new kid on the block

Posted by: April36 in mens issueshysterectomy on Print PDF

So, hi.  :)
My name is April. My partner found your site a week or so ago while researching online, trying to find anything to enlighten the two of us about dealing with a neo-bladder.
A few months ago, when I finally had a good job with insurance benefits, I finally went to see a urologist about the problems I'd been having off and on for about 3 or 4 years. He found what he said was likely a benign tumor embedded in the wall of my bladder. Parts of it were calcified, he said, and although it likely was not cancerous it should come out. So, surgery was scheduled and a month or so later I went in as an out patient for a simple cysto procedure. Not long into the procedure the doctor realized the tumor was more complex and much bigger than he originally thought, but he kept going anyway, made a series of very bad judgment calls, and I almost died.
Thanks to my partner, Jana, I survived. She was with me immediately after surgery in ICU when I consequently started having seizures, at which time she ran to get a nurse.
I was in ICU, unconscious, for 4 days.
When I finally came to, I was moved to another room and kept for another 4 days, until I was strong enough to leave. (Had to get my sodium and potassium levels up, get my white cell count straight, etc.)
Another doctor, Dr. Fort, who was called in to fix what the first doctor screwed up, came to see me and explained to Jana and I that the tumor was in fact cancerous, and that it was connected to a much greater mass in my uterus, which was also likely cancerous. He advised another surgery, which would include a complete hysterectomy, a urostomy and the construction of a neo-bladder from part of the small intestine.
He also said the tumor was a stage 4a sarcoma, that there was a chance that I wouldn't survive this, even with treatment.
Like anyone else, any and all of you here I'd wager to say, we were shocked...devestated, really. For a few weeks I couldn't even get my head around it, I was still hurting so bad, still so doped up from what had just happened. But I went to see Dr. Fort, as he suggested, talked to him, asked dozens of questions, but never really stopped feeling like I was in the Twilight Zone.
When I felt confident that there really was nothing left to talk about, we set a date for the next surgery.

On October 16, 2006, I had a complete hysterectomy, a urostomy, and a neo-bladder put together for me. I won't bother repeating any more of what is a well known part of all this, regardless of exact details: hospital stays after major surgery are a nightmare of pain and discomfort, no matter how glad you are to be alive.

But...such harshness has a way of illuminating the mundane blessings of everyday life, all that we so easily take for granted. Here I was in the midst of the hardest, scariest time of life, so tremendously grateful to be alive.

I've been home for awhile now. Still taking pain meds (which I hate.) Still not digesting properly (i.e. nothing much happening without laxatives yet.) The most annoying thing happening right now is a bit of leakage from the stoma, where this temporary catheter travels from the bladder into a leg bag, which will be removed next week.

The good news is all the cancer was removed during the surgery, so I don't need any further treatments (as of now.) All margins were clear, no spreading...and the larger mass (the size of a grape fruit) in my uterus was not cancerous.

So, now I'm just trying to get used to it all, I guess. Some days are harder than others. Some days I'm so angry and scared, and pretty disgusted with myself for it, because this could have been so much worse. Other days, I feel like I've felt for most of my life: invincible and sassy, your basic redheaded smartass.  ;)

I was born with cancer, retinoblastoma--cancer of the eye. My right eye was removed when I was 8 months old. The cancer traveled to my left eye and was found when I was 14 months old, treated, and for the next twenty some odd years, I had annual check-ups at St. Jude's in Memphis.

Dr. Fort said the radiation treatments I received in 1971 were likely what caused this latest cancer. He's probably right. I always wondered if it would come back, wondered if I'd be able to beat it a third time.
Looks like I have, so far.

Anyway.
It's good to find such a terrific group of people and such a great source of information. This seems like a terrific community of survivors. Hope it's okay if I hangout here for awhile.  8-)

And please, if there's any advice, any thoughts you'd care to share...I certainly welcome them.

Until we read again...

Peace & kindest regards   [size=12][/size]
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Rosemary
November 16, 2006

Welcome, April,

If I may say so, you certainly are a study in human endurance!

