Somebody knows Dr Kim's Intrafascial Robotic Prostatectomy?

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SpanishSacared
New Member


Date Joined Apr 2009
Total Posts : 1
   Posted 4/23/2009 1:42 PM (GMT -7)   
Somebody knwos Dr. Kim, surgeon at Robert Wood Johnson University Hospital in New Jersey? Somebody had heard from Intrafascial Robotic Prostatectomy? I've learn he reach 90% sucessfull ED free prostatectomy sparing nerves, and better results in urinary continence. It's a reliable information? Please tell me about that and about him. Sorry for my english
 
Age 52
PSA: 4,5
Biopsy: adenocarcinoma detected in 2 cores into 10, affecting both sides (left "peripheral" 2%, right "medium" 10%)
Gleason Score 6 (3+3)
Date of biopsy 03/27/2009
Looking for better surgery
 

DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 688
   Posted 4/23/2009 8:33 PM (GMT -7)   
Never heard of this guy, so I looked him up. Here is a link:

http://www.zerocancer.org/site/News2?page=NewsArticle&id=10362&news_iv_ctrl=1001

This is a news release rather than an academic article, so you can't tell how accurate the claims are. IE, how many patients in the study, what were their conditions, was it a randomized study with controls. As a non-surgeon, I'm not even sure if what he does is really new, compared to, for example, what my doctor did.

The story says he has done "over 450 robotic prostatectomies". While that's not bad, it's also not that impressive. Many of us had surgeons who have performed over 1000 prostatectomies, whether robotic or not.

DJ
Diagnosis at age 53. PSA 2007 about 2; PSA 2008 4.3
Biopsy September 2008: 6 of 12 cores positive; Gleason 4+3 = 7
CT and Bone scan negative
Da Vinci surgery at City of Hope December 8, 2008
Radical prostatectomy and lymph node dissection
Catheter out on 7th day, replaced on 8th day, out again 14th day following negative cystogram
Pathology: pT2c; lymph nodes negative; margins involved; 41 grams, 8% involved by tumor; same Gleason 4+3=7
PSA 1/22/08 non-detectable! 8-)
4/23/09 still undetectable!


DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 688
   Posted 4/24/2009 1:09 PM (GMT -7)   
Found some more background info:

Here's an article "Intrafascial versus extrafascial abdominal hysterectomy: effects on urinary urge incontinence". Seems to have a positive effect for women. Dated 2004. The concept, which I can't claim to understand, of intrafascial vs extrafacial, seems to be of benefit to women. A fascia in general is sort of a sheet of tissue, so I guess the idea is how do you treat the fascia when performing the surgery.

www.springerlink.com/content/9n19mhrbtk7m9tgq/


Here's one "Potency Preserving Cystectomy With Intrafascial Prostatectomy for High Risk Superficial Bladder Cancer". March 2008. Very good results reported.

www.jurology.com/article/S0022-5347(08)00052-9/abstract


Still haven't been able to figure out if Intrafascial Prostatectomy is commonly done, or is specific to Dr. Kim of New Jersey. Neither of the articles above was authored by him.
Diagnosis at age 53. PSA 2007 about 2; PSA 2008 4.3
Biopsy September 2008: 6 of 12 cores positive; Gleason 4+3 = 7
CT and Bone scan negative
Da Vinci surgery at City of Hope December 8, 2008
Radical prostatectomy and lymph node dissection
Catheter out on 7th day, replaced on 8th day, out again 14th day following negative cystogram
Pathology: pT2c; lymph nodes negative; margins involved; 41 grams, 8% involved by tumor; same Gleason 4+3=7
PSA 1/22/08 non-detectable! 8-)
4/23/09 still undetectable!


marang keru
Regular Member


Date Joined Dec 2007
Total Posts : 21
   Posted 4/25/2009 5:41 PM (GMT -7)   
Dr Kim was my doc!  Had Robotic sugery December 2007 - EXCELLENT results, no ED issues, no incontinence.  I really liked the staff at RWJ and of course him too.  As I recall, I was his 397th procedure, so he has a lot of experience.  At the time he was the only certified doc at RWJ, so he has a full schedule.  I am only one data point.

Age - 57
PSA - July7, 2007 - 4.87
Confirming biopsy - August 30, 2007
Gleason scores of 6 (3+3) and 7 (3+4)
DaVinci surgery December 3, 2007 - Robert Wood Johnston Hospital, New Jersey
 
Cathether removed December 10, 2007
No incontinence after Day 2, December 12, 2007
Fully functioning sexual activity Day 2 after cath removal, December 12, 2007
 
Post-op pathology report confirmed Gleason of 7 (3+4), 30% involved by tumor, no positive margins.
 
Follow-up blood work March, June and Sept 2008 all "undetectable thus far!
 
 


DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 688
   Posted 4/25/2009 8:08 PM (GMT -7)   
Marang,

Like you say, only one data point, but a good one! Glad you had such a good experience.

DJ
Diagnosis at age 53. PSA 2007 about 2; PSA 2008 4.3
Biopsy September 2008: 6 of 12 cores positive; Gleason 4+3 = 7
CT and Bone scan negative
Da Vinci surgery at City of Hope December 8, 2008
Radical prostatectomy and lymph node dissection
Catheter out on 7th day, replaced on 8th day, out again 14th day following negative cystogram
Pathology: pT2c; lymph nodes negative; margins involved; 41 grams, 8% involved by tumor; same Gleason 4+3=7
PSA 1/22/08 non-detectable! 8-)
4/23/09 still undetectable!

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