Is there a chance DB might be no go for Davinci?

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Hopeso
Regular Member


Date Joined Jun 2004
Total Posts : 231
   Posted 10/27/2007 5:43 PM (GMT -7)   
Hi Kids,
We have had a good talk tonight and thanks to all of you guys.  One question we have is that they told DB that his prostate was one of the largest the uro had ever seen in his 30 years.  His son does the DaVinci.  He has done around 100 by now, but I am wondering if the gland is so big and his dad has seen only a couple that large, how will he get it out of that little hole. His dad said it was 3 times the normal size. Do they cut it apart and pull it out normally
Les and DB   
 


Tamu
Veteran Member


Date Joined Oct 2006
Total Posts : 626
   Posted 10/27/2007 7:25 PM (GMT -7)   
Less & DB,

I am not sure what they will do but I would say that they will not cut it as the risk of cancer cells escaping is too high. If you do not know how they take the prostate out in a Da Vinci they put it in a plastic bag first and then pull the bag through the large incision just above the navel. If they have to I am sure that they would just enlarge the incison some. My prostate was large at 90 grams or about twice the size of normal. There was a post here from another man that had a prostate of about 120 grams but I do not know what type of surgery he had.

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


Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 10/27/2007 9:10 PM (GMT -7)   
Well, open done by an experienced surgeon is a fine choice too. Takes a little longer to heal but the results are still consdidered equal. I might even be more comfortable with a hands on approach personally. Just my 2cents.

And..I wonder? If there is a really big prostate, could this be part of the constipation problem? Maybe the bowel problems will be better after surgery also. Hope so.

Swim
 


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4461
   Posted 10/28/2007 6:25 AM (GMT -7)   
I was told by my surgeon that I probably wasn't a candidate for robotic due to the size of my prostate.  The 'normal' weight is around 25 grams.  Mine was 110 grams, the largest doc had personally seen, and he has done hundreds.  He said the size would require a larger opening during robotic and would be counterproductive, as they would make a much larger incision, plus there was always the possibility of losing cancer cells while wrestling with something that size.  I elected to have a conventional open procedure, which went well, healed quickly and I am well satisfied with the results.  Doc said he had to enlarge the open incision even more to remove mine, so robotic definetly wasn't an option for me. 

James C. 
 
Help support the forums so they can support you:  http://www.healingwell.com/donate 
 
Age 60 
4/19/07   PSA 7.6, referred to Urologist, recheck 6.7 06/05/07
7/11/07   Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07   Path report:  3 of 16 PCa, 5% involved, left lobe , GS 3/3:6. 
9/24/07   Retropubic Radical Prostatectomy performed 
9/26/07   Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
10/15/07  ED- 25mg Viagra nightly-no joy 
10/19/07  Dry 24 hrs, pad at night just in case
11/15/07  1st PSA scheduled


mvesr
Veteran Member


Date Joined Apr 2007
Total Posts : 823
   Posted 10/28/2007 6:29 AM (GMT -7)   
HI Hopeso. I had open surgery and had no problems and very little pain. I didn't fill my precsription for pain meds. Go luck to you on what you decide. We will all be with you.

Mika

Hopeso
Regular Member


Date Joined Jun 2004
Total Posts : 231
   Posted 10/28/2007 4:28 PM (GMT -7)   

Tamu,

What do you mean by injections?

Les and DB


 

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