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Had Radical Prostatectomy last week: What are next steps?
Prostate Cancer | Last Active: Feb 26, 2023 | Replies (51)Comment receiving replies
I’m following this discussion with great interest.
70 yo, PSA doubled in 6 months from 3.5 to 7.0 in June 2022. Diagnosed in August 2022 after biopsy showed Gleason score of 4+3. MRI with contrast showed cancer was contained in the prostate, so I opted for RALP as first treatment step - which was performed on January 10 of this week.
The surgeon told my wife he was very pleased with the surgical results, which of course sounds great at this point. Catheter comes out on the 18th. I believe 4 nodes were removed, and I should have the biopsy results from those tissues next week.
I tolerated the surgery well, and now, 4 days post-op, I’m happy with the decision to go for the DaVinci RALP. So far, life is good.
Jim
Replies to "I’m following this discussion with great interest. 70 yo, PSA doubled in 6 months from 3.5..."
Hi, glad your surgery went well. I had RALP a year ago. My surgery went well. However, my biopsy results showed cancer in one lymph node. I got my catheter removed one week after my surgery. I started immediately walking everyday for physical therapy. I was totally incontinent for six weeks. I watched some YouTube videos on Kegels. It took quite some the before I was continent, but it did happen! Good luck with your recover. Jerry
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Glad to hear surgery went well. Next step is catheter removal which is no big deal. After that relax and heal up. My urologist wrote a script for me to have post surgery Physical Therapy with regards to strengthening abdominal muscles. The therapist just shows you how to do Kegel exercises properly. However, you have to wait to start this until 7 weeks after surgery. I'm 60 years old and had surgery Aug 4 2022. No issues at all with incontinence. I've had 2 clear follow on PSA tests to date. Your first PSA test will be 8 weeks after surgery most likely. Relax in the fact that the tumor has been removed and you can concentrate on healing. I had to have a follow on Abdominal MRI as I had a lesion on my liver. This turned out to be a cyst or angioma of some type. No sign of cancer. These are quite common and are found incidentally when initially having MRIs performed before surgery is approved.