Somewhere in an earlier post I had indicated that one of my reasons for choosing
open surgery was because I have had a history of bowel obstructions due to adhesions from some congenital issue. My surgeon said one of the benefits of
open surgery is that they go in below the abdominal surgery and that I would have no risk of further adhesions. So
open surgery should be the solution for you. I'd recommend finding an "
open" surgery guy who has done lots of them. There are the masters...mine, Catalona at Northwestern U. who has done over 5000, Partin at Johns Hopkins and Welsh...not sure which hospital, but then there are many others who have done lots. Regardless of robotic or
open, the key is experience.
Good luck 2nd time around. Hope it goes smoothly for you.
43 yo. now
5/07 PSA 4.65 at routine physical
6/07 biopsy Gleason 7 (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 - RRP at Northwestern Memorial by Dr. William Catalona. Thankful the father of the PSA test was right here in Chicago.
Post op path report confirmed Gleason 7 (3+4). 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...
12/31/07 - threw out the pads (I only had used 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.
9/17/08 One year past surgery and doing well. PSA less than .1 and ED continues to get better and showing reasonably good results using Levitra which for a long time did nothing.