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My RALP

User
Posted 17 Nov 2019 at 21:08
Completely acceptable at this stage, dont panic
User
Posted 18 Nov 2019 at 06:46

Big day today, 10 days post-op and we're off to the hospital to hopefully have staples and catheter removed.

Bit of a panic last night where I had the urge to pee and quite a lot of urine leaked out of my penis, luckily I was on the toilet at the time. Wasn't entirely sure if there was a blockage in the pipe, but it was full of urine so we changed the bag anyway, new one seemed to drain better than the old one (3rd bag in 9 days). Phew!

On the subject of the catheter, when disconnecting the night bag, check that the coupling is still attached to the valve on the leg bag, or you won't be able to connect the next night bag.

User
Posted 18 Nov 2019 at 22:36

Catheter and staples out, (removing the catheter was a weird experience). 

Had to drink plenty of water to test my bladder was working, so drank plenty of water and peed into a container followed by a scan to check bladder had emptied. Did this twice and I was sent on my way.

P.S. one wound has opened slightly but is dry so will check in the morning.

Had two more very painful spasms(same as Wednesday) suspect its my bowels as I haven't had a movement today.

Apart from that, I'm feeling better already!

User
Posted 22 Nov 2019 at 16:49

End of week 2
It is now exactly two weeks since my surgery so here is the latest update/summary:

Once the staples and catheter were removed on day 10, I felt so much more comfortable.
My scrotum is no longer the size of a grapefruit, and my penis seems to have made an appearance after hibernating inside my scrotum.

One of the smaller wounds has opened slightly, but has been packed and dressed twice so far by the nurse.

Since then I have been working on my pelvic floor and bladder control. I'm now dry during the day, but still hit and miss at night (first dry one last night). I am of course fully aware that this is early days so I'm expecting a few setbacks on the way.

Today is the last day of surgical stockings, but I still have several days of Dalteparin left which gives my other half so much pleasure.

Highs:
Catheter removed.. ahhh bliss!
Staples removed... itching stopped.
Stockings binned.
Dry during the day after 24 hours.
Had a very slight semi twice this week.

Lows:
One Wound gapping.. It's healing slowly but not infected.
Had a couple more excruciating spasms.

User
Posted 22 Nov 2019 at 17:59
Interesting - men are usually dry at night first, and then daytime control comes later.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 29 Nov 2019 at 12:19

End of week 3
Today is exactly 3 weeks since my RALP surgery.

Feeling really well now and have so much more mobility. Still taking things very easy though, a walk to the shops is enough exercise for now.

The wound that gapped is repacked and dressed every few days by the nurse, who reports that it's now 5mm deep (was 10mm) and with no sign of infection.
The larger one above my navel has a nice thick scab which I'm happy to leave alone. The others are scab free and look great.
On the subject of my navel, I've only just noticed that I have no felling to about two inches below it.

Had the occasional blockage this week when peeing. This usually clears on a second attempt and is heralded by a blob shooting out of my penis (urine colour with a consistency of shower gel?) Any soreness from the catheter has gone but I'm still drinking plenty.
Apart from that, I'm continent, but usually up 3-4 times a night to pee (I've got used to disturbed sleep this year).
Squatting, sneezing, climbing in and out of the car, (and farting) are the tests. So far so good, but it's early days and I know that setbacks can happen.

My penis doesn't do much else, the slightest semi although very welcome, is a rare event (yep very early days I know).

Only 3 weeks to go before I can drive again then after that, my next appointment with the consultant is 24th December.

User
Posted 06 Dec 2019 at 16:55

End of week 4
Today is exactly 4 weeks since my RALP surgery.

Mobility is still improving although I don't feel a huge change over the last few days. (Most of the action is in the first two weeks, while the third is wow I feel great!) This week, however, I just feel flat.

Today marks the end of the Dalteparin anti coagulation injections (not fond of needles so I'm glad to see the back of them).
My scars are healing nicely including the one that gapped which is almost done, but still being dressed by the nurse (no idea where the thick scab from above my navel went).
 
Still getting the occasional blockage when trying to pee, until debris shoots out and I get a good flow again (yes it p***** me off).
Still getting up 3-4 times a night to pee.

Only two more weeks before I can drive again so I'm counting down the days. Woohoo!

Then last but not least, the post-op appointment with my consultant is on the 24th. His letter to my GP including a comment from the pathologist regarding base margin, gives us a heads up of a possible T3a (upgrades seem common if other posts are anything to go by).

User
Posted 06 Dec 2019 at 17:02

Kev

Looks like you’re making steady progress.

Good luck for the meeting on the 24th and may you enjoy feet up a bit with a tipple over the festive period with friends and family.

TG

 

User
Posted 06 Dec 2019 at 17:25

Cheers TG,

We have a bottle of champagne under the stairs that must be at least 20 years old. Hopefully we'll have an excuse to crack it open. If not, it'll be hasta la vista baby, followed by a shrug and a tipple of something anyway.

Kev.

User
Posted 06 Dec 2019 at 18:08
I wish you 100% success with your results. I don’t mean to pee on your parade but champagne isn’t best known for keeping. Best get a new one to avoid disappointment lol. Good luck
User
Posted 06 Dec 2019 at 22:18

Good to hear your progress . All the best to you.  

User
Posted 07 Dec 2019 at 08:59

Originally Posted by: Online Community Member
I wish you 100% success with your results. I don’t mean to pee on your parade but champagne isn’t best known for keeping. Best get a new one to avoid disappointment lol. Good luck

Haha, If nothing else, it'll be a Formula 1 Grand Prix style podium finish.

