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  • necrosis in ileal conduit

    Posted by jimswife on September 10, 2010 at 3:36 pm

    Hi, I am fairly new to this forum and have found some great assistance with some of my questions. My husband had a davinci robotic RC/Prostatectomy on Aug 12th and has done very well with his surgery. Don’t need to tell all of you how HUGE that surgery is. He has done so well that he will start cisplatin next week using the USC protocol and things are moving forward. However, one issue, he has some necrosis of his ileal conduit and it is requiring me to do a digital dilation each day. I don’t mind doing this but am open to ideas and input on this most important issue. Went to the surgeon last this week and will return this Monday I suspect for some more debriding of this tissue. Anything from anyone? Thanks in advance

    jimswife replied 13 years, 10 months ago 3 Members · 5 Replies
  • 5 Replies
  • jimswife

    Member
    September 10, 2010 at 11:46 pm

    He did look all inside and did the debriding to rid it of the dead tissue. It appears to have picked up color today which is a great sign and still put out the urine w/o any problems. I have to put a catheter into the stoma 2 xs each day. The home nurse came today and agreed it looks MUCH better. Being a big person is always complicated medically. this wouldn’t seem different. We will see the doctor again on Monday to see how things are doing. The stoma was not necrotic all the way inside or so it didn’t seem so.

  • mmc

    Member
    September 10, 2010 at 11:42 pm

    Did he do all the things it said in the article like looking all in the stoma to determine the extent of necrosis? Hopefully, it’s just a little bit but you’d certainly want to be sure.

    I think you mentioned before that he’s a pretty big guy. Looks like that can complicate matters when doing a stoma.

    What does the doc think now that he’s looked at it?

    Mike


    Age 54
    10/31/06 dx CIS (TisG3) non-invasive (at 47)
    9/19/08 TURB/TUIP dx Invasive T2G3
    10/8/08 RC neobladder(at 49)
    2/15/13 T4G3N3M1 distant metastases(at 53)
    9/2013 finished chemo -cancer free again
    1/2014 ct scan results….distant mets
    2/2014 ct result…spread to liver, kidneys, and lymph system

    My opinions are my own and do not reflect the opinion of ABLCS or anyone else. I am not a doctor nor do I play one on TV.
  • jimswife

    Member
    September 10, 2010 at 11:18 pm

    thanks, Mike, I had read that during some of my research. Things seem to be looking better today since the surgeon did some debriding of the stoma. Jim’s stoma due to his body habitus has been challenging from the beginning. His is a “big boy” and that mmakes it more of a challenge. Thanks again

  • mmc

    Member
    September 10, 2010 at 7:57 pm

    Here is more info about various complication possibilities from a stoma. Best to have the info….
    Stoma complications


    Age 54
    10/31/06 dx CIS (TisG3) non-invasive (at 47)
    9/19/08 TURB/TUIP dx Invasive T2G3
    10/8/08 RC neobladder(at 49)
    2/15/13 T4G3N3M1 distant metastases(at 53)
    9/2013 finished chemo -cancer free again
    1/2014 ct scan results….distant mets
    2/2014 ct result…spread to liver, kidneys, and lymph system

    My opinions are my own and do not reflect the opinion of ABLCS or anyone else. I am not a doctor nor do I play one on TV.
  • Guest
    September 10, 2010 at 7:38 pm

    jimswife..thats an early complication and
    Stomal necrosis – poor blood supply to the stoma requiring re operation

    Do you have faith in this uro?
    pat

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