Hi my name is Doug.
My second biopsy was two weeks ago and the news was not good. My doc has ordered a bone scan and MRI, when the results come in we will talk about options. I have had six months to think about this and I would like to have the prostate removed. My doc tells me that most people are opting for the robotic surgery these days and that it is far superior. Is that true? He is part of the Orange County Urology Associates in CA and he will be recommending a surgeon from this group, on my next visit. Does anyone have experience with doctors in this group? Like everyone, I would like to fine the best surgeon, and if that requires travel, that is okay.
Thanks for your help.
I did lots of research on this before I decided on
open surgery, I could find NO report that substantiated better long term outcomes with robotic, smaller incisions, shorter recovery times, and less pain yes, but as far as the part I was interested in, i.e. lack of recurrence and urinary and sexual function what I found was
open had a slight edge.
I'd urge you to get multiple opinions from a few different specialists and make an informed decision. It sounds like you have caught it early and have a few options at your disposal.
Also be advised, sadly forums can be a platform for people to promote their "experience" which may or may not be factual hence some of the comments in this thread.
Dave in Durango CO
07-06 PSA 2.5
01-08 PSA 5.5 (Dr never told me)
09-09 PSA 6.5
12-09 Biopsy, initial Gleason 9 (4+5) later reduced to 8 with tertiary 5
03-01-10 Age 55 RRP in Durango CO by Dr Sejal Quale and Dr Shandra Wilson
03-16-10 Path' G-8 (4+4+5) Bilateral involving 21% of left lobe, 3% of right lobe, SVI, Focal positive margin, pT3b NO MX
All PSA as of 1-25-11 <0.04