mikee, its fun being in the world of tough choices and multiple opinions. my own dr/surgeon's view at the time was that they still check lymph nodes once the open operation began, if he believed the cancer had spread to any of them, then he would have aborted the operation. and this doctor is considered the best of the best here in South Carolina. i don't think its as much as him being out of date, as it is he is very conservative in his approach. if it's in the lymph nodes or seminal vessels, then the cow is out of the barn anyway. best luck in your search for your treatment.
david in sc
Age 56, 56 at DX
PSA 7/7 5.8, 7/8 12.3, 9/8 14.9, 10/8 16.4
3rd Biopsy 9-2008 Positive 7 of 7 cores positive, ranging from 40 - 90%, G 4+3 & 3+4
Open RP surgery November 14, 2008 at St. Francis Hospital, Greenville, SC, Dr. Ronald Smith - Surgeon, Non-nerve sparing, 4 days in hospital, staples removed 11/24/8, Catheter out on 12/15/8 on day 32. Day 33, urine stopped flowing, new catheter put in 12/16/08, Catheter out 12/29/08. After 7 hours, complete stoppage again, emergency room put in Catheter #3 early evening of day 45, still 12/29/08. 1/5/9 - Cath #3 out, dr. did cycloscope, saw potential blockage, put in Catheter #4, 1/13/9 - Had operation St. Francis - removed blockage, put in Cath #5, suppose to be removed 1/19/9
Post-surgery Pathlogy Report:
Gleason 3+4=7, pT2c pN0 pMx, Prostate 42 grams, tumor 20% cancer
Contained in capsular, neg. margins apex, bladder neck, right lobe, neg. in seminal vessels and lymph nodes.
First PSA Post Surgery Scheduled now for 2/9/9