Hi, PWB. You'll be in good hands here (along with your doctors, of course). We're just up the road from you between Pittsburg and Mt. Pleasant. We had our da Vinci done in Aug. of '06 and went to Austin. However, at the time, Dr. Andrew Kirkpatrick in Tyler had been doing da Vinci there for a few months. At that point, he probably had about
100 surgeries under his belt, so we looked for more experience. If we were looking right now, we would certainly seek a consult with him.
You really want to go "tire-kicking" among the specialties to figure out which one is right for you. Then, come here and ask questions, too, as the docs will be pushing their own "faves." Our first visit was to a radiologist, then we decided that if there weren't any underlying issues, we would seek surgery first and keep radiation as a backup.
Everyone is different and you'll work it out, even though it seems pretty daunting right now.
Husband age 66
PSA on 5/1/06: 4.2 (had doubled in 13 mos. and rising monthly)
DaVinci Surgery 8/2/06 - Austin, TX w/Dr. Randy F.A.G.I.N.
T2a (at biopsy)
At pathology - cancer cell leakage into fatty tissue
Post-Surgical PSA on 10/06, 4/07 - undetectable!
11/1/06 - perhaps bladder neck involvement; 30%-50% chance of recurrence
PSA test "Un-zero-detectable" on 10/16/07.
9% chance recurrence w/in next 7 years (down from 50% as we understand it)
Future: PSA tests twice-yearly for now.