the length of time for davinici surgery

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deer hunter
Regular Member


Date Joined Jan 2010
Total Posts : 246
   Posted 8/4/2010 4:46 PM (GMT -6)   
just wondered ,you guys who had davinici how long did the surgery take My wife 's cousin husband had davinici  tuesday at emory in Atlanta and the surgery took 4 hrs, seems like a long time to me . My surgery RP only took 2.5 hrs
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 5/14/10  family doc done blood work at my request her lab psa .01  
6/17/10 saw rad.onc. having problems with hips and muscles {bone density test sch, 6/25/10 wait and see

Uncle Harley
Regular Member


Date Joined Feb 2009
Total Posts : 79
   Posted 8/4/2010 4:53 PM (GMT -6)   
I've never had it done, but sure would hope it's done right regardless of how long it takes.
PSA History
3/99 1.2
3/00 1.04
3/01 1.16
7/02 1.24
2/06 1.59
3/07 1.79
3/08 2.54
8/08 2.3
4/09 2.3
7/09 2.6
12/09 2.3
6/10 2.0
12 needle prostate biopsy Jan 09
Dx of (1) core adenocarcinoma 20%
Negative DRE
All other cores benign
Gleason 3+3 T1C
12 needle prostate biopsy Dec 09
Dx of (2) core adenocarcinoma 10% each
All others benign
Gleason 3+3 T1C on each
Currently in Active Surveillence W/ Dr Approval
Age 61

Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2447
   Posted 8/4/2010 4:56 PM (GMT -6)   
If memory serves correct, I was aware of being in the recovery room about 2:45hours from going in .

Sonny
60 years old when diagnosed
PSA 11/07 3.0
PSA 5/09 6.4
da Vinci 9/17/09
Post Surgery Pathology: GS 4+3=7
Stage: T3a
Tumor Volume 12.5%
positive margin, extra-prostatic extension
30 day PSA 0.4, 50 day psa 0.53, 64 day psa 0.6
IMRT completed 1/15/10 35 treatments- 70Gy

2/24/10 FIRST POST RAD PSA 1.0---CARRRP --waiting for the next test.
3/22/10 Second Post RAD PSA 1.5 Dammmmnnn stubborn son of a gun
4/19/10 YAHOO PSA dropped to 1.2 Moving in the right direction.
5/7/10 PSA test 1.3 Sodium Fluoride PET Scan & CT SCAN -performed
5/20/10 PSA test 1.2 Holding off on future tests for 3 months- single lytic lesion found and scheduling radiation.
7/22/10 PSA test 1.3 - Begin radiation for MET on leg

Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 8/4/2010 5:12 PM (GMT -6)   
My poor husband was in the OR for 5 hours...they wheeled him out of the pre-op/staging area around 4:15 and the surgeon came out to tell me it was over at 9:15 - man, was that a long, long day.
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!

profman
Regular Member


Date Joined Jan 2010
Total Posts : 55
   Posted 8/4/2010 5:19 PM (GMT -6)   
I was in the OR for 4.5 hours, with about a 4 hour surgery due to a blood vessel being in the wrong place. My memory is a blank from 7:30 am (when I was wheeled to the operating room) until 3:15 pm - first thing I remember in the recovery room.
Diagnosed 9/4/09, age 59
PSA 3.5, up from 1.8 year before
First biopsy showed 3/10 positive cores, Gleason 3+3, less than 10% involvement in all three cores, diagnosed as T2a; prostate size estimated at 32 gram
Thinking of Active Surveillance but
Second biopsy showed 5/10 positive cores, Gleason 3+3, left side (4 postitive cores) had 40% involvement
RRP on 12/15/09, home 12/16
Catheter out on 12/29/09 (failed cystogram earlier)
Path report was all good news, Gleason 3+3, no margin involvement, no perineural involvement, everything clean other than core of prostate, tumor on both sides, but more prevalent on left side, 5% involvement, 42 gram organ
Within two days down to one pad a day, pad free at six weeks
Back to work 1/4/10
First PSA 1/28/10 - nondetectable (<0.1)
Second PSA June 2, 2010 - nondetectable (<0.1)
Next PSA 12/16/10
ED present, although at times there is improvement with daily pump and 100 mg Viagra (or 20 mg Levitra)

