Surgeons in Syracuse NY area ?

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cvc
Regular Member


Date Joined Jun 2008
Total Posts : 440
   Posted 5/9/2011 11:41 AM (GMT -6)   
A buddy of mine was just dia with gleason 6 . He had testicular cancer 14 yrs ago and radiation for it. Now he has pc. His uro recomended removal and mentioned a surgen in Syracuse I believe his name was Dr James ?? any idea or comments

cvc
Regular Member


Date Joined Jun 2008
Total Posts : 440
   Posted 5/9/2011 6:03 PM (GMT -6)   
or even within 100 miles ?

davidg
Veteran Member


Date Joined Feb 2011
Total Posts : 4093
   Posted 5/9/2011 7:09 PM (GMT -6)   
I don't know about Syracuse or Albany. I know Rochester has a good center, and of course there is NYC if you're willing to come down ( it's about 100 miles, no? maybe 140 ). My guy is in NYC and he's considered one of the best. There is also another very high volume and respected surgeon in NYC. Feel free to email if you want more detailed info on my guy in NYC.

But are you sure he can have surgery if he had radiation 14 yrs ago?
40 years old - Diagnosed at 40
Robotic Surgery Mount Sinai with Dr. Samadi Jan, 2011
complete urinary control and good erections with and without meds
Prostate was small, 34 grams.
Final Gleason score 7 (3+4)
Less than 5% of slides involved tumor
Tumor measured 5 mm in greatest dimension and was located in the right lobe near the apex.
Tumor was confined to prostate.
The apical, basal, pseudocapsular and soft tissue resection margins were free of tumor.
Seminal vesicles were free of tumor.
Right pelvic node - benign fibroadiopse tissue. no lymph node is identified.
Left pelvic node - one small lymph node, negative for tumor (0/1)

AJCC stage: pT2 NO MX

cvc
Regular Member


Date Joined Jun 2008
Total Posts : 440
   Posted 5/9/2011 7:23 PM (GMT -6)   
his Dr told him he couldnt do radiation treatment or seeds but had to do the surgery ???

zufus
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Date Joined Dec 2008
Total Posts : 3149
   Posted 5/10/2011 6:28 AM (GMT -6)   
I love it when a doc says there are no other options??? Did you seek further opinions from others??? Alot of docs like corraling their patients and limiting choices, maybe this doc forgot about focal Cryo, HIFU, ADT3 (per Leibowitz concepts) and other options and maybe he is flat wrong about many various types of radiations for this patient. I got 8 opinions and seen marketing and b.s. and righteousness....seems everyone was an expert (LOL).

My friend did ADT3 for primary treatments(13 mos.-1996) on PCa back in 1995-6 era with Gleason 6 and 2 pos. cores of PCa, psa was 11.0 Has total normacy as a man he has stated and 3 rebiopsies(over many years) has found no cancer and psa is low to this day...plus he can still do any treatment type. I guess most docs overlook this option as 'insane'. I have his email and phone number if you get curious.  I think he had large gonads to choose this option back in 1996, let alone today.
 
 

Post Edited (zufus) : 5/10/2011 6:57:19 AM (GMT-6)


NY-Sooner
Regular Member


Date Joined Sep 2009
Total Posts : 464
   Posted 5/10/2011 7:31 AM (GMT -6)   

I  live in Binghamton and I was diagnosed 4 years ago with a Gleason 6 cancer.  After much research, I decided to go to Rochester Strong Memorial,  University of Rochester and I had Dr Jean Joseph perform my robotic surgery.  He was one of the first surgeons in the country to start using the Da Vinci system back in 2002. When I had my surgery in 2007, he had over 1200 surgeries under his belt at that time, so by now it is probably over 2500. He does on average 5-10 surgeries a week. He does nothing else but prostate surgeries.  

My results were excellent.  I had no ED problems and could get solid erections from the day the catheter was removed and without drugs.  With respect to continence, I used 5-7 pads a day for three months, then became dry and haven't used a pad since.

Too this day my psa is <.04.

Cost wise,  you can't beat it.  It cost me $21,000 hospital and surgeon combined.  I priced the same surgery in NYC with Dr. Terwari ( also one of the best surgeons in the country) and it would have cost me about  $50,000. I suspect prices have gone up some since 2007, but relatively speaking, I bet Rochester is still cheaper than NYC

 

 

 

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