three month post op dr's visit

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New Member

Date Joined Aug 2008
Total Posts : 3
   Posted 10/17/2008 10:47 PM (GMT -6)   
  Iam going for my first post robotic surgery visit (6/18)..Beside taking blood and urine sample what else is done at this Drs visit?                      

Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4849
   Posted 10/18/2008 4:16 AM (GMT -6)   
It'll probably be an overall "how the heck are you doing" kind of meeting.
Age 53   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Gleason - 6
(biopsy done March 4, 2008-> 2 of 12)
06/25/08 - Da Vinci robotic laparoscopy
10/03/08 - 1st Quarter PSA -> less then .01

Surgeon - Keith A. Waguespack, M.D.

Las Colinas and Plano Offices


Regular Member

Date Joined Jun 2008
Total Posts : 46
   Posted 10/18/2008 7:21 AM (GMT -6)   
You may have to fill out a short questionnaire with questions about ED and incontinence, eg can you get it up, for how long etc. and how many pads are you using. I get one every time I go.
Also, you may get a DRE.
Ed from Rochester, NY 66 years old
PSA 6/06 1.9
4/06 Biopsy 1 core cancerous Gleason 3 + 3 = 6
8/06 Da Vinci Dr. Joseph, Strong Memorial, Rochester, NY
Gleason 3 + 4 = 7, negative margins
3 month PSA .01
6 month PSA .01
9 month PSA .02
1 yr PSA .01
1 1/2 yr PSA .02
2 yr PSA .03
1st collagen 12/07
2nd collagen 3/08
Imiprimine 7/08
still leaking about 120 ml/day 2 - 4 pad
AdVance Male sling procedure 9-05-08
Unable to void, catheter in for 11 days, then self-catheterization
Dry after Catheter removed, no exercise for six weeks from procedure date

Veteran Member

Date Joined Apr 2008
Total Posts : 1132
   Posted 10/18/2008 10:22 AM (GMT -6)   
doctor may start you on ED drugs if not already. Ask for samples if doctor doesn't volunteer any. also, i had to drop my pants for the doctor to look at look at surgery areas, etc. there is still no modesy with prostate cancer.
Age 48
occupation accountant
PSA increased from 2.6 to 3.5 in one year
biopsy march 2008 - cancer present gleason 7
decision - surgery (robotic)
surgery may 9, 2008 - houston, tx
pathology report -gleason 8
margins clear
4 week and 6 week PSA >.04 (undetectible)
12 week PSA <.04
continent at 10 weeks (no pads!)
kegel's twice a day 20 reps

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 10/18/2008 10:34 AM (GMT -6)   
I did not have the traditional 3 month post op visit. I needed an oncologist after surgery and was in care immediately. But like the others said, they will check to make sure the plumbing is working right, and also do that all important PSA test. Good luck in the coming days. We look forward to you PSA results.


Age 46 (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, Extra Prostatic Extension (EPE)
Bilateral seminal vesicle invasion (SVI); Stage pT3b, N0, Mx
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (September 17 '08): <0.1 ~ Undetectable!
You can visit my Journey at:

Regular Member

Date Joined Jun 2008
Total Posts : 407
   Posted 10/18/2008 12:02 PM (GMT -6)   
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

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

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)


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