Robotic Surgery--Got Feedback?

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

Benj
Regular Member


Date Joined Feb 2009
Total Posts : 20
   Posted Today 6:58 PM (GMT -7)   
I'm considering seeds or Robotic.  Can anyone tell me their experiences with Robotic Surgery for PC?
Using Dr. David Samadhi in NYC.  Incontinence? Recovery time? etc
 
Gleason of 7 (4 plus 3)
PSA 4.36
60 years old
3 of 6 cores postive

Post Edited (Benj) : 2/22/2009 7:24:43 PM (GMT-7)


Paul1959
Veteran Member


Date Joined Nov 2007
Total Posts : 598
   Posted Today 7:10 PM (GMT -7)   
benj
HEY! I had Samadi too. He is great. Be sure to stay in the concierge suite if you can afford it. It did not make all that much difference for me, but was a lifesaver for my wife. Robotic was not a walk in the park for me. for some guys it seems to be a lot easier. I was uncomfortable for a few days, but was dry at night from day one. It took 10 weeks to be 100% dry and have been ever since. Don't even think about it anymore. ED is fine with viagra on an empty stomach. Email me if you want to talk about Samadi and other stuff in the area. Where do you live?
Paul
46 at Diagnosis.
Father died of Pca 4/07 at 86.
1/06 PSA 3.15
1/07 PSA 4.6 (Biopsy 3/07 just suspicious)
10/07 PSA 5.06 (Biopsy 11/07 1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC www.roboticoncology.com
Saved both nerve bundles.
Path Report: Stage T2cNxMx
-Gleason (3+3)6
-totally contained to prostate,
-10% involvement in L & R Mid lobes
PSA 0 at nine months.
Pad free on March 14 - (10 weeks.) Never a problem since.
ED - Took 100mg viagra every night. for several months
Totally usable erections at 10 weeks, which disappeared over the course of a month or two.
ED bounce is what they call it. Now, at one year, ED is fine with viagra.
One year PSA - undectable!


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted Today 7:16 PM (GMT -7)   
benj, Welcome to Healing Well, new friend. Glad to meet you, hate to see you here.... I hope you find the answers you are looking for, and hope you will stick with us and share your Journey as you go.
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
16 mts: ED- 50 mg Viagra 3X week, pump daily,Trimix .35ml 2X week continues
PSA's: .04 each 3 months


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted Today 7:40 PM (GMT -7)   
Welcome to Healingwell where you'll find many fellow travelers at all stages of the disease as well as a few of their wives. I had very similar stats to you and had robotic 18 months ago and I have no complaints. Out of hospital in 48 hours, lost the catheter after six days and incontinence resolved itself gradually over about 3 months. E.D. is a different matter as nerve saving was not an option in my case. Having said that there is a case to be made for open surgery with many surgeons preferring open because they can feel the texture etc. of the gland as they remove it. There is not a spectacular difference in recovery time as the internal surgery is much the same. All here will tell you that doctor selection is of paramount importance. Don't rush a decision and research carefully. Many here (including those who chose the radiation route) will help with any questions. Learn as much as you can before committing to your treatment and you will then be comfortable with your choice. Obtain and keep copies of all reports and tests and maintain your own records. Best wishes for your ultimate decision,
Bill
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07
4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)
PSA February 09 <0.01

Post Edited (BillyMac) : 2/22/2009 7:43:45 PM (GMT-7)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25353
   Posted Today 7:46 PM (GMT -7)   
hello and welcome benj, sorry you have a need of us, but glad just the same you found us. can't answer your question, as i had open surgery by choice. lots of men here have had robotic, and most have done well by it. bro. tudpock should spot your post soon, he's our experienced man with seeding and I am sure he would be glad to go over that route with you. bill, above, is right too, you got plenty of time to think through all your options, that way when you are committed, you will feel comfortable about your decision. We are all here to help you through it.

