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RARP this morning 09/09/2025

User
Posted 09 Sep 2025 at 19:59

I had RARP this morning, so now on the ward for my night in hospital, hopefully followed by going home tomorrow.  So far, so good…

I was admitted at 7:30am and in the operating theatre by 9am.  They did the spinal injection, which was only very slightly uncomfortable (less painful that a flu jab), followed by the general anaesthetic.

After a pleasant sleep, I woke up 4 hours later in recovery, had a cup of tea and a couple of biscuits and was soon up on the ward.

It’s 8pm now and, other than some slight discomfort in the wound above my belly button (and occasional slight ache behind my right shoulder), so far there is no pain at all. If I hadn’t seen the catheter, I wouldn’t realise it was there.

They want me to stay in bed until tomorrow morning but are still taking likely discharge around lunchtime tomorrow.

I won’t get to talk to the surgeon until tomorrow morning, so no idea if everything went as expected during the procedure, but I assume so.

Before my surgery, I found it useful to read how things went for others, so I’m aiming to post more updates here as and when.

User
Posted 09 Sep 2025 at 22:54

PD123, I don't recall being in much pain after my surgery,but it was a very long time ago, the anesthetic/ anesthesia is probably sill having an effect. I seem to recall being told to take painkillers even if I didn't feel I needed them, just to keep the level of pain relief topped up. They gave me some tramadol,two minutes later I was sick part in one of those cardboard bowls ,the rest went over my wife. Take it easy but keep mobile, don't rush to go home if you don't feel up to it . Take it easy but keep mobile. Moving around will help get the motions moving again. No straining to pass that first motion.

Hope all goes well.

Thanks Chris 

 

User
Posted 10 Sep 2025 at 07:41

Thanks for the good advice Chris.

User
Posted 11 Sep 2025 at 09:54

After 1 night in hospital, I came home yesterday afternoon. So far so good I think.

Other than a couple of hours, I found it more or less impossible to sleep in hospital. Too much noise from machines, other patients snoring etc. However, I was pretty comfortable.

On the night of the surgery and the morning after, I was feeling no pain really and am very prone to constipation, so elected to skip the paracetamol and ibuprofen on offer.  However, once I was up and about the pain on movement gradually got worse. By last night, I decided it was time to start taking them and they did help

I got a good nights sleep at home last night. All good with the catheter etc.  The main issues are pain in the belly when I stand up/sit down etc and so far no bowel movement.

I’ve taken all the advice about what to eat, how much to drink, taken all the laxatives as prescribed, and been up, about and walking as much as I can. I’m sure it will sort itself out soon. If not, later today I’ll try some prune juice and/or senna.

Catheter removal is scheduled for next Thursday, 9 days after surgery and consultant follow up on 29th oct.  Yesterday morning, the doctor told me the procedure all went very well.  Nerve sparing as expected and he said, based on how things went in surgery, they are pretty confident of a fairly quick return to continence once the catheter is out. I hope so.

User
Posted 11 Sep 2025 at 12:32

Hi,

I'd definitely carry on taking the paracetamol, you never know what pain you might experience as you become more mobile and your bowels start moving again. 

Good luck with your recovery. 

Kev. 

User
Posted 11 Sep 2025 at 17:49

Hi Kev,

Thanks. Yes, I’ve concluded you are right so have kept the paracetamol going today.  It’s not as painful today but still getting painful spasm in upper abdominal muscles when I am walking or if I cough.  Hopefully, will ease off soon, possibly after the first bowel movement, which hasn’t happened yet….

User
Posted 12 Sep 2025 at 20:04

So, it’s now been 3 days since my surgery. I think/hope recovery is going to plan.

Due to lack of bowel movement, as well as the Laxido twice per day as prescribed, yesterday I took one senna tablet in the morning and two at bed time. I also had prune juice yesterday and with breakfast this morning.  Finally, around lunchtime, all this had the desired effect (but nothing dramatic).  Hopefully, that issue is now behind me.

The main issue now is pain from/near the incision above the belly button. While I am sitting still or lying still in bed, it’s ok.  When I stand up, walk, cough, laugh etc, it can be very painful. I think it’s a little better today than yesterday, so am hopeful it will gradually improve. No pain at all from down below.

I’ve also noticed a lump (about size of a small marble) under the skin just above the painful incision. It’s firm and tender if I press it. I’m hoping it’s just part of the healing process and will go away.

Just for reassurance, I emailed the hospital to ask if these things are just part of the process. I got a reply this morning saying my questions had gone to the surgical team and that I should contact again if I haven’t heard anything by Monday. Given it’s now 8pm on Friday, I suppose I just have to hope all will be well over the weekend.

User
Posted 12 Sep 2025 at 22:00

Hello mate , I’m 3 weeks post op and have been generally ok since but in relation to the wound , it did hurt for the first week or so when sitting up and really hurt if I coughed or sneezed , it started to settle down after week 1, hopefully yours should start to ease soon , only difference I can see is you mention you get pain when your walking I didn’t get that at all so would monitor and get it checked if it gets worse 

in regards to bowel movement highly recommend sticking to fruit , veg , prune juice etc at least for the first week , I was getting bowel movement fine from day 2 but it has been intermittent and have been blocked up a few times along with a few days of the complete opposite to blocked up, last week has felt more normal like before 

all the best mate

Nick

User
Posted 12 Sep 2025 at 22:15

Thanks Nick. That’s really helpful to know and makes me feel a whole lot better. I’m pretty sure that by the time I get to TWOC (next Thursday) things will be more comfortable and I am going to keep in being careful on the bowels side of things.  I hate the taste of the Laxido, but that won’t stop me taking it!

User
Posted 12 Sep 2025 at 22:24

I found loads of water key mate , 2-3ltrs a day especially if taking Laxido as if it’s the same as the ones I was on its very dehydrating 

my surgeon also said water is great to keep infection at bay for both the wound and UTI especially while the catheter is in although maybe not drink so much after 6-7pm or be emptying the night bag every 4 hours like I did 😩👍

 
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