.For open surgery, perhaps a female surgeon, with her naturally smaller hands and fingers would be a good choice...
Gotta laugh at that one, there were 2 deciding factors in my decision to go local and
One was that there is no robot within several hundred miles and the local uro's won't treat anyone who travels for a period of one year, more if there are serious complications from the surgery.
The other was an internet search of my 2 surgeons which turned up some pretty good stats and backgrounds. When I met with my uro' for the decision I picked up one of her hands and said "we're going with you, you have small hands"
I only really have one personal experience with
open/robot, my good friend traveled to Mayo Clinic in Phoenix a couple of weeks before my surgery to have a procedure done by a guy who has done over 800, to this day he is still using a cath' several times a day, is on injections for ED and has made numerous trips back and forth. My recovery is going very well, I almost feel guilty.
Granted there are huge differences in some people that make recoveries vary greatly but I'm really glad I went with my gut and stayed with my uro'. She said the tactile sensations are the big advantage of
open and makes a large difference.
BTW my logic of going with surgery with my stats was to reduce the tumor load for future treatments, I did not expect a "cure", time will tell if I'm going to be pleasantly surprised.
Diagnosed 12-09 age 55
07-06 PSA 2.5
01-08 PSA 5.5 (PCP did not tell me of increase or schedule follow-up!!!!)
09-09 PSA 6.5 Sent for consult with Urologist
11-09 Consult, scheduled for biopsy, found out about
PSA from '08 (yes I was pissed)
12-09 Biopsy, initial Gleason 9 (4+5) later reduced to 8 with tertiary 5, ain't much but I'll take it.
01-10 Bone Scan, "appears negative"
in Durango CO by Dr Sejal Quale and Dr Shandra Wilson, no naked eye evidence of spread, Vesicles and lymph nodes taken for microscopic exam.
03-16-10 Removal of cath' and pathology results of samples.
Multifocal carcinoma with areas of Gleason pattern 3, 4 and 5, Overall Gleason grade 4+4 with tertiary 5, Bilateral involving 21% of left lobe, 3% of right lobe, Invasion of left Seminal vesicle, Tumor focally present at left resection margin, 9 lymph nodes removed all negative, Tumor staging pT3b NO MX
04-23-10 PSA <0.04....... 06-07-10 PSA <0.04..... 08-03-10 <0.04
05-03-10 1 week without pads