Jan 12, 2010 - 2:57 pm
On December 28, 2009 I was diagnosed with PC. I just turned 55. My PSA is between 2.8-4.10 (two test within a week in December 09). I had a 15 core biopsy and have been diagnosed with Stage T2B with Gleason grade 7 cancer (4+3). My bone scan and CT were negative. This was stated during my annual physical on Dec 4th when my doctor noted a “lump” during my DRE and referred me to a Urologist.
My Urologist has a thriving practice here in the Southeast USA (2 da vinci surgeons on staff and one being the director of Robotics at one of the major hospitals here in the south east) but my own Urologist is recommending that I go to Northwestern in Chicago and have a radical prostatectomy performed by one of the first surgeons to perform and perfect nerve sparing surgery in radical prostatectomy operations and has preformed more than 5,000 RP’s.
My Urologist’s main reason is that he believes that this will be my best chance to get the cancer out the first time without radiation because of my bulge in my tumor. If I go with the Da Vinci process (with a very experience surgeon in his group) he is concerned that this process may leave me positive on one side after the da vinci process and I will need radiation…
Outside of PC I am in good health, not overweight and workout 5-6 times a week.
My priorities are eliminating the cancer, continence and sparing my nerves to remain potent (never thought that would be the third item on a list of priorities :-))
Anyway most perplexed right now and if anyone has advice about their experiences between da vinci and RP (gold standard) I am all ears…Da Vinci sounds so much better than the RP Gold Standard process…
Thank you in advance for any advice or help!