Just Back From Doctor - A new game plan is in place

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Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 8/3/2009 12:31 PM (GMT -6)   
Just got back in from my dr's office.  Still wearing the same cath I walked in.  Despite my fears all weekend, he had no intention of taking it out in the middle of the day, knowing that if I blocked up, it would probably be at night.  He stressed again that my situation is now too dangerous to be handled by a normal ER crew if I have another blockage.
 
He is going to setup another day surgery, possibly as soon as the end of next week at my beloved St. Francis Hospital in Greenville.  I will put under GA, and in another world (smile), and he is going to do further dialations and this time, will do corrective surgery with some kind of microscopic laser.  He said the laser, not only will cut out bleeding, but will make a smoother opening at the bladder neck, and much less likely to scar in the future.  It will be more involved than the last corrective surgery in January, but still should just be a day procedure.  If no complications arise, then I should be able to go home that day.
 
So I will be wearing this beloved catheter # 6 a while longer  (btw, somehow, it was stated quite a few posts back that this was #7, it is #6.  I will have a number #7 after this next surgery, for a week or two, and then, if all goes well, may never have to worry about this type of blockage.
 
While all that sounds a bit scary, I like the sound of having a new plan in place, and one where I will not have to be traumatized so much like that last emergency treatment 2 weeks ago.  BTW, blood is still showing up in my urine after 14 days from that one.
 
He stressed again, that had he not been able to dialate that last attempt, I would have been right in the nearest OR for an emergency operation.  He said he knew he was hurting me, but knew he had to make that last effort.  I don't hold that against him, sometimes, you do what you have to do.
 
So back home, resting. he said I need to lay off any heavy work, no lawn mowing, no long walks, and start to prep for this next surgery.
 
All this worrying to death I think will be the death of me.  I feared today, but nothing bad happened in the end.
 
All of this does push back the whole subject of reaccurance of the PC with me and the possibility of going forward with salvage radiation.  He said this must be settled first.
 
David in SC


Age 57, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
 Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
2009 PSA   2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, scarring closed up bladder neck, again
 
 

Post Edited (Purgatory) : 8/3/2009 12:34:10 PM (GMT-6)


lewvino
Regular Member


Date Joined Jul 2009
Total Posts : 384
   Posted 8/3/2009 12:49 PM (GMT -6)   
Perhaps 7 is your lucky number.

Larry
Age at diagnosis 54, PSA 5.1
Father treated for Prostate Cancer in 1997 with Proton
Biopsy 04/08 12 cores, 5 positive
Gleason 3 Cores at 4+3=7
              2 Cores at 3+4=7
Perineural Invasion Noted on biopsy

Robotic surgery Scheduled 08/12/09 at Vanderbilt, Nashville TN. 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 8/3/2009 12:52 PM (GMT -6)   
One can only hope, Larry, lol. But then I think that everytime I play the Powerball twice a week.
Age 57, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
 Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
2009 PSA   2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, scarring closed up bladder neck, again
 
 


Squirm
Veteran Member


Date Joined Sep 2008
Total Posts : 744
   Posted 8/3/2009 1:00 PM (GMT -6)   
Sounds like your doctor has a good game plan for you and has given it much thought.

I wish you well.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 8/3/2009 1:16 PM (GMT -6)   
Spent an uniterupted half hour with me, never in a hurry with his patients.
Age 57, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
 Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
2009 PSA   2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, scarring closed up bladder neck, again
 
 


jacketch
Regular Member


Date Joined Apr 2009
Total Posts : 179
   Posted 8/3/2009 1:33 PM (GMT -6)   
Prayers sent that this procedure works.
62yo
V10.46 Dx Feb-09
RRP 5-5-09
No adverse SE
PSA 6-19-09 -0-
 
Thriving, not just surviving!
 


Geebra
Regular Member


Date Joined May 2009
Total Posts : 476
   Posted 8/3/2009 1:39 PM (GMT -6)   
I am sure your chances are a lot better than playing Powerball. We are all rooting for your (and your doc's) success!

Father died from poorly differentiated PCa @ 78 - normal PSA and DRE

5 biopsies over 4 years negative while PSA going from 3.8 to 28

Dx Nov 2007, age 46, PSA 29, Gleason 4+4=8

Decided to participate in clinical trial at Duke - 6 rounds of chemo (Taxotere+Avastin)

PSA prior to treatment on 1/8/2008 is 33.90, bounced on 1/31/2008 to 38.20, and down at the end of the treatment (4/24/2008) to 20.60

RRP at Duke (Dr. Moul) on 6/16/2008, Gleason downgraded 4+3=7, T3a N0MX, focal extraprostatic extension, two small positive margins

PSA undetectable for 8 months, then 2/6/2009-0.10, 4/26/2009-0.17, 5/22/2009-0.20, 6/11/2009-0.27

