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Post RALP hernia issues

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Posted 11/20/2017 5:46 PM (GMT 0)
Thought I would post for my 4 year post RALP anniversary. The great news is that my PSA is still virtually non detectable, so I am very grateful. Believe or not, my stress incontinence is still improving to the point that I wonder if I still should wear a pad. ED is handled with meds when I need them.

It's interesting looking back, my surgeon warned me of the "big three," incontinence, ED, and metastaic disease. I am grateful that these issues are under control right now. I am, however, having another issue that I would like to alert my "brothers" about which was not on my radar.

Last Spring I developed an incisional hernia just above the navel where the prostate was removed during the RALP. I had it repaired only to have it re-occur and I need a second, bigger, procedure next week. What is astounding is that Google searches turned up articles siting incisional hernia occurrences after laproscopic procedures at rates anywhere from 9 to 25 percent! While this would not have changed my decision making process before the prostatectomy, it would have been nice to know.
Posted 11/28/2017 7:11 PM (GMT 0)
Scooter,
We have very similar post op results. I will see my Dr. next week for new PSA, which has so far been undetectable. My continence is good except for a few drips, which is handled by a folded paper towel.
I developed a hernia at the navel incision about 10 months out. Also a tiny bulge right of navel. I have had no pain, only a little sting occasionally. I will have conversation as to whether or not to repair, based on chances of the hernia getting larger and eventually having no choice. Will also be asking for odds of having to do second repair as you are now facing. Like you, this was not mentioned pre-surgery, but was easily found by searching the net. You are 4 yrs out, I'm 2 yrs in March 2018. My guess would be, the longer post surgery, the less likely you would be to develop a hernia. Guess nothing is for sure. Wishing you success with next surgery.
Mack
Posted 11/28/2017 8:21 PM (GMT 0)
I had my incisional hernia repaired a Year Before RALP. <<Go Figure>>

My URO went underneath the hernia repair... All has been well for years.
Posted 11/29/2017 11:09 AM (GMT 0)
6 weeks after RP I had mine repaired
Posted 11/30/2017 6:22 PM (GMT 0)
Going for my second hernia repair tomorrow. Any surgery that does't have a path report to worry about is a lot easier mentally. What I find interesting is that surgeons never mention the relatively high rate of incisional hernias before they do a RALP. Would not have changed my mind, but it's nice to be informed.
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