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Bootheel
Regular Member


Date Joined Oct 2007
Total Posts : 300
   Posted 10/26/2007 5:21 PM (GMT -7)   
I am contemplating surgery in the near future.  RRP seemed to be my choice at first.  Can anyone out there who has had Laproscopy fill me in on the results as far as nerve sparing, incontinence and ED as compared to RRP. I know it is a less evasive procedure with shorter recovery.

Tamu
Veteran Member


Date Joined Oct 2006
Total Posts : 626
   Posted 10/26/2007 6:28 PM (GMT -7)   
Both the open and robotic laparoscopic done by experienced surgeons have good overall complication rates for incontinence and ED. I can relate to you the information my surgeon provided on results he has tracked. Just to set the stage my surgeon had done over 3,000 open types before switching to the robotic. He told me the reason he switched was to prove that the robotic was not any better then the open. The results were that he has adopted the robotic as the preferred method. While he has not published any numbers he told me that the robotic results tracked over 1,000 surgeries when compared to the open done by the other surgeons in the clinic he heads up indicates that the robotic is statistically significant better. He attributes this to the better field of vision. He also believes that not all PCa cases are candidates for the robotic. Cases where the biopsy indicates an aggressiive stage and significant involvement of the prostate along with the PSA and DRE he refers to the open type.

Tamu
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


spinbiscuit
Veteran Member


Date Joined Apr 2006
Total Posts : 818
   Posted 10/27/2007 7:23 PM (GMT -7)   
Hello Bootheel,


It does seem that the surgical procedure which has become the gold standard is the DaVinci robotic technique. If you deside to opt for this treatment make sure that the doctor you choose is experienced. Many of us had surgeons with 1000+ operations to their credit. Every case will be different, and that is why an experienced surgeon is so very important.

Good luck with your search, and keep asking questions.

Glen
Diagnosed at age 60
PSA went from 2.2 to 3.8 in 14 months
2 of 14 cores positive at 10%
Gleason 6(3+3), negative DRE, neg. margins
DaVinci surgery on 02/23/06
Last PSA 08/26/07 @ 18 months "0"


PACrat
New Member


Date Joined Nov 2007
Total Posts : 4
   Posted 11/18/2007 1:50 AM (GMT -7)   

Hi Bootheel,

I was told of many advantages for the laproscopic surgery.  The expected blood loss is 50-200 ccs compaired to 800-1000ccs for the open proceedure.  The prostate is located in the bottom of a dark hole, like the tapering shape of a funnel, surrounded by many important structures.  The DaVinci robot provides superior lighting and a camera lens that goes down into that now, well lit hole and provides the surgeon with a high quality view of a difficult environment to operate within.  When delicate structures like nerves, arteries, and veins are manipulated, lighting and excellent vision of the surgical field is essential.  These are the reasons that I selected laproscopic surgery rather then an open RP.

PACrat


52 y/o, DRE negative due to anterior nodule in R lobe
3-2007: PSA 4.1, slowly rising from previous year
9-4-07: Biopsy +7 of 14 on R, 25%, Gleason 3+4, Stage T2a
10-4-07: LaproscopicRP in Miami, clear margins, 3+4 confirmed
10-29-07 PSA < 0.1, done in 3.5 weeks by my local urologist
11-17-07 (6wks) found this group, limp & leaky, but feeling like one of the guys due to all of the knowledge & caring of this group.
 
 
 
 

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