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, Right nerves saved, 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 .05
 
 


spisam
Regular Member


Date Joined Jan 2009
Total Posts : 47
   Posted Today 8:11 PM (GMT -7)   

I had robotic surgery with Dr. Vipel Patel at Florida Hospital in Celebration, Fl near Orlando. Dr Patel is one of the best in the world at Robotic surgery. His entire team is top notch and the facility is like a 5 star resort. The fear of the surgery was worse than the actual procedure. Dr Patel had a concierge meet us at the front door and stay with us until I went into the pre-op room. After I was hooked up I don't remember anything until waking up in the recovery room where my wife was with me along with the head nurse. I had no pain. I was hooked up to an intervenous line, a catheter and a pain medication pump. Surgery was at 11:00 am and they had me walking that night. I was released the afternoon of the following day. My wife was able to spend the night with me in a fold out bed. Each recovery room is a private room.

I'm 60 yo and 176#. I am into physical fitness and went into surgery in great shape. My recovery had been easy. the worst part is the 6 days with the catheter. After that it was easy. I just met with Dr. Patel's office docs and was cleared to resume normal activity. I never had an ED problem. I did take the Doctor precribed Viagra 3 times a week and began having strong erections three weeks after surgery. I still leak however. The leakage is getting better daily. From 9 pads a day right after the catheter was removed to 2 pads today. I was just told that I could be pad free in another several weeks. My PSA is now <0.1. I have no pain and my body has only 5 slight scratches where the surgery occured.   

I am happy the cancer is out of my body and that I selected surgery with Dr. Patel over radiation.

Sam

  


Lungman
Regular Member


Date Joined Jan 2008
Total Posts : 276
   Posted 2/23/2009 5:54 AM (GMT -7)   
Benji, welcome to Healing Well, it is a fantastic resource as well as a source of support. As you can see in my sig I had robotic surgery in Sept 2007. I made the choice based on factors of age, suspected disease state, prognosis with respect to Hans and Partin tables, and recovery time. My experience with the surgery was good, in the hospital overnight following a 0730 surgery, had minimal blood loss. I had my catheter for 10 days, no issues with incontinence, very lucky. ED is a different issue however, as now at almost 18 months, have occasional 80% erections with stimulation, sometimes 100% with oral meds and stimulation, not predictable though. Injections work great but are sometimes too "pre-planned" and offer no spontaneity. I had no problems with ED prior to surgery, so I am a bit disappointed with this, but I can't say it would have been better or worse with any other form of treatment. The small incision at the umbilical site was 2 -3 inches and healed nicely, other entry sites are small stab like wounds and also healed without incident. I was back at work in 4 weeks, but wish I had stayed out longer, just didn't have the stamina but was anxious to get back to normal. I experienced soreness in the lower pelvic/rectal area for several weeks from the internal surgical process, much the same with everyone who undergoes open or Robotic surgery because the actual work done inside is the same. Whatever treatment choice you make, the skill of your physician is the key to your best outcome, so do your homework. Good Luck and please stay with us, all of our shared experiences, old and new, is what makes this a fantastic site.

Randy
46 you when diagnosed, now 48
Pre-Op PSA 9.9
1 of 12 cores positive, Gleason 3+3
DaVinci on 9/5/2007
Post-Op Gleason 3+6, Negative Nodes and Margins
Less than 1% of prostate involved with CA
3 Month PSA 0.01, 6 Month PSA 0.01, 9 Month PSA 0.01
One Year PSA 0.01
Incontinence resolved 9/15/2007, one day after cath removal
ED showing significant improvement.
Occasional Success with Oral Meds
Success with BiMix


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 2/23/2009 6:28 AM (GMT -7)   
Benj, my husband had robotic surgery north of New York City (at Northern Westchester Hospital Center) in March 2008. Surgery was done on Tuesday evening (he came out of the OR around 9:00 pm after 5 hours of surgery), and was released from the hospital Thursday around 1:00 pm. The catheter came out 9 days after surgery with no problems before, during or after. He was concerned about pain/discomfort due to the CO2 (carbon dioxide) which is blown into the abdominal cavity right before surgery (this is standard for any abdominal operation). To his great surprise and relief, he had absolutely no pain. The morphine line that was inserted was removed the next morning. In the hospital he had some problems passing blood clots in his urine, which is also common - that passed within the first 24 hours. After that, he had no problems urinating - with and without the catheter.

