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lymphocele discovery 7 years post RP with rising psa

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Posted 2/14/2016 6:51 PM (GMT 0)
Can someone develop a lymphocele after da vinci prostectomy if they never dissected the lymph node.
My husbands psa has slowly been rising post surgery. A long story but it is now at 1.5.
A recently paid out of pocket pet bone scan with dye showed a lymphocele in the pelvis behind the bladder also a irritation of the sacrum joints.
I have made him an appointment at fox chase in PA.
But, the post op report says no lymph nodes were removed because he was on cumiden.
He does not have any symptoms and never had any post op scans until the psa number rose to 1.
Just curious for any input.
Posted 2/15/2016 2:08 PM (GMT 0)
Sorry to hear this....

I'm simply responding to bump you to the top, I can't believe nobody else has answered your question. I don't know the answer myself, but hopefully someone else will see this now and give you an answer!
Posted 2/15/2016 7:39 PM (GMT 0)
I don't know, just speculation: If surgery is very extensive maybe it could disrupt the channels of lymph flow fluid even when no nodes where removed. Never heard about such surgery misstake though. Lymphocele would develop within months after surgery.
Posted 2/17/2016 6:57 AM (GMT 0)
Lymphocele can form when the lymphovascular vessels are cut during surgery, even without removing the lymph nodes. It is not that rare, happened in about 2-3% of surgery cases. Usually after some time the accumulated fluids will be reabsorbed and the lymphocele goes away. In rare cases they stay inside for a long time. However, as long as it is asymptomatic you should not worry. Things only get interesting when it is infected. What is more worrisome is his PSA rising which indicated a failed surgery.

I had asymptomatic lymphocele after surgery until it was infected 4 years after. It was quite rare, in medical reports I only found 3 cases cited for that to happen so long after surgery.
Posted 2/17/2016 4:01 PM (GMT 0)
Thank you for your responses. I'm posting a new question
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