Home | Contact Us | FAQ | Search & Site Map | Link to Us
Sign In | Join | Other 45 Sites in Network
Home
Discussion Groups
General
GeneralCardiologyVisionDentistryPharmacyLaboratoryNutritionAlternative
Diseases and Disorders
AIDSAlzheimer'sArthritisAsthmaCancerBreast CancerDiabetesEpilepsyGlaucomaHepatitisHerpesLupusProstate BPHProstate CancerProstatitisSinusitisTinnitus

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

Tip: Looking for answers? Try searching our database.

Robotic Prostate Surgery

Thread view: 
Enable EMail Alerts  Start New Thread
Thread rating: 
Howard and Hope - 13 Dec 2004 03:43 GMT
How do they position you on the table? I heard head down, feet up with
knees bent and legs hanging off table??? Do they give you some kinda
anti blood clotting meds? How about those special boots they put around
your legs?  Whats the anestisia like?    Thanks..Howie
ButtercupsDad@dog.net - 13 Dec 2004 16:32 GMT
I had RRP, no laparoscopic and no robots.  I understand that the
position on the operating room table is awkward to say the least, but
I sure was never aware of anything, and I am glad to report no
problems afterwards.  Some have had back pain, etc.  

Do not know for sure about anti clotting medications, but they sure
were concerned about that kind of thing where I had my surgery.  One
of the sections on the informed consent form I had to sign addressed
that very thing.  I did have the boots while I was still in the
hospital, which was only a day and a half.  They sent me home with the
hose for this purpose and I did wear them for a couple weeks or so.

I had no problem that I know of with the anesthesia.  I do suffer from
fatigue 16 months post op, but who knows what is causing that?  It
took me a long time to come out of the anesthesia, I had general, but
I do not know if the time was normal or not.

Good luck to you.  Don't worry about the surgery.  With having the
robot you should be back at home before you know it, and with luck
your doc will pull the catheter in 7 days.  I had the Foley catheter
for three full weeks.

Thank you.
David S.

>--WebTV-Mail-20223-2019
>Content-Type: Text/Plain; Charset=US-ASCII
[quoted text clipped - 15 lines]
>
>--WebTV-Mail-20223-2019--
c palmer - 13 Dec 2004 18:30 GMT
i never talked to the surgeon about the position they had me in, but i
do know that the operating table is made in two pieces that can be made
for form a rise in the middle so as to bring the patient up closer to
the surgeon.

they did not give me any blood thinners because i had loss so much blood
in surgery.  they said that i was almost at the point that i needed a
transfusion but didn't get it.  the low blood level acts also as blood
thinner they said.

the boots are nice.  they put them on me and they would pump up and
deflate.  felt like you were getting a massage.  no complaints at all.
wish i had them at home.

the anesthesia in my case is simple.  they had me in the staging area.
we were only about 20 feet from the operating doors.  the lady there got
my IV set up and had a syringe filled with something just hanging there
to be injected.  i said is that my "happy juice"  she said, "yeah,
that's your happy juice"  we talked for about 10 minutes and they said
they were ready for me and she injected it into the IV.  i ask what's it
like when it hits.  she said you will start to get a buzz like when you
are drinking.  as she pushed me toward the doors, i said, "yeah, i'm
starting to feel the effects"  and i
remembered never making it to those operating doors, so it worked fast.

~ 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."
http://community.webtv.net/PALMER_ENT/doc
smu53@aol.com - 14 Dec 2004 00:01 GMT
My encounter with the robot was in Feb 2004. All I remember from the OR
was talking to my doctor. He smiled, then I woke up in the
recoveryroom. It seemed as fast as changing the station on a TV. Felt
like I could have gone home the same day. I havd some pain medication
in recovery, but didn't need anything after that. My doctor told me the
position is legs appart, knees bent a little, arms  at the side, entire
body tipped head down at about 45 degrees. They put on lots of padding
to protect you from pressure at places where bones stick out. There are
lots of restraints to keep you in place.
Steve
judamd@aol.com - 13 Dec 2004 23:59 GMT
Surgery 17 months ago.  Yup, you're on your back with head and feet
below your belly.  A few guys notice some aches and stiffness later but
nothing major.  I was given some happy juice in the pre-op room before
going into surgery.  I don't remember a thing from that point on even
though my wife said I was talking a storm and joking with the staff,
etc. as I was wheeled into surgery.  I had planned to say something
clever upon awaking in recovery such as looking into the nurse's eyes
and saying something like "look, an angel - I've died and gone to
heaven".  Well, that didn't happen.  I was so out of it and in misery
that nothing clever came to mind for quite some time.  Eventually
wheeled to my room after taking about 3 hours to warm up in recovery -
some reaction to the anesthetic the doc thought but what does he know.
He had to say something.  Had the leg pumps to prevent clots.  They
made a compressor noise and squeezed once a minute for about 10
seconds.  Pretty comfortable except when trying to go to sleep.  Just
as I was noding off, the pump would go on and there I was, awake again.
After a few minutes though I drifted off and didn't know they were
there.  Stayed two nights in the hospital although could have gone home
after one night.  Had a bladder spasm the second night which was pretty
intense at the time but it's all a distant memory now.  Catheter came
out after 10 days, the number of days seems kind of random depending on
the surgeon.  Seems like I recall someone with cath out after 3 days
and others as long as three weeks.  No matter, you learn to live with
it.  My doc never mentioned to me not to drive.  I did drive with no
problems from about the 3rd day although I had laparoscopic surgery
which may have made a difference.  Unless you're terribly uncoordinated
with the catheter I can't see how the catheter can impede driving.  Of
course you could have a breakdown and have to walk a few miles for
assistance toting your bag full of cranberry juice.

