I thought your post above was way too biased without merit. There are excellent surgeons that only do
open surgeries by choice, having done hundreds and in some case, thousands of operations. There are surgeons that are only doing robotic, and they have to come up to their own learning curve with the technology. And there are surgeons that do both, depending on the patient's need and choice. There are plenty of high level surgeon's that just like to have their real hands inside their patient, and like to the tactile feel as they are operating. In our day and age, excessive bleeding is rare in an
open surgery, and on the other hand, there have been rare cases of excessive bleeding even in robotic surgery. No way to generalize the choice.
As far as your buddy having stricture/blockage issues, that can come from either form of surgery, one isn't more prone than the other to cause it, there are other personal and internal issues that set the stage for strictures, and trust me, after fighting this issue for over 15 months, I am speaking first hand.
It still comes down to finding a skilled surgeon to handle your PC surgery if that is the treatment method a man is going with. Lots of experience by itself isnt the whole answer, it has to be about
the quality of the surgery. I sure wouldn't want to be operate in the equivilent of a surgery mill, and let's see how many we can crank out a week.
The healing process is so individual and subjective, hard to ascertain what is really better. Both methods of surgery are major, one is less invasive at the onset, but the jury is out in my opinion, if there is any provable gain with incontinence and/or ED by choosing
open or robotic.
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, no problem post SRT
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 43 days, 1/19 - Corr Surgery #4, Caths #11 and #12 same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, Caths #13 & #14 same time, 3/6 Cath #13 out - 4 days