Home from Vanderbilt Medical Center after RALP... sore but glad to be home.

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RickyD
Regular Member


Date Joined Dec 2009
Total Posts : 163
   Posted 4/5/2010 2:21 AM (GMT -6)   
My date with DaVinci is Wednesday(4/7) at 7:30AM at Vanderbilt Medical Center with Dr. Joseph Smith.
I am confident all will be fine.. but still nerve racking as it gets closer.
I will stop in as soon as I feel up to it after the surgery to keep all informed.
cya soon fellows (and ladies).
 
Rick


Age 55,  PSA = 4.97 on 11/17/09, DRE negative,
Biopsy 12/2/09: 1 of 12 cores positive with less than 5% volume
Gleason 3 + 3 = 6
Prostate Size Estimate on 12/2/09 = 28 cc
RALP is scheduled for April 7, 2010 at Vanderbilt University MC with Dr. Joseph Smith (over 3000 RALPs)

Post Edited (RickyD) : 4/9/2010 2:19:22 PM (GMT-6)


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4849
   Posted 4/5/2010 5:16 AM (GMT -6)   
Looking forward to seeing you on the other side.
 
Hope everything comes out OKsmilewinkgrin
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.


tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2845
   Posted 4/5/2010 5:55 AM (GMT -6)   
Ricky - wishing you all the best -
-hugs
BRONSON
.................
Age: 54 - gay - with common-law spouse of 13 years, 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: Feb 2010- 3-5 pads/1-2 clothes changes/day- March 3, 2010 - week 14 after surgery -finally seeing improvement - March 29- incontinence better - 1-2 pads a day - one pad at night
location: Peteborough, Ontario, Canada
Post Surgery-PSA: to be announced - April 8, 2010
............


skeener
Regular Member


Date Joined Dec 2009
Total Posts : 214
   Posted 4/5/2010 6:10 AM (GMT -6)   

Ricky

Wishing you all the best.   Do let us know how it goes!!

Skeener


Age:  63 
Biopsy: May 09 showed 2 of 12 cores positive for prostate cancer -- 1 at 5% and 1 at 25%.  Cancer indicated as non aggressive.  Gleason Score: 3+3.
RRP on Oct 23/09 in London, Ontario.  Excellent surgeon. 
7 Weeks Post Op -  The fears I had about bad things about the operation and recovery did not materialise except of course ED!!.  Otherwise, everything went very smoothly.  Incontinence not a problem.  Wear a pad when out just in case. Pain was never a problem.
Pathology:  Unremarkable 
First followup PSA and Visit: Feb 11/10 - 0.0.
 
Next PSA May
Next doctor's visit in 6 months      


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 4/5/2010 6:19 AM (GMT -6)   
Heah Ricky...good luck! I'm sure you'll do just fine.

Come back and visit once you're "back on your feet."
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (solitary focus of extraprostatic extension). Perineural tumor infiltration present. Apex margin, bladder neck and SVs negative. Final Gleason 3+4. PSA: 0.0 til July 2009. August 2009 - 0.1, September 0.3, October back to 0.0, December 0.0, March 2010 0.0. Next PSA in 6 months. Thank you God!


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 4/5/2010 6:39 AM (GMT -6)   
Good luck, Rick.

Hope all goes well and smooth, and look forward to hearing from you safely on the other side.

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, 3/6 Cath #13 out - 4 days, Cath #14 out - 27 days, Cath #15 - 3/29


Gleason7
Regular Member


Date Joined Feb 2010
Total Posts : 111
   Posted 4/5/2010 7:08 AM (GMT -6)   
Morning RickyD
Your numbers suggest your procedure will be a BREEZE!

74 yrs. old DaVinci robotic 2/10/10 Henry Ford Dr. Peabody. PSA 6.7 with 2 of 12 cores positive gleason 3+4=7. Cancer contained, lymph nodes & nerve bundles saved. Overnight stay, penile catheter out the next day (home less then 24 hours after surgery). Prostate size of a lime which required a little extra time to re-attach the urethra. 40 day PSA undetectable. Usually one pad / day unless I do some sneezing, lifting, or lots of physical stuff. Couple of Tylenol 3's at home but pain not an issue, Shower the second day home felt GREAT! Pubic catheter out after 10 days.

