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Home after op

User
Posted 07 Nov 2021 at 10:32

Hey,

Not for the first time I'm after advice from personal experiences. This site has been a revelation for me.

Had Da Vinci removal of my prostate Friday. Came home yesterday with a party bag containing daily jabs to reduce blood clots, spare catheter bag, straps to tie it round me leg, spare surgery socks and codeine phosphate pain relief. (1 or 2 x 30g)

I'm full of gas still and cramping away, all sorts of noises keeping the Mrs amused. Sore as fek across me abdomen. Any other pain relief I can take as these are doing little.

No bowel movement as yet but not a lot to move to be fair. Stated taking laxative this morning.

Am I better off in bed propped up or in a chair or what? Am knackered so would sooner nod off in bed than downstairs and get nagged. Like I said, I'm back home now.

Absolutely shitting meself that the catherer comes out and needs redoing with me conscious.

Any advice / experiences welcome.

Thanks.

Nick.

User
Posted 07 Nov 2021 at 13:16
When I had very similar surgery in 2018 the hospital wanted me to keep mobile. Had me out of bed the morning after the op, sitting in a chair and walking (very slowly!) for 100m up and down the corridor.

The important thing to remember is that you've had major abdominal muscles cut. Go for short walks, but don't try to lift or push anything heavier than a bag of sugar. It takes months for these muscles to heal; keep as active as you can, but listen to what your body tells you. When it hurts, stop!

If your wounds have been stapled, you'll feel a LOT more comfortable once the staples come out.

Best wishes for your recovery,

Chris

User
Posted 07 Nov 2021 at 13:22

Glad you're home. I can't give much advice as I did not have the op. If after a couple of weeks you are feeling fine and ready to start chopping down trees or playing golf, don't.

You might think they only had to do a bit of work to pull out something the size of a walnut, I'll soon recover from that, but they had to chop through a lot of muscle and tissue to get it, so it is major surgery not minor surgery, give yourself plenty of time to recover.

Don't worry about catheterisation if it does need doing again it isn't painful you just think it will be.

Dave

User
Posted 07 Nov 2021 at 15:06
If you click on my profile; “Bollinge”, you can see my notes from my surgery, and my post operative experiences, which seem to be a lot less unpleasant than yours, so far.

Best of luck with your recovery!

Cheers, John.

User
Posted 07 Nov 2021 at 16:44
Try peppermint tea - tastes horrible but helps with the gas
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 07 Nov 2021 at 18:42

Hi,

Normally you're better out of bed trying to live normally.  If you go to bed you might not sleep at night.

It's unlikely the catheter will come out.

Drink enough to keep your movements soft. You shouldn't strain. Water will do.

The big cut is in the middle of your stomach. If you stress it, it will let you know.  Otherwise it should be OK.

Spare DVT socks are a luxury.   I think I took mine off pretty quickly.

The injections were a nuisance. I was told to inject at 90 degrees to the skin to keep bruising down. I found lightly nipping a section was easiest.

I've written in my profile, a link to my website about treatment.

Regards Peter

User
Posted 07 Nov 2021 at 18:46

Take it easy but keep mobile, frequently go for a few steps around the garden, it may help with getting the bowels moving and releasing the gas. My nurses and I got a telling off from the surgeon because I was still in bed the morning after my op.  I finished up getting and ambulance ride due to constipation. 

As regards the trial without catheter (TWOC), make sure you are well hydrated before you get to the hospital. Don't hold back on drinking water in the belief you will will leak less , far better to leak than having another catheter put in. Listen to your nurses at the Twoc.

A change of clothes in a bag and a cover for the car seat is a good idea just in case. Leaking when standing is often reported , hopefully you will soon learn to tense the pelvic floor muscles as you stand. If the eye of the penis gets sore get some instilagel or hydrocaine.

Hope recovery goes well.

Added as already said very unlikely the catheter will come out the balloon is around 25-27 mm across. I have caught a catheter on numerous occasions, usually when pulling underwear down, it does get your attention .

