Posted 2/5/2007 7:13 PM (GMT -6)
Hi Kurt and Courtney,
Glad to give you this information. It looks like you have similar stats to those I turned out to have. Hopefully, the name police won't have a problem with naming names, since this is the answer to a question.
I don't know the doctor who does daVincis at M.D. Anderson, but I had my surgery done at St. Luke's Episcopal Hospital in Houston by Brian Miles, M.D. He is a professor at Baylor College of Medicine. Also, in the Baylor Department of Urology is Kevin Slawin, M.D. They are both very experienced robotic surgeons, as I call them, the robomeisters, but have years of experience with open surgery, as well. You can see pictures of them at the Baylor Urology website, www.baylorurology.org. On the opening page of that site there is a picture of an informational magazine about Baylor urological research called Pathways. If you get into the magazine, and scroll down, you will see a story about robotic surgery and their involvement. Dr. Miles is great, with a wonderful bedside manner. I like him very much, as well as his staff. The two doctors are also very involved in prostate cancer research, and Baylor is one of several national centers for this research. The department also has subspecialists in other aspects of urology, which the Lord willing, you won't need, but it is comforting to know they are there. There is a pathologist that works with the group, the chairman specializes in incontinence, and another doctor specializes in urologic endocrinology and erectile dysfunction.
All these guys are very busy, but to me, that vouches that they are good.
Also, check the daVinci website, http://www.davinciprostatectomy.com/hospitals.html, which has a list of doctors who are trained in the method for all states. Because you are centrally located in OK, it looks like there are many doctors in a 250 mile radius that perform the procedure. Both Drs. Miles and Slawin are on the list for Houston, and there is one doctor that I could find at Anderson on the list. It looks like they are all around you, in Arkansas, Kansas, Missouri, Tennessee, and at OU. But, check to see how many they have done. With the robot, practice makes perfect.
Keep us updated.
All the best,
PSA (10/04): 2.9; PSA (2/06):4.4, on Androgel (serum T about 450) at age 56; negative DRE, no symptoms.
PSA (5/06):5.7 with a free PSA% of 8, OFF Androgel (serum T 163).
Biopsy (5/06): 4/12 samples positive; postitive samples only on right side; max Gleason 4+3=7 (in 2 of the 4 -from area nearest bladder.
DaVinci robotic-assisted laparoscopic radical prostatectomy + bladder lift + Right nerve plastic surgery (8/23/06).
Catheter out 4 weeks postop, due to internal pinhole leak at bladder-urethra junction.
Final pathology report:T2c-both sides,but in capsule; neg. margins, neg. lymph nodes, neg. seminal vesicles; final max Gleason still 4+3=7.
Follow-up PSA (11/06): <0.008; serum T: 195 OFF Androgel (at present).