Look at my signature line, and you can see why I'm glad I had it pulled out. Even to the day of surgery, I wondered if I was being overly aggressive, since I had only one positive core, and that at only 5%! When I got my post surgical report, I was shocked that I had positive margins on the other side. Thank God for my first PSA of 0.01!!!
As far as the Da Vinci Surgery:
1. I was out the next day - took only one pain pill at home.
2. The catheder was far less a problem than I feared. It was more of an annoyance and procedure to change bags/clean bags/etc. I was walking outside with the leg bag right away, ang got up to a mile in a week.
3. Incontinence - So far, things have been good. I do my Kegals, and did them before surgery. When I go someplace, I'll put in a womens sanitary napkin to catch an occasional drip. I was out of town today, and really didn't need it. (Not to get into details, but the small sanitary napkin allows use of the fly. Using a public urinal may seem like a small thing, but every step is a positive one!)
4. The best line I can leave you with is from my surgeon as he discussed my post surgical pathology report - "At least it's in a jar of formaldehide somewhere!"
Good luck with your decision. I am glad I chose surgery, since I know the full extent of my cancer, and if I have to do further treatments in the future, I have the hormone and radiation to fall back on. Or, perhaps if I can keep that PSA low for years, there will be something else around the corner.
PSA 4.7 (up from 3.2 one year ago)
Biopsy November 8, 2006
1 of 10 cores positive 5% LEFT Side
2 others questionable (small gland proliferation)
Robotic surgery January 19, 2007
Post Surgery Pathology
Stage T3a, Gleason 3+4, positive margins and
capsular penetration RIGHT Side
Post Surgery PSA: March 5: 0.01