Good for you in looking into your prostate cancer options throughly and doing all the research you can.1. He scheduled for an open surgery but we keep hearing that the Robotic is the better option. What is your opinion? What are the pros and cons of both of these procedures?
We did da vinci. I think most will defend their choice of
open or robotic surgery, radiation, etc. unless something went really wrong. So you can predict that Ken and I think that da vinci is better :). We found a good da vacini doc around here who had completed over 400 and who had also done over 1,000
opens (and still does on occasion
opens). Of course we also consulted with an
open guy and a double-certified oncologist/radiologist.
Our original urologist (who does
open) was actually very honest with us. When we asked if there would be any better "Feel" with the
open. He basically right out told us, with your stats, not likely. And when we consulted with our robotic surgeon (recommended by original urologist) he also said that after doing tons of
opens and lots of robotic, he feels that he "feels" the margins just through sight (from the experience in
With this said, i wonder if the best choice might be someone with BOTH lots of
open and robotic experience.
We actually had three consults and although it took time, i am glad we did, instead of just jumping in with first instinct (get it out NOW!). 2. What was the post surgery like for you, mentally, emotionally and spiritually? How long did it take you to get back to yourself? I'm trying to prepare myself for what’s to come.
well we are less than two weeks out. We were very happy with the initial recovery from surgery. I seriously have to give away adominal pads, surgery tape, etc. that we thought we might need for wound dressing! (I think some things i read were for
open surgery and totally didn't apply in our case). That is the physical part.
Mentally, it was almost the same ... we were amazed that the recovery was so easy. (so far). Emotionally, ecstatic especially over path results and seeming promise with incontinence. (dribbles, but definitely progressing rapidly).
Spiritually, thank GOD that surgery went ok, no major complications. That is the primary thing we prayed for. As long as he got through it ok and looked like cancer was out, that is all we can ask for with all the others who have much worse. 3. I heard that it takes a while for the sexual functions to return (if they do at all) and even if they do, a lot of men shy away from sex because the orgasms are painful. Please shed some light on this topic.
we aren't there yet! BUT definitely looking forward. We are doing cialis therapy and have had some "stirrings" and it has definitely come out from his little shell :) 4. The doctor recommended a trans-rectal MRI. Does this test reveal if the cancer spread outside the prostate? What is considered a normal (or acceptable) result of the MRI?
sorry didn't have one.
Tanya and Ken
PSA: 3.7 (up from 3.4 previous year)
Biopsy: 1/10 cancerous, 5% of one core, right apex.
Da Vinci: April 10, 2007
Path results: 1% of prostate involved. Very small tumors on both right and left apex. Negative margins. Gleason 3+4=7.
Post Edited (Izzyblizzy) : 4/23/2007 6:20:27 PM (GMT-6)