Surfing....I gather the appointment tomorrow is to go over various treatment plans. Urologists are surgeons and will most likely discuss the benefits of his treatment methods. Besure to consult with an oncologist, prefered medical oncologist for other forms of treatment plans as well.
For qustions with the Urologist/Surgeon here is what I would ask:
1) How many surgeries he has performed...
open or laproscopic including robotic assisted.
2) What is the planned number of days in the hospital following surgery.
3) What is his planned methods for ED treatment following surgery and when will treatment begin.
These questions were important to me and I will give you my reasons:
4) How many surgeries are performed by him on the day of surgery. I did not want an "assembly line" surgeon
5) Will he provide a list of prior patients that you can contact to discuss surgery and follow-up. I would be very wary if he didn't.
6) Will he actually perform the surgery or will an assistant be doing the actual surgery. Sometimes surgeons will be training others and he is only there to oversee the procedure while someone else less experienced is actually doing the job.
Others will provide more questions to ask,
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal-Gland 38 cc
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral (Perineural Invasion present at base)
Gleason (3+3) 6 Stage T1C
August 23 - Bone Scan - Hips, Spine and ribs marked uptake - X-Ray showed clear -Hooray
Sept 9 2nd DRE - questionable - TRUS...shadow in base - Gland now 41 cc
Robotic Surgery Sept 18, 2008
Pathology October 1,2008
Gleason 7 (4+3) Staged pT2c NO MX
Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
4 tumors in prostate - largest being 6 cm
PSA Oct 08 <.05