My first post-op visit with the Urologist was at about
the one-month point, and I have an additional visit scheduled for three months out - in December. Because my Urologist is also a researcher with a grant from various federal government agencies, I was asked to complete a large questionnaire. I filled-out the same questionnaire when I was examined by the Physician's Assistant in the Urologist's office two-weeks after surgery and I'm led to believe I'll be filling that thing out each time I visit his office.
In addition to examining the incisions used in the da Vinci processd (no clothes had to be removed, just shirt pulled-up and pants down a little) the Urologist asked me questions about
how I was feeling, etc. I discussed after-effects of the surgery, primarily the incontenence and he explained what I might expect to happen in the months ahead. I discussed what activity levels I could assume, my work schedule, etc., etc. It was a nice talk and session that lasted less than 30-minutes. The Physician's Assistant was with me for about
1/2 hour prior to the Urologist joining us, and she did a lot of the paperwork and explained many things to answer questions I had - thus the time with the Urologist was more concentrated and that discussion was for things unresolved with the PA.
I also had blood drawn for a CBC and PSA test - oh, yea - and I gave some urine for a test.
Age: 59 (58 at diagnosis - June, 2008)
April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior
June '08 had biopsy, 2 days later told results positive but in less than 1% of sample
Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days
Dr. recommended robotic removal using da Vinci
Northwestern Memorial Hospital, Chicago, IL
Dr. Robert Nadler, Urologist/Surgeon
Post-op Gleason's: 3+3, Tertiary 4
Bladder & Urethral: Free
Seminal vesicles: Not involved
Lymphatic/Vascular Invasion: Not involved
Tumor: T2c; Location: Bilateral; Volume: 20%
Catheter: Removed 12-days after surgery
Incontinent: Yes (19 days post-op)
Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08
Returned to work 9-29-08 (18-19 days post-op)