The surgical incisions are very small - one right above the navel (which is the largest), and two on each side of the abdomen. I think the largest incision was about 1.6 inches long; the other four were about 1 inch long. He was released on Oxy pain meds but never used them. Tylenol PM at night to help was all he needed.

He was not able to start on solid food until he had his first BM which occurred on Friday night. Definitely plan on using stool softeners for a few days and to start on them the minute you get home. They were a life saver for my husband since the last thing he wanted to do was to strain on the toilet - and he also wanted to start eating real food.

Once the catheter and staples came out 9 days later, he made a huge leap forward as his biggest complaint was the catheter. Incontinence was pretty good but he does still use a liner during the workday because he finds it hard to control his bladder when he's up and moving around alot. ED is still an issue and he recently began Viagra on a regular basis (2 to 3 times per week) which should help things in that department.

All in all, his surgical experience was much better than he thought it would be. Good luck with your decision.
Husband diagnosed in February 2008 (age 57). Cancer discovered during routine annual physical. Clinical Stage T1c, Gleason 7 (3+4), with 2 out of 10 cores testing positive. Perineural invasion identified on biopsy. DRE was negative.

Robotic surgery in March 2008. Pathological stage upgraded to T3a, Gleason still 7 (3+4). Miniscule invasion into prostate capsule but no cancer found outside capsule (surgical margins and seminal vesicles were clean).

1st PSA 3 weeks post op: 0.1; 2nd PSA 7 weeks post op: 0.0. PSA remains at 0.0, and will continue to be checked every 3 months for the first 2 years due to capsular penetration.

Currently on Vesicare to control frequency of urination and on Viagara for ED issues. Recuperation from surgery was uneventful.


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 2/23/2009 8:41 AM (GMT -7)   
Benj...can't offer too much more than what others have said. I went robotic and incontinence now is just one pad a day for the stress issues. Recovery though is different for everyone...I was 5 days in the hospital (not common), but was able to return to work full time after 3 weeks. I have a desk job, so returning to work after a few weeks may vary depending on the type of work you do.

Either treatment plans from what I have read and heard so far are very close to having the same outcome...and that is to remove the cancer completely. Side effects do vary from individual to individual...even when performing the same treatment procedure, so it all narrows down to what you feel is best for you. The biggest advantage to surgery for me...is the pathology report. Knowing where you stand after surgery can be a big relief or know that you need to get your game on for followup treatments later on.

Good luck and keep us informed on your journey.
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


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2455
   Posted 2/23/2009 9:28 AM (GMT -7)   
Benj,
I had robotic surgery 2/9/09. I had very little pain for 1 day, 2 days after the surgery I walked 2 miles. I now walk between 3 and 4 miles every day with no pain at all. The catheter was removed after one week with no pain. The second day after removing the catheter I was dry at night. During the day I was using 2 pads and now I use only one pad and hope to be completely dry soon. As far as ED and afraid I can't help you since my surgery was non-nerve sparing.
Age: 67
Retired in 2001 and living in Austin TX.
PSA 3.5 free PSA 11%
Dx 12/30/08
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed on Feb 9th
Surgeon: Dr. Randy Fagin, Austin TX.
Post op Pathology report:
Prostate weighed 57 grams
size:5.2 x 5.0 x 4.9 cm
10-20% involved
Bilateral
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx
Negative margins
Lymph nodes: not dissected
seminal vesicles clean


jrponalameda
Regular Member


Date Joined Dec 2007
Total Posts : 56
   Posted 2/23/2009 9:54 AM (GMT -7)   
I had the DaVinci surgery in Nov of 2007 and it turned out to be a good choice in my case. Here's my old thread if you want to see more details on my recovery....
 
