Dr Scardino or Mani Menon ?

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JWH
New Member


Date Joined Jan 2007
Total Posts : 14
   Posted 1/22/2007 3:47 PM (GMT -6)   
I Need your advise!!!!
 
I Have and appt with Dr Peter Scardino
 and
An appt with Dr Mani Menon
the end of Feb.
 
I dont know who I should choose as they
are both the best in there feilds.
 

JWH, I am about 4 months into this. PSA 7.4, Gleason score 6 (3+3),Clinical level T1C. I'm 49 years old, the bone scan and CT are negative. Two cores positive, (2 mm and 8 mm). 2 % left side, right side 19 %.


Tamu
Veteran Member


Date Joined Oct 2006
Total Posts : 626
   Posted 1/22/2007 4:06 PM (GMT -6)   
JWH,

I am not clear whether you are asking which appointment to keep or which to choose. If you are going to keep both appointments then it really comes down to which of the two you will feel most comfortable with and gives you the best sense of confidence. They both are very experienced and from that perspective you could not go wrong with either one of them. I have not read any stories of men that used Dr. Scardino but I have read several that have used Dr. Menon. One thing that came out of those stories is that Dr. Menon takes the time to listen and relate to his patients. He is a very religious person and in many cases has asked the wife to join him in the hospital's chapel to pray and thank God for the successful surgery that their husband just completed. I am sure with either one you will have the best outcome. I did not use either one so I am not biased one way or the other.

Tamu
Diagnosed 7/6/06
1 of 10 core samples, 40%
Stage T1c, Gleason 3+3
Da Vinci on 11/01/06
Catheter out on 11/13/06
56 Years Old
Post Op Path
Gleason 3+3
Approx. 5% of prostate involved
Prostate Confined, margins clear
Undetectable PSA on 12/18/06
No more pads as of 1/13/07


bluebird
Veteran Member


Date Joined May 2006
Total Posts : 2542
   Posted 1/22/2007 4:27 PM (GMT -6)   
Hi ~ JWH,

Keep both appointments .... Once you've seen both....... You will have your answer!!

:) Lee & Buddy

mama bluebird - Lee & Buddy… from North Carolina

Link to our personal journey…>>>     Our Journey ~ Sharing is Caring 

April 3, 2006  53 on surgery day

RRP / Radical Retropubic Prostatectomy with "wide excision"

PSA 4.6   Gleason  3+3=6    T2a   Confined to Prostate

June 29th ~ PSA Less than 0.1 Non-detectable


BenEcho10
Regular Member


Date Joined Jan 2007
Total Posts : 133
   Posted 1/22/2007 4:42 PM (GMT -6)   
Wow. What a choice. Two top surgeons. I don't know either one except by reputation so I have to give generic rather than specific advice. I agree with Tamu and Bluebird. Keep both appointments.

I am assuming that both are top surgeons with similar outcomes in terms of removing the cancer, urinary control, and return of sexual function. Given that, here are few things to look for and compare:

1: Bedside manner. Some surgeons are not the most people friendly. Usually you accept this to get a top surgeon but in your case, when comparing two top surgeons, go for the one that spends time talking to you.

2: Management of side effects especially "penile rehabilitation." Some surgeons do the operation and then feel like their job is done. Others have a complete program of dealing with side effects (particularly a penile rehabilition program such as medications, pumps, whatever.)

3: Operating schedule backlog. If you are unwilling to wait very long and one surgeon has a big backlog, that may drive your decision.

4: Insurance. Make sure both doctors and both hospitals are covered in network on your insurance. My hospital was but my doctor wasn't (actually he just required that we pay him in full and then seek reimbursement from our insurance company) which cost us about $3,000 more than it would have otherwise. We didn't care because we wanted him but all things being equal, you probably do.

5: Distance: Is one located close enough to you to use him in the future as you regular urologist? Is one or both willing to do this if they are close enough? My surgeon is too far away so I have both a surgeon and a local urologist and they aren't always on the same page.

