I'm glad you found Dr. Catalona's site informative. There's another article you should read from www.usnews.com dated October 13, 2009. It begins with the statement...."Heightened risks for post operative incontinence and impotence may outweigh any benefits from minimally invasive "keyhole" surgery for prostate cancer , a new study suggests........I'm five weeks out from "open" prostatectomy, and I have 0 regrets. I'd do it again at the drop of a hat. Once I decided against radiation or seed implants, I too, wanted robotic surgery. Then I came across the above referenced article. When my surgeon told me he wouldn't perform robotic on me due to prior colon cancer surgery, I was more than happy to go with "open" surgery. I was 98% dry when the catheter came out and "took matters to hand" successfully later that day. When it comes down to peeling those nerve bundles away from the prostate to preserve erectile function, I think I would want a surgeon's "feel" performing that task, but then again, that's just my personal opinion....
1996, Age 48, Stage III Colon Ca, Colon Resection followed by 18 chemo treatments.
2000, Colon Ca Metastasis to upper left lung lobe. Lung lobe surgically removed. 24 chemo treatments scheduled. Took 1, declined the rest.
9/08 PSA is 2.8, 12/08 PSA is 4.56?? Chalk it up to prostatitis due to urinary retention after Nissen Fundo Surgery. VA docs prescribe 30 days of Septra. Prostate feels normal. PSA hovers around 4.1. VA docs want prostate biopsy but can't seem to get me into the schedule. Continue through Spring and Fall of 2009 thinking I have prostatitis. Bacteria cultures are always neg. PSA drops to 3.1 10/09.
12/09 Prostate Biopsy performed
3 of 10 cores positive, 5%, 25%, & 35%, 3 + 3= Gleason Six with perineural invasion.
Doc wants CT Scan due to prior Colon Ca. Findings: "The seminal vesicles are irregular & there is nodularity in the periprostatic fat such that local extension cannot be excluded. Shotty lymph nodes in both groin measuring 2.3 cm."
Doc wants Endo-rectal MRI (OUCH!) Findings: Mild central zone BPH, no discrete focus of carcinoma is identified, no evidience of invasion into the periprostatic fat or seminal vesicles. Normal size iliac chain lymph nodes.
2/08/10 Open RP surgery. Findings: Gleason Six upgraded to Seven. 3 + 4, Stage pT2c, Bilateral w/perineural invasion, No pos lymph nodes, margins uninvolved, no extraprostatic extension, no seminal vesicle extension, 39 grams, blood loss 1200 ml (didn't want a transfusion & didn't get one) nerve bundles spared bilaterally. current age-61