How many RRP has your surgeon done?

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ChrisR
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Date Joined Apr 2008
Total Posts : 825
   Posted 5/2/2008 8:05 AM (GMT -6)   
I have read you have the best chance of having a successful operation by a surgeon that has done a large amount of RRPs.  I thought someone posted that their surgeon has done over 1500 of these.  Can someone give me the names of their surgeon who has done robtic RRPs and an estimate of RRPs done?
 
Thanks

Post Edited (ChrisR) : 5/2/2008 9:19:30 AM (GMT-6)


Paul1959
Veteran Member


Date Joined Nov 2007
Total Posts : 598
   Posted 5/2/2008 12:18 PM (GMT -6)   
Chris,
Are you talking open RRP's? or including DaVinci RRP's? Mine has done over 1000 DaVinci RRP's, though he was trained in open and did laproscopic as well. And still does these, depending on the patient.
www.roboticoncology.com

Paul
47 at Diagnosis.
Father died of Pca 4/07 at 86.
1/06 PSA 3.15
1/07 PSA 4.6      (Biopsy 3/07 just suspicious)
10/07 PSA 5.06   (Biopsy 11/07  1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC  www.roboticoncology.com
Saved both nerve bundles.
Path Report:  Stage T2cNxMx
-Gleason (3+3)6
-totally contained to prostate,
-10% involvement in L & R Mid lobes
PSA 0 at six weeks
Pad free on March 14 - (10 weeks.)
ED - Take 100mg viagra every night.
Totally usable erections at 10 weeks.
 
 


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 5/2/2008 1:06 PM (GMT -6)   
There are many that are great. Mine Dr. Tim Wilson, and his partner Dr. Mark Kawachi, have done over 3000 at The City of Hope near Los Angeles.

Tony
Age 45 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007 @ The City of Hope
Post-Op Pathology: Gleason 4+3=7, 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
Current PSA (1/08): <0.1
I will continue HT until May '09. 
Years in Remission (3/23/07): 1
Visit my Journey at:
 
STAY POSITIVE!
 
Prostate Cancer Forum Moderator


CaPCa
Regular Member


Date Joined Aug 2007
Total Posts : 118
   Posted 5/2/2008 1:30 PM (GMT -6)   
My Da Vinci was performed by Dr. Vipul Patel. At the time, he was at OSU, but I believe he is now at Florida Hospital. I was about his 2000th patient, and I think he is now claiming to have done more surgeries personally than anyone else. I had to travel from California to get the surgery and am extremely happy with the results.
Age:45 (44 when diagnosed)
Father diagnosed and cured at age 52.
08/21/07: Diagnosed with T1c cancer
1 of 12 biopsy cores positive; 10% tissue
Gleason score: 3+3=6
PSA level prior to biopsy: 4.3 (velocity < 0.4ng/ml)
10/19/07: da Vinci prostatectomy by Dr. Vipul Patel
              Difficult surgery due to prostate inflammation.
              Both nerve bundles spared.
              Spongy erections began within 24hrs of surgery!
10/24/07: Catheter out; down to 1 Serenity pad/day next day.
              Final pathology: neg margins, no capsular penetration,
              Gleason 3+3=6, 5% tumor involvement, multi-focal.
11/04/07  First usable erection with Cialis
11/22/07  Thanksgiving - Bye-bye, pads
01/17/08  First post-surgery PSA result: < 0.008 ng/ml
03/17/08  Erection quality mostly back to pre-surgery levels with Cialis;
              have not tried without meds yet.
04/23/08  Second post-surgery PSA result: < 0.008 ng/ml
 


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 5/2/2008 4:38 PM (GMT -6)   
This raises an interesting question: if everybody wants a surgeon with at least 200 operations behind him/her, how does a new surgeon get that experience? Is this 200 operations on live patients, or does it include simulations?
 
I hope that new surgeons starting out do their first live operations under the supervision of an experienced surgeon -- if that really does happen, we should be quite safe. But does it happen like that -- does anyone here know?

Age 63. Other than cancer, in good health
Left hemi-colectomy April 2006 (colon cancer)
PSA 5.7, Gleason 4+5=9
RRP 7 March 2008, non nerve sparing
Histology showed clear margins and lymph nodes
Two nights in hospital
Catheter and staples out after 7 days
Continent, no pads needed from the get-go
No erections (of course!)
Experimenting with VED and Bimix
 


41diagnosed
Regular Member


Date Joined Jun 2007
Total Posts : 176
   Posted 5/2/2008 5:40 PM (GMT -6)   
The articles/studies I read referred to a docs early patients as "concerning statistics". The recurrence rates are significantly higher with inexperienced surgeons, suggesting they don't get good margins and leave cancer behind. Also, incontinence and permanent impotence rates are higher.

My Dr. told me he as done so many that he can literally feel if there is cancer in the margins and whether he needs to take nerves or can spare them. I did open surgery, not robotic. I had a consultation with an experienced Robotic guy too who said that he could tell from the way the nerve bundles came away from the prostate. Of course, no matter how experienced, none can provide guarantees against micro metastisis which is always a risk and undetectable early on.

Chris, there are many many experienced surgeons all over the country. Both for open surgery and robotic. There are also other treatments such as Proton Therapy that have had incredibly promising results to be considered. So let folks know where you are so you get the referrals to the top surgeons near you geographically.

My surgeon is Dr. Catalona in Chicago at Northwestern. He does only open. Dr. Zagaja is the top robot guy in Chicago and he's at Univ of Chicago.
 
42 yo. now
 
5/07 PSA 4.65 at routine physical
6/07 biopsy positive for cancer...Gleason 3+4...diagnosed at 41 y.o.
6/07-9/07 manic research and interviews with physicians across the country in search of the "right" decision.  I went to Mass General in Boston, Loma Linda, University of Chicago and Northwestern.
9/17/07 - Radical Retropubic Prostatectomy Surgery at Northwestern Memorial in Chicago by Dr. William Catalona.  Thankful the father of the PSA test was right here in Chicago.
 
Post op pathology was Gleason 3+4 with negative margins, no seminal vesicale involvement, no lymphatic or vascular invasion, bladder and urethral free and tumor volume was 5% of 27.3g.  
 
9/27/07 - Catheter removal...let the games begin...
 
12/07 - Threw out the pads.  I only had to use 1 pad per day for protection against minor drips. 
 
I started Trimix 8 weeks after surgery with success.
 
I hope someday I won't need injections, but I hope more that my PSA stays at 0 forever.
 
 
 


KrisP
Regular Member


Date Joined Mar 2008
Total Posts : 162
   Posted 5/2/2008 5:52 PM (GMT -6)   
Hi Chris
My surgeon has done over 1200 of DaVanci procedures. Dr Randy Fagin is well known. Here is his resume
 
Please forgive me if I'm not allowed to post URL. I will edit the post if this is inappropiate.
Kris
 
Biopsy done 3/2008
Pathology report: Gleason 6 (3+3), involving left lobe
DRE=15gm with indurated left base and mid prostate
Cores positive: left base medial, left base lateral, left mid medial and left mid lateral (4 of 12)
Clinical stage t2b.
Prostate Carcinorna 185
DaVinci Surgery on 4/21/2008 in Austin by Dr Randy Fagin.
Pathologist report upgraded to a Gleason 7 (3+4)
Clinical stage upgraded also to a T3a
Margins Clear


ChrisR
Veteran Member


Date Joined Apr 2008
Total Posts : 825
   Posted 5/2/2008 6:10 PM (GMT -6)   
Thanks everyone for your response....
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