Anyway, it's all a distant memory for me now except for two reminders -
still a pad/day more or less and a very sad little Willie.
Dave Perry

> How do they position you on the table? I heard head down, feet up with
> knees bent and legs hanging off table??? Do they give you some kinda
> anti blood clotting meds? How about those special boots they put around
> your legs?  Whats the anestisia like?    Thanks..Howie
>
>  "HAPPY HOLIDAYS"
Howard and Hope - 14 Dec 2004 02:17 GMT
Alan Meyer - 14 Dec 2004 23:04 GMT
> ...  Whats the anestisia like?

With my HDR procedure they stuck an IV needle in the back of my
hand.  That was the only disagreeable part.  After that, they injected
the anaesthesia into the IV tube, I was talking to them, and the next
thing I knew I was in the recovery room many hours later.

All the nasty parts - the cutting, the tube in the throat, the
catheter, the sewing or stapling, etc. all happen without your
feeling any pain or being conscious of any of it.

It's hard to imagine what surgery was like before anaesthesia.
President John Adams' daughter Abigail had a radical mastectomy
in the early 1800's to try to treat her for breast cancer - with
no anaesthetics!  It's hard even to think about what that must have
been like.

    Alan
Heather - 14 Dec 2004 23:20 GMT
> It's hard to imagine what surgery was like before anaesthesia.
> President John Adams' daughter Abigail had a radical mastectomy
> in the early 1800's to try to treat her for breast cancer - with
> no anaesthetics!  It's hard even to think about what that must have
> been like.

I have an interesting bunch of letters (140 pages to be exact) that I bought
in Carlisle, England which were written mostly by my ancestor circa
1800-1823.  But some were written to his employer, Lord Lonsdale of Lowther
by my ancestor's doctor.  He had abdominal surgery for a huge, deep abcess
with NO anaesthetic.  Shudder!!  The doctor comments that he was quite
brave.....but he went into detail as to how long and how deep the incision
was.  He did die some weeks later.....

The man who lives in my ancestor's home in Scotland, where we stayed for a
week, is a Senior Paramedic and even he shuddered at the description of the
surgery.  We had an interesting discussion on what was really the problem,
and probable cause of death.  Be thankful we were born some 150 years
later!!

Heather
c palmer - 15 Dec 2004 01:17 GMT
hi heather - you might find this interesting.

when i went on the uss constitution.  the navy personnel found out that
i was also navy and gave me a "complete" tour of the ship.  it was
absolutely amazing.  from the keel up to the topside.  

but when we got to sickbay,  there was a door and they said that was the
"spirits locker"  now most people would ah,ha!!!  booze!!!   but what it
was for was a place to hold body parts of the sailors.  you see, this
was a fighting ship and involved in wartime operations which included
the sawing off of limbs and body parts as needed.  it is this locker
that held the spirits of these sailors.   and they also did it without
anaesthetic too.  

and bringing this all back on topic.  how would one get the prostate out
of their body under these conditions.  you are certainly going to die if
you keep it.  radiation was unheard of.  and to allow yourself to be
opened up without sterile conditions, to snip, and chop out the organ.
to sew what they could back together again all without any pain killers
and the very good chance of dying from this operation makes one glad we
live in their day and age.

~ 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."
http://community.webtv.net/PALMER_ENT/doc
Stephen Jordan - 15 Dec 2004 02:09 GMT
On December 14, c palmer wrote, in pertinent part:

> ......................................how would one get the prostate out
> of their body under these conditions.  you are certainly going to die if
[quoted text clipped - 3 lines]
> and the very good chance of dying from this operation makes one glad we
> live in their day and age.

The first known prostatectomy was performed in Tucson, Territory of
Arizona,
in 1891.

The medic was George Goodfellow. He used the transperineal method.

Goodfellow (what a name!) taught the procedure to, among others, Hugh
Young at Johns Hopkins (hello Dr. Walsh!). Young published the first
paper on the procedure in 1904, having modified it to some extent.

