My RARP is tomorrow

Posted by psychometric @psychometric, Jun 17 12:02pm

The hay is in the barn, and in 23 hours or so, some dude and his fancy robot are going to set the barn on fire.

I appreciate the wealth of knowledge shared on this site - I feel well-prepared and, since it's Cleveland, ready to rock & roll.

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

topf | @topf | Jun 18 3:13pm

In reply to @edinmaryland "did you have trouble with your shoulders due to the gas?? Catheter?" + (show)

Yes, still having some gas pain up to the shoulders. The catheter is annoying but not painful.

edinmaryland | @edinmaryland | Jun 18 3:50pm

Good congratulations so far
the gas was a surprise to me

happydappy | @happydappy | Jun 19 6:44am

Hope it went well. My RARP is today so I'm right behind you.

psychometric | @psychometric | Jun 19 9:35am

The surgeon said the procedure went well. I'm a little bloated but have been fine pain-wise with Tylenol.

My MRI showed EPE, which is not ideal but the rest seems okay.

RESULT:

Prostate:

Gland volume: 19 cc

Post biopsy hemorrhage: Absent

Peripheral zone: Diffuse mild T2/ADC map hypointensity (PI-RADS 2).

Lesion #1:
Location: left mid posteromedial/posterolateral peripheral zone
Greatest dimension: 1.0-cm (series:5; image:15)
T2-WI: Circumscribed, homogenous moderate hypointense focus/mass (score 4)
DWI/ADC: Focal markedly hypointense on ADC and markedly hyperintense on
high b-value DWI (score 4)
DCE: Positive
Extra-prostatic extension: Present (tumor extends beyond capsule)
PI-RADS assessment category: 4

Transition zone: Transition zone hypertrophy, without focal abnormalities
suspicious for clinically significant disease (PI-RADS 2).

No focal lesion present.

Neurovascular bundle: Tumor invasion is equivocal on the left.

Seminal vesicles: Unremarkable.

Adjacent Organ Involvement: Not applicable.

Lymph nodes: No enlarged pelvic lymph nodes.

Bladder: Unremarkable.

Pelvic bones: No suspicious pelvic osseous lesions.

Other Findings: None.

surftohealth88 | @surftohealth88 | Jun 19 5:18pm

I am so glad to hear that you are done with the surgery and now can rest and concentrate on healing 🙂 . I am sure that it must be unnerving to hear that cancer escaped somewhat out of the capsule, but this only confirms that removing the gland physically and examining it in a pathology lab gives actual and clear picture of the cancer status. It is often the case that doctors find additional abnormalities after close examination and often gleason score goes up in comparison with biopsy. Now you know exactly what is going on and your doctor will know exactly what to do next.

Wishing you super fast recovery and sending healing vibes : ))) ! < 3 Keep us posted when you find time : )))

retireditguy | @retireditguy | Jun 19 9:26pm

Best wishes for a speedy and complete recovery!

perrychristopher | @perrychristopher | Jun 20 8:30am

In reply to @psychometric "The surgeon said the procedure went well. I'm a little bloated but have been fine pain-wise..." + (show)

Glad the surgery went well. Time to put that behind you now, and concentrate on healing.

brucemobile | @brucemobile | Jun 20 8:58am

Guys, I can’t tell you how uplifting this thread is. I have opted for surgery to be done August 13th and have been thinking about it a lot. I can only hope my outcome is as good.

happydappy | @happydappy | Jun 20 1:51pm

In reply to @brucemobile "Guys, I can’t tell you how uplifting this thread is. I have opted for surgery to..." + (show)

Glad you have this band of brothers to share experiences with. I had RARP yesterday and was just discharged from the hospital. No major pain in the abdomen - just tender and achy. The catheter is not pleasant but know it will be out in a week. So glad I went to a university center of excellence (UNC) as the surgeon, team and facilities were top notch.

Hang in there and your time will come soon. Does your doctor have a wait list in case someone cancels? Mine was scheduled for July but I got called with an offer to take an earlier slot.

brucemobile | @brucemobile | Jun 20 2:28pm

He might but the decision I made was based on how much paid time off I have and how much more I would accrue. I wanted my recovery time paid for. I’m in Mobile Alabama and work for the University of South Alabama. They have a medical school and a cancer center. My doctor is the chair of the Urology dept. He will be using a single port da Vinci. Expects to do this out patient . I watched a video of him peeling a shrimp with the robot.