I concur with T40 and Sleepless. Our surgeon was head of Urology at UC Irvine, CA, where the DaVinci was invented. I think he had only done about
500 at the beginning of 2007 (compared to Manon's 1000), but he said many things that resonated with us, one of which was to state that he was more interested in quality and that it took a kind of production to have several surgeries per day. His max was two, because he did not think he could be fresh for the third. (adding with edit that Dr. is a researcher and teaches the procedure all over the world)
This made a lot of sense to me, as did the method of surgical repair of the urethra with a robot that is actually a "sewing machine" making those tiny stitches. I would take one of those stitching my urethra back to the bladder over a human hand any day of the week. There are surgeons who talk about
"feel" being superior to the robot, when comparing RP to robotic assisted laparoscopy. That just doesn't make sense to me. For removal of the prostate, which has no discernable borders (its like where the bridge of the nose meets the face), I would rely on the most precise blade at the most magnified view possible, and believe this is the best method available today.
On the other hand, I also fully believe we each are vested to our own recovery, with belief and faith being components just as important, if not more (it could be argued) than method. So those who are fiercely protective of their RP surgeons' method, good for them if it made them survivors.
By the way, Irvine is exploring the use of lowering the temperature of the prostate area during surgery, in order to cool the nerves and, therefore, to protect them from injury. Dr Ahlering had made the connection after reading that spinal cord injuries have a much better outcome when temperature is lowered immediately after injury. He believes this may improve regaining of functions earlier in the recovery after surgery.
Best to all here, Ciao!
PSA from 3.2 to 4.3 in one yr
4 of 12 cores positive, one lobe, less than 10%
Inflammation only second lobe
Stage T1C Clinical Dx
PSA prior to surgery: 3.9
Da Vinci Prostatectomy 2/27/07:
PCa in BOTH lobes 5-10% of gland
Negative tissue margins
Bladder, seminal ves, vas deferntia negative
Two inguinal hernia repairs
Catheter removed 1 wk after surgery
Full continence (no pad needed) 1 wk after surgery, then intermittent drips 4 wks out
Full erection, 12th day after surgery
2 mo’s post-op, some ED after penetration
3 month PSA 0.03
6 month PSA non-existent
1 year PSA non-existent
1 1/2 yr PSA non-existent
Erectile function--up and running!
Two year anniversary on 2/27/09-Sex life back to normal!
Post Edited (B&B's World) : 10/3/2009 3:31:28 PM (GMT-6)