Hip surgery while on ADT and meds?

Generally they won't give you meds that you supply, but instead they get them from the hospital pharmacy. You can bring your own supplements tho. Just pre-package them for convenience.

My wife has had total replacement of both hips, so I can comment in general on what to expect during recovery.

First, of all the typical joint replacement surgeries (hip, knee, shoulder), hip is generally the least painful (I’ve done knee replacement, it was painful compared to hip). My wife didn’t use opioids beyond one day past surgery (I used them for a couple of weeks after knee replacement). Anyway, if you can get by with just acetaminophen, then you dodge constipation issues brought on by opioid use.

Second, my wife was never referred for physical therapy, but was instructed to “just walk”. Needed a walker for a week or so, then graduated to a cane and walking sticks before free walking. Was about a week before attempting stairs, which also required my assistance initially.

Three, perhaps the biggest thing was that she was instructed not to bend from the hip for about six weeks. This necessitated a lot of assistance from me for normal daily activities including getting out of bed, sitting on the toilet, in and out of the bath, etc. No driving for the six weeks. It got better week by week until she was independent again. We purchased a bunch of grabber sticks so that she could pick up stuff from the floor.

The upside, we are both back to normal physical activities, and my wife says the replaced hips have given her a new lease on life after years of pain and several misdiagnoses.

Hope all goes well without any complications.

Mel

I agree with melvin. My hip surgery was at 1015. I was back to my room before noon. I checked out at about 5pm. They have you hold most medications at least 3 days to week. They will go over all the meds. Aspirin or any NAISD is a week. It takes them less than hour for full replacement. Yours might be different with rework required. If you can shake off the anesthesia they will release you.

Thanks for the replies.

A bigger concern I have is the interruption of my weightlifting routine. Years ago when I started ADT , I was tired a lot, so I stopped exercising and took lots of naps. I gained about 40 pounds around the waist. Two years ago I started lifting weights 3x per week (and improved my diet) and I lost those 40 pounds, gained some muscle, and I feel better overall. If I stop or cut way back on that routine for a few weeks, I'm afraid I'll lose a lot of ground that I gained.

I had my hip replaced in September 2023. I was on Lupron and Darolutamide At the time. I was also on three drugs twice a day for a blood pressure. I was on a blood thinner, which I had to stop a few days before the surgery. Also had to stop one of the blood pressure medicines a day before the surgery. Recovery was very quick. Within two months, I was back to normal, at which point I had radiation to a metastasis in my spine.

I had been on Lupron for six years at this point. I’d also had prostate cancer for 14 years With four reoccurrences.

You should ask your doctor what complications there are involved because of the previous hip surgeries.

I’ve had multiple surgeries and every time a doctor called me a week before the surgery to discuss the drugs I was taking and when I would have to stop Any of the meds I was on. They also told me when I could restart everything but the blood thinner medicine, that was up to the Surgeon. Are you sure they’re not going to do this for you?

Yes and no. My surgeon is on vacation for 2 weeks and won't be back until the day of my surgery. (Refreshed from the beach, I hope)

I managed to talk to a human being in his office over the phone, and she said she'd "get back to me" on the question of my meds.

@bluegill
The doctor that called me about medicine each time was not my surgeon. They seem to have a practice where a doctor that is more specialized in drug treatment calls.

@bluegill
I forgot to mention one interesting thing I ran into with the doctor that called about what drugs to stop.

The first doctor said I needed to stop Darolutamide And I told her I didn’t, That I had a previous surgery on my hip and I wasn’t required to stop it. My oncologist was away, so it was not possible to have her comment.

They then had another doctor call me who was an oncologist, who didn’t even know how to pronounce Darolutamide. It was obvious she didn’t know anything about prostate cancer and after I talked to her, I convinced her that I did not need to stop the drug.

The next day, my oncologist, while on break, Emailed in saying I did not need to stop it.

I know that my PSA rises very quickly if I don’t have the ARPI drug in me. I didn’t want to take that chance.