Alfred, you bring up a good point on the surgical approach to treatment. I am not sure all our new friends here fully understand the seriousness of PC surgery. It is considered one of the most complex surgeries. The robotic approach advantage in recovery is only in the abdominal area. With robotic, you have several smaller in size wounds to heal, as opposed to the
open surgery's one large
opening. Though in this day and age, the one
opening isn't that huge, not like the old days. I have a jagged 8" scar on me from having a gall bladder removed 28 years ago, can you imagine that.
I think, that some men assume that since robotic is less invasis on the outside, that's its the same complex surgery on the inside. Perhaps some doctors and robotic centers over sell the healing fast part with robotic.
Realistically, my own surgeon said that even a guy in good shape, it will take 6 - 12 months to fully heal up from either type of surgery.
I am slightly over a year out, and I would testify that is pretty accurate. Of course, one's general medical health ,age, physical condition, etc are also recovery factors.
I have yet to see hard evidence that robotic surgery lowers ED or incontinence. Also feel that some guys get caught up in the "techo" side of the surgery, just as I was recently amazed at the IMRT radiation machine that was my home for 39 days.
David in SC
57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.33rd Biopsy
: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3Open RP:
11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09Path Rpt
: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence: 1 Month ED: Non issue at any point post surgery
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped 9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place