Cedar, Not a Dr. here.....but you may want to check terminology. The Retropubic (which is what I had) is where they go in from the front. Incision is from belly button to just above penis. The Perneal is where they go in through the crotch between the scrotum and anus. From what I have seen there are very few perneals done any more. I understand there is more chance to damage the erectile nerves and anus control structures? No matter which one it is, it is still a Radical Prostatectomy!
If anyone has more info on this please let us know.
Please do not think I am a know it all. Just want to try to help everyone stay on the same page.
PSA 5.7 - Discovered during Annual Physical with Family Practice Dr.
Biopsy Sept. 27, 2006 - Diagnosis Sept. 29 - 3 of 12 positive (up to 75%) all on left side of prostate, Gleason 7
RRP on Oct. 17, - Nerves on right side saved.
All Lab's clear. No Cancer outside prostate
Cathiter in for 28 days due to complications in healing. Removed Nov. 9, 2006
First Post op PSA on Dec. 11, 2006 Undetectable 0.00
Office visit on Jan. 19th due to continued excessive urine leakage.
Feb.20th Cystoscope and 2nd Post Op PSA. Another 0.00.....:)
Dr. said everything looks fine. Continue to work Kegeal's. Leaking appears to have improved after Cystoscope?!?!?! Down to 3-4 pads per day!
March 1st Leaking has crept back up to 6 - 8 pads a day ???????
March 29th Collagen injection into sphincter / bladder neck area to control excessive leaking. Worked for a couple of days then back to leaking.
April 17th (Six Months Post Op) 2nd Collagen Injection to control excessive leaking. Leaking started back next day at work!
May 14th Second Opinion about my leaking and Options at OU Medical Center. After reviewing my records the Dr. feels I will probably need some surgical intervention to stop my leaking. But did agree to try Bio-Feedback and work hard on the Kegeal's first!
May 30th Follow up with my Dr. and 3rd Post Op PSA 0.00 agian!!!
June 1st Start Bio-Feedback to try to control my leaking.
Oct 17, 2007 1 year Post Op - Still fighting moderate / Severe incontenance. Using 4-6 pads a day. Erections usable....sometimes! Almost like before with 100mg Viagra!
December 5th, 4th post op PSA 0.01!?!?!? Is that still a 0? Still leaking!!!!