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3637
   Posted 8/4/2010 5:53 PM (GMT -6)   
DaVinci takes about twice as long as conventional surgery. 3.5 to 4.5 hours is average. Some surgeons can do it quicker..My surgeon told me they frequently stop the operation while a tissue sample is checked in the pathology lab. This helps them determine just how "radical" the procedure will be but it adds time..
Age today: 68. Married, 6', 215 pounds, active, no health issues.
PSA at age 55: 3.5, DRE negative. Advice, "Keep an eye on it".
PSA at age 58: 4.5
PSA at age 61: 5.2
PSA at age 64: 7.5, DRE "Abnormal"
PSA at age 65: 8.5, DRE " normal", biopsy, 12 core, negative...
PSA at age 66 9.0 DRE "normal", BPH, Finesteride. (Proscar)
PSA at age 67 4.5 DRE "normal" second biopsy, negative.
PSA at age 67.5 5.6, DRE "normal" U-doc worried..
PSA at age 68, 7.0, third biopsy positive for cancer in 4 cores, 3 cores Gleason 6, one core Gleason 9. Finesteride discontinued, still no urinary symptoms, never had any..From age 55 to 65 I had no health insurance.

I have a date with the robo surgeon on Sept 3 but I'm keeping my options open. I'm also looking at seeds combined with IGRT which seems to be having good results with high-risk patients..

BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 8/4/2010 6:03 PM (GMT -6)   
Mine was 2.5 hours, but I wouldn't worry about the time it takes. You want it done right regardless of the time. Pick the rifght sureon and forget about the time in surgury.
Dx with PC Dec 2008 at 56, PSA 3.4


Biopsy: T1c, Geason 7 (3+4) - 8 cores taken with 4 positive for PCa, 30% of all 4 cores.

Robotic Surgery March 2009 Hartford Hospital, Dr Wagner
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes negitive - tumor volume 9%
nerves spared, no negitive side effects of surgery

One night in hospital, back to work in 3 weeks

psa Jun 09 <.01
psa Oct 09 <.01
psa Jan 10 .07 re-test one week later .05
psa Mar 10 .28 re-test two weeks later .31
psa May 10 .50

April 10 MRI and Bone Scan show lesion on lower spine, false positive.

Started HT 5/25/10 with 3 month shot of Trelstar. SRT scheduled for late July

psa July 10 <.01 HT at work

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 8/4/2010 6:06 PM (GMT -6)   
My open surgery was 3.75 hours, plus 2 hrs plus in recovery
Age: 58, 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, 4/8 .04, next one: Aug 3
Latest:  7/9 cath #6 - 41 days, 8/9 2nd corr surgery, 8/9 cath #7 - 38 days, mapped  9/9, 10/1 - 3rd corr. surgery - SP cath, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 ,Cath #11 - 21 days,  Cath #12 - 41 days, 3/2- Corr Surgery #5, Cath #13 - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 31 days, Cath #17 - 39 days, 7/2 - Corr Surgery #6, Cath #18 - 13 days, Cath #19 - 17 days, Total Blockage, Cath # 20 - 7/19

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6898
   Posted 8/4/2010 6:37 PM (GMT -6)   
I was just at 5 hours from being knocked out to the time I was in recovery.

There were some signs of abnormal tissue, so they went overly broad, and that appeared to have added time in the surgery report.

Can't say I noticed the time.

