Highwayman, your story sounds similar to mine. Upon initial ultrasound during the biopsy, the uro measured mine at 76 gms. He said it was much too big for seeding, and he didn't put much stock in the idea of HT or something else that could reduce it enough to get seeds done. Also, he didn't think I would be a good candidate for robotic, for the same reason- a very large gland that might be difficult to remove and require a larger
opening cut to get it out. I decided to go with an
open RP, and am glad I did, as the gland removed was 110 grams, much larger than the ultrasound measured it. The surgeon was surprised and said that if I had to have had robotic, they would have converted during the operation to an
open to successfully complete it.
You may wish to discuss with your surgeon the possibility that yours is larger than shows on the current exam, whether you realy are eligible for even a laproscopic at that size, and what they would do if they did discover a much larger one. I am sure there are limits to size, even for laproscopic. Good luck and let us know if you get any answers.
James C. Age 63
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS3+3=6
9/07: Nerve Sparing
open RRP, Path: pT2c, 110 gms., margins clear GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09- Uh-Oh, reoccurance?
ED continues: Bimix- .3ml or Trimix- .15ml