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Post Diagnosis - The Next Chapter

User
Posted 12 May 2015 at 07:53
Cobbles

you will probably go through this over and over in your head until May 21st, so every time you think of a question you might want to ask or just something you are not sure of write it down. If you have someone to go with you to that consultation meeting who can prompt you if necessary that would be good or you could consider asking the consultant if you can record the conversation so you can play it back to yourself if necessary. It is a big decision so you want to be confident that you have got it right in your own mind.

As far as someome having surgery at Eastbourne is concerned I am afraid I can't help you there but the Da Vinci machine is robotic and it pretty much does what it is programmed or guided to do. Maybe one or two of the men already responding to you can share their experience of the procedure if that might help.

all the very best

xx

Mo

User
Posted 12 May 2015 at 08:02

Hi Cobbles and best wishes on your decision ! This is almost an Identical situation to mine in every way , if you read my post " Help any advice welcome " by Chris J . Im confused too but as you said this site is wonderful and by slowly reading through all the posts it has given me a lot of hope for the future decision

If life gives you lemons , then make lemonade

User
Posted 14 May 2015 at 08:30

Thank you again Mo for your sound and valuable advice and support as always. I am fully aware that the decision I make is a big one. I have spent a lot of time recently gathering all the info together that I can, including reading the experiences of others on this wonderful site. The reason I'm favouring DaVinci is because - of the two options I have, it seems to me that the hormone therapy plus radio therapy are going to take over my life considerably more with many visits to hospitals etc. and then of course there are the possible and likely side effects to go with that. Whereas with DaVinci - which I know will also provide side and after effects - it seems to me that if all goes well, I will have a bit more  freedom to get on with the rest of my life. I am lucky to be a  fit and ,I'm told by my Consultant, "young" 70 year old - but 70 is 70 and therefore I want to try and make the most of however many years are left. I am also aware that being an "older" guy there is more chance of continence problems following an op and I will keep that in mind. Whatever happens next Thursday at the meeting with my Consultant, I will continue to try and weigh up all the pros and cons of everything before finally deciding. I will have someone with me so I won't be alone.

To be continued next week.

Thank You Again

Cobbles ( a real name variation by a very young goddaughter which became a permanent nickname )

 

User
Posted 14 May 2015 at 08:31

Thank you Chris, I'll be sending you a PM.

User
Posted 14 May 2015 at 09:31
Hi. Cobbles,

I had my prostate removed 6 weeks ago by Laparoscopic surgery. My situation was different from yours in as much as my scan showed that the cancer on one side looked aggressive and I was advised that all indications were that it was breaking out of the capsule. I spoke to the oncologist but didn't think RT felt right for me but to be honest I had made my mind up for surgery before seeing her. The surgeon I saw offered open surgery but I wanted keyhole so he referred me to another surgeon that held things up a little.

Having never had an operation in my life the fear of this was what I found the most daunting. I knew I could cope with the aftermath of ED and incontinence but fear of surgery played on my mind.

I really had no need to be overly concerned. I was supported really well. I went to sleep, woke up and it was done. I had some bad but not unbearable pain for a couple of days that was eased with strong analgesia. I was allowed home after 2 days only needing paracetamol. My scars have all but cleared. The catheter was a bother rather than anything else and I was pleased to have it out. I have some incontinence but this is getting better all the time and I am confident this will not be a major problem further down the line. No action in the erection deparment but I know this can take a good while to return, if ever. I discussed this prior to the op and after 40 years together she didn't see it as a major problem ( I think she was quietly quite pleased).I am now waiting for my first follow up. Fingers crossed surgery has sorted out my problem.

I wish you well with whatever decision you make and best wishes for the future.

Regards,

Paul

THE CHILD HAS GROWN, THE DREAM HAS GONE
User
Posted 14 May 2015 at 10:34

Thank You Paul,

Your post is very reassuring and much appreciated.
I'll let you know what is to happen.

I wish you well on your continuing recovery.

Regards
Cobbles

User
Posted 14 May 2015 at 20:00

I am 71 years old and last July I was diagnosed with Prostate cancer following a scan and a biopsy. I was given all the options and discussed it with a number of urology experts. Their advice was to chose the specialist first and then follow his advice and that's what did. I was determined to get the cancer out of my body before it spread and went for the traditional operation rather than the robotic method. I had the operation in September and everything went well.I hated the 7 days I had the catheter and being incontinent for about 6 months. I have now improved and only have problems when lifting or coughing or sneezing.In the meantime my cousin has passed away because it was not diagnosed early enough so we are all lucky to get it diagnosed and have the option of treatment. very lucky indeed.. So my message and advice is "Get it right out of your body asap" I hope this helps you

User
Posted 15 May 2015 at 17:02

Thank You Raymond.
It certainly does help.

User
Posted 26 May 2015 at 17:08

I have, since last posting, been back for the meeting with my Consultant to discuss the latest PSA and what action is to be taken.

The PSA was 15, the same as last time, and of the options I had, I have chosen to go ahead with Robot Assisted Laparoscopic Prostatectomy.

The wheels are now in motion and so I now await the date for this to be carried out. 

I thought long and hard about my options and now I've decided which path to take, feel positive about it.

I'll be back when I know more.

Cobbles

 

User
Posted 26 May 2015 at 17:38

Good luck!!

That was my choice and have no regrets. Apart from continuing ED, which is improving, and being nearly dry, my life is much as usual. 2 golf trophies won over 4 days in May as well, so can't be doing too badly!

