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  • Possible neo-bladder problem

    Posted by john14108 on February 6, 2012 at 12:18 pm

    This past Friday I met with my Cardiologist as part of my pre-op for my surgery scheduled Feb 27th. He is concerned about me undergoing an 8+/- hour operation for the neo-bladder installation. I’m scheduled for an angiogram this Thursday 2/9. I’m praying that I can go ahead with the planned surgery but I’m also trying to get a handle on the alternatives. If I can’t do neo, how long do the other 2 surgeries generally last? Hopefully I’ll get the clearance and I can move on with the fight.

    Thanks,

    John

    rpaolini replied 12 years, 6 months ago 11 Members · 18 Replies
  • 18 Replies
  • Rpaolini

    Member
    February 22, 2012 at 3:03 pm

    Thanks for the reference to the Cleveland Clinic website. I didn’t know about the Indiana Pouch Reservoir.

  • gkline

    Member
    February 21, 2012 at 10:09 pm

    John….. What they said!
    I am sure you will curse our names as you recover from this surgery early on……… But then….. You will feel so much better and walking will be your new best friend.
    I stood next to the bed the day after surgery and walked about 20 yards. The next day I walked around the hall square once each hour. I kept at it for 5 days and got off the pain meds (they stop you up) after 3 days.
    During this time I tried and tried and tried to “Go” No Luck! No food at all… just water. Finally after 5 days of “no Go” I decided I should at least Look like a human being. I went to the bathroom to shave and comb my hair. Went back to bed. The nurse came in and looked at the mess on the bathroom floor and said “Looks like you will be going home soon George.” Without trying, my intestines woke up……. Right there on the bathroom floor….. never even knew it!

    Oh the stories you will be able to tell. What will make it better is…… you will be cancer free!

    Best of luck….. We’re thinking of you.

    George


    Light a man a fire and he is warm for an evening.
    Light a man ON fire and he’s warm forever.

    08/08/08…RC neo bladder
    09/09/09…New Hip
    =
    New Man! [/size]

  • dukel

    Member
    February 21, 2012 at 7:51 pm

    John, glad you are cleared for surgery. I was scared to death also! I was great the first three days till I stopped my pain meds. Then that truck that Mike talked about hit me head on.
    For me the pain was bad but not as bad as worrying about getting my digestive track working again. I always have a problem in that area, so it’s a lot to worry about and most places won’t release you till it’s working. That is why I got off meds so soon. Drink all you can and walk all you can. One thing I found great when i got home was my wife got me a foam
    wedge to lay down on. Makes getting up and down a lot easier. We will all be pulling for you.
    Duke

  • babsiebob

    Member
    February 16, 2012 at 12:48 pm

    Mike is absolutely right about getting up and walking. You really do feel like you have been hit by a truck but believe me is you don’t walk you will pay for it later. I had a lot of complications and couldn’t walk so therefore when I finally got out I had to have Pt for about 3 weeks after getting home. Best of luck and my prayers are with you. You can do it, we all did.
    Barbara


    Dx 4-28-08
    pT3a no mo
    Rc with Ileal Conduit on 6-09-08
    2nd surgery on 6-27-09 for ureter leak
    Renal failure on 7-01-09 nephy tube and then stent on 7-09-09
    so far so good
  • mmc

    Member
    February 16, 2012 at 12:05 pm

    John,

    Glad to hear you got the final go ahead on surgery. I think all of us who have had the surgery know what you mean about mixed emotions. It is a VERY tough surgery to recover from.

    You will not want to walk at all. You will want to just stay in bed and push the pain medicine pump. HOWEVER, you must get up and walk. It is the thing that gets you better fastest. Also, chew gum after surgery but don’t swallow it. Both of these things wake the intestines up and that is critical to recovery. Have someone come to the hospital to help you walk and to make you walk. Even walking in place next to the bed is a good start. The day after surgery you need to be up.

    After that, at least 3 times a day and then 6 times a day after a couple of days. That’s at least! Your doctor should explain it to you. Ask him about it. Also, a key is the surgical nursing staff. Be nice to those people. You want and need their help.

    The couple days after surgery are going to feel like a Mack truck hit you and then backed over you and did it again. Walking, even though it will feel like you do not have any energy to do so will do wonders. The longer you delay walking, the longer it will take for you to recover enough to get out of the hospital.

    Best of luck! Let us know if you have any questions.

    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.
  • John14108

    Member
    February 16, 2012 at 11:25 am

    OK!! I did my final pre-op work yesterday at the Roswell Cancer Institute and I’m cleared for my surgery on the 27th. It’s now time to deal with the reality and mixed emotions with this whole process.

    On one hand, I’m thrilled that I’m finally going to get this beast removed. On the other hand, I’m scared to death over the surgery itself. I’ve been a believer in prayer all my life, I’ve seen it work for others in my family, wife with severe stroke and son in law with brain cancer. I guess now it’s time to see if it works for me.

    I’ve always been a “the glass is 1/2 full” guy so I’ll just go into this with my normal attitude and pray for the best outcome.

    Thanks and kudos to everyone that contributes to this site, it sure has helped me since I found it.

    John

  • mmc

    Member
    February 10, 2012 at 1:42 am

    Great news John!!!!

    Congrats!

    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.
  • dougg

    Member
    February 9, 2012 at 11:35 pm

    John,

    Glad to hear you passed the angio! Best wishes as you move forward.

    Anita


    Anita
    Forum Moderator
    Caregiver
  • upnorth

    Member
    February 9, 2012 at 9:12 pm

    Thats great to hear! May God go with you.


    Age 55
    Diagnosed BC 12/20/2011 Ta No Mo 0a Non-Invasive At age 48
    “Please don’t cry because it is over….. Smile because it happened!” {Dr. Seuss} :)
  • warrentug

    Member
    February 9, 2012 at 8:48 pm

    Good deal! Congratulations :) Warren

  • John14108

    Member
    February 9, 2012 at 8:36 pm

    OK!!!!!!!!!!!!!! I got the clearance, Angiogram showed I’m good to go.

  • nix

    Member
    February 9, 2012 at 10:42 am

    Thoughts and prayers are with you, John

    Nancy


    Nancy S
    Ta CIS
    dx Ta 11/06
    dx Ta CIS 10/07
  • John14108

    Member
    February 9, 2012 at 10:26 am

    Thanks for the replies gang, I’m off to have the angio done when I log off. I’ll keep you up to date on my progress.

    John

  • mmc

    Member
    February 9, 2012 at 3:25 am

    You may also want to read this. http://my.clevelandclinic.org/services/urinary_reconstruction_and_diversion/hic_urinary_reconstruction_and_diversion.aspx


    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.
  • mmc

    Member
    February 9, 2012 at 3:21 am

    John

    I got the neo and my surgery was 7.5 hours.
    The Indiana pouch (IP) takes about the same I believe.

    The ileal conduit is the shortest because they are not constructing a new bladder. They still have to create the stoma to attach the bag to though.

    Even the IP is pretty much creating a bladder but the don’t hook it up to the urethra so that’s why it still takes a long time.

    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.
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