  Bruce
Jackson lives in Illinois, USA . He was 49 when he was diagnosed on June 3, 2007.
His initial PSA was 3.6 ng/ml, his Gleason Score was 8 and although he does not
state his staging, it seems likely that it was T2b. His choice of treatment was
Robot-Assisted Laparoscopic Prostatectomy. Here is his story.
I am very
grateful for the postings made by others. Their experiences have helped me know
what to expect, choose a treatment, cope with the surgery, and deal with the emotional
ups and downs following the surgery. Thank you all for this!
Now my story.
In March, 2007, I went to my general practitioner because of rapid onset ED, which
had begun about 9 months prior, and was getting worse. He thought my prostate
might be involved and explained that the nerves that control erection run beside
the prostate. His DRE showed a prostate asymmetry. In addition, he was concerned
about my PSA level, and the fact that my father had prostate cancer (which was
successfully treated with radiation.) He decided to put me on a 6 month watch
and wait program.
Like most of us, other than the ED, I was in great health.
It was hard to believe that I might have cancer.
I immediately began researching
the subject both on the web and in books. I decided that in case I might have
cancer, I would select a treatment and a urologist who was competent in that treatment,
then go to him for a second opinion. After reviewing all the possible treatments,
I chose robotic laparoscopy. For a urologist I chose Dr. Gordon Gluckman, and
Advocate Lutheran General Hospital in Park Ridge, Illinois, as the hospital I
would go to if needed.
Dr. Gluckman did a DRE and immediately recommended
a biopsy. Based on all of the posts I'd read, I expected the biopsy to be painful.
But I had no pain during the procedure - just some discomfort later that day.
My
biopsy results were 2 cores positive out of 12. Gleason scores were 6 and 8. Dr.
Gluckman recommended a robot-assisted radical prostatectomy.
I had the
RP on July 31, 2007, and returned home after 24 hours in the hospital. Contrary
to some others' experiences, I did need pain medication. I was off narcotics after
about 3 days, and off acetominophen after 3 more.
Much of my discomfort
after surgery was due to restarting of my digestive system, not the prostatectomy.
It took about a week for my intestines to get back to normal. I also had pain
from the catheter putting pressure on my anastomosis when sitting. This caused
some bleeding as well, so until the catheter was out I mostly stood vertical or
laid down.
Other people have listed things that helped them after surgery.
These postings helped me a lot.
Things I found useful included:
1)Hanging
the night bag on a hanger stuck between the mattress and box spring:
2)Using
a 5 gallon plastic bucket to carry the night bag when taking a stroll around the
backyard;
3)Using a spare neoprene strap from a leg bag to hold the catheter line in
place upstream from the bag connection;
4)Using
a "bed desk" to hold my computer and books away from my stomach when lying down.
(These are available on the web. They might take a week or so for delivery).
I
would have liked to have a recliner chair after surgery. I think that would have
been very comfortable. But there was not one available to me at the time. If you
don't have a recliner, or even if you do, you may want to get some more pillows
so that you can recline in bed or in the chair as comfortably as possible.
It
is now eleven days post-surgery. Dr. Gluckman removed the catheter on day 10.
It is wonderful to have it gone!!! So far, my continence level is surprisingly
good - I have only had a couple of drops come out when passing gas. Other than
that, I am dry. I am seeing somewhat of a small diameter stream when I urinate,
and I am hoping this improves as the internal swelling decreases.
I do
have to urinate every 2-3 hours but from postings of others I have hope that these
times will increase.
My next doctor's visit is in four weeks. Then I will
get my one month PSA, and discuss restarting my sex life. I will send an update
at that time.
Bruce's e-mail address is: Bruce.A.150@gmail.com
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