I have not had any one doctor mention all of the above items. I do have a very good Primary Care Physician that orchestrates everything. I was sent to the urologist because of an escalating PSA that occurred between physicals. The level from the physical was a 3.4. I was sent to the Urologist and it tested 2.7. At the recommendation of my PCP and the Urologist I had the biopsy done. Tested positive 2 cores of 12 @25%; Gleeson 3+4. I am 56.
That is when the fun begin. My PCP had my urologist changed to a more experienced one and the difference was dramatic. He has done a minimum of 1200 procedures more than half of them using the DaVinci. He does prostate research one full day a week at the local medical school and is an associate professor.
The practice the surgeon comes from has all associated disciplines in the urology field and they take a systems approach to the problem. Pre-operative workups include:
- Establishing baseline penile blood blow
- An appointment with an incontinence specialist
- An appointment with a urologist that specializes in the treatment of ED. Especially that caused by a prostatectomy.
The ED doctor is highly qualified in his own right. He is a Trustee of the American Board of Urology by the American College
of Surgeons, a Professor of Urology at the local medical school and is Chairman of a center that specializes in genitourinary
I guess the point I am trying to make is that under the guidance of my PCP I have been provided an approach that tries to educate and prepare you as much as possible. I can not envision any one doctor hitting all 18 points in the list. I am not sure that it is necessary.
However, between all of the doctors they managed, to hit all of the points with the following exceptions:
No. 5 and No. 9 - I’m not so sure that No.5 is needed since the results of the biopsy already found the cancer.
N0. 10 I believe this one will be satisfied during my appointments with the ED and Incontinence specialists
No.11 The surgeon did discuss some of the quality of life issues. I believe those items will be better satisfied when I have my appointments with the various specialists. I do feel that it is incumbent on all of us to do additional research. In my opinion talking to people that have been through this is the best source.
No. 17 Based upon my research the survival rate for the RADIOACTIVE SEEDS is 77% - 90%.
RADIATION - success rates of over 85% especially when used with other therapies.
PROSTATECTOMY and ROBOTICT PROSTATECTOMY – over 90%
The source is http://www.prostate-cancer.com. These results are based upon multiple long term studies
I am scheduled for robotic surgery June 25, 2010. Even though I have made a lot of preparations. I keep feeling like I have forgotten something.