Devastated by support group meeting: I'm doing everything wrong

Posted by fritzo @fritzo, Apr 17 7:50am

Just absolutely devastated last night during a PC support group meeting. I thought I'd share with the support group (via zoom) that my RP surgery is in four days and was hoping I might get a few words of encouragement before the big day. Instead, this support group session was an informational meeting on Focal Therapy from an expert.

To me, what followed was 90 minutes of medical information with the slant that RP surgery is absolutely a terrible thing to do as first treatment if you can do Focal and that people should start with Focal therapy and not suffer the barbaric side effects of surgery (I'm informed, I know what they are).

I was a zoom participant and my audio was turned off and I never had the chance to say, "Hey guys, I'm doing surgery in few days and now you've got me convinced that everything I'm doing is wrong." I was despondent because I thought I had my mind made up and now experts were saying that was not the right thing to do.

It was a rough night.

Let me explain: This meeting turned out to be entirely a presentation by a director of a Focal Therapy program where they offer five different focal therapies. His program was loaded with fantastic information.

But, one of his key messages that I was taking away is that Focal Therapy for those that qualify is that you don't have to unnecessarily suffer the indignities of impotence and incontinence if you choose focal therapies...or at least much less risk. They assess your case and then pick the most appropriate focal therapy. Later, down the road, if your PSA starts going up, you still have the full option of RP. But, another key theme is that you really want to avoid RP because of the horrific side effects. So, explore this new, modern approach that is the forefront of treatment that is Focal Therapy.

At the end of the session, the moderator saw I was waving my arms (my audio was muted from the feed during the entire session) and leaned in to see that I wasn't waving goodbye...I was upset. He could kind of hear me. At first, the discussion was like if you're not 100 percent confident with your decision, then contact your doctor and get more info and if not confident, cancel the surgery....even it it's as late as rolling in the operating room.

However, he very graciously got my phone number and called me directly, which I'm super appreciative. We were able to talk more. At first, it was an assessment of whether I would be a candidate for Focal Therapy (contained to one lobe of the Prostate, no spread). So, yeah, I probably could be a candidate. But, then I think he realized that an entire session on Focal and how glorious it is with no opportunity for "support" from the group for those at a surgery turning point could have left me "conflicted' just days before my surgery.

I reached out to a PC buddy who was really helpful. He shared his journey and some of his thought. The turned out to be a real lifeline.

I'm still conflicted, but thinking I'm going forward with my surgery. Holy smokes, that was not what I needed from a "support" group days before surgery to be convinced that I'm doing the absolutely wrong thing.

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

Profile picture for TurtBean @turtbean

@surftohealth88

Yep, that’s been my experience so far (very limited, admittedly).

I’ve been posting on a non-PCa forum about everything I’m going through, because there are several men on it in various stages of BHP & PCa, so there’s a lot of interest.

I gave an accounting of my catheter removal, which was so painless I could have easily fallen asleep…had it lasted more than 30 seconds, and I immediately had several people disagree with me, saying theirs was excruciating.

With the soreness and swelling - I was very sore the first day home (I was in the hospital overnight), but it wasn’t my incisions, it was more of an internal soreness, sort of like I’d gone crazy with a gym workout after being a couch potato my whole life…just a very sore abdomen and just up above my groin.

It subsided pretty quickly, no oxy necessary, but it took a few weeks before my tummy went from swelled and distended to its usual middle-aged slight paunch.

Everyone’s different. I barely felt capable walking at the hospital, and the next day wasn’t much better, but by the second day home, I was slow, but I could manage quite easily. Every day was a little bit better. By the time I went back up for my catheter removal eight days later, I was moving fairly easily, but still had some tenderness, especially in my perineum. I think I sat on a cushion in the car for a solid two months (those VW seats are stiff!).

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@turtbean Oh, you just described my abdomen pain perfectly....it's internal abdomen soreness just above the groin where you feel like you've been punched and kicked multiple times. It's better, but slow going so far. When I had spasms, it rolled right through this section, but really didn't feel like the bladder location. Fortunately, those have mostly subsided.

Always a party!

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Profile picture for fritzo @fritzo

@turtbean Oh, you just described my abdomen pain perfectly....it's internal abdomen soreness just above the groin where you feel like you've been punched and kicked multiple times. It's better, but slow going so far. When I had spasms, it rolled right through this section, but really didn't feel like the bladder location. Fortunately, those have mostly subsided.

Always a party!

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@fritzo Oh man, I had zero pain but if I coughed or cleared my throat my abs felt like an MMA fighter had backed me into a corner and used my body as a speed bag.
Phil

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Profile picture for heavyphil @heavyphil

@fritzo Oh man, I had zero pain but if I coughed or cleared my throat my abs felt like an MMA fighter had backed me into a corner and used my body as a speed bag.
Phil

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@heavyphil Yes, yes and yes! I'm at the point now where I don't have the rolling pain, but it's now triggered by bending, twisting and yeah, coughing. Guess I'll have to wait for a while for the MMA rematch 🙂

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@fritzo ,

glad you are out of the surgery and full of humor. This helps with the healing. Make sure you stay hydrated. Have you had your first bowl movement already?

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