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3743
   Posted 4/5/2010 7:15 AM (GMT -6)   
Ricky,
We'll save a spot for you at the table.
Don't forget to say "Domo Arigato".
Good Luck.
Jeff
Married 34 years, DX Age 56. First routine PSA test on April 8, 09: 17.8. Start 2 weeks of Cipro to rule out protatitis. May '09 PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, 20%-70%, Gleason 6=3+3. Bone and C/T scans neg.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7, Tumor size: 2.5 x 1.8 cm, location: both lobes and apex.
Extraprostatic extension present; Perineural invasion: present, extensive.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 12/11 5 months, Still no activity, zip. Using pump daily since 11/11. No effect with 20 mg of Cialis or 100 mg of Viagra. Shots next See Uro 1/22/10 Trimix #1. Try 0.08- 25%, 0.12-25%, 2/26/10 try 0.16 First Success! 90%.
Incontinence - 8/20 4 full pads per day
.. 9/7 3-4 full pads per day (Try cutting down on fluids. Bad idea. I know.)
12/11/09 5 months: 3 pads per day, 400-450ml/day
02/26/10 7 months: 3 pads but leak is now 320 ml (5 day avg.)
03/22/10 8 months: 3 pads per day, 280 ml/day (5 day avg.) PT says all muscles are tight and working properly. There must be another issue. Uro mtg 4/23. Did I waste 6 months?
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04, 1/14 6 months - 0.05.


lewvino
Regular Member


Date Joined Jul 2009
Total Posts : 384
   Posted 4/5/2010 7:28 AM (GMT -6)   
You are in good hands with Dr. Smith and his team. He did my Robotic surgery in August 2009. Doing great now.
Was 99.9% dry the day the cath came out and having success with Levitra.
 
Larry
Age 55 / age at diagnosis 54, PSA 5.1
Robotic surgery 08/12/09 at Vanderbilt, Nashville TN. 
Final Path report:
20% of the prostate Involved
Tumor graded at T2C
Overall Gleason 3+4 (7)
Lymph Glands Clear, Positive Margin Noted in Right Apex
 
First post Surgery PSA - 0
Six month PSA - 0


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2243
   Posted 4/5/2010 8:22 AM (GMT -6)   
Ricky,
You will be a  great facility and as Larry stated in good hands with a great surgeon. I have thought about it since my surgery and I should have video taped my prep work, i.e. fleet and etc, and then buried it in a time capsule for my great- great grandchildren to see. Looking forward to your first post after surgery.
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


Sam Sadi
New Member


Date Joined Mar 2010
Total Posts : 6
   Posted 4/5/2010 10:37 AM (GMT -6)   
Wishing you the Best outcome!
Sam in Redondo Beach
__________________________
 

Age, 59 - with spouse,  Emily
PSA, 10/2009- 2.00  Then 12/2009 - 4.9
Prostate Cancer Biopsy,  November 25, 2009  
Biopsy,  Adenocarcinoma, Gleason 8 (4+4)  T1c ,  Organ Confined (OC) 46%,  Capsular Penetration (CP) 45%, Sem Ves (SV+) 5%,  Lymph Node involvement (LN+) 3%
Radical Prostatectomy Operation, Feb 18, 2009

Location,  Torrance, California

 


t-dog
Regular Member


Date Joined Dec 2009
Total Posts : 154
   Posted 4/5/2010 11:20 AM (GMT -6)   
All will be well Rick, good luck!
Dx at 50 in 12/09 Merry Christmas its cancer....
3 of 12 positive, right side only, psa at dx 2.6 free%14
gleason 3+3=6
routine physical, no symptoms
Da Vinci performed Feb 2k10 by Dr Marc Milsten [hes got mad skills]
99% continent from cath out, mr happy fully functional at 2 weeks out!
path showed same gleeson with no other blips other than one slight margin, organ confined 20% right, 5%left, 34grams
Hernia repair Mar 2k10, hernia was side effect of the surgery
 


Magaboo
Veteran Member


Date Joined Oct 2006
Total Posts : 1211
   Posted 4/5/2010 12:51 PM (GMT -6)   
Hi Rick,
 
Just wanted to add my name to the list of well wishers. Looking forward to reading a positive report from you in a few days.
All the best to you on your new adventure.
 