Salvage IMRT + 6 Months ADT: Casodex started 6/12/2009, Lupron 6/22/2009, PSA 6/25/2009-0.1, T=516, 7/23/2009-<0.05, T<10, IMRT to start mid-Aug


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 8/3/2009 1:43 PM (GMT -6)   
I'm glad to hear there's a plan in place. That is a relief. GA will give them the time to really look things over and fix it. I wish you the best
Jeff
Age 56. Perfectly healthy with no problems until getting the results of my first routine PSA test on April 8th: 17.8. My GP does not believe in general PSA screening so I did not get results during my 50 year physical.
May PSA: 22.6, 3 weeks later: 23.2.
June 10 Biopsy 7 out of 12 cores positive, Gleason 6=3+3.
Bone scan and C/T scan negative.
Radical prostatectomy by Da Vinci on 7/21/2009.
Left nerve gone, right spared.
----------------------------
7/31/2009: Catheter removed and Pathology report received
Gleason 3+4=7 Tumor size: 2.5 x 1.8 cm location: both lobes and apex.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX


mikey1955
Veteran Member


Date Joined Dec 2008
Total Posts : 673
   Posted 8/3/2009 1:44 PM (GMT -6)   

Hi David,

Sounds like a good plan has been put in motion. Wishing only the best for you and I hope this will be at least the end this particular chapter.

Mike

 


Lower left groin hernia: mesh and large scar: surgery early 2006
Nov/Dec 07 and March 08 and now Dec 08: Severe perineal pain (between scrotum and rectum). Septra/Bactrim for 8 months (Nov 07-Jun 08) for diagnosed prostatitis.
PSA start of 2008: 5.3..... PSA June of 2008: 7.3
14 DRE all benign or nothing felt
TRUS Biopsy Nov 08: Got copy of pathology (see below). Prostate about 40 cm sq.
General Health: pretty good, 5' 10", 180 lbs, slim.
Bone scan Dec 08: Negative
Barium enema X-ray (March 09 due to several days of blood in stool)
MRI with endorectal coil (April 09 as part of a study)
3D advanced TRUS (April 09 as part of a study)
CT (April 09 as part of a study)
Biopsy Pathology: 5 of 8 cores positive, adenocarinoma in both lobes. 30%-65%. One core perineural invasion. 2 cores "foamy" and suspicious. All +ve cores, 3+3 GS 6.
Open RP surgery: May 5/09 Surgeon spoke to my wife and was very positive. Said both nerve bundles spared and not damaged. Bilateral lymph node dissection performed. Discharged 48 hours after surgery. Staples out, catheter out and pathology sheduled for May 21.
Post Surgery Pathology: pT3a N0 MX, extraprostatic extension (EPE), stage III prostate cancer, lymph nodes clear, seminal vesicles clear, Gleason upraded to 3+4 GS 7. EPE within surgical margins. Other than prostate and EPE, all tissue removed negative for cancer involvement.
Physical State: Getting back to working out slowly. Urinary control pretty much from the time of catheter removal. Rectal pain, sometimes bad but, told is normal. Erectile function at best 25-30% of presurgery. Trying Levitra...first 10 mG dose gave me nasal congestion, 50% chubby and a 24 hour headache...may go away with more use or change of meds. Considering pump. Recovery from surgery going very well.
Mental State: Pre-surgery anxiety gone. Positive attitude. Some anxiety about seeing radiation oncologist and upcoming 3 month PSA. 


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4151
   Posted 8/3/2009 1:44 PM (GMT -6)   
Hi David:
 
I'm glad you have a plan as I know "not knowing" is sometimes the worst.  I surely hope this will do it and then you can get on with life...
 
Best,
 
Tudpock
Age 62, Gleason 4 +3 = 7, T1C, PSA 4.2, 2 of 16 cores cancerous, 27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 7/1/09.  6 month PSA now at 1.4 and my docs are "delighted"!

geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 8/3/2009 2:06 PM (GMT -6)   
It sounds like a thoughtful plan based on your special needs. As Worried noted, the GA lets them take their time and given your history if scarring up the laser sounds like the right tool. We will keep you in our prayers and hope that in a couple of years time people on this board will be saying; "We used to have a guy here who went through seven catheters but he got well and went away."
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 8/3/2009 2:46 PM (GMT -6)   
Thanks, Jack.

You too Geebra.

Jeff, told him to do whatever he wants and take as long as he needs, I will be deep out in the netherlands while all that is going on. Gee, my 3rd op. in less than a year.

Thank you too, Mike. The plans beat the fear of worrying about it at this point.

Bro. Tud, you and me both. My dr. joked (I actually laughed too) that I was his poster boy for this kind of problem. Still says its rare to have this much difficulty.

