DaVinci Question

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Regular Member

Date Joined Jun 2004
Total Posts : 231
   Posted 10/14/2007 12:07 PM (GMT -6)   
Hi, we go for the biopsy on Tues the 16th and I get the impression that the doc thinks the DaVinci is the best way to go.  (His son does the operation)  And I was wondering if you have to have chemo and  or radiation after a DaVinci.  How about after an open?  What determines the follow up treatment if any?  Thanks, I don't feel like I am alone, thanks to you all.  Hubby is 56 years old, and  latest PSA's 10 and 6.7.
Les and DB

Regular Member

Date Joined Jul 2006
Total Posts : 474
   Posted 10/14/2007 12:47 PM (GMT -6)   

Hi, Hopeso - you landed in the best possible spot here for support and information.

There's so much to learn about options, scores, treatment, etc.

Briefly, you'll first have to get the biopsy report. That will give you a "guess" of whether the cancer is contained within the gland. Next, they may want to confirm that with cat scans, X-rays.

Next, you can start researching options. No, if the cancer is contained, you won't likely need follow up radiation if you select surgery. Chemo does not work on prostate cancer, directly, so radiation is used. You may indeed choose surgery or select any of a number of other treatments.

Regarding treatment, it is usually better to go with a specialist who is outstanding in his/her firld and who has performed the procedure multiple times. For instance, if a da Vinci surgeon is in the 50-100 range, there might be still a bit of learning curve (not always the case, but that's what research still reflects).

Specialists sometimes try to "sell" you on their procedure. It becomes very confusing, but -truly - you will wander along and eventually find your way to a decision. It's a scary time, but one that you indeed will get through.

Keep posting and don't hesitate to ask any questions.

Husband age 66
PSA on 5/1/06: 4.2 (had doubled in 13 mos. and rising monthly)
DaVinci Surgery 8/2/06 - Austin, TX w/Dr. Randy F.A.G.I.N.
T2a (at biopsy)
At pathology - cancer cell leakage into fatty tissue
Post-Surgical PSA on 10/06, 4/07 - undetectable!
Update: 11/1/06 - perhaps bladder neck involvement; 30%-50% chance of recurrence
Future: PSA tests twice-yearly for now - Next one: 10/16/07

Regular Member

Date Joined Mar 2007
Total Posts : 237
   Posted 10/14/2007 1:33 PM (GMT -6)   
Hello, Hopeso. Sorry you have a need to be with us, but you've joined a great forum where many of your questions can be answered. I'd only echo GreenAcres on selecting a surgeon with a lot of experience, whether you go with open or DaVinci. With due respect to your dr, I wouldn't be swayed just by the fact it's his son he's recommending. I think most people on this forum have suggested at least 300+ procedures to really be experienced. Stay in touch!
60 years old
Dx March 2007
Pre-Surgery Gleason 3+3 = 6
Clinical Stage: T1c
Biopsy: 1 in 10 positive
Da Vinci: June 7, 2007 
Post-Surgery Gleason 3+3 = 6
   Clear at margins
First Post-PSA Sept 07 = <.01 (Hooray!!)

Veteran Member

Date Joined May 2006
Total Posts : 2542
   Posted 10/14/2007 2:20 PM (GMT -6)   

Hey ~ Les & DB,

It’s really good to see you back here…. yeah     Hopefully over the past month you’ve continued to gain “knowledge” from members here who are so willing to share their journey.  Each journey has so much information to pull from.  I was glad to see your response to your previous thread… 08-29-07  Waiting for news. 

Please ~ continue to stay close…

In Friendship ~ Lee & Buddy

mama bluebird - Lee & Buddy… from North Carolina


v          We invite you to visit our personal thread:  Click Here:  “Our Journey” ~ Sharing is Caring 

April 3, 2006  53 on surgery day

RRP / Radical Retropubic Prostatectomy

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

3rd PSA 08-07-2007 Less than 0.1 Non-Detectable :)

Veteran Member

Date Joined Apr 2007
Total Posts : 823
   Posted 10/14/2007 4:51 PM (GMT -6)   
Hi Hopeso. Get the biopsy first to see if you really have PCor not, then look into a medical facility that has a multidisiplinary approach to fighting this disease. Seek out ideas and experiences from the people on this forum. There are lots of ways to treat this disease. We will all be thinking and praying for you through your journey. Take care and keep in touch.


Regular Member

Date Joined Sep 2006
Total Posts : 211
   Posted 10/14/2007 5:32 PM (GMT -6)   

As you know several factors can cause elevated PSA readings.

In your case, his enlarged prostate problem could well be contributing to the PSA readings which have been elevated over time. For PSA readings to be meaningful, the prostate size needs to be factored in to calculate a "PSA Density" if that hasn't been done already.

70% of PSAs between 4 and 10 are traced to benign causes.

Veteran Member

Date Joined Oct 2006
Total Posts : 626
   Posted 10/14/2007 10:25 PM (GMT -6)   

mvesr has given you good advice. It seems that you are jumping ahead. Take it one step at a time. If the bipsy confirms PCa then you have time to research your options and ask us a lot of questions. It is good that you have some knowledge before the biopsy so if it is PCa then you can be ready to discuss treatment options with the urologist without being intimidated into leaning toward a preference options if he has one.

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
Began injections in April '07
Undetectable PSA on 6/25/07

Regular Member

Date Joined Jun 2004
Total Posts : 231
   Posted 10/15/2007 6:57 PM (GMT -6)   
Thanks so much for the responses. I am going to have DB read them all. His DaVinci surgeon(should he have cancer has done 80 surgeries.) We hope for the best and that we won't need it.
Will let you know as soon as the biopsies come back. Thanks again.
Les and DB

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