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Medical Forum / Diseases and Disorders / Prostate Cancer / July 2009JP Drain Duration
Hi fellow prostate dudes :o) .......................... I am 5+ weeks post-RP and I still have drainage into the JacksonPratt "Grenade" of approx 300 cc per day......yesterday it was 540cc, but it is usually a little under 300. This is VERY slightly less than my first week at home. Mostly serous fluid now (only an occasional grissly piece of ....whatever). My Urol says it's a bit long to be draining alright , but that I am in the 2 sigma range. I am wondering where the 3 sigma duration is................(as I recall, that covers 97- 1/2 % of the population, or thereabouts). I did read a very old post in the archives where a lady was worried that her guy was draining a lot at about 3 weeks or so, but no one ever closed the loop, so I don't know how he made out. Does anyone have any knowledge of this subject; i.e., how long does this go on before there is a concern there may be a problem that "ain't gonna go away by itself"? (The doc did take a sample to "send off" but no response from him, so I suppose the sample yielded no "surprises".) I will see him again in a couple of weeks. He is not evasive at all, but not real super-specific either. I keep reminding myself of my post-op pathology report....the doc said "It's as good as it gets. We call this a cure.....period. Of course no absolute guarantee ....unless we are standing here talking about it in 10 years". My concerns over this drainage linger, however. Any advice from you guys who have "been there" ..... especially if you had a long-term JP drain experience would be much appreciated. TIA Ed Sievers NASA, Johnson Space Center (Retired) > Hi fellow prostate dudes :o) .......................... > [quoted text clipped - 25 lines] > Ed Sievers > NASA, Johnson Space Center (Retired) Yikes you still have the JP drains after five weeks? Mine came out about 5 days after I was released from the hospital and it was still draining and the things were getting sore where the tubing went in. My doctor elected to remove them. He dident seem worried about the continued drainage and I never had any problems from it. Some don't even get the JP drains. Dale J.  SignatureEmail: dalej2@mac.com "I am 5+ weeks post-RP and I still have drainage into the JacksonPratt "Grenade" of approx 300 cc per day......yesterday it was 540cc, but it is usually a little under 300. This is VERY slightly less than my first week at home." Mine came out on the 2nd post-op day. Personally, I would not be too happy about still having it at 5+ weeks and I'd want to know what's going on in there. Bill Denton RP 2/12/02 Memphis Thanks Dale.... and thanks to all the others who responded directly. The responses varied from a few days for some like yourself, to several weeks for a couple of guys. I went back to the uro just today, and gave him my computer-generated graph of the daily drainage (the extreme was only about 10 days ago at 540 cc's [Holy Makerel over 1/2 liter!!]) but he was very encouraged by the fact that about 3 days ago it started to drop like a rock....yesterday's was 135 cc's and today's will be even less. He said the data often look like that; i.e., the slowing isn't linear but drops off sharply at the end. He said to come back next week and if I've not slowed to 30cc's/24 hrs (his threshold for "pulling the cursed hose") then he was going to "take some pictures" and then inject tetracyclene (sp?) in there via the hose. This supposedly causes irritation in that area which promotes scar tissue growth to shut down the oozing lymph glands (which were also cancer free).....that sure doesn't sound like a picnic to this dude. His words were that I was now near the limit and some intervention is in order......so this long-term drainage evidently happens occasionally I trust (since they do, in fact, have a protocol.) I still believe it may have something to do with my advanced yrs (72 of 'em) and the fact that sucker was 88 grams or about the size of a baseball. Thanks again to all. I will close the loop at the end of this saga so that if someone does a "google" in the archives, years down the road, they will have a data point. Regards, Ed S. > > Hi fellow prostate dudes :o) .......................... > > [quoted text clipped - 39 lines] > -- > Email: dalej2@mac.com "88 grams" !!! Is that a record? >... and the > fact that sucker was 88 grams or about the size of a > baseball. They removed my JacksonPratt drain the day I was discharged from the hospital. The surgery was Friday morning, and I went home Sunday morning. Must admit, I have never heard of the drain being left in that long?? Was there some