Again, when I pushed him for an answer, he said that my pelvic bones were very deep and narrow, which made access to him stiching up the bladder neck and urethra next to impossible. He says it would have been impossible with robotic. He said it had nothing to do with me sporting a few extra pounds.

geezer, that is what I am hoping, my wife and family, and even the good doctor. There is no part of me that feels like its his fault, i.e. sloppy surgery, or inexperience. He's a very seasoned surgeon and had done now over 400 open surgeries himself.

what was interesting to me, he said if he ever gets it, he wants robotic, not because he thinks its better, but because as a doctor, he can't afford the longer downtime of open surgery himself. and if he needed it, he would have it done out of my area with a more experienced robotic center than what we currently have here. least he was being honest. he said in my entire area of the state, that might be doing 150 robotics a year for prostate cancer, that's not too many really.

he does feel that the big name centers over toot their horn, and get carried away about lower ED and incontinence percentages, he said it is still in the hands of the individual surgeon.

david in sc
Age 57, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
 Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
2009 PSA   2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, scarring closed up bladder neck, again
 
 


CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 8/3/2009 3:15 PM (GMT -6)   
Greetings, David.  Sounds as if you have a good plan.  I'm sorry you have to have the cath for an extended period but that most likely beats the alternative.  We will continue to pray that this next procedure will solve your problems and your water works will be back to normal as soon as possible.  David

Diagnosed Dec 2007 during annual routine physical at age 55
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 pos; 2 marginal
Gleason 3+3; upgraded to 4+3 post surgery
RRP 4 Feb 08; both nerves spared
Good pathology - no margins - all encapsulated
Catheter out Feb 13 - pad free Feb 16
PSA every 90 days - ZERO's everytime!
Great wife and family who take very good care of me


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 8/3/2009 3:29 PM (GMT -6)   
David/CPA - trust me, the alternative of being blocked 100% is one of the worse tortures I knoow of, it will drive you out of your mind in pain, and trigger major panic attacks. Mentioned this many times before at HW, each man here, not just me, has to deal with their own demons while dealing with PC, this, I have to assume, is mine, and I am doing my best to work through each new crisis, with the hope that I can get beyond this. The last emergency procedure was just unsually painful, long lasting, and traumatic, even by my standards. Not sure any other man here would have reacted any different. I don't feel like I am a pud, and my doctor assured me that there was a lot of serious pain going on as he tried to resolve a dangerous situation.

David in SC
Age 57, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
 Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
2009 PSA   2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, scarring closed up bladder neck, again
 
 


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 8/3/2009 3:55 PM (GMT -6)   
I sincerely wish you well David and I truly believe you have a very good surgeon and that the next outcome will be a positive one. Your journey often sends a very cold chill down my spine to think of all the possible things to go wrong that did go wrong with you.

May you soon overcome these trials, and move forward on a much smoother path.

Take care my friend,
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
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral w/PNI - Gleason (3+3)6 Stage T1C
Robotic Surgery Sept 18, 2008
Pathology October 1, 2008 - Gleason 7 (3+4) Staged pT2c NO MX - Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
PSA 5 week Oct 2008 <.05
                   3 month Jan 2009 .06
                   6 month Apr 2009 .06
                   9 month Jul  2009 .08


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 8/3/2009 3:58 PM (GMT -6)   
Rest and prepare, friend. Better days ahead
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 110gms.- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
22 mts: ED- 50 mg Viagra 3X week, pump daily,Trimix 30/1/20-.10ml 2X week continues
PSA's: .04 each test since surgery


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 8/3/2009 5:02 PM (GMT -6)   
Thanks James, I do feel like a glimmer of hope to what seems like a never ending problem
Age 57, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
 Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
2009 PSA   2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, scarring closed up bladder neck, again
 
 


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4106
   Posted 8/3/2009 6:29 PM (GMT -6)   
David: You have been such support for all of us. I know that having a plan of action is a great imporvement. I do hope that the procedure gets the yellow tail cath taken care of and so that you can roam free again.

Good luck my friend in PC.

Jeff
Jeff T Age 57
9/08 PSA 5.4, referred to Urologist
9/08 Biopsy: GS 3/4=7
10/08 Nerve sparing open RRP- Path Report: GS 3+3=7 Stg. pT2c, margins clear
3 mts: PSA .05 undetectable
 10th month  PSA <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 8/3/2009 6:38 PM (GMT -6)   
Les, thank you, but we all have our own private battles to fight in this war. I know you have fought you share of them too in your journey. I respect each and every man's fight here, and would never judge another's battle.

