Deflated immediately after surgery?

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BearsWin
Posts: 51
Joined: Thu May 12, 2022 11:37 pm

Deflated immediately after surgery?

Postby BearsWin » Tue Nov 01, 2022 10:59 pm

So I had the Coloplast Titan put in today. Lots of postop pain particularly where the reservoir was installed sub muscular. Chewing all then oral pain meds in the hotel room tonight.

Bigger concern - i couldn’t pee postop at all. They hadn’t left a ucath in. After trying many things they finally deflated the implant. Got out 6 hours after surgery ended after I managed to pee with severe straining.

Anybody else get deflated on the surgery date and things work out okay? They said they’ll probably inflate again in two weeks but it’s a virtual appt and it’s not clear I can figure it out just with FaceTime coaching.

Thanks!

BearsWin
Born 1966. PDE-5s since age 40. Decreasing efficacy age 50. Started on Trimix 2022 - variable response even at high doses. Coloplast Titan 11/1/22 Dr. Yafi UCI, submuscular/ectopic reservoir. History of hypertension. Married, Nevada.

Lost Sheep
Posts: 6174
Joined: Mon Jul 04, 2016 11:16 pm

Re: Deflated immediately after surgery?

Postby Lost Sheep » Wed Nov 02, 2022 12:59 am

BearsWin wrote:So I had the Coloplast Titan put in today. Lots of postop pain particularly where the reservoir was installed sub muscular. Chewing all then oral pain meds in the hotel room tonight.

Bigger concern - i couldn’t pee postop at all. They hadn’t left a ucath in. After trying many things they finally deflated the implant. Got out 6 hours after surgery ended after I managed to pee with severe straining.

Anybody else get deflated on the surgery date and things work out okay? They said they’ll probably inflate again in two weeks but it’s a virtual appt and it’s not clear I can figure it out just with FaceTime coaching.

Thanks!

BearsWin

As much as I disliked having a catheter in, it does not seem to me to be an appropriate "standard of care" that the AMA (assuming your surgery was in the United States) would approve.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

dunbar57
Posts: 106
Joined: Sat Mar 20, 2021 10:54 am

Re: Deflated immediately after surgery?

Postby dunbar57 » Wed Nov 02, 2022 1:25 am

I had surgery 10.26 with Dr. Paul Perito. He sent me home deflated. I've been able to pee although the pressure of my stream is lower than normal.

I go back 11.7 to have my staples removed and he will activate me then.

BearsWin wrote:So I had the Coloplast Titan put in today. Lots of postop pain particularly where the reservoir was installed sub muscular. Chewing all then oral pain meds in the hotel room tonight.

Bigger concern - i couldn’t pee postop at all. They hadn’t left a ucath in. After trying many things they finally deflated the implant. Got out 6 hours after surgery ended after I managed to pee with severe straining.

Anybody else get deflated on the surgery date and things work out okay? They said they’ll probably inflate again in two weeks but it’s a virtual appt and it’s not clear I can figure it out just with FaceTime coaching.

Thanks!

BearsWin
68, married 49 years. Robotic Prostatectomy with 50% of nerves spared 8/21. Cancer returned 4/22. 38 Radiation treatments. Cancer returned 3/23 and began ADT Treatment. Coloplast Titan implant 20cm + 2cm with Dr. Paul Perito 10/22.

BearsWin
Posts: 51
Joined: Thu May 12, 2022 11:37 pm

Re: Deflated immediately after surgery?

Postby BearsWin » Wed Nov 02, 2022 2:20 am

As much as I disliked having a catheter in, it does not seem to me to be an appropriate "standard of care" that the AMA (assuming your surgery was in the United States) would approve.

I had surgery 10.26 with Dr. Paul Perito. He sent me home deflated. I've been able to pee although the pressure of my stream is lower than normal.


Thanks guys - nah my guy is state of the art when it comes to this IMO. I’d rather think that he makes you prove you need a ucath before putting one in.

I will say that when his resident went in to deflate it it was one of the most painful things I’ve ever experienced. Despite fentanyl oxy and other pain meds. Even had a dilaudid shot prior.

Dunbar, any reason Perito did it that way? Seems the most common is to leave it 60-70% inflated for two weeks. I read elsewhere this is thought to reduce hemorrhage. No clue myself obviously.
Born 1966. PDE-5s since age 40. Decreasing efficacy age 50. Started on Trimix 2022 - variable response even at high doses. Coloplast Titan 11/1/22 Dr. Yafi UCI, submuscular/ectopic reservoir. History of hypertension. Married, Nevada.


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