Question for ladies with IP

11 years 1 month ago #44292 by Cynthia
Replied by Cynthia on topic Question for ladies with IP
You really need to talk to the doctor who did your surgiey and tell him what you have said here. Anytime someone is in more pain than they can handle the need to be listened to by their doctor or at the ER. If you are running a fever and the pain is getting worse you really need to see someone.

After my a radical cysectomy I was in a great deal of pain. I finally realized it was my intestines and adjusted my diet and the pain went away as the intestine healed.
I hope you get some answers soon.

Cynthia Kinsella
T2 g3 CIS 8/04
Clinical Trial
Chemotherapy & Radiation 10/04-12/04
Chemotherapy 3/05-5/05
BCG 9/05-1-06
RC w/umbilical Indiana pouch 5/06
Left Nephrectomy 1/09
President American Bladder Cancer Society

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11 years 1 month ago #44291 by NeedHelpNow
Replied by NeedHelpNow on topic Question for ladies with IP
I need help! I have had SEVERE lower right pelvic pain about 6 weeks after getting my IP. I have visited the doctor's and ERs and they at first said I had an abscess but then said it went away but the pain is still there and getting worse! Does anyone know what this can be? The last time I went to the ER my heart rate 130, fever 101.3 and BP was low, they stated I had an UTI but didn't send my urine for culture, which I found out today because I called to tell my surgeon I wasn't feeling better and wondering if we needed to switch antibiotics.
They did a CAT scan at the ER and said they didn't see anything? Please help me! The pain is so bad I cry out loud and double over. The last ER visit the doctor accused me of seeking pain meds and said I shouldn't be in so much pain with an UTI! I asked then to find out what was wrong with me but then he just proceeded to discharge me. Please help!

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11 years 2 months ago #44092 by betsyj
Replied by betsyj on topic Question for ladies with IP
I was actually in the hospital for two solid weeks after my surgery, so I would recommend you give yourself a bit more wiggle room than ten days. I had complications, and I certainly hope you don't, but you don't want to be in the position of having to deal with rescheduling flights from the hospital. Why don't you call the airline and tell them about the situation? They may be able to give you a little more flexibility-- you are giving them a fair amount of notice, after all.

Please tell me someone is traveling with you for your surgery and recovery. I'm a pretty tough person, but this is NOT a situation to be on your own in. I'm not being alarmist-- there are just SO many reasons to have someone with you that I can't even count them here.

Regarding the "two weeks," the main reason I say that's the worst is that abdominal surgery just makes you weak as hell (pardon my language), because your core muscles have been messed with. You seriously may find it tough to just get up and down from a chair, out of bed, etc. It's weakness and soreness rather than pain, though I won't lie to you, there's pain at first-- but any acute (like, HOLY SH*T SOMEBODY GIVE ME SOME MORPHINE pain) should be gone within a few days, while you're still at the hospital.

Nothing against this website, but there is a much more active bladder support survivors network over at www.inspire.com/groups/bladder-cancer-advocacy-network/ that I highly recommend. There are people there who have been living post-RC for years with pouches, IP's, you name it, and I found it took away a lot of my anxiety just to browse people's stories. You might want to wait until after your surgery, though, because there's so much info that it can be a bit overwhelming.

Let me tell you something someone shared on that site that has stayed with me: radical cystectomy (RC), the surgery you're about to have, is the CURE for bladder cancer. You will NEVER have bladder cancer again. You'll be weak for a little while and have to practice a new way of going to the bathroom-- that's all. Remember that! Big picture! :)

Don't let those statistics frighten you. They scared the hell out of me when I first read them, but they're not accurate to our situation. When you feel like visiting the site above, you will see that recurrence seems to always be around the next corner when people perhaps had just a small tumor and *kept* their bladders-- they tried to control the cancer with just chemo/radiation and tumor removal, hoping it wouldn't come back. Sometimes they got bad advice, sometimes they themselves made bad decisions, sometimes it was just plain bad luck. But the sad thing is that some of them were so weak from the drugs by the time they finally decided to do RC that their bodies couldn't take it. The complications and side effects were too much after being just plain *sick* for so long. And (whispering) they are sick for the rest of their lives.

