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Inguinal Hernia Post RARP

lighterwood67's picture
lighterwood67
Posts: 270
Joined: Feb 2018

Well, I had my hernia repaired last Thursday.  In some cases, hernias can be caused by a RARP.  My surgeon was going to see if she could do it laparscopically, but gave me the choice of open surgery also.  She told me she had just done a person that had had their RARP about 2 years ago and that when she went in to look, she said he had too much scar tissue.  She had to back out.  I told her to go ahead and do it open.  It took about 45 minutes; around a 4 inch incision.  The hernia is back in its place.  I am a little sore and bruised, but feel fine.  I only took one pain pill, that was given to me prior to leaving the hospital after the surgery.  I do not want to bore you folks too much with this, except just be aware that a RARP can cause hernias.

eonore
Posts: 98
Joined: Jun 2017

I have two of them caused by the surgery.  I found out about them from a scan after Bcr.  So far no symptons, but I am keeping an eye on them.

VascodaGama's picture
VascodaGama
Posts: 3240
Joined: Nov 2010

Woody,

Ihope it all returns to normal. In 2000 I had some pain at the inguinal area and the urologist who diagnosed my PCa also diagnosed a local hernia. He said that he would repair it during the RP but he forgot to do it. He told me one week later to get to him if I ever felt pain again which I didn't till today. Maybe the occurrence repaired itself or the nerves bundle serving the area were also disseted during the surgery making me pain less in spite of a still existing hernia. Laughing

Best

VG

ufknkidding
Posts: 45
Joined: Aug 2019

Thanks for sharing. Last week my urologist cleared me to return to "normal" living and I asked what about exercising and weight lifting.  Although I am "all clear" I am taking it very slow because I don't want to risk a hernia since I am only 9+ weeks out from surgery.  Can't imagine my pelvic floor and six incision areas can take a whole lot of heavy lifting so I'm using my own judgement over my providers and doing light lifting and will progress to moderate over the next couple weeks.

lighterwood67's picture
lighterwood67
Posts: 270
Joined: Feb 2018

That's right let your core heal.  Good luck on your journey.

Max Former Hodgkins Stage 3's picture
Max Former Hodg...
Posts: 3521
Joined: May 2012

Lighter,

I had hernia repair (mesh installation) two years after my DaVinci.   The surgeon said that because I had had laproscopic gall bladder removal and DaVince RP, the area had suffered significant weakening, and I too had scar tissue.   The gall bladder surgery and the RP actually used the SAME entry points, and the gall bladder was pulled out within an inch of the exit point for the prostate. The repair is just above the navel, where the prostate was pulled out.   The mesh was 6"x6", so it was a major surgery.   So now I have had three surgeries on the same tissues.  I have some buldge even today, but the surgeon said I need to lose a little weight, and he recommends not reopening it for repair.

lighterwood67's picture
lighterwood67
Posts: 270
Joined: Feb 2018

Well, my mesh was 3X6 cm or 1.18 inches X 2.36 inches.  As far as major surgery, yes, they put me under, innovated me, the whole nine yards so to speak.  I feel fine.  No lifting over 20 lbs for 4 to 6 weeks.  Like you, really getting worked over, especially in the southern area.  Oh well, I am in good spirits.  I will just move on.  Thanks for all your inputs, they have helped me in my journey.  Hopefully mine will help someone.

Max Former Hodgkins Stage 3's picture
Max Former Hodg...
Posts: 3521
Joined: May 2012

That is a huge discrepancy in mesh size, Lighter.  I guess my gut was really ripped !    I am a small guy, and not fat -- waste about 34. 

 Best of luck, and happy trails to you.  I find everything you write to be focused, relevant, optimistic, and enjoyable.

max

 

lighterwood67's picture
lighterwood67
Posts: 270
Joined: Feb 2018

Well, I went to my post-op follow-up for my hernia which was probably caused by the RARP.  All is good.  A seroma (A seroma is a pocket of clear serous fluid that sometimes develops in the body after surgery. This fluid is composed of blood plasma that has seeped out of ruptured small blood vessels and inflammatory fluid produced by the injured and dying cells) was noted.  Seromas usually resolve on their on.  Good to go.  Moving on.

 

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