Just been told i'll need a total pelvic exenteration

Hi everyone, I'm a 36 year old male and I've just met my surgeon for the first time.

He has told me I will need a total pelvic exenteration in March.

Are there any other males on this site had the same operation ?

Parents
  • Hi there 

    Just discovered your post, I have discussions on McMillan and bowelcancer uk sites.

    I was diagnosed with recurred colorectal cancer last December and underwent a total pelvic exenteration in January. So my colon, rectum, prostate and bladder were all removed. My tackle is still intact, but shrivelled and useless! 
    It's a big operation, mine was 11 hours. It takes time to recover from the anaesthesia and in my case it was over a week before I could walk. 
    After 3 weeks in hospital I'm now at home and have been recovering for 3 months. I have now started chemo and that will finish early September, then I hope I can get on with living again.

    To be honest, stoma management has been relatively straightforward and the biggest problem I have is that during surgery my sciatic nerve was damaged because the tumour was wrapped around it. So my right leg and foot are permanently numb and in pain. The damage is not permanent so I should recover, but I have to walk with a stick and still can't drive. Physio is helping.

    Anyway, hope you're doing ok, remember this is a curative operation and you're in the hands of experts.

    M

     

Reply
  • Hi there 

    Just discovered your post, I have discussions on McMillan and bowelcancer uk sites.

    I was diagnosed with recurred colorectal cancer last December and underwent a total pelvic exenteration in January. So my colon, rectum, prostate and bladder were all removed. My tackle is still intact, but shrivelled and useless! 
    It's a big operation, mine was 11 hours. It takes time to recover from the anaesthesia and in my case it was over a week before I could walk. 
    After 3 weeks in hospital I'm now at home and have been recovering for 3 months. I have now started chemo and that will finish early September, then I hope I can get on with living again.

    To be honest, stoma management has been relatively straightforward and the biggest problem I have is that during surgery my sciatic nerve was damaged because the tumour was wrapped around it. So my right leg and foot are permanently numb and in pain. The damage is not permanent so I should recover, but I have to walk with a stick and still can't drive. Physio is helping.

    Anyway, hope you're doing ok, remember this is a curative operation and you're in the hands of experts.

    M

     

Children
  • Hi , how are you keeping just now ?

  • Hi,

    Sorry I got my wires crossed and replied to an older message. Have you had the op now? How was it?

    Biggest issue for me since surgery has been sciatic pain in my right leg and foot, which makes it really hard to walk. My surgeon said it might be a year before I feel normal again. Going through chemo is not fun and gets worse each time, but I'm half way there at least. Constipation followed by the runs is not fun with a colostomy.

    Let me know how you're doing.

  • It was difficult yeah for sure. All sorts of weird sensations now.

     

    I had been walking OK today and then somehow managed to putt all my weight and twisted on the leg they removed muscle from and there was a ping haha fingers crossed its not to serious. My wound along where my bottom is has opened an inch. Maybe a scab that fell off so  hoping that's not going to be an issue. I see the nurse tommorrow.

     

    My op was 6 maybe 7 weeks ago and last weekend I took my kids to the caravan park and my youngest has had me lifting her a lot so I think I may have overdone it as I'm knackered now.

     

    I still find it uncomfortable sitting down.

    My stoma is a double barreled stoma and it's OK I suppose. It's leaked a few times and that can be a pain getting on top of that. 

    My right leg is going to take some healing I reckon .

     

    I had chemorqdiatiin at the start and then the surgery removed all the cancer according to pathology so that's good eh 

     

    It's a bit weird not being able to feel any sensation in your wee man other than a wee twitch now and again lol..

     

     

  • Yes, sitting down is really uncomfortable. I can just about do half an hour at the dinner table, then I'm back lying on my side. Apparently the nerves are still knitting together in the buttocks. I got clearance last week to swim and have a bath, I think swimming will be good therapy once I've sorted logistics. Just got to be patient and let ourselves heal I guess. 
    keep in touch, we're pretty rare I reckon.

  • Hi there

    I was diagnosed with recurrent rectal cancer in January and my tumor was in my pelvis and was wrapped around my sciatic nerve also. I had a total pelvic exenteration and have two permanent stomas. I had my surgery in Southampton on the 6th May and I am just starting to get back to some sort of normality. I am having physio and able to walk without the crutches at times, but use one crutch when I am tired. I have just started driving again and getting out and about a lot more, it is getting easier and I anticipate a few more months of recovery at least. It was a tough operation to get through and mine was complicated and lasted 20 hours. 9 weeks ago, I woke up and thought life would never be the same again, but I have improved week on week and my options on life were not good without this operation. I see oncology in a couple of weeks time, to see what happens next. 

    Hope Bear

  • Hi,

    20 hour op?! I thought 11.5 was bad, I felt like I'd been hit by a bus when I woke up...Seems like you're getting on well with your recovery, I'm midway through a 'mopping up' course of chemo which has set me back in a big way, especially as it affects the nerve endings. So I still need a stick to walk, but im not having any more physio until chemo ends and I've recovered from the side effects. 
    All the best 

     

  • Yes 20 hours, my poor husband snd daughters, it must have been the longest day for them. I also felt like I had been hit by a bus, but was glad to see the lights on the ceiling when I woke up. I have never been so scared in my life going into an operation. They tried to save my bladder for several hours and then decided it was too near the tumor and they had to get through lots of scar tissue from previous operations as I have had a few! I suspect that I will need chemo and that worries me about the nerve endings as I suffered with that before last time I had chemo. Glad to hear that you are nearly through yours and hopefully the nerves will get better with time for you. I am dreading going through it again, but I have 2 daughters in their 20s and at 48, I want to give it my best shot, Cancer is winning at the moment after returning for the 2nd time, when I thought I had beaten it and had my stoma reversed last year, but I won't give up. All the best to you with your ongoing recovery and so nice to speak to someone who has been through similar, as I found it hard to find anyone who had until I discovered this chat. 

     

  • Hi Hope Bear 

    How are you doing with your recovery? I know some time has passed since your last update. How are you find the dual stomas? Are things more settled now? 
     

    I found out on 5th January that my cervical cancer has unfortunately returned  & due to previous radiation the only method with curative intent is total pelvic exenteration. I was first diagnosed at 24 & I am 29 now, I have an 11 year old in her first year of secondary school so I need to be around for her. Time to dig deep. 
     

    Any tips in regards to hospital & home recovery would be greatly appreciated. 
     

    Wishing you all the best. 
     

    Harley x 

  • Hi Harley

    I know that you have asked Hope Bear your question but hope you don’t mind me jumping in. 

    I’ve had a total pelvic exenteration for recurrent cervical cancer, so am happy to chat if you’d like to. x

  • Hi Minska

    Thank you very much for jumping in! Any advice would be great. I have a lot of questions! 
     

    How long was your recovery? What am I to expect when I wake up from surgery? How many wound sites & do they vary in healing time? Is there anything I can do to optimise my recovery? Is sex still possible? Are the dual stomas manageable to live a "normal" life. 
     

    Please only answer what you feel comfortable with, I am a whirlwind of questions & anxiety at the moment. Even your warm response has given me positivity. Thank you.  
     

    X