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Medical Forum / Diseases and Disorders / Prostate Cancer / September 2004

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Post-surgical fatigue?

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Me - 24 Aug 2004 05:54 GMT
Hi guys,
I am 3-1/2 months post RRP. Things are going great (well, still have
ED, so not really "great" but overall I cannot complain about the
outcome) but I am low on energy - I feel fine for part of the day but
get tired really easily -- at the end of a work day I'm so exhausted I
have to nap before being able to function again. Is this common to
others who've undergone RRP with general anesthesia -- I mean serious
fatigue months afterward?
Thanks!
c palmer - 24 Aug 2004 08:01 GMT
i can only comment about myself.  i never had surgery before and then 5
in one year.  after the RP, i remember operating like a battery going
bad.  i would wake up - full of energy.  do a little work around the
house, and dead as a door nail.  had to rest up again.  then full of
energy again.

i clearly remember one day last year, the trees were sagging on the
lower branches and was going to rub the finish on the car.  i was about
4 months post op and since it used upper body muscles cutting the
branches, i felt that surely i could trim the bottom branches of three
trees.  after about 30 minutes of pruning in the summer heat, i was wore
out.  i came in and went to bed and slept for about 90 minutes and was
ready to go again.  

over time, i've pushed myself to go longer and for the endurance, but i
thought it was just me.  you are echoing the way i felt at that time.

hope this helps.

~ curtis

knowledge is power - growing old is mandatory - growing wise is optional    
"Many more men die with prostate cancer than of it. Growing old is
invariably fatal. Prostate cancer is only sometimes so."
Me - 24 Aug 2004 17:57 GMT
> i can only comment about myself.
> ...  you are echoing the way i felt at that time.
> ~ curtis

Hi Curtis, Did the fatigue eventually subside - how many months after surgery?
Leonard Evens - 24 Aug 2004 12:22 GMT
> Hi guys,
> I am 3-1/2 months post RRP. Things are going great (well, still have
[quoted text clipped - 5 lines]
> fatigue months afterward?
> Thanks!

Many years ago, I had surgery to remove a bone spur from my heel.  After
a couple of months, I had the same complaint and asked my surgeon the
same question.  He told me that neither the anesthesia nor the surgery
should have that effect and that I was just out of condition.  That made
an impression on me and I started a systematic exercise program, and
I've kept that up in the years since that.  I've had two surgeries since
then:  a radical prostatectomy and my gall bladder was removed.  The RP
was done conventionally, and by six weeks, when the incisions had healed
I was pretty much back to normal.  I was a bit out of condition compared
to my normal state due to lessened activity during that 6 weeks, but I
came back pretty quickly as I resumed my normal exercise program.  The
gall bladder was removed laparascopically under general anesthesia, and
I was pretty much normal by two weeks following surgery.
pj - 24 Aug 2004 12:23 GMT
I'm about 4 month out from seed implants, very few side effects and 69
years old. I've noticed a great need for naps and a general lack of
ambition.

(snip)I am low on energy - I feel fine for part of the day but
> get tired really easily -- at the end of a work day I'm so exhausted I
> have to nap before being able to function again. Is this common to
> others who've undergone RRP with general anesthesia -- I mean serious
> fatigue months afterward? (snip)
Beverley - 24 Aug 2004 14:32 GMT
PJ, your body is still feeling the effects of the constant radiation.
Bev

> I'm about 4 month out from seed implants, very few side effects and 69
> years old. I've noticed a great need for naps and a general lack of
[quoted text clipped - 5 lines]
> > others who've undergone RRP with general anesthesia -- I mean serious
> > fatigue months afterward? (snip)
jimhoney - 24 Aug 2004 14:35 GMT
I would have to say no, not after 3 1/2 months.  

But I was certainly in slow motion for the first month after standard RRP.  

Resumed jogging after the 30-day prohibition period.  What is your exercise routine?

jimhoney
Beverley - 24 Aug 2004 15:00 GMT
Major surgery always seems to knock the stuffing out of your body. Plus the
older you are the longer it seems it takes for your body to heal.  So you
weren't in great physical condition to start, then you've sat around for a
month or so and you expect the body to be back to normal? Nope!!! Try
exercising in the morning. I don't think it matters if it is a walk or if
you ride a stationary bike but do something. Then take your afternoon nap.
Is there an exercise group that meets twice a week you could join? Maybe a
men's soccer league?

My BIL  played soccer in college. When his boys were old enough to join the
rec leagues he began to play again as a coach. Then he joined the men's
group, and now recently he's joined the "old" men's soccer league. Seems
those 35 year old men were killing him. This now senior group is still a
tough group but maybe none of them run as quickly. BTW, he's only 59 and he
plays several evenings a week and Saturday morning. He enjoys the
companionship of this team members and yes, he's still coaching but this
time he's only assisting and it is for his grandson's soccer team.

I think everyone who faces this disease not only faces the physical
treatment but the mental exhaustion of undergoing cancer treatment!!! You
wore yourself out!! Now you need to think about rebuilding your body and
your mind. Somehow the mind follows the body so concentrate on the body. You
are not 25 anymore and you aren't going to spring back like you did then.

Naps are good.
Bev

> Hi guys,
> I am 3-1/2 months post RRP. Things are going great (well, still have
[quoted text clipped - 5 lines]
> fatigue months afterward?
> Thanks!
m_spivack - 24 Aug 2004 15:35 GMT
Walk, walk , walk nap as needed.  I have found that I start off with
plenty of energy, walk till my head says I'd better turn back and
usually I obey.  Yeswterday I disregarded my head cause I was feeling
great (10 days post RRP) walked 1.8 miles and slowed to a snails paces
for the last 2/10 cause all that precieved energy was gone.

