Does anyone in this forum, know of a experienced doctor in the Dallas/Fort Worth area. Early stage prostate cancer, looking at possible surgery. Also very interested in outcome of anyone having surgery.
Referencing Inchoation's post, I also had a da Vinci prostatectomy at Mayo Clinic and could not be happier. But if you cannot travel very easily, I'm sure there are great facilities in your area. Some of us will probably have good suggestions for you.
I had virtually no pain associated with my surgery and was virtually 100% continent within a couple weeks after surgery. No other side effects. Within 3 months I was carrying very heavy (picture tube models) TV's up and down my basement stairs. Doesn't even seem like I had any surgery.
Naturally every case is different and a lot also depends on the skill & experience of the doctor -- do not allow anyone to treat you unless they have done at least 300-400 of them. There is a long learning curve involved.
In the sex department, I'm pretty much the same as before the surgery -- not very hard -- because I had severe BPH affecting me. But things do seem to be getting better lately in that department.
Can you give us some of your stats so we can give you more comments? Such as your age, PSA history, biopsy results (how many positive cores & what percentage of involvement), Gleason score(s), staging, etc.?
Resident of Highland, Indiana just outside of Chicago, IL.
July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA Sept. 2011 was 5.7.
Local urologist DRE revealed significant BPH, but no lumps.
PCa Dx Aug. 2011 at age of 61.
Biopsy revealed adenocarcinoma in 3 of 20 cores (one 5%, two 20%). T2C.
Gleason score 3+3=6.
CT of abdomen, bone scan both negative.
DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
My surgeon was Dr. Matthew Tollefson, who I highly recommend.
Final pathology shows tumor confined to prostate.
5 lymph nodes, seminal vesicles, extraprostatic soft tissue all negative.
1.0 x 0.6 x 0.6 cm mass involving right posterior inferior,
right posterior apex & left mid posterior prostate.
Right posterior apex margin involved by tumor over a 0.2 cm length, doctor says this is insignificant.
Pathology showed Gleason 3 + 3, pT2c, N0, MX, R1
adenocarcinoma of the prostate.
Prostate 98.3 grams, tumor 2 grams. Prostate size 5.0 x 4.7 x 4.5 cm.
Abdominal drain removed the morning after surgery.
Catheter out in 7 days. No incontinence, occasional minor dripping.
Post-op exams 2/13/12, 9/10/12, 9/9/13 PSA <0.1. PSA tests now annual.
Firm erections now briefly happening in early mornings, 2 years post-op.