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Thread: What I Need to Know About Da Vinci surgery

  1. #11
    ddayglo, you got a sticky!
    I'm not sure if this applies to everyone but I was dismayed to find out I could not have any food or drink for 24 hrs after surgery. The tiny sprung swab in ice chips just did not cut it!
    BD 1950
    DRE in 2005 showed right lobe enlarged/hard
    Biopsies in 2006 and 2009 both negative
    Biopsy May 2013 positive 1 of 14 cores
    4+3=7 T2a. PSA 2.9
    daVinci surgery 7/17/13 by Dr. Dennis LaRock
    Final pathology 7/29/13
    Tumor size 1.5 cm
    PC found on both lobes (biopsy indicated one)
    T2b Gleason 4+3=7
    Negative margins
    first post surgery psa 8/30/13 undetectable
    second post surgery psa 11/23/13 undetectable
    18 month post surgery psa 2/17/15 undetectable
    5 year post surgery psa 3/20/18 undetectable

  2. #12
    Senior User
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    194
    Yeah, the nurse made me switch the catheter once while I was there so she knew I got it right. The hardest thing for me was having to bath with her sitting there watching me. I was still on meds. so I couldn't get up without assistance.

    The bloating is what surprised me I went up 2" in my waist for about a week.

    Ralph, I have a tall bed too, has a 17" mattress. I was able to just swing my legs out over the edge and get up. As long as you don't have to strain to sit up and get out.
    Age 66,
    Biopsy 2006 neg. 11/07 PSA1.7, 12/08 PSA 2.5,6/10 PSA 3.7, 7/5/11 PSA 4.4, 7/19/11 PSA 4.1, Went on Jayln, 3/12 PSA 1.7, 3/13 PSA 1.1

    5/3/13 Biopsy, (4+3) 15%, (4+3) 40%, (4+3) 60%, (4+4) 15%, & 1 core looking suspicious, out of 12 cores taken.
    CT scan negative, bone scan negative. Stage T2C.

    RRP 06/11/13 Cath. out after 7 days

    Path Report: Prostate wt. 29g.Size 3.5x3x3 cm. Adenocarcinoma, Gleason 4+3=7, proportion involved 15%, dominate tumor size 1.2cm, Margins, negative. Extraprostatic extension: left posterior, right posterior, right base. Seminal vesicle invasion: Not identified, Lympovascular invasion :Indeterminate, Path staging TNM, Primary tumor T3a, No regional lymph node metastasis.

    PSA 8/13/13 <0.1
    PSA 10/23/13 <0.1

  3. #13
    Senior User
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    May 2013
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    194
    Don't be surprised if your stomach hurts like you did 100 sit ups from the CO2 they expand your stomach with, and your shoulders will be real sore for a day or so. From the way they stand you on your head to do Da Vinci.
    Age 66,
    Biopsy 2006 neg. 11/07 PSA1.7, 12/08 PSA 2.5,6/10 PSA 3.7, 7/5/11 PSA 4.4, 7/19/11 PSA 4.1, Went on Jayln, 3/12 PSA 1.7, 3/13 PSA 1.1

    5/3/13 Biopsy, (4+3) 15%, (4+3) 40%, (4+3) 60%, (4+4) 15%, & 1 core looking suspicious, out of 12 cores taken.
    CT scan negative, bone scan negative. Stage T2C.

    RRP 06/11/13 Cath. out after 7 days

    Path Report: Prostate wt. 29g.Size 3.5x3x3 cm. Adenocarcinoma, Gleason 4+3=7, proportion involved 15%, dominate tumor size 1.2cm, Margins, negative. Extraprostatic extension: left posterior, right posterior, right base. Seminal vesicle invasion: Not identified, Lympovascular invasion :Indeterminate, Path staging TNM, Primary tumor T3a, No regional lymph node metastasis.

