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

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Lingering Symptom

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Steve M. - 12 Jan 2004 15:05 GMT
Had RRP August 1, 2003 and am progressing reasonably well. I do have
an unanticipated concern. From the beginning I had an occasional a low
grade ache at the lower right side of the incision. This ache has
continued and is observed when standing for an extended time. It is
not sore to the touch and feels better when I push firmly in the area.
At times I can feel a slight bulge that is eliminated after pushing
the spot. I believe this may be a small hernia related to the surgery.
Has anyone experienced this? If so, was it a hernia and how was it
resolved?

Steve M.
JohnG - 12 Jan 2004 17:34 GMT
> Had RRP August 1, 2003 and am progressing reasonably well. I do have
> an unanticipated concern. From the beginning I had an occasional a low
[quoted text clipped - 5 lines]
> Has anyone experienced this? If so, was it a hernia and how was it
> resolved?

I am trying to remember... I do recall having something at a similar
time after surgery that made me wonder about a hernia, and I e-mailed my
surgeon about it.   Hmmm.   I can't find that e-mail just now, but I
don't think the symptoms were exactly what you're describing.   But I
was thinking hernia.   The surgeon took my concern seriously enough to
give me a quick check at my next visit, and said no you don't have a
hernia.  

Well, yes, I do remember that it felt better when I pushed on the area.
I think it had been bothering me for a while, and when I finally got up
enough nerve to ask the surgeon about it, it naturally went away on its
own.   But the surgeon checked anyway.

JohnG
sendspamhere@aol.com - 12 Jan 2004 17:48 GMT
Steve:
  I think you had better call TP on this.  It sounds like a hernia.
My guess is that it will require surgery to make the repair.  I'd get
that looked at right away.
  This week on Thursday I have an appointment to see him.  My
incontinence showed some improvement sitting, but I still leak like
crazy standing/stooping/lifting.  I also had some symptoms
remininscent of BPH like feeling like I have to go and there is
nothing there, etc.  I may have a scope procedure in my future.
  Hope it turns out to be nothing to worry about.  Let us know how
you make out.
  Thank you.
David S.

>Had RRP August 1, 2003 and am progressing reasonably well. I do have
>an unanticipated concern. From the beginning I had an occasional a low
[quoted text clipped - 7 lines]
>
>Steve M.
Rog - 13 Jan 2004 00:13 GMT
Steve M.

It definitely is a hernia. The pushing in on the bulge is the key symptom.
I've had both the inguinal and umbilical hernia. The inguinal is lower down,
either to the left or right as you describe. The umbilical is obviously up
by the navel.

In fact with my recent RRP I also had my umbilical hernia repeared. I
basically got a 2 for 1 surgery. I knew going into the operation I had an
umbilical hernia. I figured while my Uro was in there, lets do both.
Otherwise I wasn't going to have a special surgery just for the hernia.

So I asked my Uro to see if he would be willing to do it. He had no problem
doing it, I just had to sign the form before going into surgery that he was
doing the RRP and hernia.

The hernia operation just added an extra 1 to 2 inch scar (my scars are
starting adding up).

Rog

--
Age 47
PSA 4.5 (9/24/03)
Biopsy 10/30/03 GS=7 (3+4)
Stage pT2c
RRP 11/18/03
Cathater out 12/8/03

> Had RRP August 1, 2003 and am progressing reasonably well. I do have
> an unanticipated concern. From the beginning I had an occasional a low
[quoted text clipped - 7 lines]
>
> Steve M.
Steve M. - 07 Feb 2004 15:47 GMT
Well I finally had my six month visit with my surgeon. The occasional
low grade ache at the lower right side of the incision (previously
posted on the group)was discussed and the area thoroughly checked. The
problem has been significantly reduced since my last post and hadn't
been noticed for several days before the visit. The surgeon couldn't
find any problem and suggested it may be continuing internal recovery.
He did say it could be a hernia. I also happened to have a scheduled
visit to my regular doctor. He also believes it is continuing recovery
from surgery.
The six month check went well. The PSA resulted in a reading <0.1! The
doctor recorded that I was continent. I have not required pads for
seven weeks. I was told the occasional drip can be expected to stop.
On the ED front, things are better but not usable even with Viagra. I
now have been given prescriptions for Cialis and penile bands. I was
given samples of Levitra and Cialis (20 mg). He believes in manual
stimulation and the band over the pump.
I am happy that I have no side effects from ED medications. Both have
a encouraging effect but are only close.

Steve M
PSA May 1, 2003 5.9 @ age 61
Biopsy May 20, 2003: Gleason Grade of 3+4=7,
RRP Aug. 1, 2003; Gleason Grade of 3+4=7, 15% of gland involved;
perineural invasion present on left side that nerve bundle removed;
lymph nodes-no evidence of malignancy; tumor was organ confined.
Nov. 3, 2003 PSA <0.1
Feb. 2, 2004 PSA <0.1
> Steve M.
>
[quoted text clipped - 36 lines]
> >
> > Steve M.
Steve Kramer - 07 Feb 2004 19:35 GMT
> The six month check went well. The PSA resulted in a reading <0.1!

That's great, Steve!

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  .3  .4  .8
EBRT 05-07/2002 @ 47
PSA  .3 .2  .2  .2 .3
Erection 05/12/2003 @ 48
HTbegins 07/21/2003 @ 48
PSA  .1
Lupron 7/03, 8/03, 12/03

Beverley - 08 Feb 2004 06:10 GMT
Congratulations on the <.1 that is great!
Just remember that  time heals all wounds and I think that applies here,
too.
Bev

> Well I finally had my six month visit with my surgeon. The occasional
> low grade ache at the lower right side of the incision (previously
[quoted text clipped - 63 lines]
> > >
> > > Steve M.
Beverley - 15 Jan 2004 01:45 GMT
If it is a hernia - it is something you should not mess around with and
ignore. Go to the doc! It's a simple surgery to repair most hernias and a
real big problem if something falls into the "hole" and strangulates.
Bev

> Had RRP August 1, 2003 and am progressing reasonably well. I do have
> an unanticipated concern. From the beginning I had an occasional a low
[quoted text clipped - 7 lines]
>
> Steve M.
 
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