New Member Has anyone had surgery denied due to a previous broken pelvis?

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Worried Guy
Veteran Member

Date Joined Jul 2009
Total Posts : 3730
   Posted 7/6/2010 11:29 AM (GMT -6)   
Welcome Roy 123 to HealingWell. You found a great place for all kinds if info and support.

I happened to see your note attached to another posting so I took the liberty of moving it for you.

Roy123 said...
You have done an excellent job of assembling information that is much needed. I am very grateful. Thank-you.
I am just diagnosed, PSA 5.7, 5 of 12 cores positive, 3+4=7 Gleason, T2a or b however I am being denied surgery (radiation recommended) because of former broken pelvis. Can anyone tell me if they have had such an experience? D T

Hopefully someone will chime in and let you know about their experience.
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 3+4=7, 3+3=6. 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 controlling fluids.
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.
5/22/10 10 months: 2 pads per day, 190 ml/day Scope on June 15 Short sphincter
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04, 1/14 6 months - 0.05, 4/14 9 months - 0.04 and <0.01 with ECLIA.

Veteran Member

Date Joined May 2009
Total Posts : 2691
   Posted 7/6/2010 12:23 PM (GMT -6)   
Unless you had steel plates put in or had a peculiar healing where things are misaligned, this sounds alittle peculiar.  At worst case, they may refuse Davinci, but open should be viable.
I certainly would seek multiple opinions on this one.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injection
No pads, 1/1/10,  9 month PSA < .01
1 year psa (364 days) .01

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 7/6/2010 12:46 PM (GMT -6)   
It's believable to me. Just like blowing out a knee can mean a complete reconstruction of ligaments and surrounding tissue, I can see a broken pelvis doing the same thing. You have to remember that surgeons prefer to work on virgin tissue. Not sure of the specifics of this case, but if his doctor said he would not do it, you have to give that doctor credit for balking at it if he didn't feel comfortable doing the procedure.

Advanced Prostate Cancer at age 44 (I am 47 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

LARP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.

"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas

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