Jul 01, 2009 - 5:51 pm
I had prostate cancer in 2003 - psa 4.7 - gleason score 6 prior to surgery and gleason score 7 after surgery - positive margins. After doing my own research and speaking to doctors - I chose radical prostatectomy (open - not robotic) - as robotic surgery was very new in my area and my doctor did not perform them at the time. However, I did not originally want surgery but wanted external beam radiation - but I was recommended to have surgery based on my age - 54 and life expectancy of 10 years, etc. I had the surgery in 2003. Since the surgery the complication are impotence and incontinence (I still have both). However, no one spoke about penile shrinkage - dysorgasmia (painful ejaculation) and bilateral inguinal surgeries - as additional complications. I am writing this to alert anyone thinking of open radical prostatectomy to have the information of the last three complication as a reference. As someone who did not originally want surgery - to find out after surgery - that I would need an additional two surgeries - I would have definitely selected radiation (and I know radiation has it's own complications). However, I did not know of the additional complications until I had them (robotic surgery probably would not cause the additional surgeries because they only need four small holes to operate - instead of a nine inch incision with open surgery). I have since found all three additional complications listed in "studies" but not in any other literature that would notify a patient "before" they had the surgery.
Hope this information helps someone else. God bless. Mike