No Incontenance after Robotic Prostectomy

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Hi Thought I would post about my husbands recovery after Robotic Prostectomy .He had the operation to remove his prostate after three years on active surveillance his PSA started to rise rapidly .He had a bone scan and MRI which are both clear of spread outside the prostate.The cancer had spread to both sides and was near the edge of the prostate so removal  was offered to him .His Consultant surgeon is the main man for the Da Vinci robotic surgery in our hospital trust with a good level.of experience in this form.of operation .He advised that no nerve saving  would be possible due to the extent if the cancer in the prostate. The operation was more complicated than expected and lasted over 4 hours due to the size of prostate and more blood vessels than expected in fact they almost changed it to open surgery .However the Robotic surgery proceeded and my husband spent only two nights in hospital he had the catheter in for 14 days and I expected him to be somewhat incontinent after its removal .However unbelievably he is completely back to normal 1 day after the catheter removal no incontinence whatsoever, no need for pads ,no night excursions to the toilet a little more urgency than before but nothing to cause concern .I cant believe hiow well he is, must be down to the skill of the surgeon .Hopefully he has removed the cancer but as we all.know there is a chance it may still be lurking in places hidden from the scans but at the moment he is doing very well indeed .The surgeon didnt think it necessary to remove any lymph nodes as there is no evidence of lymph node spread .The operation is  no walk in the park my husband is still sore and a bit uncomfortable but I thought I would share the fact that he is completely continent after this surgery to give reassurance that incontinence is not always the case after this type of surgery .

  • Great news and thanks for sharing. I hope his recovery continues to go well.

    Yesterday is history, tomorrow is a mystery and today is a gift.
    Seamus
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  • Hi.. it sounds like good News for both of you!!! They are offering me prostate removal after 10 years surveillance!!! Do you know if its Standard to stay in Hospital after the Surgery?  I live on the isle of wight and I've got to go to Portsmouth for the Op!!  Plus I don't have anyone to look after me!!!!

  • Hello  

    This is quite an old thread so I thought I would reply and yes there is always at least one night in hospital after surgery - our advice can be found here:

    Prostatectomy-for-prostate-cancer.

    Depending on your PSA, Gleason Score and TNM scores there are other treatments - HT/RT and Brachytherapy that you could consider even if they haven't been offered.

    If you need to know more just ask.

    Best wishes - Brian.

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  • Yes one or two nights my husband stayed two nights .You  need someone to look after you when you get home if only for a day or two let the hospital know if there is nobody to look after you they may keep you in a little longer . My husband wasnt completely cleared of cancer and needed  Salvage RT in 2021, he was prescribed Enzalutimide as a first line treatment because of  Covid as it could be taken at home  along with ADT injection every three months and has had undetectable PSA since August 2021 .He no longer needs any more followup scans and remains on Enzalutimide his followup phone check ups are every 6 months now instead of 3 and  he is considered in full remission ,our trust never says cured .He is well and happily gets on with life we consider ourselves very lucky .There is much to be positive about and several new treatments which are going to be available soon .Good luck and I hope you have a  sucessfull outcome like my husband did .

  • Hi.. thanks.. not been offered Brachytherapy..  think the Cancer is in a position that it may not work.. but that's what I wanted !!

  • It seems that the treatment is different in different areas!!  Surely it should be consistent in all...  its not been a good journey for me!!  Not sure even now if I will have the op.. thanks anyway..

  • Hello  

    Regardless of your own Health Authority not offering Brachytherapy, if you are suitable they should pass you on to the nearest Health Authority who do offer this treatment.

    Here's a link to the "qualifications" for Brachytherapy at one NHS hospital-

    Patient-information/prostate-brachytherapy.

    I hope this helps.

    Best wishes - Brian.

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    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

    Strength, Courage, Faith, Hope, Defiance, VICTORY.

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