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Thread: T-Minus 36 Hours until da Vinci...

  1. #1

    T-Minus 36 Hours until da Vinci...

    Are there any questions or comments I should mention to the Surgeon before the surgery (da Vinci)?

    "Don't forget to spare the nerves"
    "Don't sneeze" ....

    And are there any questions or points I should write down to be sure to ask after the surgery and while I am still in the hospital? ....

    Thanks.
    BD: 1959 PSA 4.9 11/2012 (no symptoms)
    Biopsy 12/2012 Negative
    PSA 5.9 05/2013 (still no symptoms)
    Biopsy 6/2013 3+4 (thank goodness for PSA tests)
    1 core positive (upper left), 1 suspicious (lower left) out of 12
    DRE: bump right side T1c; PCA-III = 20 (normal)

    Da Vinci 7/18/2013: Invasive carcinoma involves left lobe of prostate only, extends from left apex to posterior mid region of left lobe Gleason 7/10 (4+3); G4 tumor comprises 75% of invasive carcinoma present
    Estimated total volume of carcinoma in entire prostate gland: 10%
    TNM: T2b NX MX (Stage IIA)

    8/13 11/13 2/14 8/14 2/15 8/15 3/16, 8/16, 3/17,9/17,4/18, 9/18 PSA undetectable
    3/19: .1 (damn), 4/19,6/29 retests: .1 (damn)


    My Story:
    T-Minus-36-Hours-until-da-Vinci...
    Catheter is Out!

  2. #2
    Good luck! I am T-12 hrs and counting. Hope we are both still smiling in a few days!

  3. #3
    Good luck to both of you! You'll do great and breeze thru this.
    I'll be thinking of you both.
    See you on the other side,
    Marty
    Age 64
    2/07 PSA 5.5
    2/09 PSA 7
    1/13 PSA 14.2
    12 Core Biopsy 3/13 Results Suspicious
    12 Core Biopsy 4/13 Positive for PC
    Left Apex: Prostatic Adenocarcinoma
    Gleason Score 4+3=7
    1 mm; 5% of tissue
    Size 56.4 grams
    Bone Scan Negative

    Da Vinci Surgery 6/24/13 Nerve Sparing, age 62.
    Post Op Path Report
    87 Grams (Big One), 5x5x5 cm.
    Largest focus within Left and Right Apex
    Gleason Score 3+4=7 (was 4+3)
    Positive Margins Extending to Right and Left Apex Margin
    No Extra Prostatic Extension Identified
    No Lymphovascular or Perineural Invasion Identified
    Left and Right Pelvic Lymph Nodes Negative.
    PSA 09/13 <0.05
    PSA 01/14 <0.05
    PSA 04/14 <0.05
    PSA 07/14 0.06
    PSA 01/15 0.34
    Began Salvage Radiation 3/2/15
    Completed Radiation 4/23/15
    PSA 05/15 <0.05

  4. #4
    Quote Originally Posted by Flkjr View Post
    Good luck! I am T-12 hrs and counting. Hope we are both still smiling in a few days!
    Best of luck. See you on the other side
    BD: 1959 PSA 4.9 11/2012 (no symptoms)
    Biopsy 12/2012 Negative
    PSA 5.9 05/2013 (still no symptoms)
    Biopsy 6/2013 3+4 (thank goodness for PSA tests)
    1 core positive (upper left), 1 suspicious (lower left) out of 12
    DRE: bump right side T1c; PCA-III = 20 (normal)

    Da Vinci 7/18/2013: Invasive carcinoma involves left lobe of prostate only, extends from left apex to posterior mid region of left lobe Gleason 7/10 (4+3); G4 tumor comprises 75% of invasive carcinoma present
    Estimated total volume of carcinoma in entire prostate gland: 10%
    TNM: T2b NX MX (Stage IIA)

    8/13 11/13 2/14 8/14 2/15 8/15 3/16, 8/16, 3/17,9/17,4/18, 9/18 PSA undetectable
    3/19: .1 (damn), 4/19,6/29 retests: .1 (damn)


    My Story:
    T-Minus-36-Hours-until-da-Vinci...
    Catheter is Out!

  5. #5
    Regular User
    Join Date
    Mar 2013
    Posts
    34
    good luck and think positive and great things will happen.

  6. #6
    Quote Originally Posted by ddayglo View Post
    Are there any questions or comments I should mention to the Surgeon before the surgery (da Vinci)?

    "Don't forget to spare the nerves"
    "Don't sneeze" ....

    And are there any questions or points I should write down to be sure to ask after the surgery and while I am still in the hospital? ....

    Thanks.
    At this stage, just put things on autopilot and trust your surgeon. He knows what to do.

