Selecting a Surgeon

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medved
Veteran Member


Date Joined Nov 2009
Total Posts : 1096
   Posted 4/10/2010 5:26 PM (GMT -6)   
A colleague and friend has decided to have his prostate removed and is considering surgery with Dr. Alan Partin or Balentine Carter at Johns Hopkins, or Peter Scardino at MSK.   Does anyone have personal experience they can share about surgery with any of these docs?  I know they all have terrific reputations, but I am wondering if anyone can share personal experiences.   Many thanks.
 
 
 
Age 46.  Father died of p ca. 
My psa starting age 40: 1.4, 1.3, 1.43, 1.74, 1.7, 1.5, 1.6
 


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4223
   Posted 4/11/2010 11:14 AM (GMT -6)   
Flip a coin, they are both excellent.
JT

64 years old.

PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.

2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G7, 4+3, approx 16mmX18mm.

Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.

Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.

25 treatments of IMRT 6 weeks after seed implants. No side affects at all.

PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.

JohnT


Zen9
Regular Member


Date Joined Oct 2009
Total Posts : 310
   Posted 4/12/2010 8:25 AM (GMT -6)   

Not personal experience, but I read that when the president of Yale University decided to have PC surgery last year, he bypassed the Yale-New Haven Hospital and went to Peter Scardino.  He took a lot of flack politically for a perceived slap in the face of his own university's hospital and doctors, but he is no dummy.

Zen9


medved
Veteran Member


Date Joined Nov 2009
Total Posts : 1096
   Posted 4/12/2010 8:38 AM (GMT -6)   
I guess those who criticized him didn't focus on the fact that Scardino is a Yale graduate!
 
 
Age 46.  Father died of p ca. 
My psa starting age 40: 1.4, 1.3, 1.43, 1.74, 1.7, 1.5, 1.6
 


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4151
   Posted 4/12/2010 10:48 AM (GMT -6)   

Ballentine Carter runs the AS program for Hopkins and Scardino has recently come out against surgical treatment for early stage PCa.  So...I think you could get a balanced opinion from either of these great docs.

Tudpock


Age 62, Gleason 4 +3 = 7, T1C, PSA 4.2, 2 of 16 cores cancerous, 27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 12/09.  6 month PSA 1.4 and now 1 year PSA at 1.0.  My docs are "delighted"!

Zen9
Regular Member


Date Joined Oct 2009
Total Posts : 310
   Posted 4/12/2010 12:07 PM (GMT -6)   

medved,

Yeah, my alumni reference says Scardino was a religious studies major at Yale.  Probably aren't too many PC surgeons who majored in religious studies before going to med school ....

Zen9

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