We can all learn from you!!

Rosemary

April36
November 16, 2006

Thanks, Rosemary!

A study in endurance, you say?   smilies/cheesy.gif  Can't say I disagree, tho I hadn't really thought of it like that.

smilies/wink.gif

I think we can all learn from each other, and likely the greatest exchange of all is that of kindness.

Blessings & good wishes to you, friend.

Wendy
November 17, 2006

Hi April,

Welcome, it's an honor to make your aquaintance. You're a true survivor in every sense. Your post reminded me of a new twist to oncology, how to deal with the long term survivors who get second cancers WAY down the road, as a result of childhood cancer treatments. Even breast cancer survivors (like me) get second cancers from radiation, if we live long enough, and in our cases it's usually lung cancer or so I read. Or like with kids that get Hodgkin's, they get breast cancer down the road. It's very tough.

A sarcoma of the bladder, eh? Very unusual. It must have been extremely scary for you and your partner, thinking there was also a large cancer in the uterus, I suppose that was a big fibroid then?

If you have a stoma and a urostomy, then I don't think you have a neobladder as well. It's usually either/or. Neobladders re-connect to the natural urethra. Lots of terminology in this game, but don't fret. If you do actually have an ostomy and not an Indiana pouch or neobladder, please consider adding your experience to WebCafe's Trench Tales. We only have one experience with an ostomy/ileal conduit and could use more than that. (http://blcwebcafe.org/stories.asp)
If you browse the cystectomy section of the website you'll see the various techniques discussed.

You're too young for this! But you are no stranger to challenges and there's every reason to believe you'll be fine.

I wish you all the best,
Wendy

April36
November 17, 2006

Hi Wendy,

Nice to make your acquaintance, as well. smilies/smiley.gif

You asked some questions...

Yes, the mass in my uterus was a large fibroid, connected to what was in my bladder. Both nasty, but only one cancerous. (Very glad about that.) And yes, we were very scared. Still are. It will take a lot of time to recover from the mental and emotional trauma of all this, too, not just the physical.

As for the terminologies...they confuse me a bit, too. smilies/wink.gif
What I have is an inside pouch made from a portion of my small intestine, with a stoma, just to the right of my belly button, for voiding with a catheter once I'm healed to that point. Right now I still have an in dwelling catheter that drains into a leg bag, and I have to irrigate the new bladder every six hours with saline solution. My urethra was removed along with the original bladder, so no regular functioning in that way for me now.

Of the choices offered, this seemed like the best, but I'm having such a rotten time just now with leakage from the stoma, even with the catheter still in, that I wonder if I didn't make a bad choice after all. (The only other choice he offered was to have an ostomy bag, and I didn't want to go that route if there was a better way.)

This is awful. I'm even wearing an adult diaper to try to avoid messing up everything, and it isn't helping much. Hopefully my doctor will offer some relief and advice soon.  :-?

Anyway. Thanks so much for the warm welcome and the insight.
Lots of strong survivors here, especially yourself.

Strength in numbers, right? smilies/wink.gif

Take care, then.

~A

Wendy
November 18, 2006

Hi April,

Ah, so you have an Indiana pouch, you're a pouch potato now.  smilies/smiley.gif Just read that this is the most common choice for patients needing bladder removal, because it's supposedly less likely to....leak! There's quite a large post-op complication rate for bladder removal, but it goes away in time. There's a learning curve (a steep one). Sometimes the valve must be tightened, sometimes this leakage problem passes on its own. You're too soon post-op to tell if it's a passing or lasting complication, I think. Good luck with things and I hope you get off easy on this one.

Do you have an ET nurse, or an ostomy wound nurse you can turn to for help? You're very fresh out of surgery and can use all the input you can get. Call the doctor and complain, you didn't bargain for diapers, after all.

BTW there's a glossary of terms and acronyms: http://blcforum.com/cgi-bin/fo...rd=general />
Have a peaceful, non-eventful weekend.
Wendy


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