My surgery was performed by Gerald Andriole at Barnes-Jewish through the Siteman Center. I was pleased with the surgery process and immediate outcome, had "reasonable" side effects from surgery that resolved within several months. The follow-up also was good and I certainly don't find fault with the surgeon for my recurrence. Once recurrence was declared, I immediately was referred to a Siteman doc for a radiation consultation. I would have done the radiation at Siteman; however, I live about 200 miles from St. Louis in a town that has a major hospital system that provides RO. I would recommend working with the Barnees-Jewish docs.
Diagnosed at 47 (currently 50). Pre-surgery PSA: 13.7 Pre-surgery Gleason: 4+3=7. CT Scan, Bone Scan, PET Scan: Clear. LRP 5/28/08. Left nerve bundle removed. POST-SURGERY: Gleason: 4+3=7; 10% of prostate all quadrants involved; EPE left base & apex; extensive PNI present. Bladder neck, lymphvasular space, seminal vesicles, 17 examined lymph nodes, and all surgical margins FREE of tumor. T3a. Four-week post-surgical PSA = 0.1; Seven-week = .01; 10/08 – 4/10 PSA= 0.0; 4/10=0.1; 5/10 & 8/10 = 0.1; 9/10=.15; Prostiscint = negative; 12/10=0.3. 12/15/10 began 70.2 grays SRT and finished 2/10/11.