In 1947, British surgeon Terence Millin published the first report on
the retropubic approach.

Regards,

Steve J
__
"Always do right. This will gratify some people & astonish the rest."
-- Mark Twain, "Advice to Youth"
ButtercupsDad@dog.net - 15 Dec 2004 12:42 GMT
>hi heather - you might find this interesting.
>
[quoted text clipped - 9 lines]
>that held the spirits of these sailors.   and they also did it without
>anaesthetic too.  

  I tried to have a cavity filled without anesthetic one time.  I
about went through the ceiling.  No more of that macho stuff for me!  
 When I was young I worked at a hospital that was in a rural
community.  The administrator told me one time that in the old days
they just buried amputated limbs on the hospital grounds.  That
practice ceased one day when a dog came around carrying a human leg
bone.  
Debbie Trujillo - 15 Dec 2004 15:50 GMT
On 12/15/04 4:42 AM, in article 41c0301d.74367164@news.duke.edu,

>> hi heather - you might find this interesting.
>>
[quoted text clipped - 17 lines]
> practice ceased one day when a dog came around carrying a human leg
> bone.  

I used to date an attorney who said he saved money by not having them use
the Novocain when they worked on his teeth.  He may have been pulling my
leg.  I repeated that to my dentist, and he couldn't believe it.
Signature

Debbie Trujillo

Please visit my website at http://mysite.verizon.net/res21yh8/index.html


ButtercupsDad@dog.net - 15 Dec 2004 12:45 GMT
Heather:
  With letters that old, was it hard to read them or were they
similar enough to current English that you could make sense of it all?
  Thank you.
David S.

>I have an interesting bunch of letters (140 pages to be exact) that I bought
>in Carlisle, England which were written mostly by my ancestor circa
>1800-1823.  <snip>
>Heather
Heather - 15 Dec 2004 19:43 GMT
Hi Dave......

These were easy (to me) as the writing is very similar to current English
letters and words......except for the way they wrote a double ess.  My
ancestor was John Bowness and it is written as "Bownefs"......first S being
what we call the 'long ess'.  The Wills are also easy for me, because I
typed them for 20 years and they hadn't changed the format for some 500
years until recently.

My research is now back to the early 1700's in England and Jamaica.  And as
a hobby/challenge, I taught myself how to read 'court hand' which was the
incomprehensible writing of the day in the 1500's.  That takes hours and
hours to figure out.

I have a devil of a time with early Spanish in Jamaica because it is quite
different than Ron's Castilian Spanish, and the priests  were lousy writers
as well.  But I have a friend in Costa Rica that just translated an 1804
*Figueroa* Burial Certificate for me and I discovered yet another "outside
child".......as they say in Jamaica.  In England, they are called 'base
born' or just plain 'bastard'.....grin.

I now have 4 *Jose Maria Figueroas* arriving in Jamaica at the same
time......from Galicia, Spain and Cartagena, Colombia.....they will likely
turn out to be all the same man, or possibly two with the same name.  As
Danny knows, this can be a frustrating hobby at times, grin.

Cheers......Ron and Heather (Figueroa)

> Heather:
>    With letters that old, was it hard to read them or were they
[quoted text clipped - 6 lines]
> >1800-1823.  <snip>
> >Heather
ButtercupsDad@dog.net - 16 Dec 2004 13:57 GMT
That is facinating!

>Hi Dave......
>
[quoted text clipped - 23 lines]
>
>Cheers......Ron and Heather (Figueroa)
Robert Austin - 16 Dec 2004 05:26 GMT
<Snip>
>It's hard to imagine what surgery was like before anaesthesia.
>President John Adams' daughter Abigail had a radical mastectomy
>in the early 1800's to try to treat her for breast cancer - with
>no anaesthetics!  It's hard even to think about what that must have
>been like.>
>     Alan
<Snip>

We had and old timer in our community that I admired and respected.
He told me about a time when a "Traveling Dentist" came down the road
with a pack on his back.

He said his mother sat in a straight chair on the front porch and the
dentist pulled every tooth she had, that there was teeth all over the
porch when he finished.

My dentist cringed when I related the story to him.

We may have Pca but we sure have a lot to be thankful for.

Bob Austin

Bob Austin

Age 75
PSA 7 Free PSA 12
1st round of biopsies clear, 2nd. 2 positives
Gleason 9
Cryosurgery 03/11/03
Post Op PSA's 0.4
6  Months 0.1
9  Months 0.2
15 Months 0.21

robertbob.austin@NoSpamearthlink.net
 
Sign In
Join
My Latest Posts
My Monitored Threads
My Blog
My Photo Gallery
My Profile
My Homepage

Start New Thread
Enable EMail Alerts
Rate this Thread



©2008 Advenet LLC   Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.