Jeff, my worse fear today was that the dr. would simply want to pull the cath out and "see what happens". He already knew that wasn't going to happen before I showed up, not pulling it out at mid afternoon, and he agreed with me, it would probably close back up in 24 hours or less, and knew first hand that it would not be safe for me to be handled by an ER crew if something went wrong.

Fear is a terrible thing, because it isn't based on anything real, but what one perceives in their own mind. I told my dr. that I was actually afraid to come to his office today, and he was shocked, but I told him I was still traumatized from two weeks ago, and was fearful what may or may not happen today. In the first 30 seconds, he put my mind to rest, so all that fretting and worrying all weekend and today were in vain. You would think I would learn at some point, lol.
Age 57, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
 Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
2009 PSA   2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, scarring closed up bladder neck, again
 
 


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4225
   Posted 8/3/2009 6:41 PM (GMT -6)   
David,
Good luck, I hope everything works out OK. You have been through enough.
JT

64 years old.

PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DX BPH and continue to get biopsies yearly. Positive Biopsy in 10-08, 2 cores of 25, G6 less than 5%. Scheduled Surgery as recommended.

2nd Opinion from Dr Sholtz, an Oncologist said DX wrong, path shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G 4+3 approx 2.5cm diameter.

Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy.

Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and burining urination. Daily activities resumed day after implants.

Scheduled for 5 weeks IMRT in July

JohnT


mvesr
Veteran Member


Date Joined Apr 2007
Total Posts : 823
   Posted 8/3/2009 6:54 PM (GMT -6)   
Hi David

Hang in ther pal. By the way, go by the Beacon and have a Chilli Chesse and onion rings for me.

Mika
age at dx 54 now 57
psa at dx 4.3
got the bad news 1/29/07
open surgery Duke Medical Center 5-29-07
never more than 2 pads
ED is getting better
the shots work great, still can't give them to myself
two years of zero's


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 8/3/2009 7:09 PM (GMT -6)   
Thanks John, just my own personal share, know you have your issues too to deal with, and none of it is simple.

Mika, I have lived here in the upstate of SC for over 16 years and never been there before. Not sure my tender insides could handle the grease load of the Beacon ,lol. But perhaps one day I will get brave and take a chance. No gall bladder, lost that at age 28, so not much tolerance for anything fried, which may be just as well.
Age 57, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
 Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
2009 PSA   2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, scarring closed up bladder neck, again
 
 


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2691
   Posted 8/3/2009 7:35 PM (GMT -6)   
David,

Hurry up and get that thing out. I saw your post on another thread about bungee jumping with a catheter. You may need counseling after this bout !

I thought your Uro's comments about about open vs robotic were ineteresting. One would think it would be harder to get one's hands the long narrow space than a couole of robot arms, plus he would have 3d vision.

Good luck !
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks due to anatomical issues with location of ureters with respect to bladder neck.  Try 3 tubes where no tubes are supposed to be for 2 weeks !
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)


pa69
Regular Member


Date Joined Mar 2009
Total Posts : 260
   Posted 8/3/2009 8:17 PM (GMT -6)   
Hi David,

Best of luck to you, I'll be thinking of you.

Bob
Age 69, First ever PSA 7.8 taken June 2008, Biopsy July 2008, 10 of 12 cores positive, Gleason 3+3=6
da Vinci surgery December 10, 2008, catheter removed December 29 2008
St. Lukes Hospital, Bethlehem, Pa.
Dr. Frank Tamarkin
Prostate weight 73.0 grams, Gleason 3+3=6, stage pT3a
Tumor locations: right anterior apex, right posterior apex to mid
left anterior mid to base, left posterior apex to mid
extensive perineural invasion in right anterior apex, right and left posterior apex to mid
seminal vesicles negative


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 8/3/2009 8:22 PM (GMT -6)   
goodlife, beside what my doctor told me, I have read before that narrow, deep prostate beds are tough on the robotic surgeries. he really really stressed the experience factor when one choose robotics. he thinks a lot of the big name centers over sell the procedure for obvious reasons of big money. he thinks if we end up in some kind of centralized or socialized health insurance system in the US, it may make it hard to sell and justify the cost of robotic surgery over conventional. he definitely felt like they really oversell the better side effects after robotics.
as far as why you bleed less with robotics, i never understood that until he explained that its the gas they pump you up with in the robotic, it puts pressure on the blood vessels to where they can't bleed freely, giving the equip more time to complet the surgery without blood loss. but at the same time, he said that with modern open surgery like he did for me, if done right, little if any blood loss. they had 3 units banked for me, and never needed any of it.

i always like hearing what a doctor thinks for himself in the way of treatment. my own GP of 13 plus years said he would want robotics, but for the same reason, to cut down the recovery time, not because he thought it was better.

david in sc
Age 57, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
 Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
2009 PSA   2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, scarring closed up bladder neck, again
 
 

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