Need Help in Finding Good Robotic Docs

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69ski
New Member


Date Joined Feb 2009
Total Posts : 1
   Posted 2/5/2009 11:47 AM (GMT -6)   
I have just been diagnosed with prostate cancer and am in the process of trying to find doctors in the Dallas/Ft. Worth, Tx area that are experienced and skilled in performing a 'robotic radical prostatectomy'.  I am trying to do my research and would be extremely thankful if someone could recommend a doctor or team of doctors that perform this type of surgery.  I have researched the open surgery option and now would like to consider the robotic option.  Thanks.  :-)
 
Jim

AstroNerd
Regular Member


Date Joined Sep 2008
Total Posts : 56
   Posted 2/5/2009 12:05 PM (GMT -6)   
Not in Tx, but worth the trip:

Dr. Pow-Sang at H. Lee Moffitt Cancer Center in Tampa, FL.

Link: Dr. Pow-Sang
cheers & beers,
Chris

Diagnosed on 9.23.08, age 47
Gleason 6, T1c
da Vinci LRP performed 1.22.09 at Moffitt Cancer Center
Catheter out on 2.4.09!!!!
Pathology: Gleason 7 (3+4), T2c. Tumor 15%, fully contained, margins clear, lymph clear.


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 2/5/2009 12:52 PM (GMT -6)   
69ski...Welcome to HealingWell...sorry you even had to come here, but you will find lots of good advise and information here.

Now for your question...I used the Urology Clinics of North Texas at Baylor Hospital in Dallas. I absolutely would recommend the hospital and the surgery department and my doctor if you want to go the robotic route.

I know that Steve-in-Dallas used another surgeon that I also was considering at first and he has the name of his doctor in his signature...I am sure he will chime in shortly...but that is another well known surgeon in the area.

If you want to get the name and phone number of the doctor I used, send me an email. Just click on my moniker in the left side pane and you will get my email address.
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


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4823
   Posted 2/5/2009 1:13 PM (GMT -6)   

Keith A. Waguespack, M.D.

http://www.uant.com/doctors_in/las_colinas_medical/general_urology/keith_a_waguespack_md/

He operates in Arlington and Plano @ Baylor....His main office is in Las Colinas but he also makes appointments at his Arlington or Plano office.

I really like him...His main nurse Jackie is pretty to get a hold of too. He gave me his personal cell phone number the day he took the catheter out..That still rings good to me even though I didn't need to use the number.

 


Age 53   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
 
06/25/08 - Da Vinci robotic laparoscopy
Catheter in for five weeks.
Dry after 3 months.
 
10/03/08 - 1st Quarter PSA -> less then .01
01/16/09 - 2nd Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.
 


RBinCountry
Regular Member


Date Joined Apr 2008
Total Posts : 270
   Posted 2/5/2009 1:22 PM (GMT -6)   
Dr Fagin in Austin is one of the countries foremost DiVinci surgeons - you will find all about him simply by keying his name in search. I traveled from San Antonio to Austin. They are use to out-of-town patients (most are) and have their routine for distance traveling guests down. The hospital used, and everyone associated is at the top of their game.

RB
Age 61 (now 62)
Original data - pre-operation
PSA: 5.1
T1C clinical diagnosis, Needle biopsy - 10 cores, Gleason 7 = 3+4 in 1 core (40%), 7 cores Gleason 6 = 3+3 ranging from 5% to 12%
All scans negative
Lupron administered 4/9/2008 for 4 months (with idea I would undergo external beam radiation followed by seed implants - then I changed my mind).
Robotic DiVinci surgery - Dr. Fagin (Austin) May 19th
Post operative - pathology
pT2c NX MX
Gleason 3+4
Margins - negative
Extraprostatic extension - negative
seminal vesicle invasion - uninvolved
1st Post PSA <.04
2nd Post PSA <.01 10/30/2008


spisam
Regular Member


Date Joined Jan 2009
Total Posts : 47
   Posted 2/5/2009 1:39 PM (GMT -6)   

I used Dr. Vipul Patel at Florida Hospital in Orlando. One of the world's best at robotic PC surgery. Men fly in from all over the world for his expertise. He and his team treated me wonderfully.

Sam

 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 2/5/2009 2:45 PM (GMT -6)   
Jim,
Welcome to our site, glad you found us, hope you stick around with your journey. Looks like you are already getting some good answers to your question. Good luck, brother.

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
 
 


Tobmeister
Regular Member


Date Joined Jan 2009
Total Posts : 41
   Posted 2/5/2009 4:46 PM (GMT -6)   
Don't know where you are but I can highly recommend Dr. Polascik at Duke Medical Center. The entire team is first rate.
Tom, age 51
Diagnosed 11/12/2008
PSA 2006 - 2.8, 2007 3.06, 2008 4.6 (remember the rate of increase is as important as the level), PSA free 8.7%
Family history - brother and uncle (remember family history is very important)
Gleason score 7 (4+3); 6 out of 19 cores sampled positive for cancer; perineural invasion present
Bone scan and CT scan both negative
Prostate mildly enlarged, DRE negative
DaVinci radical prostatectomy 12/30/2008 - left side nerves spared
Catheter removed 1/15/09 - no pain!

Post operative results:
Pathologic stage - T3aN0Mx
Post surgery biopsy - Bladder neck margin negative, lymph nodes negative, specimen confined, extracapsular extension positive, perineural invasion positive, seminal vesicle invasion negative, all margins negative, Gleason 3 + 3 = 6.

No incontinence problem within 1-2 weeks after catheter removal
1st post op PSA scheduled for 4/16/09

"Pick a good doctor and say your prayers"


awb824
New Member


Date Joined May 2008
Total Posts : 5
   Posted 2/8/2009 9:00 PM (GMT -6)   
I would highly recommend Dr. Claus Roehrborn, head of urology at UT Southwestern. He was very highly recommended and we were very pleased.
Age 56, psa 4.5
Diagnosed 1-14-08
Davinci surgery 2-19-08
Pre-op and post-op gleason 4+5=9
left positive margin
left seminal vesicle positive
T3b
psa 3-26-08  .08
psa 4-29-08  .10
 

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