    PSA 8/13/13 <0.1
    PSA 10/23/13 <0.1

  4. #14
    • Try on your depends and pads before the surgery. I bought a size too large and the damn thing almost fell to my knees
    • Even if your Doctor doesn't mention Kegel exercises, do them BEFORE your surgery. Can't hurt, and at least in my case they seem have helped me
    • ALWAYS use the clip on your thigh to keep your catheter in place. Once I had the clamp on and the tube slipped out of hand and pulled the tube a good 1/2 inch further out. Not fun. I finally figured out to clip it right before the split with the extra piece so it wouldn't ever be able to slip at all.
    • Pulling out the catheter isn't really that bad at all. Maybe its just that you finally get over all of the pain and start feeling "OK" and then you have to go through more stuff. Some people report essentially no pain at all. In any event is it over in like 15 seconds with no lasting pain. See this post for some 1st person experiences.
    • If the Dr says the catheter is coming out in a week and wants to see you personally that day, it is really going to be 8 days.... It will always be the next day in the office For example, if you had the surgery on Thursday, it will NOT be out next Thursday - the Dr will be performing surgery on that day. So it will be Friday. Something to keep in mind if your surgery was on a Friday... Your catheter will be out on Monday (assuming the Dr doesn't have surgery that day).
    Last edited by ddayglo; 08-01-2013 at 04:29 PM.
    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. #15
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    Gentlemen. I was very recently diagnosed with prostate cancer and have spoken with a surgeon and a radiation oncologist. Both men are excellent, but based on your input, I have decided to go with the Da Vinci surgery. My surgeon is dr. Robert Nelson of Virginia urology. I am scheduled for surgery 9/9/13. Your helpful comments have lessened my concerns. Thank you all

  6. #16
    Moderator Top User HighlanderCFH's Avatar
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    Hi there,

    I'm glad to hear that the forum has helped you. Glad to see that you also checked on BOTH types of treatment before making your decision.

    Have you checked with Dr. nelson to ask how many da Vinci's he has performed, his positive margin percentage, etc? If he is a highly experienced, competent surgeon, you should look forward to Sept. 9 as a great day in your life -- the day you become cancer free.

    Good luck, my friend!
    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.
    Seven annual post-op exams 2012 through 2018: PSA <0.1
    Semi-firm erections without "training wheels," usable erections with 100mg Sildenafil.
    NOTE: ED caused by BPH, not the surgery.

  7. #17
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    Dr. Nelson has been performed the DaVinci procedure for approximately 8 years and has done approx. 1000. To date. He has not lost a patient yet and incidents requiring follow up surgery due to internal issues are well under %. In addition, he has been given the highest accolades by local patients I have spoken with and even the radiation oncologist classified him as one of the best in the country. I can live with that.

  8. #18
    Newbie New User STL3864's Avatar
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    It's the skill of the surgeon that makes the operation a success

    Went to an outstanding presentation on DaVinci surgery last week. Most RP's are done by robot-assisted DaVinci and are nerve-sparing. There is only one company making the robots but there are two versions of it now. Surgeons train on a simulator and with mock-ups. The robot makes the fine motions such as sewing around the urethra easier but it still takes practice to get good at it. The surgery should last less than 4 hours. It's the 8 hour operations that attract lawyers trolling for clients because the patient has been in an inverted position for too long. I think the presenter said the surgeon may be able to check the lymph nodes that drain the prostate bet while you are opened up, and can see if the tissue looks unusual and remove that as well. But they can't tell if the margins are positive until a pathologist looks at it under a microscope.

    You should recover quickly. Maybe a little blood in the urine, maybe a little leaking under stress (like sit-ups, coughing). If you had good sexual performance going in, should be good afterword (AFTER the catheter is removed.) Good luck.
    Diagnosed with prostate cancer in May 2008 (age 54) after PSA increased from 1.5 to 9.3 in 2 years (coincided with 25 lbs weight gain.) DRE was negative, then biopsy (12 samples) at Cleveland Clinic found Gleason 3+3 in left mid and left apex. Robot-assisted (DaVinci) prostate surgery performed at the Cleveland Clinic July 2008. Recovered very quickly. Pathology report confirmed adenocarcinoma with Gleason 3+3, Stage pT2+ (extraprostatic extension undetermined due to incision at site of positive surgical margins.) PSA tested every 3 months <0.03 until 11/2011 (0.04), rising on 10/2012 (0.06), on 01/2013 (0.09), and steady since then at 0.10. Currently weighing external radiation therapy and long term side effects. Bone scan and CT scans in 03/2013 both negative. Other: Vasectomy at age 47; Vitamin E (400 iu/day) therapy for treating inflammation at age 52; no family history of prostate cancer.

  9. #19
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    My experience having my surgery done with the DaVinci was a very positive one. Less than 4 hours, only 5 puncure wounds. I went home the same day of the surgery. I did need to wear pads for about 2 weeks but highly recommend starting Kagel exercises early and often. I still do them 7 year removed from surgery. My surgery was done by Dr David Wood at the University of Michigan, Ann Arbor, MI

  10. #20

    What you wish your WIFE knew...

    My husband is tentatively scheduled for DaVinci surgery in four weeks. Any helpful suggestions for me, both for the next month and post-surgery?

 

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