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Radical Prostatectomy vs. Radiation therapy?

Prostate Cancer | Last Active: Apr 21 7:39pm | Replies (52)

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Profile picture for wwsmith @wwsmith

@readandlearn After reading many others' experience on recovery from RALP I have never heard of anyone being fully continent the day after surgery. Also, I am sure that you had weight limits imposed for awhile on what you could lift. No doubt, there is probably a lot of variation on side effects after RALP surgery, but just reading through many case examples on this forum shows lots more side effects after RALP than what you say that you experienced.

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Replies to "@readandlearn After reading many others' experience on recovery from RALP I have never heard of anyone..."

@wwsmith
"After reading many others' experience on recovery from RALP I have never heard of anyone being fully continent the day after surgery. Also, I am sure that you had weight limits imposed for awhile on what you could lift."

No one is incontinent until the Foley catheter is removed.

Of course I did Kegel exercises before surgery. During the 7-day post-op exam, before the catheter was removed, 120 ml of saline solution was poured into the catheter, & then the catheter was removed. The test was to see if I could control urination (I could) & then urinate the same amount (I did). I wore a pad the day of the post-op but never needed it.

I'm glad you are sure I had weight limits. Attached are my post-operative, 7-day, & 3-month post-op visit instructions, which don't mention it.

Dr. Walsh's book does not mention weight limits; he just says to take it easy, but long walks are allowed (even preferred to avoid any blood clots).

Remember, most people come here because of issues, so ranking surgery vs. radiation based on complaints here, is a non-scientific way to assess results. One needs to have an objective study of a controlled population in order to make such assessments. I first came here out of curiosity, 4.5 years after surgery & one year after completing hormone therapy.

Shared files

2021-02-03_HospitalVisit (2021-02-03_HospitalVisit.pdf)

2021-02-10_OfficeNotes (2021-02-10_OfficeNotes.pdf)

2021-02-10_RoutineVisit (2021-02-10_RoutineVisit.pdf)

2021-05-19_OfficeNotes (2021-05-19_OfficeNotes.pdf)

2021-05-19_OfficeVisit (2021-05-19_OfficeVisit.pdf)

@wwsmith
I had my surgery 16 years ago. Had to wear the catheter for 14 days. Never thought about the fact that I might have incontinence after. They pulled out the catheter and I didn’t have any incontinence problem, until about nine years later, Which was about six years after I had salvage radiation.

@wwsmith
Sir, by God's grace, my husband had no incontinence at all after catheter removal. I have heard of others who had the same experience.