CSN Login
Members Online: 13

3 Days Post-Op Robotic Partial Nephrectomy Questions

ajens2528's picture
ajens2528
Posts: 10
Joined: Apr 2013

Update from "Renal Mass at 23!?"

Hello Everyone! I had my surgery Thursday the 18th in the morning. They removed a 2x3cm tumor from the right kidney. She said it was a little deep in the kidney and affected the area that filters so they had to repair that a little bit. But everything else went well. Because of that I was on bedrest until the next morning and they left my catheter in until Saturday morning. They took the drain out Saturday morning after the catheter and then I was able to leave Saturday by noon. I’m still taking the pain medication and softeners they gave me, but I haven’t gone to the bathroom since Saturday early morning. I’m wondering if that is OK. Also I’m having trouble gaining control of my bladder back after the catheter was in so long. Any pointers?  I read something before about stretching. Should I be stretching? I’m moving around a good bit, but sometimes just straightening my posture feels like I’m stretching out, I don’t know if I should stretch more than that or not.

Thanks for any help!

NanoSecond's picture
NanoSecond
Posts: 532
Joined: Oct 2012

I am a bit surprised.  I seem to recall that they would not discharge me from the hospital unless and until there was a bowel movement.

Regardless, all the fun (i.e. effective) pain killers cause notorious constipation. So don't skimp on addressing this. Softeners may not be aggressive enough.  Talk to your medical team and see what they recommend.

Also, I imagine you may still be feeling quite bloated and full of gas.  If so, you might want to consider discussing using activated charcoal for that. It is not usually available without prior inquiry with your local pharmacy to give them time to stock it.

ajens2528's picture
ajens2528
Posts: 10
Joined: Apr 2013

Ok I will look into that. I did have a bowel movement Friday afternoon and Saturday morning before I was discharged, I just haven't had a movement since and I wasn't sure if that was OK. Yes I still have a lot of gas though. I will look into the options you gave me thank you!

icemantoo's picture
icemantoo
Posts: 1568
Joined: Jan 2010

arens,

Those aches and pains and delayed BM all sound normal to me and makes me remember the good old days 10 and 1/2 years ago. Make sure you are taking some sort of stool softener as the pain medication makes you constipated and you do not want to be constipated when the big day comes.

 

Icemantoo

one putt
Posts: 72
Joined: Sep 2012

I had my surgery (radical nephrectomy laproscopically with partial open) on 11-1-11 and was released the next day without having a bowel movement. The big event occurred the next day. I guess it's true what they say about the homefield advantage.

todd121
Posts: 598
Joined: Dec 2012

My surgery was Monday noon, and I had no sort of BM until Friday night. They let me go home Wednesday without even having bowel sounds (which I was not happy about).

A stool softener alone may not be enough, especially if you are taking constipating pain meds. But be careful with harsh laxatives too, or you can slip into the other problem. I would avoid harsh laxatives.

You should be having a bland diet. Fiber, but nothing harsh. I ate low-sugar canned peaches and pears, cereal with soy milk, oatmeal, bananas, white bread and avoided fatty foods (no butter, cheese) and milk products (although I did eat low-fat cottage cheese), low fat, low sodium meat, other fruits, cooked vegetables (low sodium) like steamed broccoli, carrots. I also drank prune juice and cranberry juice, but mostly lots and lots of water.

Senna is a combination stool softener with a natural, mild laxative. It's sold over-the-counter. I used that until I started having normal BM. It worked well for me. You have to drink lots of water with those stool softeners for them to work.

Walking is very important. I walked around my room all the time while watching TV. This also helps getting your digestive track back to normal.

I wouldn't say stretching, but coughing when you need to is important. You don't want fluid settling in your lungs. Hold a pillow against your stomach when you cough.

Todd

oldguy5
Posts: 7
Joined: Apr 2013

I'd wait on the stretching for a week or so, and do it slowly.  Walk around, and reach for things slowly. I didn't have a BM for a day or two, but there wasn't anything in there to move because I didn't have solid food until the day after surgery.

ajens2528's picture
ajens2528
Posts: 10
Joined: Apr 2013

Thank you all so much for your advice. It seems prune juice was the trick! A small glass a day has kept me pretty regular. I'm one week post-op today. I was able to get off the pain meds 2 days ago and just on Tylenol here and there when needed. It is still very uncomfortable to sleep. My back is in a lot of pain from being so immobile. Now I can't seem to get the marks off my stomach from the iodine... not even some rubbing alcohol does it. I guess that will just take a while. 

