RP with Nerve Sparing - Recovery
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Archives1
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Hi Dewibach1.Sounds to me you are in a very good position. Nerve sparing - so that was the least invasive for the surgeon. You really are at an early stage and you need to be patient and positive. Everyone is different but it could be months or years before you fully overcome incontinence but hopefully it will be within a short time. I assume you have had or are having soon your follow up appointment. If not you need to chase that. Make full use of the free services available if you are NHS - incontinence specialist, ED specialist (if you need that, you may ned to push for them though and keep in contact with your CNS. Contact the McMillan Nurses if you feel a need. They are wonderful. Wishing you a speedy and rapid recovery.
Archives1
Staff member
@Dewibach1 - Hi Dew, please understand even as a woman. Very different I know. Let me be clear that I am not yelling at you, but you have got to be kidding me. 6 weeks, catheter removed, DRY at night, minimal daytime leakage, and you are complaining? - Read what the other guys have said. -And you say progress is slow? Appreciate the fact that your situation is not the norm.I would love to have what you have. Continue to get better, and be grateful. - Pam
Archives1
Staff member
I am 10 weeks removed from surgery and slowly improving. I leaked a lot the first month but have seen slow progress and down to one pad/day mainly due to exercising. Pretty close back to normal I.e. including golfing, walking 6 miles/day plus exercises, even with leakage. Started Pelvic floor therapy after 6 weeks and has been very helpful. Do kegels 4 times/day plus exercises and walking.
Archives1
Staff member
It appears that DRE’s (digital rectal exam) are no longer performed. Not a good indicator for cancer. PSA is better.
My urologist did not do the last time in the fall but did the PSA only. It was the PSA that was indicative for proceeding further to obtain the cancer dx.
However it appears that it can helpful to determine BPH.
My urologist did not do the last time in the fall but did the PSA only. It was the PSA that was indicative for proceeding further to obtain the cancer dx.
However it appears that it can helpful to determine BPH.
Archives1
Staff member
DRE is definitely better for a BPH diagnosis however they can sometimes feel lumps during the DRE that would merit further investigation. PSA itself is controversial. My PSA was only 3.25 when I got my cancer diagnosis. The percent of free PSA versus just total PSA is a better indicator to see if a biopsy should be done.
Archives1
Staff member
Dpalena - sounds like you are doing extremely well so far. Keep working the pelvic floor.
Regarding the rectal exam, my PSA stayed in a 4-5 range for years. The nodes that proved to be cancerous were initially found doing the rectal exam, leading to the biopsy that found the cancer. In my case, the cancer may have not been caught or caught much later if it were not for the rectal exam.
Regarding the rectal exam, my PSA stayed in a 4-5 range for years. The nodes that proved to be cancerous were initially found doing the rectal exam, leading to the biopsy that found the cancer. In my case, the cancer may have not been caught or caught much later if it were not for the rectal exam.
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