(If you're like me and you gross out at medical stuff, you might not want to read all of this...)
Well, my prostatectomy surgery happened a week ago today, and I'm in FAR better shape than I was last Monday night. The plans were for me to have the DaVinci surgery, recover overnight, and return home the next day. Well, as they say - "the best laid plans..." As a result of several surgical and post-surgical complications, I was in the hospital for four nights, and returned home last Friday around mid-day.
The surgery itself was relatively uneventful, except for two things: 1) my prostate was larger than expected and the surgeon had to do more to repair the bladder than normal, and 2) my blood apparently doesn't coagulate quite as well as some folks, so clotting was a problem. This second problem was really the basis for the subsequent problems. I encountered a LOT of post-op pain, and no one seems to really know quite what caused it. I suspect it was the CO2 that they use to fill the abdomen. By late on Monday, and into Monday night, a huge problem emerged: I was not processing urine - the bag wasn't filling. That's bad. The doctor called in several times overnight for status, and I wasn't getting any better, and I was in terrible pain. Finally, at 4AM on Tues morning, the surgeon called for a CAT scan to see what was wrong. What he found (and what he expected) was a very large hematoma that had formed in my abdomen. This blood clot, about the size of a "bocce ball", was pushing against the tubes that route urine from the kidneys into the bladder. My blood numbers for kidney chemicals were not looking good. As a result of this, the surgeon told me he wanted to go back in and drain the hematoma/clot. Oh boy.
So around 7AM on Tues, they rolled me into pre-op for the 2nd surgery. But a funny thing happened in the interim. The surgeon had told me to start moving around, lying on my stomach, side, and walking a little, to try to move the hematoma. And right around the time they moved me to pre-op, urine started flowing, slowly but surely. The surgeon appeared in pre-op and said "you know, I've talked to several colleagues and mentors, and they told me that these things often fix themselves. Let's look at your blood numbers and see what's going on". They took a blood test, and lo and behold, the kidney numbers were looking up - the urine was being passed out of the kidneys! After lying in pre-op for several hours, with my wife and pastor with me, the surgeon reappeared and said "I think we're going to wait a day or so and see if things get better" PRAISE GOD! I (literally) cried - it's weird, but the prayers from my pastor were so strong and I felt them so clearly that I KNEW that prayers had been heard and answered.
So thru another couple of days, I started recovery. However, another issue cropped up - it became apparent that my blood counts had dropped pretty significantly due to bleeding in my abdomen during surgery. This is normal during prostatectomy, but during the DaVinci procedure, bleeding is normally much less - I apparently bled more than most. The surgeons who perform this procedure try to avoid cauterizing blood vessels due to risk of damaging nerves that affect continence and potency. So he basically let me seep blood, figuring it would eventually clot over and heal. Well, mine took longer, and my blood count dropped. I had (and still have) a drain in my side to allow this blood to escape. There was a lot of fluid coming out of this drain, and on Wed/Thurs, we were very concerned that there was a lot of bleeding still occuring. But the doc assured me that it was normal bleeding/seepage, and by Wed, my blood count had leveled and was starting to creep back up (slowly). And by Thursday, my intestines started to function again (I'll spare you the details...), and that was good news.
By Friday, my blood counts continued to improve, but were still marginal. Most of the severe pain had passed, and they told me I could go home, but I had to get another blood test on Monday (today). I haven't rec'd the results yet, but I feel pretty good.
How am I now? Well, I continue to run a very low-grade fever on and off, but that's supposedly normal. It still hurts a bit to get up and down, but it's not terrible. Through the entire thing, I really haven't had much pain in any of the six (!) incisions, so that's very good news. And the drain continues to gradually slow down. On Thursday I go for a "cytoscope" or something like that - they put dye into my catheter, x-ray me, and see if the sutures inside that link the bladder with the urethra are solid (because of the previous issues with the hematoma, they wanted to make sure the pressure didn't damage the sutures). If that test is OK, then they remove the catheter (YES!) and I go back home for the long-term recovery.
Thanks for your prayers and support. Once this is behind me, I should be back in normal mode. One thing I will be doing more of is promoting the work of the Prostate Cancer Foundation.
I was very happy to find that Major League Baseball is also promoting their work and donating money to prostate cancer research for each home run hit (I think this stopped as of Fathers' Day). Check out the Foundation at http://www.prostatecancerfoundation.org/