How is the gland itself removed via robotic surgery?

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zampilot
Regular Member


Date Joined Aug 2009
Total Posts : 152
   Posted 10/5/2009 8:33 AM (GMT -6)   
Is it sliced and diced or sqeezed whole through one of the portal holes?
 

Opa N
Regular Member


Date Joined Sep 2009
Total Posts : 150
   Posted 10/5/2009 8:42 AM (GMT -6)   
The prostate gland, along with the seminal vesicles, is placed in a drawstring bag (seriously), and is removed whole through an incision made at the navel.
All the best.
Roger

 Age 67 at diagnosis. Treated for coronary artery disease (CAD) since 1998, and under control with medications.

2/6/09              Routine physical, with DRE and PSA Test. PSA 4.02.   Referred to Urologist.

4/20/09            TRUS  w/needle biopsy

4/23/09            Diagnosis PCa with Gleason 4+3 in 2/2 cores, Gleason 3+3 in 5/10 cores.

                        CT scan and Bone Scan both negative. Stage T2C.

8/27/09            DaVinci RP at WakeMed Cary NC with Dr. Tortora. Discharged 8/28.

9/8/09              Catheder removed. Path post-surgery confirms PCa, with Gleason 3+3 with scattering of 4. Positive margins in L & R posterior, R and L seminal vesicles, with perineural invasion.  Stage T3b.

9/30/09            PSA Post-Op <0.01. Met w/Uro/Surgeon to review surgery and path report. Referred to Prostate Oncologist and Radiation Oncologist. Appointments set for 10/8.

 

Initial incontinence pretty bad, starting w/6 Depends pants/day. Gradually getting better, with dramatic reduction in leakage around 9/20. Currently on 1 pad during the day and one at night (for security). Actually totally dry at night. (Pressure off the bladder neck?)

 

“I’d rather die while I’m living, than live while I’m dead.” (Jimmy Buffett. Changes in Latitude, Changes in Attitude.)

  


JerryB-UK
Regular Member


Date Joined Jul 2009
Total Posts : 39
   Posted 10/5/2009 12:21 PM (GMT -6)   
 
Jeremy

Age - 67

PSA (February 2009) 7.8 ug/L. This had risen from 5.3 ug/L in August 2008.

Biopsy (3rd April 2009). Number of samples 10. Number of samples containing cancer 10% on left and 20% on right. Bone marrow & MRI scans (7th May 2009) indicate no perineural or extra-prostatic spread. Gleason 7 (4+3). T stage diagnosis 2b. Prostate size - 52 cc

Was given a choice of RP or Brachytherapy and decided on Brachytherapy. However, flow test on 24th June 2009 showed flow rate to be too slow to permit Brachytherapy.

Started hormone therapy on 3rd June 2009 for 3 months (Prostap3 injection) preceeded by Cyproterone Acetate 100 mg tds. Hopefully this will shrink my prosate / improve flow rate sufficiently for Brachytherapy or maybe HIFU.


Sleepless09
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Date Joined Jul 2009
Total Posts : 1267
   Posted 10/5/2009 2:18 PM (GMT -6)   
If you're squeemish about viewing the video, I confirm Opa's informaton. I have a small --- inch or something, incision starting inside the navel and going upwards. I doubt by this time next year even I will be able to find it.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9, so far, so good
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
First post op PSA Sept 09  0.02
Oct 1st 09 -- dry at night, during day some stress issues, but better every week.    


zampilot
Regular Member


Date Joined Aug 2009
Total Posts : 152
   Posted 10/5/2009 2:52 PM (GMT -6)   
Not sqeemish at all, it doesnt come up. My buddy had been diagnosed PCa a year ago last December, he had robotic four months later but can't remember if they sliced and diced or simply sqeezed it out a hole. I'll tell him to look in his navel, remove the lint and see what's there. I was diagnosed a year after him, had open surgery, one margin, just finished 36 Rad's last Friday.

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 10/5/2009 5:25 PM (GMT -6)   
Oh, so that's what that scar is. It completely ruined my career as a swim suit model. I wonder if I can claim disability.

zampilot
Regular Member


Date Joined Aug 2009
Total Posts : 152
   Posted 10/5/2009 5:30 PM (GMT -6)   
Not disabilty WG, claim disfigurement!!
I think my 8" scar is kinda cool, really stands out in the summer! I didnt want to do robotic for a couple reasons and I'm calm with my chioce. Hopefully the Rad was completely unnecessary. 

geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 10/5/2009 8:29 PM (GMT -6)   
If you were to claim that you worked in ****o films before, then would you be able to collect workman's compensation for the ED? Would you need to bring before and after pictures?
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


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 10/5/2009 10:43 PM (GMT -6)   
Geezer, I once met Linda Lovelace ---- pity I'd not known about the workman's compensation ED possibilities back then, I might have asked for a bit part to establish my credentials. Geeesh. Talk about performance anxiety. All those lights, cameramen, and knowing I'd be "coming to a movie theater near by soon," and wondering if my maiden aunts might catch me on a trailer preview while attending a Disney movie.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9, so far, so good
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
First post op PSA Sept 09  0.02
Oct 1st 09 -- dry at night, during day some stress issues, but better every week.    


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 10/6/2009 6:02 AM (GMT -6)   
Geezer , Zamplot, Sleepless
I'm pretty sure they took more than just my prostate out my new vertical bikini line. I need an incontinence clamp just to keep willy from playing "Duck and cover". There goes that career path.
On the other hand, there might be a niche market for ****o flicks involving two navels.
Jeff

jackcc
Regular Member


Date Joined May 2006
Total Posts : 80
   Posted 10/6/2009 6:10 AM (GMT -6)   
Thanks Jerry, for that incredible film. It was the best I've ever seen and was fascinating to watch.

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 10/6/2009 5:38 PM (GMT -6)   
I should mention that I watched part of the video. Punching the ports in gave me the creeps.
Thanks for educating me. I wonder if I would have done it had I seen the video first...
Who am I kidding? It's not like I had a whole lot of choice.
Thanks Jeremy!
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