complication in the surgery? Good luck. Thank you. David S. > Hi fellow prostate dudes :o) .......................... > [quoted text clipped - 25 lines] > Ed Sievers > NASA, Johnson Space Center (Retired) Hi, Ed. Don't know much about your current problem, but would like to welcome you to the newsgroup nonetheless. SignatureSteve Kramer PSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 PSA .1 .1 .1 .3 .4 .8 EBRT 05-07/2002 @ 47 PSA .3 .2 .2 .2 .3 Erection 05/12/2003 @ 48 Begin Lupron 07/21/2003 @ 48 PSA .1 > Hi fellow prostate dudes :o) .......................... > [quoted text clipped - 25 lines] > Ed Sievers > NASA, Johnson Space Center (Retired) I had 2 drains. One came out morning following surgery, the other the next morning. Shorty I too had a problem with draining, I was in the hospital for 5 long days. Mostly because I was draining so much(and low blood pressure), I remember a large container(liter?) being emptied twice a day. (No, it wasn't urine from the catheter) I finally graduated to a small bulb like apparatus pinned to my underwear. When I was released it continued to drain 400-500cc a day. It finally slowed down at about 3 weeks and I had it removed at 4 weeks. I hope you have it out soon, it gets really old! Between that and the catheter, I was pretty much tied down to the house. I think that if you restrict your activities, it may help with the healing process. Good luck, Tom > Hi fellow prostate dudes :o) .......................... > [quoted text clipped - 25 lines] > Ed Sievers > NASA, Johnson Space Center (Retired) >Subject: JP Drain Duration >From: "Ed Sievers" edsievers@charter.net >Date: 11/14/2003 10:18 PM Central Standard Time >Message-id: <vrbac0g4v9a8d8@corp.supernews.com> > >Hi fellow prostate dudes :o) .. My JP was in for three or four weeks, too. They had me measuring the contents several times a day and would not take it out 'til the rate dropped below a certain level- and they wouldn't take the catheter out, either. am 5+ weeks post-RP and I still have drainage into the JacksonPratt >"Grenade" of approx 300 cc per day......yesterday it was 540cc, but it is >usually a little under 300. This is VERY slightly less than my first week [quoted text clipped - 22 lines] >Ed Sievers >NASA, Johnson Space Center (Retired) > >Subject: JP Drain Duration > >From: "Ed Sievers" edsievers@charter.net [quoted text clipped - 32 lines] > >Ed Sievers > >NASA, Johnson Space Center (Retired) Thanks to all who responded. I have a problem with my NG access/provider in that I didn't see any responses in the group......I stumbled onto them in the Google archives.......my apologies......I need to get that fixed. The responses varied from days to 4 weeks or so for JP drain removal....it would be interesting to look at a regression analysis or some other data presentation to see if age has an effect (I'm 72). I am now 6 weeks + post op and still draining away at 250 to 500 cc per day! I see my uro tomorrow, so it is time to talk specifics.....for sure. I'll let you know how it all comes out. Thanks a TON, Ed S. > > >Subject: JP Drain Duration > > >From: "Ed Sievers" edsievers@charter.net [quoted text clipped - 53 lines] > Thanks a TON, > Ed S. Ed, As I mentioned before, I had my JP drains for about a week after the RP. I graphed the amount of drainage and found that it spiked a couple of times and I blamed that on a plugged drain tube. I was still draining when I visited my doc but he removed them anyway. Don't you have some soreness at the site where the tube is going in? I would think they installed a couple of stiches to hold the drain tube in place and by now they should be getting irritated. By all means ask your doc. Dale J. SignatureEmail: dalej2@mac.com > The responses varied from days to 4 weeks or so for JP drain > removal....it would be interesting to look at a regression analysis or > some other data presentation to see if age has an effect (I'm 72). I was still in the hospital -- Day 4 maybe -- when the doc came in and told the resident, "you might as well pull that out." I was 46, but obviously whatever was supposed to be draining into it had stopped. SignatureSteve Kramer PSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 PSA .1 .1 .1 .3 .4 .8 EBRT 05-07/2002 @ 47 PSA .3 .2 .2 .2 .3 Erection 05/12/2003 @ 48 Begin Lupron 07/21/2003 @ 48 PSA .1 Has anybody found a way to wear clothes with one of these drains? How do you do it so the drain does not create an unsightly bulge. Mine will remain in until a week from Monday at the soonest. I hate being homebound because I can't wear clothes! Any advice will be appreciated. You can contact me directly at marla_d@ix.netcom.com. |
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