BobCape
Regular Member


Date Joined Jun 2010
Total Posts : 416
   Posted 8/4/2010 6:45 PM (GMT -6)   
I think you have your answer, 2.5 - 4.5+- hours. Alot of variables. I had tissue from an apendix issue in younger years, and the uro noted that on the report as having complicated matters some. Then i'm sure there are "nerve sparing" issues that might be consideration for a 50 year old that might not be so important for a 78 year old. Enlarged prostate, or not. Age, size, volume of disease, etc, etc.. I imagine there are a number of factors. But luckily (hopefully0 regardless of the total time, there isnt like a parking meter where they just say 'times up" and the surgeon has to stop.. i'm sure he took as long as he needed. And results shouldn't be measured in time. Best of luck to you!
First ever PSA test Jan 2010 @ 51 years old. 4.0.
Digital exam in March 2010 showed 1 side hard, other soft.
Biopsy, positive in 3 of 12.
Davinci @ Boston Medical Center, May 17, 2010.
Was suggested prior to it was likely contained.
June 1 advised 3+-4 was really 4+3 per pathology. Pos margins.
Listed on patholgy as PT3, but with extraprostatic extension,
microscopic invasion of the bladder neck, PT3A is perhaps the case.
Catheter removed June 1.. 1 pad/day, doing ok. ED, but not in rush.
Sore as heck down there, but doing much walking with my wife.
To meet with my Uri (1st meeting since) June 17 - 1 mo point, to discuss.
BMC already has me setup to meet with radiology.
Felling a little better each day. Cant tell if my expectancy just went from 10-15 down to 5-7, the information out there appears to be all over the place. I WILL NOT radiate my insides to the point of being a veg for the sake of a few years. QOL is primary to me. Selfish I guess. I pray for all of you as I do for myself, but must remember that i've had a pretty good 50+ years, and know others who have lost their children to disease.. so I dont have the nerve to complain! Update 7/14/2010: When I tried changing this sig a few days after creating it, system was broken. My new rad oncologist are discussing IMRT.. though he says he can see why waiting a bit and watching the PSA on super sensitive basis might make sense. I am leaning towards IMRT.. thinking is my body is pretty strong now, i'm 51, and if I can rid my body of this while trying to minimize the side effects.. I dunno. No really Good answers. When I said I didnt want radiation to the point of being a veg.. I really meant there is a limit as to where I wish to go in order to realize only a small increase in life expectancy.. and not that I am an unreasonable person. I do, after all, have an obligation to my wife and kids.

Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 8/4/2010 6:58 PM (GMT -6)   
With respect, I'd not agree with Fairwind. If both surgeons have the same experience I believe one of the advantages of da Vinci is that you are under anesthetic for a shorter period of time. From being wheeled into the OR until I woke up in recovery was about two hours. My surgery lasted 70 minutes. Not sure when they start to time, and when they stop the clock, but the official OR report says 70 minutes.

In the end, while it is nice not to be under for any longer than necessary, what is important is the job gets done right.

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"
 
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7 
 
First post op PSA Sept 09  less than 0.02
PSA on Oct 23, 2009 less than 0.02
PSA on Jan 8, 2010  less than 0.02
PSA on April 9, 2010 less than 0.02 
PSA on July 9, 2010 (one year) less than 0.02
  

60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2216
   Posted 8/4/2010 7:18 PM (GMT -6)   
I dont think Emory has been doing them very long so if a newer surgeon that could increase the time. But other issues can arise that add to the total time spent in surgery. When they did the very first Robotic in Gainesville, Ga 2 years ago it took them 8 hours. Sometimes you do not want to be number one.
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 on 11/28/10
Starting IMRT on 1/18/10, Completed 39 tx at 70 gys on 3/12/10
6 week Post IMRT PSA .44 a drop from .5 but maybe more
Great family and friends
Michael

deer hunter
Regular Member


Date Joined Jan 2010
Total Posts : 246
   Posted 8/4/2010 7:29 PM (GMT -6)   
Thanks guys ' I just didn't know if a longer time meant something could have been wrong or it just takes along time to do davinici. i'm like most of you I think all that matters is that it is done right and all the cancer is gotten.
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 5/14/10  family doc done blood work at my request her lab psa .01  
6/17/10 saw rad.onc. having problems with hips and muscles {bone density test sch, 6/25/10 wait and see