    Best wishes and see you on the other side.
    PCa Dx 2010 at 65. PSA increased from 2.5 in 2000 to 10.7 in 2010. Four biopsies in 6 years. Final biopsy in 2010: 1 of 12 cores 5% cancer, G6
    CT, bone scans & MRI all negative
    Da Vinci 8/10; nerve sparing, catheter out in 7 days; no incontinence, no ED
    Post Op Pathology pT2N0Mx: organ confined; negative margins; lymph nodes & seminal vesicle not involved but PNI present; cancer extensive within prostate, multifocal G 3+3 and tertiary G 4
    Infected lymphocele diagnosed and treated in 2014, 4 yrs after RALP
    PSA <.1 for the past 6 years.

  7. #7
    Regular User
    Join Date
    May 2013
    Posts
    39
    You've made all the tough decisions. Relax! BTW, the general anesthetic was so good, I barely remember the first day in the hospital! See you on the other side.
    Age 55
    PSA 5.4 (Nov 2012)
    Prostate Biopsy Feb 22/13 11 cores taken 4 positive
    Gleason 3+3
    retropubic Radical Prostatectomy April 23/13
    Post Op Pathology Gleason 3+4 (7) involving 30% of prostate
    29 gram, 4x3.9x3 cm
    6 benign lymph nodes negative for metastatic malignancy
    Post op PSA <.01

  8. #8
    Moderator Top User HighlanderCFH's Avatar
    Join Date
    Nov 2011
    Posts
    7,247
    Good luck to both of you. And remember that your day will be much easier than it might seem...

    ...all you have to do is take a nap and wake up cancer free!

    You'll probably also discover that there is no real pain (really nothing major) involved and that things will eventually return to normal for you both.

    You might also get a kick out of how many times, prior to the surgery, different members of the surgical department will ask you what you're in for -- just to make sure everyone knows it's the prostate. When they kept asking me this, I actually appreciated it because it eliminated all possibility that they could operate on the wrong thing. LOL

    Yes, it's a major surgery -- but it will go much easier than you might like to believe as surgery day arrives.

    We all look forward to seeing both of you in a few days as we wait on the other side.

    Good luck!
    Chuck
    July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA 9/ 2011 = 5.7.
    Local uro DRE revealed significant BPH, no lumps.
    PCa Dx Aug. 2011 age of 61.
    Biopsy DXd adenocarcinoma in 3/20 cores (one 5%, two 20%). T2C.
    Gleason 3+3=6. CT abdomen, bone scan negative.
    DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
    Surgeon was Dr. Matthew Tollefson, who I highly recommend.
    Final pathology shows tumor confined to prostate.
    5 lymph nodes, seminal vesicules, extraprostatic soft tissue all negative.
    1.0 x 0.6 x 0.6 cm mass involving right posterior inferior, right posterior apex & left
    mid posterior prostate. Right posterior apex margin involved by tumor over 0.2 cm length,
    doctor says this is insignificant.
    Prostate 98 grams, tumor 2 grams.
    Catheter out in 7 days. No incontinence, minor dripping for a few weeks.
    Eight annual post-op exams 2012 through 2019: PSA <0.1
    Semi-firm erections without "training wheels," usable erections with 100mg Sildenafil.
    NOTE: ED caused by BPH, not the surgery.

  9. #9
    Good luck you guys.

    Dan
    Prostate Cancer:
    Age 55 at Dx
    PSA 1.34 10/08
    PSA 1.93 04/10
    PSA 4.1 10/11, Free PSA 20%
    Biopsy 12/11 - One core 40%, rest negative, T1c, Gleason 3+3, Some PNI, Prostate 47.4g, PSA Density .086
    RALP City of Hope/Dr. Wilson 2/15/12. Pathology: Prostate 52 grams, 20% total involvement (bilateral), N0MX,
    T2c, Gleason 3+3, margins clear.
    PSA continues to be undetectable as of Dec 2017.
    Squamous Cell Carcinoma:
    One small area removed from left eyebrow by MOHS Jan 2018.

  10. #10
    Quote Originally Posted by Flkjr View Post
    Good luck! I am T-12 hrs and counting. Hope we are both still smiling in a few days!
    Thinking of you...
    BD: 1959 PSA 4.9 11/2012 (no symptoms)
    Biopsy 12/2012 Negative
    PSA 5.9 05/2013 (still no symptoms)
    Biopsy 6/2013 3+4 (thank goodness for PSA tests)
    1 core positive (upper left), 1 suspicious (lower left) out of 12
    DRE: bump right side T1c; PCA-III = 20 (normal)

    Da Vinci 7/18/2013: Invasive carcinoma involves left lobe of prostate only, extends from left apex to posterior mid region of left lobe Gleason 7/10 (4+3); G4 tumor comprises 75% of invasive carcinoma present
    Estimated total volume of carcinoma in entire prostate gland: 10%
    TNM: T2b NX MX (Stage IIA)

    8/13 11/13 2/14 8/14 2/15 8/15 3/16, 8/16, 3/17,9/17,4/18, 9/18 PSA undetectable
    3/19: .1 (damn), 4/19,6/29 retests: .1 (damn)


    My Story:
    T-Minus-36-Hours-until-da-Vinci...
    Catheter is Out!

 

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