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two inch incision with RRP?
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Prostate Cancer
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Hortonswho
New Member
Joined : Dec 2009
Posts : 8
Posted 3/1/2010 9:51 PM (GMT 0)
I'm recovering from RRP that was done about
10 days ago. In my pre-surgery research, I read that there would be 5 small incisions in my abdomen, the largest being above the belly button. This is where they pull the prostate through, I guess. Anyway, I have 6 incisions. The "surprise" incision is about
two inches in length and cuts horizontally on my right side, very low, below my belt line. My wife is the one who noticed it and the doctor acts like it is normal to have. It seems to be healing OK.
Anyone else have an "extra" incision? I plan to press the doctor for a better explanation.
142
Veteran Member
Joined : Jan 2010
Posts : 7298
Posted 3/1/2010 10:24 PM (GMT 0)
I had an "extra" as well, although I only know it by count, as we didn't go in to exactly which hole was which (except the large one - yes, that is where they pull out the prostate, but it seems to be the one the camera uses as well). The doctor explained that in the "standard" DaVinci scheme, one port is shared between the equipment and the nurses passing in suture materials. He follows what he says is an alternate but accepted practice of an additional port for the nurse's purposes. In theory it makes life easier for the surgeons & nurses, speeds the surgery, and lowers risks.
Im_Patient
Veteran Member
Joined : Aug 2009
Posts : 716
Posted 3/1/2010 11:00 PM (GMT 0)
Horton, I have the "extra" one as well, right where yours is, but mine is probably a little longer yet. I had a monster of a prostate (60g), and my doc said as much. My understanding is that is the
opening it came out of, and it may be a function of how large your gland is. My battle scars are the least of my worries. You might ask how large the prostate was, and if that had any bearing on that cut.
Good to hear (presumably, by lack of comment) you are no longer having the clot troubles. Hope the rest of your recovery goes more smoothly.
Jeff
Heavy Leaker
Regular Member
Joined : Feb 2010
Posts : 63
Posted 3/2/2010 12:55 AM (GMT 0)
I have 6 holes. 1 large one above the belly button & 1 to the left of it. Then 4 in a line below these 2. This is what my surgeon told me in advance & the end result was as he said.
In This Together Wife
Regular Member
Joined : Dec 2009
Posts : 135
Posted 3/2/2010 3:30 PM (GMT 0)
Bear was expecting 5 also, but has 6 with the placement same as heavy leaker.
CareaBear
English Alf
Veteran Member
Joined : Oct 2009
Posts : 2237
Posted 3/2/2010 4:27 PM (GMT 0)
I was expecting five and had six
"Lights camera Action!" perhaps
I have one big one above the navel.
Then
On the far left and far right I have symmetrical scars that are below where my belt comes and almost as far to the side as the bone of my pelvis
plus one on the left and one on the right that are just above where my belt comes and a coupe of inches nearer the mid line
plus and one on my right to the right of my navel.
If I do the "tool" count then I get the following:
Lights
camera
Gas
drain
prostate removal
surgeon
assistant
Which makes seven so two must have been combined: I think the lights are on the camera arm.
I was told they would all be small holes until they were ready to remove the actual prostate etc then they would make one of them bigger, depebnding on which was the easiest route to remove it, but it was most likely to be the hole by the navel that was made bigger.
You sound like you have been given an "appendix" scar Horton.
Alfred
Mavica
Regular Member
Joined : Jun 2008
Posts : 407
Posted 3/3/2010 4:31 AM (GMT 0)
I had/have 6 holes, also. After 1.5 years, all but the one over the belly-button has disappeared. I, too, was surprised with the 6, post-op, after reading, pre-op, there'd be 5.
Postop
Regular Member
Joined : Feb 2010
Posts : 386
Posted 3/3/2010 6:49 AM (GMT 0)
Gee, I had an
open prostatectomy, and have one 4 inch midline scar below the belly button, and a small scar to one side where the drain was. I was in the hospital for 48 hours. Had a total of about
6 percocets for post op pain. So, what's the advantage of RRP? 5-7 incisions doesn't sound so good.
Hortonswho
New Member
Joined : Dec 2009
Posts : 8
Posted 3/3/2010 7:10 PM (GMT 0)
Postop,
I am wondering that myself. I heard all the hype about
the speedy recoveries from RRP. I'm now on day 13, still with a catheter and a belly that looks peppered with birdshot. All in all, I am rejoicing that the operation was a success in ridding me of cancer, though.
Galileo
Veteran Member
Joined : Nov 2008
Posts : 709
Posted 3/3/2010 7:34 PM (GMT 0)
I think the key grip, gaffer, best boy, and chief lighting technician all had their holes in me. :)
The incision where my prostate came out (above the navel) was longer than I had expected too, about
2". The others have pretty much faded away, or have been stretched into oblivion by all the fat I've added.
My navel came out of the procedure a lot wider than going in, and a couple of people (not doctors) suggested it might be a hernia. But my doctors haven't said anything like that. No pain or discomfort there, but it's something I'm keeping an eye on.
Which brings me to another point--I have some odd lipoma-like structures in a few places near, but not right on, the incision points. One of them is a chord like structure, a few inches long, and feels about
the diameter of a shoe string.
I say they're like lipomas because I've long had a couple on my sternum--painless, and they can be moved a bit. My radiation doc checked them out (as well as my primary care doc) and both say they are not sure what they are, but they are not attached to anything and are not in areas that would signal something serious. (The ones on my sternum are definitely lipomas, according to my primary care doctor).
I don't think this is scar tissue. My guess is that it's just a bunch of lipomas, and I would have gotten them there whether I had surgery or not, but has anyone else developed lumps or bumps in their abdominal fat after prostatectomy?
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