Woodworker
Regular Member


Date Joined Apr 2010
Total Posts : 90
   Posted 8/5/2010 7:07 AM (GMT -6)   
The surgeon told me about 4 hours. It took him 3-1/2 hours. The surgeon that did mine has over 1200 procedures under his belt. I think part of it is what they find when they get in there. According to the doctor my took a little longer to sew the uretha back together because the pelvic bone was shaped a bit strange.
_________________________________________
Age : 56
Diagnosed 3/29/2010
Pre-Surgery
Placed on 5mg Cialis daily on 6/2/2010
Started pre-operative physical therapy on 6/2/2010
PSA 2.7; Gleasen (3+4) Biopsy 2 cores of 12 25% positive
 
DaVinci surgery 6/25/2010
 
Returned to work: 7/12/2010
 
Post Surgery
    Final Biopsy report
   5 slides of 35 showed 2% positive for cancer
   Clear Margins
   Final Gleason (3+4)
Incontinence:  None
ED:  Still dead as a door knob
        Still taking 5mg Cialis Daily
 
 

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 8/5/2010 8:12 AM (GMT -6)   
What are you guys talking about? It only took about 20 seconds! They wheeled me toward the room and I woke up in recovery. Bam! 30 seconds tops!

Look, I had it done so I know what I'm talking about. I think.
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."
5/22/10 10 months: 2 pads per day, 190 ml/day Scope on June 15 "Short sphincter"
7/15/2010 one year: 2 pads per day. 140 ml/day, dry in bed.
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04
1/14 6 months - 0.05 (Siemens Centaur)
4/14 9 months - 0.04 (Siemens Centaur) and <0.01 (Roche ECLIA).
7/12 1 year - 0.03 (Siemens Centaur, direct chemilum); <0.01 (Roche Cobas 601 ECLIA)

Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4827
   Posted 8/5/2010 9:36 AM (GMT -6)   
Aparrently I had an abnormal amount of blood vessels in the way which I'm sure too longer then normal to do the surgery...So as usual - we might all have cancer but we're all different.
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
05/18/10 - 24 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1131
   Posted 8/5/2010 1:10 PM (GMT -6)   
Mine took over 6 or 7 hours. My blood pressure dropped when I was put under (probably due to 6 weeks of stress leading up to surgery). My doctor only schedules one surgery for the day. I know some doctors do 4 or 5 a day.
 
Age 48 at diagnosis
occupation accountant
PSA increased from 2.6 to 3.5 in one year
biopsy march 2008 - cancer present gleason 7
Robotic Surgery May 9, 2008 - houston, tx
Pathology report -gleason 8, clear margins
22 month  PSA <.04
continent at 10 weeks (no pads!)
ED is still an issue

SubicSquid
Regular Member


Date Joined Oct 2009
Total Posts : 252
   Posted 8/5/2010 1:50 PM (GMT -6)   
My open surgery took 6 hrs because of problems reconnecting the bladder. According to the doc, this was due to irregularities in my anotomy making it hard to get things done properly Squid..
*Age 63, PSA July 2009 .66
*Diagnosed July 2009, Biopsy: 2 of 12 cores positive, Gleason 3 + 5=8
*MRI and Bone Scan negative
*open Surgery October 22, 2009
*Prostate, both nerve bundles, seminal vessels, and lymph nodes removed during surgery.
*Post surgery Biopsy, Gleason 4 + 3; 2 positive margins
*ED - Yes
*30 day PSA (ultra-sensitive) .07
*90 day PSA (standard) <0.15
*01/10/10 - bladder neck stricture. opened during cysto exam. Cath #2 in for 5 days.
*03/01/10 - bladder neck stricture. Dilated during cysto exam. Cath #3 in place.
*03/11/10 - Bladder neck surgery. Cath #4 in place.
*03/15/10 - Cath #4 out. Great urine stream. Unfortunately, incontinence back to post surgery level.
*04/14/10 - Six month PSA .21
*05/15/10 - Incontinence basically under control. 99% dry. Wear pad daily at work "just in case".
*06/10/10 - Started IGRT. 39 treatments scheduled.
*07/27/10 - IGRT Complete. 39 treatments, 70gys.

Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2457
   Posted 8/5/2010 5:10 PM (GMT -6)   
I had the DeVinci and it took less 2.5 hours.
Age: 67 at Dx on 12/30/08
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09 Dr Fagin, Austin TX
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Posterior lateral lesions measuring 1.5 x 1.4 x 1.0 cm showing focal capsular penetration over a distance of 3mm in circumference.
Prostatic adenocarciroma accounts for approx. 10-20% of the hemisphere.
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx, Negative margins
seminal vesicles clean, lymph nodes: not dissected
continent after 5 months
2 months PSA test 4/7/09 result <0.1
5 months PSA test 7/9/09 result <0.1
8 months PSA test 10/9/09 result <0.1
11 months PSA test 1/21/10 result 0.004
14 months PSA test 4/19/10 result 0.005

vam4710
Regular Member


Date Joined May 2010
Total Posts : 89
   Posted 8/5/2010 7:06 PM (GMT -6)   
Had mine 7/7/2010...spent 2.5 in the O.R. and about 1.5 in recovery..... my best friend just had his done yesterday.... same surgeon... and it only took him 1 hour 15 min.
Diagnosis June 1, 2010 @ age 50
PSA 1.7 Sept. 2008
PSA 2.14 Sept. 2009
PSA 2.75 April 2010

May 11, 2010 - DRE Negative - PCA3 Test
May 18, 2010 - PCA3 Results 39 (cutoff = 35)
May 25, 2010 - Biopsy 1 of 12 cores positive; Gleason 3+4 = 7 25%; Stage T1c
June 04, 2010 - CT and Bone scan - All Negative
July 07, 2010 - Da Vinci Robotic Lap. Surgery

PATHOLOGY
Tumor involvement - 15% both right and left halves
Gleason Down graded to 3+3=6
Seminal Vesicles - Negative
Lymphnode - Negative
Subcapsular perineural Invasion - Present
Bladder Neck Margin Positive (right posterior) - Microscopic invasion-1mm Focus
pT3a-N0-MX

Incontinence - Dry at night, 2 or 3 pads during the day

ED - Total flat tire.... no spare, not even a donut

First PSA scheduled for 10/14/2010


Northern NJ

Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 8/6/2010 5:33 AM (GMT -6)   
Interesting how each surgery is so different...2.5 hours vs. 5 or 6 hours!

When we "booked" the surgery, the urologist said 2 to 3 hours. When we showed up at the hospital, John's OR nurse (who was wonderful) laughed when I told her this. She said "never ask a surgeon how long an operation takes." All they know is their part...they don't factor in the prep time and the close up time which is often done by another doctor. When she told us that the the OR was booked for 6 hours, I almost fainted (John would have fainted if he wasn't laying down!). OR nurses are the unsung heroes in hospitals...the one we had stayed in touch with me throughout the surgery to tell me how John was doing. She told me to go out and have a nice leisurely dinner and that she would call me from the OR about half way through the operation to give me an update. She was truly a compassionate person.
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!

dogbot
Regular Member


Date Joined Aug 2009
Total Posts : 147
   Posted 8/6/2010 8:46 AM (GMT -6)   
The last thing I remember is looking at the clock and someone saying I might feel a little high, that was 8.30 am exactly. The next time I was awake enough to look at the clock it was 2.30 pm, so I was out for 6 hours. I was not informed as to any complications, so I would assume about 4 to 4.5 hrs on the table.
 
