robotic surgery

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New Member

Date Joined Nov 2010
Total Posts : 1
   Posted 12/20/2010 9:20 AM (GMT -6)   
I'm writing to inform any guys out there who are facing robotic prostate surgery NOT TO WORRY. I had it done in August and it went without a hitch. I caught it early and the cancer did not spread outside the prostate. As of this writing I still have some leakage but I was told that could take up to six months to fully recover. As for erections, not as of yet (boo-hiss) but surprisingly I CAN have orgasms. Anyone out there who's concerned about facing surgery feel free to respond. cool

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4463
   Posted 12/20/2010 10:13 AM (GMT -6)   
Joey, welcome to HW, glad to see you are having a good recovery. Thanks for participating
James C. Age 63
Gonna Make Myself A Better Man
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS6
9/07: Nerve Sparing open RRP, Path: pT2c, 110 gms., all clear except:
Probable microscopic involvement of the left apical margin -GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09- Uh-Oh, next in Feb.
ED-total-Bimix 30cc

Veteran Member

Date Joined Jan 2006
Total Posts : 654
   Posted 12/20/2010 8:18 PM (GMT -6)   
Welcome, Many of us here have had the RRP, thats pro talk for Robotic Rad.. Prost.... There is much to be learned here about leakage and ED. heck, I have only been here for about 6 months and now I have both of these problems, but most likely my situation was from the surgery.
A lot of patients get sent to physical therapy for plevic floor muscle strengthening and many are helped by this. You didn't say if you had done this but it is something you might want to consider. It can't hurt?
You will find there is tons of discussion on how to deal with ED. Do some site searchs and you can see what others who have been this way have done.
Like you, I had a good experience with the surgery as far as pain and recovery.
06-08 1st biopsy neg psa 4
10-09 psa 5.5 2nd biopsy 1/12 pos. 10%, G(4+3) age 65
12-15-09 RRP Tulane NOLA Dr Lee
Path, 1%, clr marg, no EPE, no SVI, nodes cl, G(4+3)
100% incontinent after 3 mo. PT
ED, pre-op severe, post op total
10/10 Dr Boone, Baylor recomended AUS
AUS and IPP scheduled 1/11/11
post op psa's 0.04,<0.1,<0.1,0.01@12 mo.

Veteran Member

Date Joined May 2009
Total Posts : 2692
   Posted 12/20/2010 11:22 PM (GMT -6)   

Welcome to HW. Glad your surgery went well.

Withot seeing your pathology, I can't fully evaluate your results, but it sounds good. I would just caution you to be sure that it is as the doctor said. Many guys on here get a second reading of the patholgy slides. Sometimes, even tho we have negative margins, the PCa finds a way of escaping. Perineural Invasion is one way.

Hopefully you will have PSA tests verey 3 months for the next year or so, to insure that "they got it all". The incontinence and ED battles can be a real challenge. Hopefully ypu wll make it through them successfully.

Hope you stick around for a while.
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
15 month PSA <.01

Regular Member

Date Joined Aug 2010
Total Posts : 121
   Posted 12/21/2010 9:31 AM (GMT -6)   
Hello Joey, welcome to the "family." The incontinence and ED are often challenging, but RRP has been a good experience for many of us.
Age 61, Diagnosed July 2010
PSA 04/09 - 2.5; 05/10 - 3.7; 07/10 - 4.7
DRE and Ultrasound - Negative
Size at biopsy - 32 grams
T1C, 3+3=6, 1 core of 12 60% positive
da Vinci nerve sparing RP 10/29/10
Post op biopsy indicated bilateral Gleason 6 tumors
Continent 90% and hopeful
Minor ED - 85% naturally, 95% with Cialis
6 week PSA - "undetectable"

Forum Moderator

Date Joined Jan 2010
Total Posts : 7082
   Posted 12/21/2010 11:49 AM (GMT -6)   
Welcome to HW. I'll not bore you with my DaVinci stories, as I am in the 2% (i.e. doc tells you "98% get better ...").
For now, let's just same some progress better than others, but even in the 2% club there is slow progress.
Again, Welcome!

Regular Member

Date Joined Apr 2010
Total Posts : 189
   Posted 12/21/2010 3:13 PM (GMT -6)   
Welcome to the club.
Had mine Oct 12th this year. Still leaking some and peter has yet to rise. I got the results of my post 2 month PSA and it is 0.0
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