Date with diVinci

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Chatuge
Regular Member


Date Joined Mar 2010
Total Posts : 37
   Posted 3/23/2010 9:03 AM (GMT -6)   
Well, the wife and I drove through snow flurries from NC to Atlanta Ga and back yesterday (240miles rt).  I am scheduled for surgery on 20 April.  Dr Shah was very informative and took a long time to explain everything.  He had personally done 2,620 diVinci procedures as of yesterday! The surgery will be done in St Josephs hospital and the day of prep and a day or two of r&r in the Mariott next door before the 2 1/2 hour drive home.  The wife and I are as comfortable with our decision as we can be now and are ready to move on.  Thanks again for everyones comments, information, and support.
Age 67,married to the same one 45 years, PSA's: 10/05=2.35, 4/06=2.59, 7/07=2.94, 7/08=3.91, 10/08=4.42, 7/09=6.73, 1/10=7.68.  First 12-needle biopsy 2/09 revealed no cancer.  Second 12-needle biopsy 2/10 w/results received 02-16-10 revealed rt lateral base adenocarcinoma with approx 17% of submitted tissue involved, left base and left lateral mid diagnosed  as Prostatic Intraepithelial Neoplasia (PIN), High Grade, with the remaining 9 tissue samples ok.  My Gleason's score is a 7 (grades 3+4).  I considered HIFU clinical trials at UNC Chapel Hill however they accept nothing over a 3+3.  First appt with diVinci surgeon 3-22-2010.


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4848
   Posted 3/23/2010 9:05 AM (GMT -6)   
Good luck and see you on the other side.

Age 55   - 5'11"   215lbs
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.


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 3/23/2010 9:12 AM (GMT -6)   
The study is over, the decision is made, now relax and enjoy the time until the date. You got about a month, so consider it a extended vacation and get out and do things you wouldn't ordinarily do, including date night with your wife...
James C. Age 62
Co-Moderator- Prostate Cancer Forum
Gonna Make Myself A Better Man: www.youtube.com/watch?v=a6cX61oNsRQ&feature=channel
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP 110gms.- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
32 mts: PSA's: .04 each test since surgery, ED Continues-Bimix .3ml PRN or Trimix .15ml PRN


tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2845
   Posted 3/23/2010 9:38 AM (GMT -6)   
Wishing you all the best - James said it very well - time to relax and get away from it before starting the next segment of the journey -
(QUESTION - do you remember your first day with your wife? I bet she does ) wink
hugs to you and your wife
BRONSON
.................
Age: 54 - gay - with spouse, Steve - 59
PSA: 04/2007- 1.68 - 08/2009 - 3.46 - 10/2009 - 3.86
Confirmation of Prostate Cancer: October 16, 2009 - 6 of 12 cancerous samples , Gleason 7 (4+3)
Doctor: Dr. Mohamed Elharram -Urologist / Surgeon - Peterborough Regional Health Centre
Radical Prostatectomy Operation: November 18, 2009 , home - November 21, 2009
Post Surgery Biopsy: pT3a- gleason 7 - extraprostatic extension - perineural invasion - prostate weight - 34.1gm -
ED Prescription: Jan 8/2010 - started daily 5mg cialis - girth back to normal -but not much length - will go for trimix in April when I see doc
Incontinence: 3-5 pads/1-2 clothes changes/day- finally seeing improvement - March 3, 2010 - week 14 after surgery -
location: Peteborough, Ontario, Canada
Post Surgery-PSA: to be announced - April 8, 2010
............


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 3/23/2010 10:18 AM (GMT -6)   
We look forward to seeing you safe and on the other side. You will be passing near me if you are cutting through SC on I-85. Good luck, and enjoy these next few weeks. You have a great excuse to get in all the extra sex you want, before surgery, and before any side effects happens, so enjoy, enjoy, enjoy.

Sounds like you got a very experienced surgeon there.