All the best from England.
Diagnosed February 2009. Gleason 6, Psa 7.2, 12 core biopsy, and then Mri scan, which showed organ specific.
DaVinci at Addenbrookes, Cambridge, England 18th May 2009.  Nerves removed one side.
Catheter in for 8 days, no pain, no post op problems apart from an infection, cleared with antibiotics.
Some aching around the penis, which still occurs.
6 week psa 0.1, post op pathology all good, confirming pre op tests. Ed a problem, no treatment as yet.
Light ladies pad during the day, just to control a slight dampness and a Tena for  men pad at night for occassional leakage.
Awaiting 3 month consultation at the moment.
Sept 09 - still awaiting consultation. 99% dry during the day, tena pad at night just in case.
Sept 18th 09. PSA less than 0.1
Sept 29th follow up consultation at Addenbrookes. Staff happy with progress.
Nov 11th update. One small stress dribble in the last 2 months. Still some muscle stiffness in pelvic area.
March 20th psa less than 0.1 Very occassional stress dribble. No pads for several months.
 

Ger42
Regular Member


Date Joined Apr 2010
Total Posts : 189
   Posted 8/6/2010 10:43 AM (GMT -6)   
My urologist said 1 1/2 to 2 hours. After reading all the posts here I am assuming that is his time. I see him next wednesday I'll ask again. I know my wife would panic if I went under at 7 AM as scheduled and wasn't out 2 hours later.
Age 68 on 4/30/2010
weight 185
height 6'
Samples taken 4/19/2010 sent to Bostwick
3 out of 12 samples cancer
1) gleason score 3+3 involving 65%
2) gleason score 3+3 involving 65%
3) gleason score 3+3 involving 10%

PSA 3.5 Mar 19
PSA 2.5 Apr 4

Bone scan clean
CT scan clean
Da Vinci 8/24/2010

April6th
Regular Member


Date Joined May 2010
Total Posts : 264
   Posted 8/6/2010 11:11 AM (GMT -6)   
My operation started at 7:30am and I was wheeled to my hospital room at 12:30pm, so backing into it (12:30pm minus 1.5-2hrs in recovery room) I would say my RALP was 3 hours long

Dan
Here are some of my stats:
Age:54
Father diagnosed with PC at age 72 - wasn't contained to prostate when found in 1992.
My PSA rose from 3.2 to 5.1 over the course of 1.5 years with Free PSA at 25% for the last two tests.
DRE showed no evidence of tumor but Uro thought my prostate was a little large for someone my age
PCa diagnosed 4/6/10 after biopsy on 4/1/10
1 out of 12 biopsy samples was positive with 5% of biopsy sample cancerous
Gleason 3+4
Da Vinci surgery on 6/1/10
Pathology report shows cancer confined to prostate and all other tissue clean
PSA 7/15/10 Zero Club membership card issued (trial membership with 90 day renewal)

pa69
Regular Member


Date Joined Mar 2009
Total Posts : 260
   Posted 8/6/2010 6:22 PM (GMT -6)   
My DaVinci surgery took around 6 hours. The surgeon explained that it was due to the large size of my prostate and the difficulty separating it from the bladder.

It took 15 months to regain continence totally pad free. I'm still 100 percent ED but at my age I don't really care. I'm free of pain, feel good and have plenty of energy. That's what is most important to me.

Bob
Age 71, First ever PSA 7.8 taken June 2008, Biopsy July 2008, 10 of 12 cores positive, Gleason 3+3=6
da Vinci surgery December 10, 2008, catheter removed December 29 2008
St. Lukes Hospital, Bethlehem, Pa.
Dr. Frank Tamarkin
Prostate weight 73.0 grams, Gleason 3+3=6, stage pT3a
Tumor locations: right anterior apex, right posterior apex to mid
left anterior mid to base, left posterior apex to mid
extensive perineural invasion in right anterior apex, right and left posterior apex to mid
seminal vesicles negative
Seven PSA tests undetectable, latest Aug 2, 2010
Pad free beginning Mar. 18, 2010!
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