appreciate your stress and sadness and we all have been through it on here -- men and ladies .
So we are all here whenever you need to talk . Any questions. Anything. Get him out for that drink !
Chris

User
Posted 20 Dec 2015 at 17:57
Thank you bri.
User
Posted 20 Dec 2015 at 18:07
Thank you so much Chris for your support, 5 year old bet you are kept busy! I do hope you have a good Christmas. It does help knowing that there is always someone there to chat to. Will keep you posted on the pint. Jayne
User
Posted 20 Dec 2015 at 20:00
Hello Jayne.

My oh is 12 months post op with 50% nerve sparing.

He has been taking cialis daily for 11 months and has seen some reaction but not enough for penetration.

In the melee that was the consultations we had pre op, we thought we understood that 70% of men get their erections back post op. We were brutally disabused of this idea after seeing the ed nurse in January. She says only 10% of men regain perfect function. A further 60-70% will gain function aided in some way.

After that meeting, my oh said he would rather eat his feet than stick a needle in his privates. Last week, after a year with no penetration, we had a great evening assisted by the needle. He said it wasn't anywhere near as bad as he feared. This treatment is equally effective for those who have had no nerve sparing.

I'd like to offer the following advice to you. These are things I wish I had known when I was where you are

1. The squeakiest wheel gets the oil. If you want something, ask. Make a fuss if necessary.

2. Don't rule anything out.

3. Try not to panic. It's horrid waking up with that sinking sick feeling, but it will subside.

4. The operation day is tough. I found a local harvester opposite the hospital, took a book and the iPad and sat there for hours and hours. Plan where you are going to wait. I wanted to be alone although my mum spent some of the time with me.

5. Buy proper incontinence pads. Don't trust the nhs supplies. It's bad enough needing them without having unisex ones

Please try not to compare your situation and side effects to other people's. There is no normal, only normal for you

Try and take one step at a time.

Louise

User
Posted 20 Dec 2015 at 21:29
Thank you Louise yes it is hard and that sinking feeling every morning is so very true. I am getting help on anti depressants and counselling. As for op day our best friends are with us. Just very fearful of everything and feel like we will never be normal again. Jayne
User
Posted 20 Dec 2015 at 22:33

No you will never be normal again - on the upside, you will have a new normal which will have many positives along with the challenges.

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

User
Posted 20 Dec 2015 at 23:00

Hi Jayne. This is a hard time for you particularly around Christmas. Last Christmas we were waiting for the biopsy report for my OH. The results came after Christmas and indicated a chance for cure and he underwent an open RP in March 2015. At the time of the operation the surgeon was intending to take some lymph glands for testing but in the end did not do this. His post op psa have been 2 x 0.01 and recently risen to 0.04 so I am now wishing the lymph glands had been tested to make sure there was no cancer cells there. Anyway I can relate to that sick, sinking feeling on waking. As Lyn says a new normal will emerge and good times will be enjoyed again but at the time and place you are at now this does not ring so true. Best wishes. Georgina

User
Posted 20 Dec 2015 at 23:27

Jayne, lots of good advice above.

All I can say is that you are no longer alone. We know how you feel and what you are going through, some (those in your shoes) will know exactly what that is. The rest, like us, can only imagine but we all suffered that horrible sinking feeling when cancer is diagnosed.

Good luck for the 29th. I'm sure with your support and your husband's own determination, he will be out with your son celebrating the big 18.

Best wishes

Sandra

We can't control the winds - but we can adjust our sails
User
Posted 21 Dec 2015 at 03:32
Hi jayne

Have got my wife to join a ladies only group on facebook to help her deal with what is happening

she tells me somethings but i feel she keeps hiding things

We just deal with everyday as a new day

Cant tell you amything of what to expect after the op

But ince its over you can both start to get build your new normality

Regads

Nidge

run long and prosper

'pooh how do you spell love'

'piglet you dont spell love -you just feel it'

User
Posted 21 Dec 2015 at 12:49
Thank you lyn just waiting for the day we can start to look forward again. Jayne
User
Posted 21 Dec 2015 at 12:52
Thank you Georgina this online community has been my lifeline these past few weeks just wish I known about it sooner. Hope your husband results start to improve v soon. Jayne
User
Posted 21 Dec 2015 at 12:54
Thank you Sandra keeping everything crossed for his operation and hopefully some positive news for a change. Jayne
User
Posted 21 Dec 2015 at 13:09

Jayne

"our son is 18 6 weeks after op and wants him to take him out for a drink."

I know we all recover at different rates and you need to listen to your own body and your medical team.

I was back at work 4 weeks after the op so a drink down the pub should be a breeze.

All the best for the future.

Thanks Chris

 

 

User
Posted 21 Dec 2015 at 14:14
Many thanks Chris.
User
Posted 21 Dec 2015 at 18:05

Hi william
Dont be aftraid to post we love to read about the good results
It gives all a boost to know what the treatment van do
Regards
Nidge

run long and prosper

'pooh how do you spell love'

'piglet you dont spell love -you just feel it'

User
Posted 21 Dec 2015 at 18:10
Thank you William for your support I'm so glad that the dreaded latest psa was good and you are getting on with family life. It is good to hear that you can get through it. My husband is v positive considers himself lucky as found, I on the other hand have gone to pieces but am seeking help via my Dr, I do feel guilty for feeling as I do but can't help it he really is my soulmate I think the world of him and can't stand the fact that pc has turned out world upside down, just so scared of future. Op is 29 dec so next hurdle. Thank you again for telling me your experience I really appreciate it. Jayne
User
Posted 21 Dec 2015 at 22:46

Hello again Jayne.
I think your husband has now joined ?

It's good that he is positive about the whole thing and it is also understandable that your world is no longer the same as it was before the diagnosis. We all know that feeling.

You'll get through this, you have to because your soul mate will need you to be there and to be as reassuring as possible after the op, not to mention your son.

At the moment the fear is taking over but there are many on her who can tell you that there is life after diagnosis. It isn't the same as before but it is life. He'll be around to watch your son grow into a fine young man.

Please don't let this fear take hold. You have the help of your GP and that is good but it might be good for you to also take a big breath and let that fear out. Paul is facing a major operation and I am sure both you and your son will want to be as strong for him as he is being for you.

Good luck and God Bless

We can't control the winds - but we can adjust our sails
User
Posted 22 Dec 2015 at 00:40

Hello again, that overwhelming fear is so debilitating. As I mentioned earlier last Christmas for me and if I am honest this Christmas as well with the small rise in his PSA. However, the support on here is a lifesaver. So many well informed people with first hand experience of the disease. I became so much better informed about pca and treatment options and felt able to ask questions of the professionals. But above all I did not feel alone in my time of great fear and anxiety and for that I am ever grateful.. Good luck with the future I feel confident that things will become clearer and more manageable after the op. Cheers Georgina

User
Posted 23 Dec 2015 at 06:25
Thank you, yes Paul has joined and spoke to a specialist nurse which has helped.
User
Posted 23 Dec 2015 at 06:32
Thanks Georgina it does help to know you can ask questions and it's ok to feel as I do to be honest at the start felt like I was losing the plot, didn't know about pca until sometime later as too scared to go on internet wish husband's nurse had informed us. I hope you can have a good Christmas and thanks again for being there. Jayne
 
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