The morale of the story is pay attention to the little man in your head
and build up slowly and walk walk walk, nap nap nap.

> Hi guys,
> I am 3-1/2 months post RRP. Things are going great (well, still have
[quoted text clipped - 5 lines]
> fatigue months afterward?
> Thanks!
JP - 24 Aug 2004 16:42 GMT
I'm still facing my RRP, but after a recent knee surgery I found that aquatic
exercise helped get my energy and CV system back.

The exercise is ZERO impact, you CAN'T strain anything, it's comforting, and
VERY effective.

I have never been a very physical person, but my surgeon recommended I start
aqua therapy BEFORE the surgery and continue after (after an appropriate healing
period) and I'm convinced it truly helped.

John

jp

"I may be old, but I know what I like!"
Outlivecancer - 27 Aug 2004 01:25 GMT
Hi M.,
how's Bond?
but seriously ,
fatigue and depression and post-traumatic stress all go together.It is always
mind body and spirit.So don't get down on yourself,I have had to :cut back to
45hr. weeks" and fight depression over loss of potency and sneezing and
peeing.Then I get stoked and manicy over no psa detected a year later the love
of a good woman and a job that is ok.I am convinced that the insult of the
operation and the anesthesia were harsh I had bruises all over,plus they found
early stage emphasema and hi chol. in pre op,and I developed gird laying down
and some weird yeast from the antibiotics and get bad breath if I don't eat
exactly what they plus I could get esopogeal cancer.Did I mention the arthritis
that came as I lost muscle tone from an old whiplash.Laying down is not good
for you so I work out hiking and yardwork and weights everyday and quit smoking
and by the grace of the universe will keep getting better,after all it has only
been a year.
Take Care,
Al - 24 Aug 2004 23:21 GMT
*Hi guys,
*I am 3-1/2 months post RRP. Things are going great (well, still have
*ED, so not really "great" but overall I cannot complain about the
*outcome) but I am low on energy - I feel fine for part of the day but
*get tired really easily -- at the end of a work day I'm so exhausted
I
*have to nap before being able to function again. Is this common to
*others who've undergone RRP with general anesthesia -- I mean serious
*fatigue months afterward?
*Thanks!

No for me it hasn't been. Have you asked your doctor about low iron?

Al

Please be quiet if replying via email,
flames will be deleted promptly.
I won't even read the whole message...
JerryW - 25 Aug 2004 00:44 GMT
I'm about the same time frame out...my RRP was May 18. It seems like I do
tire easier now than before the surgery, but I believe I got pretty much out
of shape postoperatively. Now, I'm struggling to get back to a decent
workout schedule (in fact, I'm getting ready to go to the gym right now). I
don't think I have the same amount of stamina that I did. I plan to increase
my exercise schedule and take off  these few extra pounds I seem to have
collected in the past 3 months.
Signature

JerryW

jweindel at flash dot net

> Hi guys,
> I am 3-1/2 months post RRP. Things are going great (well, still have
[quoted text clipped - 5 lines]
> fatigue months afterward?
> Thanks!
jk - 25 Aug 2004 05:39 GMT
> Hi guys,
> I am 3-1/2 months post RRP. Things are going great (well, still have
[quoted text clipped - 5 lines]
> fatigue months afterward?
> Thanks!

  Absolutely in the range of normal.  Although I was back at work early, it
took me alot longer than that to be really back to normal in all ways. Aside
from the major surgery, don't discount the emotional and mental fatigue as
well.
Signature

JK Sinrod
Sinrod Stained Glass Studios
www.sinrodstudios.com
Coney Island Memories
www.sinrodstudios.com/coneymemories

Fred Pickering - 30 Aug 2004 14:17 GMT
I only had those symptoms for the first month after rrp and I put it down to
my diet and supplements I take. I'm virtually a vegetarian (a little organic
chicken - no fat and once a month a piece of organic fillet steak) I do eat
fish. But mainly lots of fruit for breakfast and no dairy products or wheat
products (I'm not allergic but since avoiding wheat my energy levels have
come up - substituted rye bread or rice bread). Lunchtime raw salads with
raw fish (sashimi) and dinner at least 5 vegetables lightly steamed with
some exotic but organic sauces, mostly Thai. etc My supplements include 1 x
150mg Co-enzyme Q10 daily and 2 scoops of Pharma Foods IsoWhey in my Soy
smoothie in the morning - I am not mainstream obviously but I feel great
since I abandoned the traditional western diet six months prior to my
operation. I had my op 15 May 2004, no incontinence, no erection yet but
great orgasms!!! I know I sound like a fanatic but this 66 year old is
bursting with energy and I put it down to fruit and vegies.  I believe it
can take up to 6 months to rid the body of the toxic after effects of
anaesthesia so a plan of attack to restore the balance of the body is called
for and this includes drinking lots of pure water.. give it a go..
cheers

Fred

> Hi guys,
> I am 3-1/2 months post RRP. Things are going great (well, still have
[quoted text clipped - 5 lines]
> fatigue months afterward?
> Thanks!
Steve Kramer - 03 Sep 2004 22:31 GMT
I'm happy for you Fred.  I truly am.  But, if that diet would keep me alive
10 years longer, I would look at it like I have to eat like that for 10 more
years.

Signature

Prostate Cancer Survivor (so far), not a doctor
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000
PSA  .1  .1  .1  .27  .37  .75
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32
Erection 05/12/2003 @ 48
HTbegins 07/21/2003 @ 48
PSA  .07 .05
Lupron 7/03, 8/03, 12/03, 4/04
non illegitimi carborundum

> I only had those symptoms for the first month after rrp and I put it down to
> my diet and supplements I take. I'm virtually a vegetarian (a little organic
[quoted text clipped - 26 lines]
> > fatigue months afterward?
> > Thanks!
 
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