What do urologists choose???

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English Alf
Veteran Member

Date Joined Oct 2009
Total Posts : 2209
   Posted 12/18/2009 5:36 AM (GMT -6)   
Male urologists have prostae glands, so statistically one in six urologists must end up getting PCa.

So what treatments do they choose?

How do they weigh up the options when it's their own body that will receive the treament and their own lives that will suffer the side-effects?


Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4818
   Posted 12/18/2009 5:38 AM (GMT -6)   
Oh my hear hurts just thinking about this oneidea
I have a feeling - just like the rest of us - they weigh all of their options.
Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
11/20/09 - 18 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.

Elite Member

Date Joined Oct 2008
Total Posts : 25355
   Posted 12/18/2009 9:02 AM (GMT -6)   
At my GP practice longterm: the head doctor - had PC - had robotic - reason: couldnt afford to be down as long with open
my own GP at same practice: if he had pc - robotic - bout out of area - reason: couldnt afford to be down as long as open

My own uro/surgeon: robotic surgery - only because of less down time, as he has such a busy practice

Radiation oncologist: doesnt count, she doesnt have the required parts down below, or at least I hope she doesnt

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path 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 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 in place

Veteran Member

Date Joined Dec 2008
Total Posts : 3149
   Posted 12/18/2009 6:14 PM (GMT -6)   
Example: Dr. Fred Lee (founder of Cryo therapy) and expert in color doppler sonography, went chemically and has done well for like 10 yrs. now approx., used drug emcyt and I don't know if he is only intermittent now or not. My onco-doc knows him fairly well.

There are other stories about docs doing things differently than what they might prescribe or choose less invasive ways, another guy a Dr. wrote a book about he supposedly beat PCa with herbal, diet and additives type of thing. Who knows how real that whole deal is, but it might have some relevance.

Just think how wonderful a doc feels after he makes his educated or trusted guess on his PCa and finds out it failed??? Probably the same or more than us laypersons whom have less clues and no inside connections to the brotherhood medical world.

Youth is wasted on the Young-(W.C. Fields)

Regular Member

Date Joined Oct 2009
Total Posts : 103
   Posted 12/18/2009 11:27 PM (GMT -6)   
My original Uro had a Robotic. He specializes in open. He told me to go robotic because it was a better fit for my age and health.
Age 40
Pre-op PSA was 5.8 from wellness test on May 19, 09
Follow up test from uro was 4.6 with a 9.3% free psa
Gleason 3+3 in one core, 3+4 in second core of 12 samples taken
Uro recommended Robotic for someone of my age. My research confirms.
Surgery performed August 19th, 09.
One side nerves spared. Nerve graft on other side.
Six weeks incontinence almost over. ED a work in progress but seeing some response.
Post op October 2nd, 2009 All margins were negative. PSA results in a few days.

Regular Member

Date Joined Dec 2009
Total Posts : 97
   Posted 12/19/2009 12:39 AM (GMT -6)   
I saw a video on the net two days ago and that surgeon had robotic and said he was doing well.
age 55dx 12-2008,psa at biopsy 8.6
biopsy 12/12 gleason 3+4=7
da vinci surgery 6-09 nerve sparing by DR. John W. Scott (my hero)
Hospital 3 days cath 7days still leaking from cough(bad lungs)
still have ed may be the hormones.
9-09 psa 2.2 hormone inj
10-09 nuclear bone scan no results yet I will have gold markers placed 12-29-09
start rad 1-10-10
organ confined
extracapsular seminal vesicle involvement
lymph node involvement

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