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, 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


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2243
   Posted 3/23/2010 10:22 AM (GMT -6)   
Chatuge,
I was thinking of you yesterday and was hoping you would post today. Glad it went so well and that is a good idea to spend a couple of nights in Atlanta after the surgery, especially given the drive over the mountains. I think you will also like Dr. Shahs surgical assistant as he was very helpful. He and his wife are from the Phillipines and are both nurses. Now you can put this part behind you and rest up for April.
 
Check with your wife to see if you can host a keg and pretzel party at Lake Chatuge in early May. Lots of us would like to spend time on the lake and what a great way to celebrate the cath being removed.
Michael
Dx with PCA 12/08 2 out of 12 cores positive 4.5 psa
59 yo when diagnosed, 61 yo 2010
Robotic surgery 5/09 Atlanta, Ga
Catheter out after 10 days
Gleason upgraded to 3+5, volume less than 10%
2 pads per day, 1 depends but getting better,
 started ED tx 7/17, slow go
Post op dx of neuropathy
T2C left lateral and left posterior margins involved
3 months psa.01, 6 month psa.4, 6 1/2 month psa.5
Starting IMRT on 1/18/10, Completed 39 tx at 72 gys on 3/12/10
Great family and friends
Michael


Chatuge
Regular Member


Date Joined Mar 2010
Total Posts : 37
   Posted 3/23/2010 10:52 AM (GMT -6)   
Thanks Steve/James you read my mind!/Bronson yes I do!/David we are in extreme western NC so we go down further to the west than 85 however the wife goes to a sewing class in Center!/Michael, come on up-got a pontoon and we'll go on a wine-sipping-beer sunset cruise.
John
Age 67,married to the same one 45 years, PSA's: 10/05=2.35, 4/06=2.59, 7/07=2.94, 7/08=3.91, 10/08=4.42, 7/09=6.73, 1/10=7.68.  First 12-needle biopsy 2/09 revealed no cancer.  Second 12-needle biopsy 2/10 w/results received 02-16-10 revealed rt lateral base adenocarcinoma with approx 17% of submitted tissue involved, left base and left lateral mid diagnosed  as Prostatic Intraepithelial Neoplasia (PIN), High Grade, with the remaining 9 tissue samples ok.  My Gleason's score is a 7 (grades 3+4).  I considered HIFU clinical trials at UNC Chapel Hill however they accept nothing over a 3+3.  First appt with diVinci surgeon 3-22-2010.


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 3/23/2010 12:08 PM (GMT -6)   
Chatuge, looking forward to seeing you on the other side.

I spent five nights in a hotel after my da Vinci and I encourage you to book for more than two. You can always check out, but if you've got a week, I'd not be surprised if you took more than two nights of it. A hotel is a perfect place. Clean sheets every day. Room service. A coffee shop down stairs. Places to go outside for walks that are different. And a taxi stand outside the door to take you to a big mall --- and a big mall is a great place to go walking, have some lunch, and do some more walking. And, I didn't have friends and neighbors dropping in to say hello when I least wanted to see people I knew. By the time I was home I was ready to take on the people who felt they just "had" to visit. One nice bonus is we were close to the hospital, and the experienced medical staff, and this was a huge comfort to my wife. She was an OR nurse, and not someone who needed a lot of medical support, but knowing the experts were close at hand made her life easy too. We actually had a great time together and adjusting to post surgical life. It was a holiday. So, consider booking the Marriott for a week. By the way, the hotel I was at had a special hospital rate. Worth asking about.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
From "knock out" to wake up in recovery less than two hours.  Actual surgery 70 minutes
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
First post op PSA Sept 09  less than 0.02
PSA on Oct 23 test again less than 0.02
PSA on Jan 8 less than 0.02  
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7 
Feel free to email me at:  sheldonprostate@yahoo.com    


