Goodlife, still see your point too. Yes, my surgeon said my prostate bed was very deep and narrow. Too narrow for a robotic procedure had I chosen to have it that way. He said if that had been the case, they would have had to abort the robotic procedure and gone to
open anyhow. Glad my heart wasn't on getting robotic. My surgeon (and his practice now does lots and lots of robotics, compared to when I had to make the choice), says that while the magnification aspect is a definite plus in robotic, he personally feels strongly about
the tactile file of having his hands inside as he proceeds. I am sure we would get a mix of opinions from all of our surgeons used with us surgery guys at HW. I don't think its a right or wrong situation. It was the right side access to my prostate that gave him all the trouble, and why originally, he was going to remove the nerve bundle on that side as well as the left. Couldn't do it cleanly, so it was left "as is". As it were, all the cancer reported in my pathology was left sided. Makes me wonder what would have happened if it had all been right sided instead? Guess its a mute point now.
Even thought the ultimate purpose of my
open surgery failed, I still have no regrets based on my pre-surgery stats about
going that route, and no regrets on my uro/surgeon. I could have a higher level surgeon, perhaps, no guarantee, if I had wanted to go out of area to Atlanta or Charlotte - that would have made more sense to me had I wanted robotic, as those bigger cities have more experienced robotic centers.
My best to you too. Glad you are still pulling zeros, that's the important part.
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