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Recovery after Robotic Prostatectomy

Prostate Cancer | Last Active: Sep 7 9:44am | Replies (21)

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@stevemaggart

My RARP was 9 weeks ago and was non-nerve sparing. Pathology showed Gleason 9 with cribriform and IDC. I was completely incontinent after the catheter was removed, which was totally painless and in fact, it blew out once the balloon was deflated! My incontinence after 2 weeks improved at night, but continued unabated during the day. I did kegals but did not see much improvement. At 6 weeks I found an exceptional pelvic floor PT's who is helping me greatly! I wear a depends at night and basically stay dry. During the day I can now control urination 50% or so. I got tired of changing depends every 2-3 hours so I bought a penis clamp. I use it about 75% of the day and it helps a lot. I'm now hopeful I can regain control the majority of the time within the next couple of months. I'm pretty sure I will need to wear some type of absorbant pad for a long time. Regarding impotence, because my surgery was non-nerve sparing, I will never be able to get an errection without shots or implants. My mayo surgeon says we will deal with that issue but for now he says he wants to focus on the cancer which he says will reoccur. Good luck on your journey!

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Replies to "My RARP was 9 weeks ago and was non-nerve sparing. Pathology showed Gleason 9 with cribriform..."

Hey Steve, It’s a rough patch for sure but you seem to be managing it. I’ve found that ‘management’ is my new normal and over time it’s easier.
One question: If your surgeon states that your cancer will recur, are you scheduled for post op radiation/ADT?
If your surgical pathology was clean you can probably wait. I recently read that immediate radiation or radiation 5 years down the line - with monitoring of course- shows no statistical difference in outcomes.
So hopefully you can catch a break and concentrate on your urinary issues for now. Much love and support on your recovery.