Henry Ford - Vattikuti Institute

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FairRider
Regular Member


Date Joined Jan 2008
Total Posts : 32
   Posted 2/2/2008 2:16 PM (GMT -7)   
Looking for people with experience of Robotic surgery with Dr. Mani Menon at the HEnry Ford Hospital, Detroit, MI.
Age 54
PSA 2.8 in 1999, PSA 2.88 in 2004 - did not follow-up until 12/2007 :(
PSA 5.6 1/2008, but 4.37 on repeat
DRE - unremarkable
Free PSA ratio 0.11
Biopsy 1/25/2008 - 10 Cores - 5 each side. 4 with adenocarcinoma (2 each side)
Gleason 3+3=6 and 3+4=7 - No Stage given on report, maybe T2c?
Planning Robotic Surgery
DECIDING SURGEON & location - INPUT WELCOME!


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8122
   Posted 2/2/2008 7:26 PM (GMT -7)   
I haven't but I can tell you that the top six extremely talented surgeons using the robotic method would include him. He was the first to use it and he has over 2000 LRP's to his credit. If you are able to retain him, you can stop looking.

Tony
Age 45 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007
Post-Op Pathology was poor: Gleason 4+3=7, 4 positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
 
My PSA did drop out after surgery to undetectable.  It has not returned and I will continue HT until January '08.
 
My Life is supported very well by family and friends like you all.
 
Visit my journey at:
 
STAY POSITIVE!


Dave7
Regular Member


Date Joined Jul 2006
Total Posts : 201
   Posted 2/2/2008 7:28 PM (GMT -7)   
I underwent the robot with Dr. Menon in Sept. 2006.  I was 52, gleason 6 (3+3), PSA 5.6.
 
I was very impressed with the entire experience.  The only problem I've experienced post surgery is with ED.
It took 10-11 months to recover function with the assistance of Viagra.  Didn't have any problem with incontenace, which, going in, was of a greater concern to me.
 
I don't have any regrets about my decision.
 
Let me know if you have any specific questions I can answer.
Probably the hardest part of the entire experience for me was the choice of treatment and place of treatment.
They are tough decisions to make at a tough point in life.
 
Dave

FairRider
Regular Member


Date Joined Jan 2008
Total Posts : 32
   Posted 2/4/2008 9:29 AM (GMT -7)   
Thank you for the reply and vote of confidence. My husband's priority is the same as you implied - cancer first, continence 2nd, sex function third. That is encouraging to hear about your continence - was it back quickly? We have only a 3 hour travel time, but am curious how travel impacts the whole process. Also, curious if your cancer was contained. It is such a huge decision - I feel like the experience level is essential to the outcomes.

FairRider
Age 54
PSA 2.8 in 1999, PSA 2.88 in 2004 - did not follow-up until 12/2007 :(
PSA 5.6 1/2008, but 4.37 on repeat
DRE - unremarkable
Free PSA ratio 0.11
Biopsy 1/25/2008 - 10 Cores - 5 each side. 4 with adenocarcinoma (2 each side)
Gleason 3+3=6 and 3+4=7 - No Stage given on report, maybe T2c?
Planning Robotic Surgery
DECIDING SURGEON & location - INPUT WELCOME!


Dave7
Regular Member


Date Joined Jul 2006
Total Posts : 201
   Posted 2/4/2008 11:20 AM (GMT -7)   
FairRider-My cancer was contained. I live in Florida and flew home with the catheter a few days after surgery. I didn't like the idea of traveling with the catheter but it was not a problem. The continence was back quickly for me. It was a non-issue. I am very thankful for that.
Other than fatigue and slight discomfort, I didn't feel as though I had undergone major surgery. Just get your husband to pace himself for a few weeks after the surgery.

Dave

not me!
Regular Member


Date Joined Jan 2007
Total Posts : 30
   Posted 2/4/2008 4:41 PM (GMT -7)   
I had my surgery by a doc who was trained by that staff in Detroit. My research in 2006 indicated that the surgical team at the Ford Center was the best and most experienced in the world at the DaVinci. I contacted them and was prepared to go to Detroit. I live near Kansas City and they ended up recommending a doc in my area who had trained at the Ford Center with Menon so I stayed here.  good luck with your decision.

Post Edited (not me!) : 2/4/2008 4:49:18 PM (GMT-7)


FairRider
Regular Member


Date Joined Jan 2008
Total Posts : 32
   Posted 2/10/2008 7:08 PM (GMT -7)   
We are going for a consultation this week to Vattakutti at the HEnry Ford hospital in Detroit.

Any experiences there are welcome information. Any questions we should ask other than the ones we just should generally ask before surgery?

FairRider
Age 54
PSA 2.8 in 1999, PSA 2.88 in 2004 - did not follow-up until 12/2007 :(
PSA 5.6 1/2008, but 4.37 on repeat
DRE - unremarkable
Free PSA ratio 0.11
Biopsy 1/25/2008 - 10 Cores - 5 each side. 4 with adenocarcinoma (2 each side)
Gleason 3+3=6 and 3+4=7 - No Stage given on report, maybe T2c?
Planning Robotic Surgery
DECIDING SURGEON & location - INPUT WELCOME!


daveed
Regular Member


Date Joined Jul 2006
Total Posts : 172
   Posted 2/12/2008 10:19 AM (GMT -7)   
I had the robotic procedure with one of Dr. Menons associates Dr. Peabody. You can never say the  experience was pleasurable but they did everything they could to make it tolerable. The nursing staff in recovery were very considerate and helpful. I would recommend Henry Ford to anyone thinking of having a procedure done there.

Diagnosed March 06
PSA 4.4
Two biopsies. One core of each 5% cancer, two suspicious
Gleason 3+3=6
DaVinci surgery Nov 1, 06
Cancer confined to prostate
Ist PSA 6 weeks post op less than 0.02
2nd PSA 4 months undetectable
Next PSA end of June


mariateresa
Regular Member


Date Joined Jun 2007
Total Posts : 95
   Posted 2/13/2008 7:14 PM (GMT -7)   
Here is a review from Rate MDs regarding Dr. Menon from Henry Ford Hospital:

http://db.ratemds.com/social/?q=node/28873&did=88795

Maria Teresa

PS - My husband had surgery done by Dr. Menon this past September.
Husband Age 55 at time of dx; Maria Teresa age 44
Total PSA 8 on 05/21/07
DRE: prostate bumpy
Biopsy on 07/16/07: 5 out of 8 cores positive, Gleason Score 8 (3+4+5)**
CT of the abd/pelvis; Bone Scan; Xrays done on 08/13/07: Normal
Robotic Surgery Scheduled for September 11, 2007 - Cancelled due to anesthesia complications
Robotic Surgery September 25, 2007
Post Op Gleason 4+5; Positive margin right base of prostate; tumor into seminal vesicle; lymph nodes negative
Next step is the post surgical PSA to determine need for additional treatment
10/24/07 PSA .4 (Goal is .02)
01/28/08 PSA .7 - Told to make appt to start hormone tx and to see a radiation oncologist

**"Report to the Nation on Prostate Cancer" published by the Prostate Cancer Foundation, page 11: "In some cases, the pathologist might identify a third pattern, which is less common but that has a higher grade than either of the first two patterns that comprised the Gleason score. The presence of this third pattern might indicate that the tumor is more aggressive than the Gleason score would otherwise imply. For example, if a Gleason 4+3 tumor also has some grade 5 cells, the cancer would be considered as being of higher grade disease overall."

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