Radical Robotic Prostatectomy on 7Jan, overnight in hospital and discharged next day, so just an update on the ups and downs. Generally speaking, I'm fully mobile, but just occasionally the bottom right stitch pulls, but nowhere as bad as the days immediately following the operation. Eating more or less normally, although I found for a week or so I'd really lost my appetite. This has been accompanied by a strange feeling of being on another planet and simply not wanting to do anything, although I seem to be getting brighter daily. I've yet to drive a short distance, it's more than I can't seem to be bothered by it, but it's on the agenda for next week. Perhaps a couple of times a week, at night, I have mild acid reflux. As respects urinary incontinence, good days and bad days, I'm pretty dry at night and moving around the house, but have a rubber mat and bucket by the side of the bed as I'm peeing, it seems, every hour at night. What a joy the catheter night bag was! My biggest depression is going out walking, walking being one of my big activities. Here it seems I'm squirting every pace, thus a half mile walk to the village store is a pad filling experience and I'm really feeling low about getting out and about more. Perhaps in the warmer weather I could follow in the steps of the naked rambler ! Obviously, I'm using Squeezy app, so it's early days yet,although it's pretty depressing and demeaning.I was slightly constipated after the op, but a couple of Movicol sorted that out, but now I seem to have far softer than usual pooh and sometimes have to go twice a day and this is quite different to my pre operative bowel habits. I had the proverbial pain in bum when sitting, bought one of those polo mint air cushions which was brilliant and after a few days the discomfort has gone completely. No joy to date on the erection front yet, but told the take Tadalafil every other day. I have follow up appointment at Hospital on Monday, so can chat these issues through with them. First PSA will be in March. Hugely impressed and humbled by the care I've received from the Hospital, the work done by the staff on what they described as a noisy night on my general ward was amazing. Only five more days of compression stockings and injections. Thanks for sticking with this.
Hang in there I’m sure it will get better, even though I’m on a bit different path to you. I know that things can get us down at times but just remember things are going in the right direction and we can hope to get back to something like it was before.
Thanks for your update RodR . It's reassuring to hear from people who are also on the post op journey.
I'm 10 days post op and had my TWOC on Thursday. I thought recovery was heading in the right direction, but all of a sudden it feels like I've been hit by a bus. I woke up yesterday to the most incredible bruising across my midriff. I guess I shouldn't be surprised, given a robot has rummaged in my guts, but the level of bruising and pain has taken me by surprise. So much so that sleep is almost a non starter.
I'd be interested to know if this was something you experienced and if you had any good coping strategies?
All the best
Hi Templebob. Thanks for your reply. It's a funny old thing, but I can't recollect anything other than a very mild bit of midriff bruising that I hardly noticed. I still feel a bit zonked out in the morning, like I'm on another planet, but this improves as the day goes on. A bit of a triumph last night as I only had to pee three times after going to bed with a four hour gap between one event. I think this may be that I stopped my fluid intake hrs before going to bed but then topped up on another half litre during the night. I should just mention that I'm also peeing debris from the op, this varies day by day. I continue not to have any discomfort sitting and if you do then I recommend the inflatable polo mint cushion. Other than the slightly pulling lower right incision, I'm completely pain free. Hope this helps and best wishes. R
Thanks RodR . I've had to revert to the full paracetamol and ibuprofen regime to help control the pain from the bruising. Fingers crossed this subsides soon.
I like your fluid strategy. I've stopped fluids after 7pm to help control the overnight pee issue.
Onwards and upwards
Templebob. I came across this thread by RodR because I was checking to see how others are recovering from LARP. I had mine on 4th Jan 2025 and after 4 weeks, I still have some pain but it is improving by the day. I had similar issues to yourself and RodR. However, I noticed your "ibuprofen regime" and need to alert you to something , I discovered. Are you on post op anti-blood clotting injections? I was on daily Inhixa injections for 28 days (last one yesterday - hurray) and during this period I started using Ibuprofen to ease the swelling. Then I read the Inhixa instructions. It advises not to take the two together. Please check the injection leaflet and speak to your doctor about this.
Good point and well made LDL, proving for once that I read the instructions leaflet! Just in from a shortish 45 minutes walk, lovely afternoon other than my latest horror is "squirting" it seems every other step! Mercifully I wore a long coat, but sodden pad, a real downer as walking is one of my top activities.
Hi LDL
I'm on a different anti clotting injection (Dalteparin) and the hospital have confirmed that ibuprofen is ok to take. However the pain in my midriff isn't getting any better so am waiting for a call back from the Oncology team to discuss the symptoms.
Hello, I really appreciate your thoughtful reflection after your operation. I have Gleason 4+5 and localized high-risk prostate cancer that has not spread. I've been given two treatment options: robotic surgery or a combination of hormone therapy and radiation. I need to make a decision soon, and I'm feeling uncertain.
What made you choose surgery? And how was the experience—did it go as you expected?
Hi berhe
I've had both robotic surgery and radiation due to a recurrence. I found the op very straightforward. Five small incisions that healed very quickly. Some brain fog from the GA [I was 75 at the time] but, other than the usual post op side effects really pretty uneventful.
I needed 35 sessions of radiotherapy a year or so later due to a recurrence. Perhaps some slight fatigue towards the end of the programme but I try to keep fit and eat well so maybe that helped. I did find a degradation of my blader control towards the end but some medication helped that. I had none of the intestinal issues that I gather can sometimes occur.
In short, I didn't have any serious iissues with either approach. My main point is that if you have sugrery you always have radiation as a backup. If you radiate first then surgery is no longer a possibility.
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