Good luck,

Ben


DIAGNOSIS: 09/25/06. Age 49. PSA 4.6. PSA free 2%. Clinical pathology: Gleason 10. Stage T2a.           
 
SURGERY: 11/08/06. RP at Johns Hopkins. Surgical pathology Gleason 10. Stage T3a (positive margins.) Negative seminal vesicles, lymph nodes, and bone scan.
 
POST OP: 12/15/06: First post op PSA was 0.00.

Post Edited (BenEcho10) : 1/22/2007 6:44:09 PM (GMT-7)


SJC
Regular Member


Date Joined Jul 2006
Total Posts : 113
   Posted 1/22/2007 4:44 PM (GMT -6)   

JWH:

I agree with Lee and Buddy (we think alike often). 

Consider yourself lucky.  You have appointments with two of the best.  If you are going the sugery route, book a surgery with both and decide which one later.  I'm not aware of a deposit you lose if you cancel one of the surgeries.


Jeff 11
Regular Member


Date Joined Jun 2006
Total Posts : 24
   Posted 1/22/2007 7:29 PM (GMT -6)   

Hi I used Dr. Menon 7/06. Menon gets very good results with cancer control & erectile function. In my case I got my erectile functon back in 6 weeks & the Dr. says there is a 96% chance my cancer is gone. I would highly recommend Dr.Menon

 


daveed
Regular Member


Date Joined Jul 2006
Total Posts : 172
   Posted 1/23/2007 8:05 AM (GMT -6)   

JWH

Hi. I was operated on by Dr. Peabody who mentors under Dr. Menon. Menon was booked up. They are pioneers in a technique called the Veil of Aphrodite which stresses the importance of nerve sparing. I am doing well regarding erectile function. The nursing staff at Henry Ford are the best from pre op to recovery. Very attentive to your needs and concerns. Just my humble opinion. You can't go wrong.

Daveed


Diagnosed March 06
PSA 4.4
Two biopsies. One core of each 5% cancer, two suspicious
Gleason 3+3=6
DaVinci surgery Nov 1, 06
Cancer confined to prostate
Ist PSA 6 weeks post op less than 0.02
 


parson
Regular Member


Date Joined Dec 2006
Total Posts : 55
   Posted 1/23/2007 8:42 AM (GMT -6)   
JWH: Sounds familiar. I also made several appointments and will tell you about them. But first, it is my understanding that Dr. Scardino does open while Menon does robotic. I tried to get an appointment with Scardino but could not and made an appointment with Dr. Esastham at Sloan instead for the end of Janauary. In the meantime I made and kept an appointment with Dr. Tewari at Cornell and Dr. Su at Hopkins, both robotic. I understand that Tewari trained under Menon and Su trained under Tewari. Now that I had both interviews ( and I made an appointment for surgery with both ) I am totally confused. Tewari has done more procedures than Su but Su has done a considerable amount. Su can do the procedure a month earlier than Tewari and spends more time in the operating room. I have spoken to many people including surgeon friends who first advise that can't make a mistake with either. Both are personable. The one thing that stands out by my wife ( of 43 years ) is that Su did his own exam but that Tewari had his assistant come in first for the exam. Barrister
Age 64, PSA 3.4,increased from 2.5 over 14 months,  3 of 12 cores positive 12/14/06,gleason 3+3=6
CT of ab,chest and pelvis and Bone scan all negative 1/8/07, staging prior to surgery T1c, Robotic scheduled at Hopkins 3/12/07.


Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 1/23/2007 10:02 AM (GMT -6)   
His assistant is more likely a Doc doing his fellowship? That would be exactly how Tewari got to where his is today! Don't you worry..Tewari will do his own DRE. It may be in the or or in pre-op but he'll do one ;>)
David Wood at U of M falls in the Menon/Tewari/Su bunch too. With 4 major research hospital centers in the Detroit area there are a lot of names moving around from place to palce.

Any of the above mentioned names are surgeons with wonderful reputations. There is another who is overlooked who posts on Low Blow quite a bit. Savatta has very good web site for anyone still looking for a surgeon. His nerve sparing may be among the best around...or he's just really good patient selection..

Swim
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