Experience dealing with Dr Tiwari of Cornell, NY ?

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New Member

Date Joined Mar 2011
Total Posts : 6
   Posted 3/11/2011 3:41 PM (GMT -6)   
Does someone have experience dealing with Dr Tiwari of Cornell, NY for prostrate remaval surgery? What heve been your experience, also any good recommendations in the Philly Area?

Age 54 2 out of 12 cores Positive (10%)

PSA 4.2

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Post Edited By Moderator (James C.) : 3/12/2011 7:20:38 AM (GMT-7)

Veteran Member

Date Joined Feb 2011
Total Posts : 4093
   Posted 3/11/2011 3:45 PM (GMT -6)   
he's widely considered one of the best on the planet. You spelled his name wrong though. He's got over 4000 procedures to his name.

New Member

Date Joined Mar 2011
Total Posts : 6
   Posted 3/11/2011 5:35 PM (GMT -6)   
Thanks David, you have helped me make up my mind in these turbulent, confusing times after a cancer diagnosis.

Veteran Member

Date Joined Feb 2011
Total Posts : 4093
   Posted 3/11/2011 7:53 PM (GMT -6)   
well you'll be in great hands and come out of it just fine. I'm 8 weeks out of surgery and EVERYTHING is back to normal.

Elite Member

Date Joined Oct 2008
Total Posts : 25355
   Posted 3/11/2011 8:10 PM (GMT -6)   

do you happen to know what your Gleason Score and preliminary staging is at this time?

david in sc
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 2/11 1.24
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10,

New Member

Date Joined Mar 2011
Total Posts : 6
   Posted 3/12/2011 6:40 AM (GMT -6)   
Gleason score is a 6, 2 out of 12 cores positive 10%, 2 are undetermined, biopsy results obtained mid feb. Semen flow is back to normal after biopsy, in about a month. Thats all I know, what is initial staging?, also one question does the Doctor perform the surgery himself or doeshe delegate to his residents?

Regular Member

Date Joined Jan 2011
Total Posts : 78
   Posted 3/12/2011 7:03 AM (GMT -6)   
Hey Martian,

The question that you ask is not one to ask here. It is a question to ask your potential surgeon. The answer varies. I would ask what portion of the surgery the surgeon will perform. My surgeon told me that he would do the prostate removal, nerve sparing, etc. He lets others make the initial cut and sew up the final incisions. He told me he would be scrubbed up in the operation room the entire time.

Questions like this si one of the reasons why you want to talk to more than one doc.
PSA 3.9 - October 2010 at annual physical
PSA 4.1 - November 2010 after a month of antibiotic, DRE Normal
Age 41 in December 2010 at Dx of 6 of 12 cores positive T1C and Gleason 3 + 3

open RP on 2/14/11 at Mass General

Post Surgery Pathology Report: Gleason 6, T2, Cancer in 35% of Prostate, All Margins Clear

Veteran Member

Date Joined Feb 2011
Total Posts : 4093
   Posted 3/12/2011 8:41 AM (GMT -6)   
you need to speak with the doctor but people I know who have used him said he assured them he did everything himself. Again, his reputation is golden. Your situation is very similar to mine, you caught it very early. You're in great hands and will be fine. You just need someone to explain to you the entire process and how quickly you will be back to normal. You're in the worst state of mind right now, things will get better fast.

Regular Member

Date Joined Oct 2010
Total Posts : 175
   Posted 3/12/2011 9:42 AM (GMT -6)   
Martian, Tewari practices in New York City at Columbia Presbeterian / Cornell Weill Medical Center, not in Cornell, NY.

No doubt about his practice, he is among the top 5 (in quantity at least) Robotic prostatectomy surgeons in the country. Some here think that a good thing, others have different opinions.
52 yr old, PSA 3.5, Gleason 6 with 3 of 4 top nodes (0%;1%;10%;1%) cancerous. Bottom 2 floors are clean.

DaVinci surgery at Yale 3/4/11.

45 gram gland weight
Gl 3+3
margins clear
no metastis
5% of gland aedenocarcinoma

New Member

Date Joined Nov 2010
Total Posts : 12
   Posted 3/17/2011 6:10 PM (GMT -6)   
I would meet with a few doctors before choosing one. My father had Robotic on 1/31/11 with Dr. Ketan Badani out of Columbia. He really liked him and he did the entire surgery. He promised he would. He also met with two other NY doctors and felt most comfortable with him. My father really liked his book Robotic Prostatectomy for Prostate Cancer — Is It For You?, and the book by Dr. Patrick Walsh. You should read those as well. Good luck on your journey!
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