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RARP Scheduled After Transperineal Biopsy

Prostate Cancer | Last Active: Oct 20 10:18am | Replies (15)

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Profile picture for jmacpa @jmacpa

the waiting is 100% the worst part. I had my surgery 7/30 so i'm 2+ months out since my robotic surgery. the surgery prep included 2 IV lines for the surgery. when i was waiting the surgeon came in and asked how i'm doing and i said i'm nervous as hell and he said you'll do great. when the anesthesiologist came in she asked the same question and i told her - yeah i'm pretty nervous. she said - OH, i can help with that and put something in my IV and within 30 secs I was literally the happiest guy on the planet. I only remember about a minute after she gave me that shot but i can tell you it certainly took away ALL of my nervousness and anxiety.

i also did pelvic floor PT before and after and it def helped. i do have slight leakage but its getting better every day and at this point i don't think i would have an any leakage except i was on a 6 month trial before surgery which included ADT+olaparib which took my T levels to zero and they have still not recovered (will prob take 6 months). The ADT caused some muscle loss and the surgeon warned me that my incontinence recovery may take a slightly longer bc of the trial drugs.

As you can imagine the most uncomfortable part is the catheter - mine was in for 6 days and i wont say it was fun but i got through it. i also still have no erections yet but again my T levels are basically zero and i've been in that state for 6 months so my recovery for that will take a lot more time. I do have full feeling so I'm hopefully I eventually get back my erections. I'm also on low dose Cilias - def take that if they offer it. It's a great idea because it increases blood flow to that area and also helps your incisions heal.

In Nov I get my 3 month bloodwork and hoping my PSA is undetectable. All in all I would say it was def worth it - there were a couple of days after surgery where I got down and I think that's normal but I can tell you that it gets better and 2 months out i can literally do everything I was doing before surgery.

Good luck in your journey and keep us up to date with your pathology and progress.

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Replies to "the waiting is 100% the worst part. I had my surgery 7/30 so i'm 2+ months..."

@jmacpa

Thank you for sharing your experiences and for your encouragement. I will be sure to ask my doctor or anesthesiologist for some calming meds before surgery:) I am glad that you are recovering very well 2 months out, and I do hope your November check-up goes very well. I will be sure to keep the forum updated on my pathology and progress. Thanks again!