Hi. My father (72, psa 3.8, stage 1, gleason 3+3) had robotic surgery
yesterday performed by Dr. Tewari at New York Hosp./Cornell Med. Center,
and it went very well.
Biopsies of surrounding tissue/nerves were all negative so they were able
to spare all the nerves. They'll biopsy the entire prostate and we should
have results from that this week.
The biggest surprise was just how large his prostate had grown. We'll
learn the exact size in a few days, but the doctor estimates it was 120
(grams), compared to a normal prostate of 10-20! They called it a
"tsunami" prostate.
It was so big that it actually grew into the bladder, requiring my father
to have about 16 stitches (instead of what I believe is usually 2 or so)
to sew up the bladder/urethra. As a result, he will probably have to have
the catheter in a bit longer and incontinence might last longer as well.
My mother and I brought him home today, only 24 hours after the surgery.
He already started walking last night at the hospital and today as well.
Starting tomorrow, he will be walking three miles a day.
He's having terrible pain in his back so he keeps getting up to walk. He
feels like it's actually from gas, but it could be from lying down for so
long in a bad position. Has anyone experienced this?
He's taking torodol, colase, cipro, pepcid, flomax and viagra, and has
tylenol with codeine, but isn't taking it because he thinks it will upset
his stomach. He's already feeling nauseous because he's taking medication
with a liquid-only diet.
Any advice would be welcome. (I already printed out the helpful hints
posted here.) Thank you!
Leonard Evens - 10 Apr 2005 00:19 GMT
> Hi. My father (72, psa 3.8, stage 1, gleason 3+3) had robotic surgery
> yesterday performed by Dr. Tewari at New York Hosp./Cornell Med. Center,
[quoted text clipped - 29 lines]
> Any advice would be welcome. (I already printed out the helpful hints
> posted here.) Thank you!
I have a lot of experience with hydrocodone, which is a slightly suped
up version codeine. The only problem I've ever had with it is
constipation. That can be pretty bad, but for me at least it is
completely controlled by using stool softeners. In myopinion, there is
no point in avoiding it if it is needed to control pain.
Steve Kramer - 10 Apr 2005 02:21 GMT
I had terrible gas pains occasionally for a few days. The pains in my very
low abdomen to the buttocks. Never more than two minutes, but just ghastly
pain for those seconds. Getting up to walk helped.

Signature
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA .1 .1 .1 .27 .37 .75
EBRT 05-07/2002 @ 47
PSA .34 .22 .15 .21 .32
Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05
PSA .07 .05 .06 .05
non Illegitimi carborundum
> Hi. My father (72, psa 3.8, stage 1, gleason 3+3) had robotic surgery
> yesterday performed by Dr. Tewari at New York Hosp./Cornell Med. Center,
[quoted text clipped - 29 lines]
> Any advice would be welcome. (I already printed out the helpful hints
> posted here.) Thank you!
Dave LaCourse - 10 Apr 2005 02:32 GMT
>He's having terrible pain in his back so he keeps getting up to walk. He
>feels like it's actually from gas, but it could be from lying down for so
>long in a bad position. Has anyone experienced this?
Hi, Jennifer. Glad to hear it went ok. I have read many complaints
on this ng about after-robotic surgery aches and pains. I have a
friend in Washington that lost the use of his hands for several weeks,
and it finally took several months before they were back to normal.
I'm not sure, but believe it has something to do with how they strap
the patient down. Others have complained about sore arms and legs.
Tell you dad to take it easy as far as the walking is concerned. He's
been through a rough time and needs to heal before he gets too
strenuous. Having the catheter to deal with is also another reason to
slow down. There's plenty of time to work out later.
Good on you and thanks for keeping us posted.
Dave
arfey - 10 Apr 2005 03:08 GMT
good to hear from of your father's successful surgery. The time you take
to relate to others helps all to see the positive results which re-inforce
others.
his age of 72 ( mine 69) especially helps me as I approach the 14 th.
I know your father appreciates the support from yourself.. Thank you for
your remarks on my "at last" posting.
Arfey
Unquestionably Confused - 10 Apr 2005 03:25 GMT
> He's having terrible pain in his back so he keeps getting up to walk. He
> feels like it's actually from gas, but it could be from lying down for so
[quoted text clipped - 4 lines]
> his stomach. He's already feeling nauseous because he's taking medication
> with a liquid-only diet.
For what it's worth, I suspect that most of the men here will confirm
that the most painful part of their recovery was the build up of a gas
post-op. In my case that was THE pain which I remember. Almost enough
to pass out before I finally "vented." Once that was past, everything
else was a relative breeze.
Your Dad should avoid the codeine (or any other opiates) at all costs
for if it is gas that's giving him grief, the opiates will also act to
paralyze the bowels and just create more problems down there.
My doctor prescribed Toradol and wrote instructions for the heavy duty
opiates IF I wanted them but advised against them for the above reasons.
Toradol and OTC Tylenol was all I ever needed.
Back pain could be from the position they had him in for the surgery.
Not sure how they position him for the laproscopic surgery. For the RRP
my doctor's nurse said that he preferred that I be under general
anesthetic since he would be bending my back to the point of breaking<g>
while doing the surgery. I never had (or don't remember) any back
problems post-op.
Ron B - 10 Apr 2005 13:51 GMT
Hi Jennifer.
My best to your dad and to you.
I agree with puzzled and Steve as GAS is a big problem after surgery.
Also...the opiates DO add to the problem.
I was told this before my regular RRP on March 21st and I thought that
you could just "pass it" but it wasn't that easy.
Walking helped but it took time.
Good luck to dad.
Ron B.
Chicago
jenniferb - 11 Apr 2005 19:07 GMT
Thanks so much to everyone for your advice and good wishes. After a few
agonizingly painful days, he is finally beginning to expel some gas. The
walking does seem to help.