 

Thanks Chris

Edited by member 07 Nov 2021 at 18:55  | Reason: Not specified

User
Posted 07 Nov 2021 at 18:47
To explain, there’s a water-filled balloon at the end of the catheter, inside your bladder, so it physically can’t come out until that balloon is deflated (which there’s a valve for on the external part of the catheter). Don’t worry about it coming out!

Best wishes,

Chris

User
Posted 07 Nov 2021 at 22:19

My husband had da Vinci prostate removal in July . Like you he was full of gas and on the second day took the oral morphine just for a couple of days. He got up every day and sat in a chair with a few walks around the house and garden. He felt much better after his bowels started working so use the laxatives. Also put the catheter in a bucket over night . His worse problem was leakage from the drain hole. This was so profuse I was needing to change the dressings sometimes twice a day. By the end of the first week he was pottering around the kitchen and by the end of week two he had started cooking again. ( something he enjoys). 16 weeks on he is now back running. I know he felt as though he had been hit by a bus that first week. Be patient and take it day by day. He is 68 by the way.

Edited by member 07 Nov 2021 at 22:23  | Reason: Not specified

User
Posted 07 Nov 2021 at 22:35
That doesn't mean you can tug it!

You should have started your pelvic floor exercises before surgery, but if you didn't you can't catch up now - you need to wait for the TWOC. The NHS App (squeeze) is very cheap and works well as a reminder and timer. You can find videos online which explain how to do the exercises, if you need more than told by hospital (I did). Do these, as they definitely help.

As loads have already said, moving around is good for you. I walked a circuit round the house, including up and down stairs every couple of hours. It's a struggle at first, but soon becomes easy and you can take longer walks outside.

I'll also repeat the warning not to lift or carry anything.

I'm afraid I can't give much advice on pain relief as I have a fairly high pain threshold and hardly ever take pain killers, but I know that Codeine can cause constipation. If you're suffering you might want to speak to the specialist nurse about varying the prescription.

User
Posted 08 Nov 2021 at 09:11

Thanks all,

Have been blowing like the trumpets of Jericho this morning and that felt better plus brought a smile to my juvenile mind.

Have been up and down the stairs but will venture out as well weather permitting. 

Catheter bag starting to look more like it contains wee now rather than blood so another positive. As for running after 16 wk that would be a milestone as don't think I've run in the last 16 year!

Thanks again.

Nick

User
Posted 09 Nov 2021 at 17:37

Very best of luck. Take the laxatives as you really want very soft stools early on. And any blood leakage out of the tip when you do pass a stool the first time is apparantly pretty normal but it certainly freaked me out as I was not expecting it.

 

As for the catheter you should be fine. Mine had to be replaced after a week because of a leakage. It was terrifying but not too painful so dont stress.

 

gentle walking and plenty of bed rest too. !

User
Posted 10 Nov 2021 at 16:49

Had my op on Oct 15th. Before the main anaesthetic I was given a spinal anaesthetic which I was assured would keep me pain free for 24 hours.... and it did. On discharge I was given the bag of goodies and had a choice of pain meds. Avoided morphine and codein and settled on paracetamol but in the end didn't use any after the first day. I was discharged the day following op and carried on as normal but being careful not to pull on the abbs (standing, sitting etc.) 10 days later went for catheter removal, painless and very quick, followed  by glass of water to drink every 15 mins, and a jug to urinate in. ..... which was successful. Then a quick ultrasound scan to see if bladder fully emptied, then home. Took around 90 minutes in total. Pleased to say 95% dry from then (5% due to the odd cough and sneeze). Slightly puzzled by sutures which feel like nylon fishing line, but I'm assured will disolve (or fall out?) within a few weeks.

User
Posted 10 Nov 2021 at 16:52
You can snip off the ends of the sutures that break through the skin with a pair of nail scissors if any do so. They can be sharp and prickly if you don't.

Best wishes,

Chris

 
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