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Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 1/29/2009 6:39 PM (GMT -7)   
In another post catcrap said...

Hi,
Hope someone can help me - I guess I'm doing it all wrong but so what - I'm going to get it right. Can anyone help me? My dad's 85 and he has a prostate the size of a melon and no one cares if it's cancerous or not they just want to do the Da Vinci on him and he's ready to go for it. I'll give more details as needed. I just wanted to speak to someone this age who has had this procedure and still can pee normally because that's what he wants - if it's not going to happen - I want him to know that too before he faces this operation.

Post Edited (TC-LasVegas) : 1/29/2009 8:14:22 PM (GMT-7)


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 1/29/2009 6:40 PM (GMT -7)   
Hi Cat,
I am so sorry you are having difficulty Welcome...Use the post reply and type and we can see you.
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!


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 1/29/2009 6:48 PM (GMT -7)   
If you click on my name you can see my Email address. I will be glad to call you

zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 1/29/2009 6:58 PM (GMT -7)   
At 85 yrs. old forget the surgery and see an oncologist or other less invasive methods because of his age. On drug protocols he could do fabulous and as many older patients do, they die of heart disease or something other than PCa.
He could do various radiations, he could choose HIFU, or cryo method, numerous drug protocols. You could still do surgery and possibly have incontinence especially at his age might not heal so well either. Depending upon his stats maybe do nothing but monitor.

There are some men this age that do nothing and die of something else in most cases. It also depends upon what his assessment stats are, as to gleason scores, psa etc. PCa is highly manageable compared to other cancers in general, fyi. Make sure you get a couple of opinions from different kinds of docs on this, especially cause he is 85 yrs. old.


 

Post Edited (zufus) : 1/29/2009 7:01:32 PM (GMT-7)


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 1/29/2009 7:02 PM (GMT -7)   
Actually,
The surgery is needed to open the urethra not beat PCa. I agree with you that surgery is not a good cancer option but when the catheter is needed to just P then surgery is an option to open the urethra at 85. Sorry Bob, we were trying to help the poster in the chat room, and they were unable to accept our support. We had more information but it was not a good thing

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!


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 1/29/2009 7:03 PM (GMT -7)   

Sorry but people need to get a glimpse of multiple choice and options and not be mind set on one size fits all, it does not in PCa.

Ok you have TURP and TUNA if peeing is the problem too.


 


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 1/29/2009 7:05 PM (GMT -7)   
Yup ~ they are both surgical procedures
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!


catcrap
New Member


Date Joined Jan 2009
Total Posts : 5
   Posted 1/29/2009 7:33 PM (GMT -7)   
Thanks, I guess I had to blow - cooled off and looked at what everyone said - will give information to my dad and I think he would be wise to give you his psa and other scores.

I agree with zufus - I think dad is too old, but he's a young 85 and he told me he wants to be able to go to the bathroom on his own. I guess that's very hard for me to hear - my sister had cancer and she did have a tube out of her back for more than six months and it was hard............... but she wanted to see her son get married and her grandchild get born and she wanted to live. Dad is telling me he wants to live only one way - I have to accept his wishes - I don't want doctors to give him false hope.

So............- if anyone knows of a website that gives stats of how many operations of this Da Vinci have been performed - how many live to tell it - how many are whole - and how many still say their doctor's name without spitting - love to know the site. Thanks, Cat

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 1/29/2009 8:05 PM (GMT -7)   
My mother died last March after two months with the tubes. I fully understand. It's not fun.

You father should have a copy of a biopsy report. Get that information and post it here.

You are at a great site where many have had Da Vinci surgery, including myself. There is probably a few hundred here. This is a safe procedure. If the steps that zufus mentioned have been tried and they are unable to open the urethra then surgery is a good option as long as he is in good health. If TURP does work, I would recommend to not have the surgery. Radiation is an option and so is hormone therapy. I have been through these steps and they work well and I am doing well. I was was stricken pretty young so we have a long road, but it is one I no longer fear. Learning about this disease will help you and your father. Fear will end with knowledge.

The fact that the doctors would be willing to perform the procedure is a good sign not a bad one. My motto is stay positive...and you need to.

Tony

catcrap
New Member


Date Joined Jan 2009
Total Posts : 5
   Posted 1/29/2009 8:29 PM (GMT -7)   
Thanks TC - I will give this information to my dad tomorrow - I hope you will be on the web-site so he could give you more stats about himself - all I know is his doctor didn't even do a biopsy - said it didn't matter if it was cancer or not - prostate so large has to come out - new one to me - bad medicine I think - don't open someone up not knowing what's there if you can help it.

Yeah - Dad has a really large prostate - he had an infection about a month ago - now everything seems to have shut down. Dad had a large prostate for 20 years and it was just WATCH. Guess its done watching and now cutting it out is the way to go.

Have a brother up here to help us all figure it out this week - orthopedic surgeon - oh, oh - but he understands all concerns - I just wish the doctor would try steriods for inflammation to see if the catheter could come out and dad could just be himself again.

Could be a pipe dream. Age is such a huge factor and he has a pace-maker at 85 I think he's asking so much of himself.

I think you're friends with JetGuy - tell him I'm not a web person and I do know he was trying to help and was very kind.

Hope you are well and stay well - sorry about your mom.

Sincerely,

Joan

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 1/29/2009 9:01 PM (GMT -7)   
Hi Joan,
JetGuy, Bill is his name, is a wonderful man. I have had the privilege of meeting him in person. Like his name would suggest he is a jet pilot. Your brother is a surgeon, that is great news. As a surgeon, I am certain he will understand the procedure. He may also understand what might be the best alternative treatment as well. Do you know if his doctor wanted to put your father on hormone therapy?

Tony

gpg
Regular Member


Date Joined Jan 2009
Total Posts : 180
   Posted 1/30/2009 4:04 AM (GMT -7)   
Hi Cat,

Sorry your dad is in such serious shape. I have to question at his age and with the prostate as enlarged as it is if he is even a candidate for any sugical procedure. Even if so there will most likely be a need to admin meds to shrink the prostate first and these same meds may satisfy the quality of life issues he is no doubt experienceing.

It s really not responsible to speculate. What I suggest you need to do is get all the diagnostics and treatment recomendations and then post specific questions about options you may not understand.

Best to your dad. Scott
Diagnosed @ 48yo 04/07
focal, low volume tumor gleason 6
RRP 07/30/07
Persistance of PSA
IMRT 11/07-01/08
Emerg, cysto obstructed bladder 01/08
Persistance of PSA
08/08 learned Dr. left significant amount of prostate
12/08 PCA3 negative
12/08 saturation biopsy 36 cores 24 having normal prostate tissue
12/08 referred whole to med malprac attorney


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 1/30/2009 4:58 AM (GMT -7)   
No doubt about that Scott, you need to confirm what you are dealing with and find what are the actual options and then seek maybe different opinions.
 

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