Which surgeon?

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triker
Regular Member


Date Joined Sep 2007
Total Posts : 22
   Posted 11/12/2007 12:56 PM (GMT -7)   
I am struggling with a decision and need your input. I am scheduled for DaVinci on 11/29/07 with a surgeon that has done 900+ DaVinci's. He does not accept insurance. I have today been "penciled in" for surgery on 12/14 by a different surgeon that does accept insurance. He has done 300-350 DaVinci's and was trained by the first surgeon. They both belong to the same office. If I have done the math right, I believe that surgery by the more experienced surgeon will end up costing an additional $4000+. Although the extra cost will hurt our budget, we could get by without any major changes in lifestyle.

I have until tomorrow morning to decide, as I am scheduled for pre-op tomorrow. Your thoughts would be appreciated.
Walter

Age 58
10/06 - 1st PSA ever - 4.6
11/06 - PSA retake - 5.3
12/06 - Biopsy, 12 cores - negative
7/07 - PSA - 9.0
7/07 - PSA 13.8 (after 10 days antibiotics)
8/07 - Biopsy, 12 cores, 1 positive @1%; Gleason 3+3=6
9/17/07 - Bone scan - negative
9/18/07 - CT scan - negative
10/12/07 - John Hopkins recheck of biopsy slides Gleason 3+3=6
Da Vinci surgery scheduled for 11/29/07


Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 11/12/2007 1:48 PM (GMT -7)   
Go with whom ever you feel most comfortable using. Our ecxperience has always been ...if Doc 2 learned his craft from Doc number one, there are 2 equally good surgeons to choose from. If Doc 2 weren't any good, Doc 1 wouldn't keep him around. Reputation is very important to them. Either way, it's your decision. Doc 2 has never failed us :>) Good Luck To You.

Swim
 


CaPCa
Regular Member


Date Joined Aug 2007
Total Posts : 118
   Posted 11/12/2007 1:54 PM (GMT -7)   
I had my da Vinci surgery with Dr. Vipul Patel at the OSU medical center and had to travel out-of-state to see him. I was near his 2000th procedure. I am extremely pleased with the results. Although the outcome was very good, I had an inflamed prostate discovered during surgery even though I had waited the prescribed 8+ weeks since the biopsy. I don't know if this was simply due to my particular prostate needing more time to recover or from some underlying condition like prostititis. Dr. Patel stated that my visit to OSU was, to paraphrase, "well worth your trip", and that the outcome might not have been as good "500 or 1000 surgeries ago". This implies that experience beyond the "few hundred" robotic procedures, often used and a guideline for adequate robotic experience, could be important in some cases. Although I had no expectation of a difficult surgery going into it, the added experience could have made a difference in my particular case.

Age:44
Father diagnosed and cured at age 52.
08/21/07: Diagnosed with T1c cancer
1 of 12 biopsy cores positive; 10% tissue
Gleason score: 3+3=6
PSA level prior to biopsy: 4.3 (velocity < 0.4ng/ml)
10/19/07: da Vinci prostatectomy by Dr. Vipul Patel at OSUMC.
              Difficult surgery due to prostate inflammation.
              Both nerve bundles spared.
              Spongy erections began within 24hrs of surgery!
10/24/07: Catheter out; down to 1 Serenity pad/day next day.
              Final pathology: neg margins, no capsular penetration,
              Gleason 3+3=6, 5% tumor involvement, multi-focal.
11/04/07  First usable erection with Cialis
 


aus
Regular Member


Date Joined Sep 2006
Total Posts : 211
   Posted 11/12/2007 3:07 PM (GMT -7)   

If considering robotic, I would prefer a doctor who is regarded as a top surgeon who also has extensive experience and good results with nerve sparing and open surgery, which could be more relevant than looking at the number done in isolation.


triker
Regular Member


Date Joined Sep 2007
Total Posts : 22
   Posted 11/13/2007 5:22 PM (GMT -7)   
Thanks for the input. I decided to go with the more experienced surgeon and not worry about the cost difference. I feel good about my decision and have confidence in the surgeon that I chose. Just sixteen more days until the big day.
Walter

Age 58
10/06 - 1st PSA ever - 4.6
11/06 - PSA retake - 5.3
12/06 - Biopsy, 12 cores - negative
7/07 - PSA - 9.0
7/07 - PSA 13.8 (after 10 days antibiotics)
8/07 - Biopsy, 12 cores, 1 positive @1%; Gleason 3+3=6
9/17/07 - Bone scan - negative
9/18/07 - CT scan - negative
10/12/07 - John Hopkins recheck of biopsy slides Gleason 3+3=6
Da Vinci surgery scheduled for 11/29/07

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