Sonny, I am so glad you posted what you just did, there's second point in your words that I feel gets missed sometimes. You had a top notch surgeon, not a doubt in the world. And yet you had an amazing fast track to recurrance, and we know, you are on the finishing up end of your IMRT treatments. Yet, you do not blame your surgeon. Too often, people want to associated positive margins or recurrance in general as meaning it wasnt' a "good" surgery, or that the doctor didnt do a good job. I always found that opinion absurd.
You are quite right, your cancer is unique to Sonny. It may be called Prostate Cancer, but where yours was located, how it may have moved about
, where it is now, etc, are completely unique to your body. Cancer doesnt leave a dotted line, make audible sounds, for a surgeon to follow. That's where the real experience factor comes into play. RP are among the most complicated surgeries known, and a lot can go wrong with an inexperienced surgeon.
Like you, I have never once blamed or even had the thought to blame my uro/surgeon for my recurrance. I had a good surgeon who did a good surgery. His experience probably saved it from even being worse. At his hands, I had the most minimal issues with incontinence for a month or less, and one of the foruntage few having zero ED problems from day one. So he did something right.
Also, it was not my surgeon fault that I had a very deep and narrow prostate bed, which would have denied me having robotic had I chosen it, and did set up the complications that left me with all these blockage issues that I am stil fighting.
You had a brand name famous surgeon, I had a good local surgeon that I wouldn't expect anyone to know, and yet we both are dealing with recurrance and IMRT. It's our body's doing, not the surgeons.
David in SC
Yesterday when the Rad. Oncl. officially released me and turned me back over to my Uro/Surgeon, it gave me a measure of relief and comfort. I trust the man.
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
Post SRT PSA: 1/10 .12
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
Post Edited (Purgatory) : 1/5/2010 8:02:12 AM (GMT-7)