User
Posted 07 Dec 2019 at 09:22

Wishing you as others have said well with your results. 

User
Posted 09 Dec 2019 at 12:20

Hi Kev

 

It was good to read your post although when I read all the tough stuff you have had to go through I feel incredibly lucky that my RAPR seems to have gone remarkably well with very limited SE.

 

I had my PR removed at London Bridge hospital less than 2 weeks ago. Apart from shoulder pain, particularly the right shoulder - linked as others have mentioned to diaphragm pushing down during op and CO2 - some general tenderness around the wounds etc I was able to stop all paracetamol and ibuprofen a week after the operation.  I had none of the swollen scrotum, bowel, catheter and peeing issues you have described.

 

Like you sleep in hospital was at best fitful as the nursing staff did regular checks throughout the night, particularly the first night; my operation was late evening and I was only back in my room at 20:30.  Ice-cream and yoghurt only for supper after having had nothing to eat all day!

 

I had no abdominal drain post op and my 6 wounds were all closed with what looks like a clear plastic adhesive; no redness, all flat and no staples.  There was some bruising and tenderness around the big 2inch cut above my belly button.

 

The hospital physio had me up and doing a corridor walk on the morning after the operation.  I could walk ‘tall’, take steps - no shuffling - and could sit up and get out of bed relatively easily.  I coud bend down although obviously coughing was sore. I was able to shower on day 2 after the operation.

 

I was in the hospital for 3 nights and then got train from London Bridge - we missed the terrorist incident there by 15 minutes; we were on a 13:45 train and the incident kicked off at 14:00 - to Gatwick for flight to Jersey late Friday afternoon flight.  All went fine and assistance at Gatwick was great.  

 

It was good to get home and I slept in a spare bedroom; sleep was fitful as I was suffering from severe headaches which were linked to very high blood pressure.  My GP prescribed medication to control this last Monday and apart from BP falling a bit I feel a lot better.

 

I had my catheter - I had the penile catheter rather than the supra pelvic one - removed last Thursday - 9 days after surgery - and this was a big relief.  I am delighted I am completely dry and in control.  No leaks or need for pads, waterproof mattress cover etc.

 

It turns out that RP was the right call as during the RP surgery the surgeon established that the cancer had spread outside the capsule - something that was not evident from MRI scan etc - and he took out some margin. I am now in the holding pattern of monitoring PSA results in 4 weeks time and quarterly thereafter to establish if in fact the surgeon got it all. Apparently Brachy would not have been an option if it had been established that my cancer had spread outside the capsule.

 

And then last night was delighted to wake up during the night with a strong hard nocturnal erection!

 

So all good right now and I am feeling fine and strong.  I have been for walks on the beach, and been into town for Christmas market and even attended a Christmas drinks party on Saturday night.

So I feel very fortunate and hope your recovery continues to improve each day.

Cheers

Grant60

User
Posted 09 Dec 2019 at 13:51

Originally Posted by: Online Community Member

Recommend a bucket or washing up bowl by your bed to put your overnight urine bag in. Don’t forget to swap to the longer hose!!!!

I'll remember that as well Pete - thanks!

User
Posted 13 Dec 2019 at 17:35

End of week 5
Today is exactly 5 weeks since my RALP surgery.

Quite a milestone this week. No more blockages or debris when peeing, although a slight pink tinge is still evident in the last few drops.

It now feels like I can pee like a horse! Pretty amazing, but I can't remember the last time I had such a good flow, and must be at least 5 years due to the old enlarged prostate. My other half reminded me that it was one of the factors steering me towards surgery on my pca diagnosis.
Despite this good news, I'm still up 3-4 times a night to pee.

Edited by member 14 Dec 2019 at 09:16  | Reason: Grammar

User
Posted 24 Dec 2019 at 19:30

Update: 6 week post-op follow up with Registrar today.

 

Histology results are good and although desease was close to the margin, no cancer cells were found in lymph nodes, seminal glands or fatty tissue surrounding prostate. So the original diagnosis stands. I'm officially T2C N0 M0 I guess.

 

Next appointment will be in three months time including a PSA check and results.

 

My one outstanding wound has finally scabbed over. Doctor examined my abdomen and is happy with my progress, but has advised me not to over-do exercising for risk of a hernia (I can live with that for now).

I also mentioned that my maximum wee output is around 300ml and I get up 3-4 times a night. He said it was normal and that night visits would improve over time.

 

Yep, still early days, but another small step in the right direction and a giant leap in our confidence. Might even have a tipple of something by way of celebration.

 

Merry Christmas!

Edited by member 26 Dec 2019 at 12:02  | Reason: Added note

User
Posted 24 Dec 2019 at 19:53

Hi Kev

Tip top result for histology. Enjoy the tipple and have a fantastic festive break.

TG

Edited by member 25 Dec 2019 at 09:09  | Reason: Not specified

User
Posted 25 Dec 2019 at 07:25

Good to hear Kev. 

User
Posted 26 Dec 2019 at 10:20

Originally Posted by: Online Community Member
I wish you 100% success with your results. I don’t mean to pee on your parade but champagne isn’t best known for keeping. Best get a new one to avoid disappointment lol. Good luck

Hi Chris,

You were spot on.. the champagne opened like a dry orgasm and was the same colour as the contents of a catheter bag. I still drank some though (until my other half threw it down the sink). We re-toasted with a back-up bottle of Prosecco.

Good health everyone!

Kev.

 
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