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Regular Member

Date Joined May 2008
Total Posts : 43
   Posted 6/23/2008 10:07 AM (GMT -6)   
My surgery date is Aug.4,2008 in new jersey. I am having the robotic DiVinci surgery. My second biospy came back with 1 stick positive my gleason is 3+3-6 PSA is 0.9 Age 51. Any advice on what to do to prepare myself for the surgery would be helpful. I have alot of thoughts running through my mind sometimes it gets me upset to think of what must be done. I try to stay positive and keep busy. My wife has been great and is very supportive. And I have 3 great childern ages 23,21, and 19 that keep me busy.
Thanks Jeff
New Jersey
Age 51
Psa 0.9
Biospy 1 core positive
Gleason 3+3-6
Surgery date Aug.4,2008

Regular Member

Date Joined Jan 2008
Total Posts : 338
   Posted 6/23/2008 10:35 AM (GMT -6)   


I am not of the surgery Clan so can offer limited information or advice but there are those here who are probably close to a match for you and they will eventually post a response.  I am of the PCa Family, Radiation Clan and Proton Subclan.

I say welcome and sorry for the reason your here but you have come to a good place.

Ask any questions you have and I assure you that they will be given responses.

Good luck with you treatment.

May God bless and keep you.

Richard yeah tongue yeah

Retired USAF Richard & Debbie on The Shores of Toledo Bend Lake Louisiana
Biospy 1/10/08 Gleason 10, Stage T1C  8 of 12 samples positive all Less Than 5% 
Jan & Feb & Mar all tests clear
MD Anderson = No surgery and No Proton only Hormone and IMRT
Contacted with Loma Linda and UFPTI in FL
Started Treatment at the U of Florida Proton Therapy Institute in April 2008
May 2, 2008 LUPRON & Casodex
IMRT to started  5/27/2008 Will get 42 treatments 19 IMRT and then 23 Proton
Turn Stumbling Blocks into Steping Stones and Keep Smiling
Our Journey is on WWW.GLEASON10.COM

Regular Member

Date Joined May 2008
Total Posts : 36
   Posted 6/23/2008 11:07 AM (GMT -6)   
hi jeff,
im also in nj. i have the identical diagnosis as you. except im 45. im going to philly to the fox chase cancer center for a second opinion. and also because they do davinci.. who did you find in jersey that does davinci that you trust i was looking at st michaels in newark

good luck

Veteran Member

Date Joined Nov 2006
Total Posts : 1464
   Posted 6/23/2008 11:12 AM (GMT -6)   
Hey Jeff,

Congratulations on you decision to get rid of the cancer. It is nothing to play around with and the sooner you get it out, the quicker you will get well.

To prep for surgery, walk, run, workout or whatever you do to keep fit. Your body will heal faster if you get it ready. Get yourself mentally and emotionally ready by confirming your treatment decision for yourself. Focus on being cancer free. Then become a cheerleader for your surgical team - build your confidence in them. They will give their best for you and they want success as much as you do.

Don't second guess yourself. You have made your decision and it will make you cancer free. Don't look back...

Age 73. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Catheter out on 12/13/06.  Dry on 12/14/06.
Pathological stage: T2C N0 MX. Gleason 3+4.
50 mg Viagra + 1000 mg L-Arginine + .03 cc Trimix = Excellent Results
PSAs from  1/3/07 - 1/17/08 0.00. 
Next PSA test on 7/17/08
"Patience is essential, attitude is everything."

Regular Member

Date Joined Nov 2007
Total Posts : 64
   Posted 6/23/2008 11:42 AM (GMT -6)   
I totally agree with biker90's comments.
For now, try not to even think about the surgery (I know "easier said than done"). There's no need to get yourself needlessly upset - feel positive and feel that you've made the right decision.
Good luck to you!

Age: 51
Last PSA before diagnosis: 2.9
Diagnosed: Oct 2007
Gleason: 3+3=6
RALP surgery: Jan 23, 2008 (Dr Costas Lallas @ Thomas Jefferson Hospital in Philadelphia)
1st Post-op appt: Feb 1, 2008 (negative margins, cancer contained within the capsule)
1st PSA post-op: May 23, 2008 - <0.1 undetectable