(I wouldn't mention that to people on that site who *are* trying to resist RC, by the way. That's why I say that you should only go to that site if you're ready to hear every possible variation on this experience: seriously, some people there are adamantly against even chemo, and think they're going to cure themselves with raw food and meditation, so if you're not feeling good about your treatment it could make you feel worse!)

Sorry to be so long-winded, but I very much identify with your situation and want you to feel good about your future. I am e-mailing you with my phone number in case you want to call me, because otherwise I'll go on and on and on... :)

Take care,
Beth

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11 years 2 months ago #44091 by chelsiaann
Replied by chelsiaann on topic Question for ladies with IP
Can you tell me what you mean by "the first couple of weeks after the surgery were the worst"? I imagine you mean pain? Getting used to cathing yourself? That kind of stuff?

I have my surgery scheduled out of state and I'm wondering how I will feel 10 days out when I'm planning to fly back home on a commercial flight, though in first class. Do you think I'll be okay?

I'm nervous about the surgery. About the stoma and leaking and infection and doing it all wrong. And then I'll be worried about it coming back. God. I read some awful statistic that 50% of women end up with a recurrence.

I'm still pretty scared about all this. Still can't believe it's ME that has cancer (not sure why, though, perhaps we all think that a bit).

I just want to live. And live relatively well, but this "rare" cancer has me concerned.

Symptomatic: July 2012
Diagnosed: October 2012, Squamous Cell Carcinoma, muscle invasive, stage II or III
Surgery Date: April 10th, 2013 (Indiana Pouch)

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11 years 2 months ago #44090 by betsyj
Replied by betsyj on topic Question for ladies with IP
Hi Chelsiaann,

My surgery ended up being on August 31st 2012, so I'm almost six months post-op, now. I recently had to have a surgical revision to make it easier to catheterize. I don't want to give you the impression that life has been difficult in the meantime, though: I've felt quite healthy and active for months, now. I took a trip to NYC three months after my surgery, back in November. Chemo made me feel MUCH worse than the surgery did! :)

I don't know if this makes sense, but I felt recovered long before my body was completely healed. I suppose with this surgical revision, in fact, my body isn't completely healed, yet. But I feel great! I think of my new plumbing almost like a car or something-- taking it in for a tune-up or an adjustment is a hassle, but it doesn't constitute a major health crisis!

The first couple of weeks after the surgery are the worst-- it'll get better quickly after that! If it weren't for my hair, nobody would know I'd had cancer just six months ago!

Take care and good luck with your recovery!

Beth
The following user(s) said Thank You: chelsiaann

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11 years 2 months ago #44089 by chelsiaann
Replied by chelsiaann on topic Question for ladies with IP
Oh, this totally made me feel better about my decision to go with an IP.
I am in my last cycle of chemo (M-VAC) and I have surgery scheduled for April. I'm terrified about the surgery having never had anything so intensive done before. They plan to do a hysterectomy, lymphandectomy, bladder removal and reconstruction for an IP. I know that my post isn't necessarily related, as I don't have children, but I'm interested in what recovery time looks like and how difficult it is to "train" the bladder post-op, as well as life post-op. My nurses researched the IP and said they thought it was the better option so that my genitalia wasn't "medicalized" -- and I agree with them. I'm glad to hear that your body image wasn't affected too much and your sex life either. So good to hear.

I'm 35 with squamous cell carcinoma of the bladder. I'm hoping for awesome scans on my return to Mayo in April and an easy surgery, whatever that looks like. Any feedback on life with IPs, surgery, or life post-surgery would be greatly appreciated.

Symptomatic: July 2012
Diagnosed: October 2012, Squamous Cell Carcinoma, muscle invasive, stage II or III
Surgery Date: April 10th, 2013 (Indiana Pouch)

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