Chatuge
Regular Member


Date Joined Mar 2010
Total Posts : 37
   Posted 3/23/2010 12:38 PM (GMT -6)   
Thanks Sheldon, I did check on the rates and they give 50% off for hospital patients.  I may just take your other advice and stay a little longer.  I'm the worlds worst passenger in a vehicle-I get motion sick-so I really need to feel good when we start the trip home although the doc said a couple of pain pills before and I wouldn't even know about the trip!!!Looks like you are doing really well-hope I can say the same in a few months.
Age 67,married to the same one 45 years, PSA's: 10/05=2.35, 4/06=2.59, 7/07=2.94, 7/08=3.91, 10/08=4.42, 7/09=6.73, 1/10=7.68.  First 12-needle biopsy 2/09 revealed no cancer.  Second 12-needle biopsy 2/10 w/results received 02-16-10 revealed rt lateral base adenocarcinoma with approx 17% of submitted tissue involved, left base and left lateral mid diagnosed  as Prostatic Intraepithelial Neoplasia (PIN), High Grade, with the remaining 9 tissue samples ok.  My Gleason's score is a 7 (grades 3+4).  I considered HIFU clinical trials at UNC Chapel Hill however they accept nothing over a 3+3.  First appt with diVinci surgeon 3-22-2010.
-surgery scheduled 04-20-10.


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 3/23/2010 1:33 PM (GMT -6)   
Chatuge, I am doing well, and I'm sure you will too.

One great piece of advice I got from the group here, and from several friends who had donated their prostate to medical science, is that recovery isn't a race against how others are doing, or did, and especially not against some "goal" you've imposed on yourself. It's not easy to allow yourself the luxury of a few extra days in the hosptial (in many ways it was really a luxury for my wife, so that made it an easier sell to myself) or to not fuss about meeting a self imposed goal to be back at work, cutting the grass, golfing again, whatever. We really enjoyed our hotel time and just being together without others around. And, the hotel had a big honking flat screen on the wall at the end of the bed.

Keep us posted.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
From "knock out" to wake up in recovery less than two hours.  Actual surgery 70 minutes
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
First post op PSA Sept 09  less than 0.02
PSA on Oct 23 test again less than 0.02
PSA on Jan 8 less than 0.02  
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7 
Feel free to email me at:  sheldonprostate@yahoo.com    


142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7082
   Posted 3/23/2010 1:45 PM (GMT -6)   
I agree on the "stay a few days longer" suggestion. I wound up staying three more days than expected in the hospital after DaVinci - just didn't meet the criteria for leaving. Later I realized what a lousy patient I would have been at home. We had considered a small hotel near my apartment as an option, since I have a lot of stairs that limited my access. Because of the extra hospital time, it wasn't needed, but the reasoning is solid.

Ricky2
Regular Member


Date Joined Dec 2009
Total Posts : 97
   Posted 3/24/2010 11:33 AM (GMT -6)   
Good Luck and God Bless! Will be looking for the goodness on the other side.

Ricky2
Age 70

PSA 5/2008- 3.6, PSA 7/2009- 6.1, retested 9/2009-5.1.
Biopsy 9/2009. 4 of 12 positive. Gleason 3+4=7
CT and bone scan negative.
Robotic De Vince Surgery 10/29/2009. 1 night in hospital. No pain. Cath out on 11/6
Pathology Report: Gleason score 3+4. Margins slightly involved <.1mm to .25mm. Perineural invasion present, stage pT2c. Tumor 18%. Seminal Vesicle - absent, Lymph Nodes 0 of 6.
Continence- first 4 weeks after cath out Dry at night, rest of time, bladder held nothing. 6-7 pads per day. as of 12/30 no pads most of time. almost dry except for a few drips. I keep doing Kegels.
ED. Started VED on 12/17/2009. Every other day for 15 min. Cialis .20 mm twice a week
PSA 02/08/2010 <.1
02/22/10 Trimex injection .2ml less than 50% just a little discomfort.


mvesr
Veteran Member


Date Joined Apr 2007
Total Posts : 823
   Posted 3/24/2010 7:08 PM (GMT -6)   
Hi,


Good luck to you on your surgery and let us know how you do. By the way, go by the Varsity and get a couple of dogs and a milkshake. See you on the other side.