Regular Member

Date Joined May 2008
Total Posts : 260
   Posted 6/23/2008 12:30 PM (GMT -6)   
      Hey Nemo,
            You've found a great place for support and advice. As you can see I'm having my surgery just a few days before you in Indianapolis........these guys have been wonderful to me and have given some good advice and have helped my attitude stay postitive......(I'm sitting here at my desk, looking at my gym clothes....thinking about how good a miller would taste, ok, I'll go to the gym instead! :)) 
            Thanks again fella's and welcome Nemo... 
   age: 53
   Pre-0p PSA  Feb. 08, 5.0
      4.22.08, 4.1
      PSA had spiked once about 8yrs ago to 5.0 three months later
      back to 2.9...then into the 1.2 range until my re-scheduled 
      "missed" appointment this past Feb.
      Biopsy 5.1.08 
      5 of 15 cores positive
      Da Vinci I read somewhere on this 
      site....."the first show of the day"

Regular Member

Date Joined Jul 2007
Total Posts : 242
   Posted 6/23/2008 1:24 PM (GMT -6)   

Nemo, judging from your numbers it appears as if you caught the beast in time.

I can't stress  Biker's advice enough, i.e., get in the best possible shape you can over the next several weeks. There is no doubt in my mind that being in shape exacerbated my recovery. I had my surgery on a Monday morning, was walking the urology unit halls in the late afternoon and was walking around the block at home on Tuesday.

Channel your energy towards thinking about the positive, e.g., there's an excellent chance the cancer will be contained and you'll live the rest of your life cancer free. Also, I read as many success stories as I could about former athletes and celebrities, e.g. Joe Torre, Bob Gibson, Richard Petty, Sidney Poitier, who were diagnosed with PCa years ago, had the surgery, and have been cancer free ever since.

I was  fortunate in that I had a mentor who had his surgery performed by my surgeon seven weeks before me. I met with him often to talk and he even came to see me after surgery. If you know of anyone in your area, or if your surgeon can give you the name of somebody who has had the surgery and is willing to talk to you (my surgeon keeps a list of men who have had the surgery and have volunteered to talk with guys about their experience), I would suggest meeting with him. I know it was a great comfort to me to talk to somebody who not only had been there, but had the same surgeon.

Having said that, I have to say that the best advise and support I received was from my father. He had open surgery 11 years ago to remove his prostate and has been cancer free ever since. Although we are 1,000 miles apart (he's in Pennsylvania, I'm in Florida) I spoke with him by phone once a week leading up to my surgery. He even flew down here to be with me. And my wife told me he was more nervous than she was while in the waiting room while I was in surgery. My mom later told me he was feeling very guilty since he felt that he had passed the PCa gene on to me. I told him to forget all that nonsense because he saved my life. Up until he was diagnosed I had never had a PSA test.

Good luck, check back in, and you will be in my prayers.


Biopsy: Diagnosed March 25, 2007. PSA 3.0. Gleason 6. Five of twelve samples positive with <5% each. No perineural invasion seen.
Surgery: May 21, 2007, Florida Hospital, Orlando,FL
Post-op Pathology: Upgraded to Gleason 7 (3+4), negative margins, negative capsular penetration, negative seminal vesicles, lymph nodes left intact, multifocal perinural invasion, 15% of prosate involving cancer in both lobes. T2c
Continence/Erections Out of pads at five weeks. Fully continent and can achieve erections.
Post Surgery PSA: Five tests, all <0.1
Family history: Great-great grandfather died from PC. My Father had his prostate removed at age 67 in 1997 and has had an undetectable PSA ever since. I was diagnosed at a much earlier age and had a more agressive cancer than my father. Go figure.

Post Edited (JCL) : 6/23/2008 12:35:01 PM (GMT-6)

Regular Member

Date Joined Apr 2008
Total Posts : 364
   Posted 6/24/2008 1:43 PM (GMT -6)   

Jeff:  I just posted what my experience has been like over the first few days post-op.  I believe I am healing a little faster than most but you and I are in the same age group so you should be able to use my experiece as a reference.

As for pre-op stuff, just do what you can to build up your physical stamina and you might do all you can too strenghten your abdominal area, that seems to be area that receives the most truma without a doubt.  I've had a great mentor who was about 6 weeks in front of me with the surgery.  He gave me some great tips on small but very important things that help with the re-hab, things that your doctor probably won't tell you.  Feel free to e-mail if you like.  I'll pass on what I know.



 54 y.o.
 Diagnosed 4/10/08
 DRE Normal
 Biopsy- 12 cores, 4 positive highest 4+4=8
 Bone scan, CT scan and Chest X-ray clear 4/16/08
 Urologist suggested surgery 4/16/08
 MRI on 4/24/08 clear no suggestion of lymph node   involvement.
 Now trying to decide on treatment choice.

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