Magaboo

Born Sept 1936
PSA 7.9
-ve DRE
Gleason's Score 3+4=7, 2 of 8 positive
Open RP 28 Nov 06 (nerve sparing), Post op staging T3a
Gleasons still 3+4=7
Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06, Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05; Sept.=.08; 3 days before Rad Start=0.1
Salvage RT completed (33 sessions - 66 Grays) on the 19th Dec., 08.
PSA in Jan., 09=0.05; July 09=<0.04; JAN 10=<0.04


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4119
   Posted 4/5/2010 1:23 PM (GMT -6)   
Rick, Will be thinking about you. Should be a wall in the park. Well be looking for you on the other side!

Cajun Jeff
9/08 PSA 5.4 referred to Urologist
9/08 Biopsy: GS 3+4=7 1 positive core in 12 1 pre cancer core
10/08 Nerve-Sparing open radical
Surgery Path Report Downgrade 3+3=6 GS Stage pT2c margins clear

3 month: PSA <0.1
6 month: PSA <0.1
10 month:PSA <0.1
1 year: PSA <0.1
16 month:PSA <0.1

ED - Started Cialis at 3 months, tried all 3, 6 months added pump, 9 months Tried MUSE (YUCK) Bad experience.
1 year mark Found new Urologist visit was at 14th month post surgery
Started Injections, Caverject! (Success)
17 month: ED making improvements : Oral Meds gets me 85%


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 4/5/2010 4:14 PM (GMT -6)   
Yep, breathe in, breathe out. We'll be here to welcome you to the other side... smilewinkgrin
James C. Age 63
Gonna Make Myself A Better Man www.youtube.com/watch?v=a6cX61oNsRQ&feature=channel
4/07: PSA 7.6, Recheck after 4 weeks Cipro-6.7
7/07 Biopsy: 3 of 16 PCa, 5% invloved, left lobe, GS3+3=6
9/07: Nerve Sparing open RRP, 110gms, Path Report- Stg. pT2c, 10 gms., margins clear
32 Months: PSA's .04 each test since surgery, ED continues: Bimix- .3ml PRN, Trimix- .15ml PRN


mvesr
Veteran Member


Date Joined Apr 2007
Total Posts : 823
   Posted 4/5/2010 8:50 PM (GMT -6)   
Ricky

Good luck to you and let us know how it went when you get back to the computer.

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


IdahoSurvivor
Veteran Member


Date Joined Aug 2007
Total Posts : 1015
   Posted 4/5/2010 11:43 PM (GMT -6)   
Hey Ricky,

Being a robotic veteran tongue , I believe you'll be just fine.

My robotic surgery was a breeze compared to my two hernia surgeries and those weren't all that bad either.

I know everyone is different, but I went home within 2 days with very little pain.

See you on the other side, brother!

Barry
Surgery: Da Vinci; July 31, 2007; 54 on surgery day;
Pathology: PSA: 4.3; Gleason: 3+3=6; T2a; Confined to Prostate;
Post RP PSAs: 09/'07 <0.04; 12/'07 <0.04; 03/'08 <0.04;
06/'08 <0.04; 12/'08 <0.04; 06/'09 =0.06; 09/'09 <0.04; 12/'09 =0.05;
Latest PSA 3/'10 <0.04


Red Nighthawk
Regular Member


Date Joined Oct 2009
Total Posts : 289
   Posted 4/6/2010 6:23 AM (GMT -6)   
Hi Ricky,
Wishing you a highly successful outcome. You'll be fine.
Age: 62
Pre-op PSA: 4.1
Post-op pathology:
Gleason grade: 3+4=7, present in both lobes, at least 1.1 cm, and occupying less than 5% of prostate by volume. pT2c NX MX
No lymphatic/vascular invasion present.
Seminal vesicles and extraprostatic soft tissue free of tumor.
Inked margins are free of tumor.
High grade prostatic intraepithelial neoplasia is present
Robotic RP: Sept. 15th, 2009 1 day in hospital, cath out on 9th day
Post-op PSA: at 4 weeks ---> .04
three months -> .03 (the trend is my friend!)
ED: Improvement is very slow but there are positive signs. Doc has NOT put me on ED drugs yet.
One pad/day for the first six weeks. Two pairs of underpants, just to play it safe, for a few months.
Surgery: Dr. Jim Hu. Brigham & Women's Hospital, Boston


