Posted 1/17/2009 11:20 AM (GMT -6)
Your question is simple, but like everything with PC, not always easy. I had open surgery, and was told to stock up to 3 units, in the end, my surgeon didn't need any. As a rule, the robotic surgery is much less likely to need additional blood. As far as availability, depends where you live. When I was at the decision point, found out, there was only one robot in the whole state of SC, and only one surgeon, who happens to be a partner with my dr's practice, and he had limited experience. I could have gone to Atlanta, GA or Charlotte, NC where they are commonly done, but didn't because I didn't want a lot of complicated logisitics with my wife and children. In the end, after my open rp was done, the surgeon said due to difficulties inside me, had it been robotic, it would have been aborted to an open. So you never know what you are going to get. If you live in or near a major metro area, you should have plenty of choices and options. Good luck in your search.
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