 
 
Diagnosed Sep 2007 Age 54 Gleason 6 (3+3)
DaVinci Surgery 11/8/07 University of Minnesota
2/22/08, 8/15/08 PSA Undetectable


Highwheel
New Member


Date Joined Feb 2009
Total Posts : 13
   Posted 2/23/2009 10:42 AM (GMT -7)   
I can only mirror what others have said about the DaVinci method. I stayed overnight after the surgery had very little real pain, and yes, the catheter for a week is an inconvenience. My continence returned about 3 weeks out. The jury is still out on any erection difficulties. I may be a little premature to think it will all be back now since my surgery was 1/22, just over a month ago. So far though, the Phoenix has not returned.

The best advice I can give is to talk to as many people and read through all the resource material you can. Be the informed decision maker. Interview, as in a business interview, any doctors you are considering. You are letting someone work in your nether regions. Make sure you believe he is not only competent, but the best you can find.
Highwheel,
PSA - 4.3, T1C 
Biopsy - Nov. 17, 2008
2 of 8 cores positive
Gleason Score 3+3=6
Age at surgery - 52
da Vinci method surgery - Jan 22, 2009
Confined, no margins


kcragman
Regular Member


Date Joined May 2008
Total Posts : 240
   Posted 2/24/2009 5:49 AM (GMT -7)   
Wow, what a bunch of great stories. I'll throw my 2 cents in here. Robotic surgery in May 2008. I still wear one pad a day, and ED still an issue - although still improving (but I also have Peyronie's thrown into the mix, lucky me).

For some of us, recovery is a little slower. However, my stats make me a high risk patient and I am very happy with the job my surgeon did. As I have said before, on the pain scale robotic surgery is NOTHING compared to arthroscopic knee or shoulder surgery (I've had both). There is about 99% less pain involved with the whole process. There is some discomfort and inconvenience of course, but once the catheter comes out it is smooth sailing for most guys.

Surgery is not for everybody, and there's no doubt about it - your sex life will be different. But all treatment paths have their risks and rewards. You have to decide what is best for you. On the ED side, my semi-informed impression is that with surgery you start at zero percent performance after surgery with a chance to improve all the way back to 99%. With radiation you start at 100% performance, but over time it may degrade - sometimes all the way to 0%. And if it degrades, my impression is you cannot get it back. Somebody please correct me if my impressions are wrong.

If you go the surgery path, be sure to ask your doctor about bladder spasms. They are something to be avoided if possible.

Good luck!
kcragman
Age: 53; 52 at DX
March 2006: PSA 2.5
Dec 2007: PSA taken for insurance application. I did not see the results until late
Jan '08 - after I was rejected. Their lab said PSA 4.5.
Feb 2008: PSA 3.7.
March 2008: Biopsy. Gleason 7 (4+3) 12 cores taken. 5 on the left side were
cancerous and the 6th was suspect.
May 5, 2008: Da Vinci robotic laparoscopy at GW Hospital, Washington DC.

Post op: Gleason 9 (4+5). 15% of prostate involved. Stage: pT3a. Negative margins. Lymph node and nerve samples taken, and appeared to be cancer free.

July 2008: PSA at 7 weeks was undetectable.
August 2008: PSA at 14 weeks (3 months) was undetectable.
Nov 2008: PSA at 6 months was undetectable.
Feb 2009: PSA at 9 months was undetectable.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25353
   Posted 2/24/2009 6:08 AM (GMT -7)   
kcragman, that's why every dr. should write a prescription for the ditropan I was on for after surgery, only thing that kept me alive with the amount of bladder spasms I had and for being on catheters for 66 days. It's cheap med and nice to have handy if needed
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, Right nerves saved, 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 .05
 
 


Benj
Regular Member


Date Joined Feb 2009
Total Posts : 20
   Posted 2/24/2009 10:19 AM (GMT -7)   
THANK YOU, guys, all of you for your interesting stories. I am going ahead with robotics on Mar 12. Doing my Kegels every day. Feel great about my decision. The hardest part, deciding, seems to be over. I will keep all posted.