One more question- one of my cuts (a bigger one- about an inch) seems to have a lot of pus in it. The glue tape is still on it, but starting to come off. When it does, I’m not sure how to treat the cuts, especially the one with the pus. It does not seem infected at all, is this something I just let go or do I put anything on the incisions?

oldguy5
Posts: 7
Joined: Apr 2013

My incisions confused me, because they felt swollen under the skin. (I don't know if that's what you meant by "having a lot of pus in it.") But they were all swollen on each side of the incision (and don't think I didn't make a rude remark about what they looked like miniatures of).  I put Neosporin on mine, and each incision turned red and itched like heck for a couple of days, so I didn't do it again. I just made sure to wear loose shirts, and evenutally they settled down and became level with the rest of the skin. Now, two months post-op, one or two still have some scabbbing around where the sutures were, but they're doing great. After a couple of weeks you can start washing the areas with light soap during your shower.  The didn't heal as fast as I wanted, but that may have been my expecting too much.

oldguy5
Posts: 7
Joined: Apr 2013

oop

 

oldguy5
Posts: 7
Joined: Apr 2013

my bad

Djinnie's picture
Djinnie
Posts: 782
Joined: Apr 2013

You will often see pus on the incision, it is part of the healing process. It would be an off white colour, obviously if it is more yellow or green and inflamed it would indicate infection. I don't know if you have sutures at the site or is it all glued. I had internal sutures, as they broke down they caused little pockets of inflammation. I just bathed them in some diluted iodine solution and they healed up very well. The hospitals here in France give you an iodine shower wash before surgery. They give you bottle to take home, I washed the incision areas with the liquid every day until they healed. They healed very quickly and surprisingly neatly.

I too stuck to prune juice when I came home, it is a good old standby that works in the literal sense, lol.... I can't stand eating prunes but the juice is easy to drink.

You will soon be feeling more mobile , I found the first three weeks frustrating, I am not a good patient. I drove my husband a little crazy. I am now just over four weeks and pretty much back to normal.

MDCinSC's picture
MDCinSC
Posts: 574
Joined: Feb 2013

Some great wisdom here!  I'm filing it all away!

ajens2528's picture
ajens2528
Posts: 10
Joined: Apr 2013

Yes definitely!  Thank you all so much!  :)

Eims's picture
Eims
Posts: 420
Joined: Feb 2013

oh god i remember those "have you had a bowel movement?" questions!!!  my god there were soooooo many and the answer was always no!!!  jesus i went for over a week and i thought i would explode hahahahaha.  i kept saying to my husband that if i farted the poor woman across from me would be blown through the wall into the next ward!!!  oooops is that too much information...lol.....seriously though they gave me an anemema and then that didn't work so as the doc said instead of going from the bottom up he would go from the top down!!!!  laxatives eventually worked and i was never as happy to go to the loo!!!!  it sorted itself out eventually...lol

eims x

foxhd's picture
foxhd
Posts: 1928
Joined: Oct 2011

I couldn't stand taking senekot. The nasty feelings after major surgery is all a part of it. Made the general pain more tolerable. Recovering from surgery is no picnic. No fun feeling like crap. But, it can all be done. Time passes. Along with Eims gas.

GSRon's picture
GSRon
Posts: 1270
Joined: Jan 2013

Oh yes... the day after surgery I thought it was time for a BM... they put a bed pan under me and waited...  I could not get the Nurse to leave the room... she just said.. ""Let it rip..!!" and I did.. then she applauded... the 2nd day I got up and sat on a commode... did the deed.. again the Nurse applauded...  God bless those Nurses..!!

Be Well all..!!

 

Ron

Eims's picture
Eims
Posts: 420
Joined: Feb 2013

jesus ron fair play to ya!!!!!  wish mine was as easy at that...lol

GSRon's picture
GSRon
Posts: 1270
Joined: Jan 2013

Well, I did have THAT part easy... the worst part was the pain for the first few days... like most others I guess..   That all said, I always tell people, that except for that pain, the whole experiece was not bad at all...   The hospital I was in (Stanford) is top notch... I had a phone and a menu... I could order all kinds of good food and it got delivered, 3 times a day..!

Now just hope the drugs are working... for all of us on them..!

Cheers..!!

Ron - about 130 days until I arrive on the IOM..!!

Eims's picture
Eims
Posts: 420
Joined: Feb 2013

how do you get to the isle of man or should i say the rock?

GSRon's picture
GSRon
Posts: 1270
Joined: Jan 2013

Hi Eims..!!  I have traveled several methods... fly in to Manchester is one of my favorites, then my good friends pick me up at the airport.. take me to their house for a shower and a nap then drop me off in Liverpool for the Steam Packet Ferry Boat...  Or, I can fly to Manchester and take a shuttle plane over.. Or..?  Well, once I flew in to Germany and transferred...  Or one time to London...   But I know of people that fly in to Dublin then take a ferry or plane from there..  I need to get my travel plans pretty soon... August will soon be here..!!

The Isle of Man is a very special place to me..  I went last year, only months after my surgery, got off the ferry boat and kissed the ground..!  I think many of you can relate in various ways....

Be Well All..!!

Ron

Subscribe with RSS
About Cancer Society

The content on this site is for informational purposes only. It is not a substitute for professional medical advice. Do not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. Please consult your healthcare provider with any questions or concerns you may have regarding your condition. Use of this online service is subject to the disclaimer and the terms and conditions.

Copyright 2000-2014 © Cancer Survivors Network