Timm
Regular Member


Date Joined Feb 2010
Total Posts : 83
   Posted 4/6/2010 12:27 PM (GMT -6)   
Hey Rick
 
  Kind of a strange place, to be in, I go in a week after you, on the 14th. I know it has to be done, but does'nt make it any easier.
I figure all I have to do is get in the car and walk though the Hosp. door the rest is someone elses problem, I just have to heal an get better. Hang in there Bud--Tim
 
 
 
58 yr.
PSA.  6.58
3+4-7
8 of 12 cores pos.
robot 4/14
 

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 4/6/2010 12:47 PM (GMT -6)   
Tim: Good luck on your upcoming surgery too, please keep us well posted, and let us know when you are safely on the other side.

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, 3/6 Cath #13 out - 4 days, Cath #14 out - 27 days, Cath #15 - 3/29


Timm
Regular Member


Date Joined Feb 2010
Total Posts : 83
   Posted 4/6/2010 1:08 PM (GMT -6)   
Thanks David
 
...... and for all your help.      Tim

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7087
   Posted 4/6/2010 1:26 PM (GMT -6)   
Just remembering that day before's liquid diet - my family came in "for support", and fired up my kitchen while I was on broth. Oh well -
Take care, and let them lead for the next few days.

Burlcodad
Regular Member


Date Joined Nov 2009
Total Posts : 254
   Posted 4/6/2010 7:15 PM (GMT -6)   
Best of Luck - keep us posted
 
Ray
Diagnosed 9/09 at age 54  
PSA 6/09 1.3
Stage 2b (biopsy done because of firmness felt on right side) 3 positive cores out of 12 (all less than 25%) Gleason 6
 
Surgery  1/13/10 at UP- Penn Presbyterian - Dr David Lee. Home 1/14/10 Nerves spared on both sides -Catheter removed 1/19/10  Path report scheduled for 2/11/10
 
Pathology Report Gleason score was upgraded to 7 (3+4)
no capsular involvement, seminal vesicles clear, lymph nodes clear, negative margins, gland involvement 2-10%
 
Since report was good and recovery going well next appt is now  the first psa test appt scheduled for 4/22
 
Incontinence - Initial 6 pads a day, 3 Weeks - 3 pads a day relatively dry at night
 
ED - yes but seeing some improvements - levitra 10 mg 2x week
 
 


deer hunter
Regular Member


Date Joined Jan 2010
Total Posts : 250
   Posted 4/6/2010 8:02 PM (GMT -6)   
Best of luck see you on other side hope things go well for you
DEERHUNTER
dx age 57 01/06 open RP 4/06 psa in 01/06 8.1  surgery path report Gleason 3+4=7 poorly differentiated  tumor was 90%involved in both lobes surgical margins postive. in the right apex and right radial margins tumor grade G3  perineural invasion present high grade of PIN found  T2c NX MX PSA 0706  .01 10/06 .02 01/07 .03 04/07 .04  06/07 .05  07/07 .08 07/07 bone scans pelvic ct neg. 08/07 proscintic scan neg.9/07 psa.10 net with rad onc. wanted to do SRT but i did not do it 10/07  saw a new dr at Emory University [my old dr urg. suggested second opinion ]  bone scans negs ct scans pelvics neg. biopies of the bladder and adrinal glands neg.another proscintic scan neg.12/07 Psa .11 clinial trial Emory injected with protons to try and find the cancer cells no luck 3/08 psa .17 06/08 psa .23 psa 09/08 psa .32 12/08 psa .39 3/09 psa .39 6/09 psa .43  meet with medical onc. he said  i might have waited to long to start SRT 7/09 psa .50  another bone scan ct scan all neg.MRI neg. meet rad. psa the last of 7/09was .55 onc. 7/09 started casdex 50mg 1 day for 30 days 2 shots of lupron started rad treament 10/09 40 treatments 75 gm 12 shots each time all aroud pelvic finished 12/09  psa .07 and psa 01/10.05 next dr visit 03/10 wait and see 3/10 psa.05


keysailfisher
Regular Member


Date Joined Dec 2009
Total Posts : 347
   Posted 4/6/2010 8:29 PM (GMT -6)   
Good luck tomorrow Ricky, let us know how you are when your able.
 
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/ Down to 1 pad at 6 weeks out
PSA 3/29/10 <0.01

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