I was diagnosed back in Aug with PCa, I'm 41, healthy, Gleason score of 3+3 and 3 of 12 biopsy cores positive.
I made the decision to go with the robotic prostatectomy, mainly due to the positive outcomes of rapid return erectile function and incontinence improvements being touted by most robotic surgeons, as well as the positive Oncological results mainly being expected in cases of early detection and organ confined.
The surgeon I selected was Dr. Ash Tewari at NY Presbyterian Hospital.
His specialty is in robotic prostatectomies, and he practices his own pioneered methods of nerve sparing techniques.
It is now 2 weeks after my surgery, I have lingering continence issues, which are easily and discreetly dealt with.
Erectile function has returned in part with the help of Levitra after only a week and a half, which is a remarkable outcome if you ask me!
Each day I see improvement in each aspect.
I am back to work (desk job), however on limited time as I do remain a bit tired and incision areas are right on the belt line, which doesnt bode well with some pants.
I have to say, the worst part of the entire experience was the 3T transrectal MRI, the biopsy and the catheter.
Finding the energy to get up out of the bed in the hospital and walk, with the annoying catheter in was horrible. Otherwise, pain was not too bad once it was controlled.
One thing I would suggest to anyone going for the robotic method, is to WALK as soon as you can. In Dr. Tewari's case, he wanted me up within hrs of the surgery.
At the time I had thought it crazy, but the longer I laid there, the worse the gas pains got. It got to a point where I wasn't getting up because I was weak from not eating and the gas pains were so bad. Walking is absolutely needed to relieve this pain.
I regret that I didn't get up and fight through the gas pain. It lingered for days and set me back.
One thing to keep in mind regarding prostatectomy, is that it can not be performed if you do radiation first. Once you do radiation (seeds for example), I was told you can not do any surgical method. It was always suggested to me that seeding be a secondary method unless you are older.
I welcome any questions from anyone who is considering a robotic prostatectomy, you can email me at firstname.lastname@example.org (please make subject 'prostatectomy')
I certainly recommend Dr. Tewari, he is an outstanding surgeon, whose priorities are in Oncology, Erectile function and continency return in the method of his own pioneered nerve sparing techniques.
I will continue to post to this thread on my outcome, but I am very pleased so far.
Good luck to everyone with the method you chose. Be sure to educate yourself as much as you can, and make the decision with all the questions answered.