I'm getting ready to meet with the first of two surgeons in about
24 hours (2:00 on the 31st). I'll also be meeting with at least one radiation oncologist at the University of Michigan (maybe more). Below is my list of questions. Anybody have any additional questions they wished they had asked?
Please understand I haven't decided yet to go with surgery (although I'm leaning that way based on medical advice so far) and I'm not looking for a debate on the pros and cons of surgery.
My biggest concerns now are about
My Gleason 7 (3+4), which is obviously scarier than a 6
The fact that one of my cores was 100%
The fact that PNI was seen in that core
The outcomes advertised on the Vattikuti Institute web page are encouraging but I don't know if they would really apply to me.
So here goes:
Questions for Hans Stricker
Vattikuti institute outcomes descript
ion at: http://www.henryford.com/body.cfm?id=46058
Published study from 2007 at: http://onlinelibrary.wiley.com/doi/10.1002/cncr.23027/full
How long have you been doing robotic prostatectomies?
Were you a part of the report published in Cancer in 2007?
How many have you performed solo?
Do I look like a good candidate? (Why or why not?)
What does that 100% core suggest to you? How many of those have you seen? What impact does that appear to have on outcomes?
What does the PNI suggest to you? How many of those have you seen? What impact does it appear to have on outcomes?
Is the fact that three of the positive cores are from the apex a cause for concern? Can you still get negative margins?
Am I a candidate for nerve-sparing surgery? What would that do to my odds of negative margins?
Am I a candidate for the “Veil of Aphrodite” nerve sparing procedure? What would that do to my odds of negative margins?
What do you guess are the odds of a detectable PSA after the surgery?
What do you guess are the odds of a rising PSA after the surgery?
What are the odds I would need hormone therapy?
What are the odds I would need followup radiation?
Your website cites 85% “strong-enough” erections after surgery (with Veil of Aphrodite). How do my individual odds compare?
Your website cites 95% urinary continence after one year. How do my individual odds compare?
Am I a candidate for the catheter-free tube option? What risks are associated with that?
Would I need additional tests before surgery?
Would you recommend having the surgery here rather than at the University of Michigan with Dr. Hollenbeck? (Why or why not?)
If I decided to have surgery and have it here, how soon could I get scheduled?
Age 43 at diagnosis (2011-01) with PSA of 5.2
PSAs 2008-03: 2.6, 2008-06: 3.4, 2008-07: 2.5, 2009-11: 2.9, 2010-12: 6.4
Biopsy 2011-01 - Gleason 7 (3+4) 5 of 12 cores - most 5-30% - L lat apex 100% with PNI
Staged T1c so far
A little more of the story at my blog: www.scottontheorwigs.blogspot.com/
Four young kids (10+6+2+2) and a very supportive wife
Post Edited (MoreData) : 1/30/2011 11:59:20 AM (GMT-7)