Ben
60 years old
Gleason Score 7
Diagnosed Jan 15
after Biopsy
3 cores postive 3 cores negative
PSA 4.3.
 


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 2/24/2009 10:24 AM (GMT -7)   
Good deal, benj. Once the decision is made, it is much easier. Spend time now, if you can, with walking, exercising and building up some strength, if you don't exercise regularly. There's several good threads on the page that comes up when you click the second line of this page that deals with preparing for surgery, lists of items to have, etc. If you can't find them, let me know and I can post the links to them.
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
16 mts: ED- 50 mg Viagra 3X week, pump daily,Trimix .35ml 2X week continues
PSA's: .04 each 3 months


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 2/24/2009 11:03 AM (GMT -7)   
Congrats Ben...best of luck for you. It won't be long before you will be on the "other" side of things. Now take some time off...enjoy life without thinking about PCa for a few days and let things wind down. Take a mini vacation to relax, maybe a long weekend getaway with the wife for some up close and personal stuff...that's what me and the wife did and it really helped....both of us.
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


mirv
Regular Member


Date Joined Nov 2008
Total Posts : 30
   Posted 2/24/2009 2:51 PM (GMT -7)   
Hi Ben,
I too had the robotic on Feb 4th and am doing fine so far, and if you are a good candidate for it I would recommend it. I want to echo what James said above about being in good shape because it really does help. The first time they got me out of bed at the hosp I had to hang on the saline bag holder to get around the floor, but I kept at it and was able to get used to walking pretty quick (I also had a hernia repair at the same time). Before the surgery I tried to get as much exercise as possible and I was grateful for it afterwards, and I know the time before the op is short but whatever you can do will help. Also don't worry too much about the cath, you'll wake up with it in you already and though it's definitely not fun, it isn't painful, you'll get used to it, and removal was not the trauma I had imagined it to be either. Like you say, making the decision is one of the harder things to do and since you've got this far, try to relax and do all the fun things you can until the surgery, you'll get through just fine.
Best of luck and keep us informed!
Mark
Age 52
PSA 3.1 fPSA 26% Dx: 11-07-08
1 of 12 cores with 5% adenocarcinoma
11 of 12 cores clear Gleason grade 3+3=6
Robotic laproscopic surgery 2-4-09
Dr. Garret Matsunaga, Torrance Memorial Hosp.
Free hernia repair! 2 day stay.
Pathology: pT2c NXMX
upgraded to 3+4=7 and <2% tertiary 5
negative margins
negative extraprostatic extension
negative seminal vesicle invasion


Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 2/26/2009 9:25 AM (GMT -7)   
Few of us will be able to compare treatments, we've made our choice of one of the options. Each of our personal histories is different, also - and though one of the treatments will be right for Guy A it'll be different for Guy B. If you have a good physician and Urologist you should be presented with the options they think are best for you. My Urologist recommended the da Vinci method of prostate removal and I didn't challenge that - the reasoning seemed sound. Post-op recovery will be different for most of us, with few sharing similar/exact experiences. I'm doing well and working my way through the relatively insignificant ED and incontenence issues. Best wishes for a great surgery, and for a long life afterwards.

Age:  59 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

Bladder & Urethral:  Free

Seminal vesicles:  Not involved

Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%

Catheter:  Removed 12-days after surgery

Incontinent:  Yes (getting better, though)

Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08

Returned to work 9-29-08 (18-19 days post-op)

PSA test result, post-op, 10/08: 0.0; 12/08: 0.0

 

New Topic Post Reply Printable Version
Forum Information
Currently it is Thursday, February 22, 2018 4:01 PM (GMT -7)
There are a total of 2,932,189 posts in 321,715 threads.
View Active Threads


Who's Online
This forum has 160418 registered members. Please welcome our newest member, MarkQ.
413 Guest(s), 10 Registered Member(s) are currently online.  Details
HealMe123, Crispix, josielieder, astroman, Hoagie, eeagle, Saipan Paradise, napoleon dynamite, insomniaaa, NotQuiteAntonio