Keep us posted.

Paul

Stay Calm And Carry On.
User
Posted 26 May 2015 at 21:57

Hello Cobbles,

Also my choice, and I have no regrets. Dry except when very tired but still able to control it. EF is good and improving 2 years on.

Now is the time to plan your hospital bag contents, with all the kit and bits and bobs you may need will welcome during and after your stay.

It's been a while since I was in but I do remember briefs/pants instead of my usual attire boxer shorts. Maybe consider pads for your journey home in case the hospital do not give you enough? Some give loads, others 1 or 2. Baggy tracksuit bottoms for the catheter and bag? Find out from your Local NHS Trust if they will provide pads for when you get home. Will a nurse call on you? The follow up care from a nurse is somewhat haphazard as far as I am aware, I had no support, others have had brilliant support. PAYG mobile for use when you are confined, not an expensive smart phone, an option?

Start your PFE s now of you have not already. Did not work for me, but seems to work for the majority. Any weight loss or increase in fitness apparently helps with the robotic option, I am told.

atb to you and your support network.

dave

 

PS - if you do not already play golf, start, you should do well if SF2 is anything to go by!  ;-)

Edited by member 26 May 2015 at 21:58  | Reason: Not specified

Do all you can to help yourself, then make the best of your time. :-)
User
Posted 27 May 2015 at 10:23

Hi Cobbles,

daVinci surgery was also my choice...

Like the previous posters ( Dave and Paul ) I also have no regrets...

My recovery from surgery was very quick with no complications.

My histology report approx 8 weeks post op was very encouraging, so I knew quickly the full extent of the tumour(s) and had a pathological staging to confirm the findings.

A return to full continence for me is going rather slower than I had hoped for despite all the PFE's I did before and am still doing after surgery. It's 11 months post op for me now and very slowly my continence is improving. I have suddenly found most days I can get by on one pad even when walking quite a few miles mornings and afternoons across rough fields  with the dogs, so I'm happy with that.

ED for me is improving also ( I had 50% nerve sparing ) but I still need to use Cialis or /and vacuum pump at present.

Wishing you all best for your forthcoming surgery and for a successful outcome.

Luther

 

 

User
Posted 27 May 2015 at 11:49

Cobbles, on page 10 of the publications page there is something called The Surgery Support Pack.

"Quote: These packs will help men prepare for surgery, and any problems leaking urine after their catheter is removed. It includes information about the operation, what side effects to expect and how to cope with them, as well as a supply of male incontinence pads for initial containment, disposable sanitary bags and cleansing wipes. Men can order their own pack by speaking to a Specialist Nurse on our confidential Helpline."

Before we opted for Brachytherapy and I was browsing the publications section I came across this on the list and ticked the box. It was very useful to have. I was surprised that it was free of charge, including P&P so I did, in fact, send a donation for all the publications as they are brilliant, but they were free

Anyway, This pack would give you different samples to try. There is even a little storage bag to put a supply in to take out.
Hope that helps
Good luck with the op and the aftermath.

Best Wishes
Sandra

We can't control the winds - but we can adjust our sails
User
Posted 27 May 2015 at 15:16

Useful info from Sandra, I didn't know that.

Forgot to mention that the tracksuits pants need to be larger than you are used to as the abdomen is inflated with gas for the operation, and it takes a while to go down.

dave

Do all you can to help yourself, then make the best of your time. :-)
User
Posted 28 May 2015 at 13:33

Thank You Paul. That's very encouraging to know.

"Not doing badly" ? Pretty Good, I'd say - keep up the good work.

All the very best for your continuing recovery.

Cobbles

User
Posted 28 May 2015 at 13:42

My Thanks to you too Dave for another encouraging post and I will certainly take note of your advice and tips.

I have started PFE's - when I remember !

All the very best to you too.

Cobbles

User
Posted 28 May 2015 at 13:51

Thank You Luther for your encouraging post too. It seems when thinking about "Incontinence" that everyone experiences it in different ways and for different lengths of time. I'll just have to deal with whatever happens -the same with ED.I will just be so pleased to have this op and then deal with whatever comes my way.

With very best wishes to you Luther and your continued recovery.

Cobbles

User
Posted 28 May 2015 at 14:09

Thank you so much Sandra for your advice and good wishes too. I was very lucky at my last Hospital appointment because the nurse who also attended, once she knew what my decision was, gave me with one of the packs you mention. I was very impressed and will donate to this marvellous charity in appreciation for providing such a helpful and informative website, that has also provided me with the encouragement and advice from you guys that have shown an interest and contributed to my journey, let alone all the others in our Community that you have also supported. I'm very grateful to you all and hope that with my new experience of this "Uninvited Intruder", I too can help and support others in the way that you all have.

Thank You Again

Cobbles

User
Posted 28 May 2015 at 14:15

Following posting the above, I have just received a phone call from the Bladder and Bowel Clinic. I have an appointment to see them on Tuesday, June 9th.
The new journey has started.
Cobbles

User
Posted 28 May 2015 at 15:47

Cobbles , Thank you for supporting me recently . Have you actually had the operation date ? I think we might be in together ??
I can only hope that your journey is brilliant albeit tough maybe . As you say we can only deal with one day at a time now to be honest , and make the most of it . And we will , and keep in touch , and get better ! #Chris

If life gives you lemons , then make lemonade

 
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