Phoenix Da Vinci surgeon?

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Phx JD
New Member


Date Joined Jan 2009
Total Posts : 3
   Posted 1/28/2009 2:00 AM (GMT -6)   
I was recently dx'd with PC and am considering DaVinci surgery with Dr. Al Borhan among my options.  Has anyone had this procedure by him and can comment on their experience with him?  Also the names of any other DaVinci MDs in the Phoenix area would be helpful. 

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25394
   Posted 1/28/2009 8:49 AM (GMT -6)   
Welcome to HW, Phx. Hope you find some answers and comfort among us. Would help if you make a signature containing some info on you. It would help others here help you better.

David in SC
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3
3rd Biopsy 9/8 Positive 7 of 7 cores pos, 40-90%, Gleason 7
Open RP surgery 11/14/8, Non-nerve sparing, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery   2/9/9
 
 


durantlion
New Member


Date Joined Jun 2008
Total Posts : 12
   Posted 1/28/2009 1:19 PM (GMT -6)   

PhxJD...

I am in the Phoenix area and had the da Vinci surgery on Oct.31,'08.  I went with Dr. Brien Patel from Casa Grande, with surgery at Banner Dessert.  I'm so well pleased with Dr. Patel, my surgery, healing and results so far.  If you need to talk, e-mail and we can get together.  This is an excellant forum to gather information and support.

durantlion turn


Born Aug. 14, 1940; dx 6-3-08
Oct. '05 PSA 3.7; Free PSA 14.3
1st Bio July '06 - negative; PSA 5; DRE Negative
2nd Bio Mar '07 - negative; PSA 6.68; DRE Negative
Feb. '08 PSA 7
Mar. '08 PSA 10.8;  Free PSA 24.1
April '08 PSA 8.2; Free PSA 14.6
3rd Bio June 3'08, one core of 10 (LMid 20% cancer)other 9 cores negative
Stage T1c, Gleason 3+3=6; DRE Negative
Scheduled surgery, da Vinci, Aug. 7, '08. Canceled due to failed pre-opt stress test. Had cardiac stent put in August 1. da Vinci surgery Oct. 31, '08.  Cath. out Nov. 11.  Nerves sparred. No incontinance at night and only 1 pad per day, more for precaution. 
ED still. 
1st Quarter PSA report on Jan. 11, 2009 was ZERO (0.0).
 


Phx JD
New Member


Date Joined Jan 2009
Total Posts : 3
   Posted 1/28/2009 9:57 PM (GMT -6)   
Thanks for your responses. I'm scheduled for surgery on 3-12-09 but still weighing options.

59 yr old Dx 1-16-09
3-07 PSA 3.7; 3-08 PSA 5.7
Biop. 1-07-09; 8 of 50 sections pos.
G score 3+4=7; T1c-Def


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 1/29/2009 5:32 PM (GMT -6)   
Hi PHx Don't have anything to add, but actually have a question. Your signature indicated 50 cores? Which means you had a saturation biopsy. My question is was this the first biopsy or did you have a previous biospy that was negative....hence the saturated one. I am seeing more and more saturated biopsy guys now and obviously better than the standard 6 or 12 done by most uros. Not really that important but interesting. Also do you know the percentage found?

BTW...Welcome...sorry you had to be here but its the best forum on the internet.
You are beating back cancer, so hold your head up with dignity
 
Les
 
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 5 week Oct 2008 <.05
       3 month Jan 2009 .06


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 1/29/2009 5:40 PM (GMT -6)   
Mayo Clinic is a good option as well...

Tony
Age 46 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 15, 2007
Geason 4+3=7, Stage pT3b, N0, Mx
Positive Margins (PM), Extra Prostatic Extension (EPE) : Bilateral Seminal vesicle invasion (SVI)
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (January 13, 2009): <0.1
 
My Journal is at Tony's Blog  
 
STAY POSITIVE!


Phx JD
New Member


Date Joined Jan 2009
Total Posts : 3
   Posted 1/30/2009 12:20 AM (GMT -6)   
LVTX - that was my 1st biopsy.  My uro said it was his normal procedure to take that many samples - gave a better overall picture.  The percentages were:  Left Base Gleason 3+3=6, 20mm, 30% of tissue, 5 of 6 fragments; Left Mid Gleason 3+4=7, 6mm, 8% of tissue, 2 of 6 fragments; Rt Apex Gleason 3+3=6, .5mm, 1% of tissue, 1 of 8 fragments. 

59 yr old Dx 1-16-09
3-07 PSA 3.7; 3-08 PSA 5.7
Biop. 1-07-09; 8 of 50 sections pos.
G score 3+4=7; T1c-Def


ace06
Regular Member


Date Joined May 2008
Total Posts : 28
   Posted 1/31/2009 9:12 AM (GMT -6)   
I don't know anything about the doctor that you mentioned. I do think Da Vintia is the way to go though if the PC appears to be contained.

Age 73
PSA 4.1 in Nov 07. 4.5 in March 08 after antibotics
Biopsy 2 Pos out of 12, 1- 70%, 1<5%
Preop Pathology 3+3 contained post-op 3+4
robotic surgery May 5th 08
Doing good except very wet

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