Mika
age at dx 54 now 57
psa at dx 4.3
got the bad news 1/29/07
open surgery Duke Medical Center 5-29-07
never more than 2 pads
ED is getting better
the shots work great, still can't give them to myself
two years of zero's
Retired again after 36 years February 1, 2010


keysailfisher
Regular Member


Date Joined Dec 2009
Total Posts : 347
   Posted 3/24/2010 7:34 PM (GMT -6)   
Good luck with surgery, i think Sleepless09 said it the best. See you on the other side.
 
Neal
age 45
psa 3.09
Biopsy results 12/9
Left side base 3+3=6 21% 2/2 cores positive
Left side mid  3+3=6 100% 2/2 cores positive
Left side apex 3+4=7 88% 2/2 cores positive
Right side - 0/6
CT & Bone scan negative
Davinci Feb. 5th 2010/ cath removal 2/16
 
Gleason-3+4=7
Extent of tumor-Bilateral
Extraprostatic Extension-Absent
Seminal Vesicles-Negative for tumor
Surgical Margins-Rt apical margin focally positive
lymphovascular invasion-Suspicious in areas of capsular involvement
Regional lymph nodes-One node negative
Stage-T2c NO Mx
Incontinence-yes


craig10
Regular Member


Date Joined Feb 2010
Total Posts : 117
   Posted 3/24/2010 8:21 PM (GMT -6)   
you will do well--- the surgeon's experience is a huge factor... god bless
age 55, married, kids and grandkids
2008 psa 4.7
2010 psa 5.5
biopsy 2-10 -- 3 of 12 samples positive ca 60% 25% and 20%
perineural invasion not seen
location rt apex
3+4=7
waiting for second opinion--
negative prostascint/mri fusion for ca in body scan, pelvic scan, and neg scan in pelvic lymphs or vas def's bi-lat
meeting next week with surgeon at City of Hope...


craig10
Regular Member


Date Joined Feb 2010
Total Posts : 117
   Posted 3/24/2010 8:23 PM (GMT -6)   
you will do well--- the surgeon's experience is a huge factor... god bless
age 55, married, kids and grandkids
2008 psa 4.7
2010 psa 5.5
biopsy 2-10 -- 3 of 12 samples positive ca 60% 25% and 20%
perineural invasion not seen
location rt apex
3+4=7
waiting for second opinion--
negative prostascint/mri fusion for ca in body scan, pelvic scan, and neg scan in pelvic lymphs or vas def's bi-lat
meeting next week with surgeon at City of Hope...


DS Can
Regular Member


Date Joined May 2009
Total Posts : 195
   Posted 3/24/2010 9:49 PM (GMT -6)   

Chatuge,

Use the next 4 weeks to stay in shape before surgery.  Keep active, exercise and get plenty of rest.  Walking after surgery was an OK activity, but I much prefered being layed out in the recliner with the mp3 player on "Relaxation".  I hope that everything goes well for you and that you are as well off as I am or better in a year from now,

Dan


PSA 01/07 1.2, PSA 01/08 1.9, PSA 01/09 2.5
BIOPSY 02/24/09  PCa DX age 52
Right: 3+3=6, 3/6 cores 10% involved,PNI-Y
Left:  3+3=6, 1/7 cores <5% involved,PNI-N
LARP 04/09/09 nerve sparing. Final pathology:
GS 3+4=7, Margins uninvolved, 2 lymph nodes negative
Catheter out 04/17,1st no-pad day 05/03
Followup PSA 05/28/09,08/20/09,12/08/09 <0.1
 
 

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