QUESTION ABOUT PROSTATE SURGERY

14 years 2 months ago #30545 by dukel
Replied by dukel on topic QUESTION ABOUT PROSTATE SURGERY
Pat, thanks for your help! I will pass it on.
I know you are going through some rough times yourself and i am wishing you the very best.
Thanks, Duke

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14 years 2 months ago #30531 by Patricia
Replied by Patricia on topic QUESTION ABOUT PROSTATE SURGERY
Duke..there's a good doctor at OHSU (Oregon Health and Science)..Dr. Michael Conlin who has seen about everything. Being in Portland he might go over to the VA..i suppose its worth an inquiry.
www.ohsu.edu/xd/health/services/providers/conlinm.cfm
Pat

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14 years 2 months ago #30529 by dukel
Replied by dukel on topic QUESTION ABOUT PROSTATE SURGERY
Mike; can't thank you enough. You are THE MAN. Will pass info
along.
Thanks, Duke

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14 years 2 months ago #30526 by mmc
Replied by mmc on topic QUESTION ABOUT PROSTATE SURGERY
In the meantime (UNLESS he is supposed to do kegels and just isn't) using a condom catheter with a leg bag would certainly be an option. The important thing when doing this is to trim the leg bag hose to the proper length. Unless he is a tall guy there may be excess tubing and that can show through the trousers in the crotch and thigh areas.

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...

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14 years 2 months ago - 14 years 2 months ago #30524 by mmc
Replied by mmc on topic QUESTION ABOUT PROSTATE SURGERY
I looked at this once before for someone.

Here is a link.

www.upmccancercenters.com/cancer/prostate/incontinence.html

As you will see in the article, going to a SPECIALIZED facility with HIGHLY EXPERIENCED surgeons is one of the key differentiators when it comes to successful outcomes. Gee, sound familiar to anyone????

Total incontinence after prostatectomy is pretty high when done by less experienced surgeons.

I don't know about the success rate for artificial sphincters. I am sure that one of the key factors there is experience of the surgeon as well. I do know that excellent surgeons do surgery at vet hospitals in addition to their teaching hospital surgeries. So checking out top doctors is important.

Pat is the master of finding the right surgeons so maybe she has some pointers for how to find them for urinary sphincter surgery.

It sure doesn't sound like it could get much worse so it might be worth at least getting the surgery. If it doesn't work, then he can go to condom catheters with a leg bag.

As you can see in the quote above from the article, what they do depends on the reason for the incontinence.

Do you know if he did kegels after the surgery to gain continence?

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...

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14 years 2 months ago #30522 by dukel
QUESTION ABOUT PROSTATE SURGERY was created by dukel
Question for Mike & Pat and others.
A 66 year old friend of mine had his prostate removed at vet.
hospital in Portland, Oregon a little less then two years ago.
Ever since then he has had no bladder control. If he is trying
to urinate he can start and stop his flow. But if he is doing anything else he has no control, does not even know he is
urinating until there is wetness. The people at vet. hospital
are telling him they may be able to do another surgery to fix this problem. I don't know, I thought once it was done this
poorly it couldn't be corrected.
I know this is a little off this sites topic, but also know how
knowledgeable Mike and Pat and others are here.
Does anyone think another surgery would help?
I don't believe he has the means to go to other Doctors.
Would an external catheter be a better option then diapers?
Any help would be appreciated.
Thanks, Duke

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