I don't understand

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Hunter48152
Regular Member


Date Joined Feb 2010
Total Posts : 32
   Posted 4/9/2011 9:38 PM (GMT -6)   
OK... Doctors can replace a Heart.. Lungs... Liver... Kidneys.. Corneas... and lord knows what else, So why can't they replace a prostate?? I mean they don't have to hook back up all the plumbing (Lord knows I don't need more kids) but they can hook some of it back up LOL I figure it took me 44 years to get PC, so give me a new one from a 20 something yr old and I should be good for at least another 20 or 30 yrs and by then I will be too old to care LOL JUST SAYING IS ALL....

Hunter48152
Regular Member


Date Joined Feb 2010
Total Posts : 32
   Posted 4/9/2011 10:03 PM (GMT -6)   
Hope,
When people sign the donor cards they pretty much can take what they want from the donor. I think it comes down to an insurance thing myself.
Age: 45
Diagnosed: 9/09 PSA: 5.3
Ultra sound showed lump on left side
Biopsy: 5 of 12 Pos. Gleason: 6
Da Vinci Nerve sparring done: 12/16/09
PSA 1 month after surgery: 0.0
PSA as of 4/28/2010 after 37 Rad treatments Undetectable
Path. Report: Tumor at the margins but had not gone through capsule
Start Low Dose Rad. March 2010 as a precaution
Ended rad Treatments 4/28/2010

Hunter48152
Regular Member


Date Joined Feb 2010
Total Posts : 32
   Posted 4/9/2011 10:19 PM (GMT -6)   
I think the hardest part would be the nerves. But with new nerve grafting techniques and a good surgeon you wouldn't think it would be that hard. At least easier than some of the other transplants.
Age: 45
Diagnosed: 9/09 PSA: 5.3
Ultra sound showed lump on left side
Biopsy: 5 of 12 Pos. Gleason: 6
Da Vinci Nerve sparring done: 12/16/09
PSA 1 month after surgery: 0.0
PSA as of 4/28/2010 after 37 Rad treatments Undetectable
Path. Report: Tumor at the margins but had not gone through capsule
Start Low Dose Rad. March 2010 as a precaution
Ended rad Treatments 4/28/2010

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 4/9/2011 10:24 PM (GMT -6)   
LOL,
I donated mine but you didn't want that one. That would have been a downgrade...

Tony
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
Da Vinci Surgery ~ 2/16/2007
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.
Undetectable PSA.

Blog: www.caringbridge.org/visit/tonycrispino

Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 4/9/2011 10:25 PM (GMT -6)   
Who needs a prostate -- nothing but trouble. :-)

I'd settle for just the nerves being joined back together.
No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4/12 cores
Non-nerve-sparing RRP 7 March 2008 age 63
Organ confined, neg margins. Gleason downgrade 4+4=8
Fully continent
Bimix worked well; now using just VED
PSA undetectable at first but now 0.4, doubling time 7 months
No radiation but ADT coming unless I can slow down the rise...

Sunbird
Regular Member


Date Joined Apr 2008
Total Posts : 140
   Posted 4/9/2011 10:55 PM (GMT -6)   
Yeah....... but if you receive a prostate gland from a donor, you'd have to take anti-rejection drugs the rest of your life which would negatively impact your immune system and predispose you to some other type of cancer anyway..........

mr bill
Veteran Member


Date Joined Sep 2010
Total Posts : 709
   Posted 4/10/2011 10:06 AM (GMT -6)   
I am with Piano. Just hook up the nerves. Gotta be a way to do it.

Sparrowhawk
Regular Member


Date Joined Mar 2011
Total Posts : 130
   Posted 4/10/2011 10:26 AM (GMT -6)   
A simple answer could be that the Prostrate is not needed to sustain life. Yes, there are other organs that can be grouped in the same category, eyes for example.
Guess with enough money you could get it done, but then all risks return...
31 Jan 11 "Cyst" found on prostrate during Colonoscpy.
28 Feb 11 Biopsy of Prostrate; Malignat Neoplasm of Prostrate.
Rt: 30-40% LT: 5% Gleason Score 3+4=7 Both sides.
PSA: 2.16 "Very Stable over time."
15 Mar 11 Bone and Cat Scans completed- Normal
Large Prostrate: 4.9 x 4.0 cm

