Posted 4/25/2007 4:39 PM (GMT -7)
Hi Tamu old buddy,
Sort of a funny (coincidental) story. Last Christmas holiday, we were flying to South Florida to visit the in-laws over the school break. Had to change planes in Tampa. We were standing in line ready to board, when I heard these two "suits" standing behind me talking, saying something like "yeah they just put in a robot up in so-and-so hospital, and they are doing a lot of gynecology work with it, too..." So, I turned around and asked, "Excuse me, do you guys represent Intuitive Surgical?" They looked at me like I was a fortune teller, and said yes. One was the national rep and the other was the southern Atlantic rep. I said, well, I just want to thank you as a satisfied customer (I was 4 months post-op then). They were off to close a deal on a robot for some hospital in Boca Raton. We were talking and they were talking about robotic surgery becoming the state-of-the-art in prostatectomy, and perhaps soon in hysterectomy, and cardiothoracic surgery. Of course, what are they going to say? But, they told me that business was good.
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. One was 40% of sample, the others less than a mm. thick.
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.
Pads-Not needed after about 2 weeks post-cath, but gotta go a lot more often.
Final pathology report:T2c-both sides,but in capsule; neg. margins, neg. lymph nodes, neg. seminal vesicles; final max Gleason still 4+3=7.
1st Follow-up PSA (11/7/06): <0.008 !!!; serum T: 195 - still OFF Androgel (at present). Low T may delay return of erectile function (in presence of one damaged nerve).
2nd Follow-up PSA (3/19/07): <0.003 !!!; serum T: pending
Testosterone Level (3/19/07): 163, down from November 2006!
Uro-Endocrinology Consult (3/28/07): Prescribed Testim gel 1% once a day, and recheck PSA and T-level in a month.