Galileo
Veteran Member


Date Joined Nov 2008
Total Posts : 697
   Posted 4/10/2011 1:58 PM (GMT -6)   
admittedly, this is a call-in radio doc's take on it, and it's from 2000 (but I like Dr. Dean):


"Two major factors for successful transplants are the body's acceptance of the new organ and the mechanics of removing and replacing the organ.
At this point, I don't think we would have trouble with acceptance, but the anatomy of the prostate makes for a daunting mechanical challenge. The prostate is wrapped around the outlet of the bladder and has hundreds of nerves and connections.

Because the prostate is not a necessary organ -- we can live without it -- overcoming the complexities of the surgery is not as pressing as is the search for other medical solutions."

http://www.healthcentral.com/drdean/408/43377.html

My take:
It's not the only organ where we don't have successful transplants. Pancreases, gall bladders and thyroids come to mind. (Apparently there have been tries at human-to-human thyroid transplants, but they have failed due to high rejection rates, but there have been some more recent experiments transplanting across species).

It would probably be more difficult than transplanting a hand, and we have seen how challenging that is for surgeons and how hard it is to keep the recipient from rejecting it.

And like buying a used car, you could be just buying someone else's problems! I think I'm fine without a prostate--for the most part, my feeling is that of good riddance to the rotten thing that was trying to kill me..
Galileo

Dx Feb 2006, PSA 9 @age 43
RRP Apr 2006 - Gleason 3+4, T2c, NX MX, pos margins
PSA 5/06 <0.1, 8/06 0.2, 12/06 0.6, 1/07 0.7.
Salvage radiation (IMRT) Jan-Mar 2007
PSA 9/2007 and thereafter <0.1
pcabefore50.blogspot.com

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3742
   Posted 4/10/2011 6:07 PM (GMT -6)   
I figure they could make a silicone replacement for prostate. No plumbing necessary. It would only give mechanical support to the plumbing that is left.
You wouldn't lose that precious 3/4 inch that nobody talks about and you might not require a sling to regain continence. Who knows, it might even take pressure off a nerve or two and help some poor guy with ED.
Jeff
Age: 58, Mar 35 yrs, 56 dx, PSA: 4/09 17.8 6/09 23.2
Biopsy: 6/09 7 of 12 Pos, 20-70%, Gleason 4+3 Bone, CT Neg
DaVinci RP: 7/09, U of Roch Med Ctr
Path Rpt: Glsn 3+4, pT3aNOMx, 56g, Tumor 2.5x1.8 cm both lobes and apex
EPE present, PNI extensive, Sem Ves, Vas def clear, Lymph 0/13
Incont: 200ml/day ED: Trimix
Post Surg PSA: 10/09 .04, 4/10 .04, 7/10 <0.01, 12/10 <0.01
AdVance Sling 1/10/11 Dry

davidg
Veteran Member


Date Joined Feb 2011
Total Posts : 4093
   Posted 4/10/2011 6:10 PM (GMT -6)   
I read a lot about that. Not everyone loses length and when they do, the length varies greatly. There are techniques now being used to avoid shrinkage.

NY-Sooner
Regular Member


Date Joined Sep 2009
Total Posts : 464
   Posted 4/11/2011 8:26 AM (GMT -6)   
In a few years, 20 to 30 maybe, rejection of transplanted organs will be a thing of the past.  Growing brand new organs from your own stem cells will be common place, and transplants will be all the rage just like robotic surgery is all the rage today..
 
In our children's lifetimes, or maybe I should say grandchildren for some guys here, cloning of your own organs for future replacement will be the norm for those who can afford it.  For example when a person is in thier 30s or 40s, your own stem cells can be harvested, and through genetic manipulation, they can be used to clone all the various organs that go bad over time.  You will be able to grow in a lab, organs  like the heart, kidney, prostate, intestine, pancreas, etc. These will then be frozen until one is needed for replacement.  Since it is your own cells, there will be no rejection.  Then again, if we are this advanced with genetics to grow organs, we will probably already have a method to destroy cancer cells without harming regular cells, thus eliminating cancer as a killer all together, and not requiring transplants. 
 
 
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