He is the director of the department of Urology, Indiana University Medical School and Hospital in Indianapolis. His CV is 30 pages long, most of his research is in prostate cancer. The visit with him was quite interesting. He said that in his opinion, the top two options for Jesse were 1)DaVinci surgery and 2)active surveillance. If you've been reading the board you know my hubbie wants surgery to get it OUT asap. Dr. Koch said that even if he chose active surveillance, that eventually he WOULD have to do SOMETHING since he is only 51 and in 10 years it would be a problem. He said, since you are younger you have more to lose than if you were 10 or more years older.
He discussed radiation, said he does surgery on a number of radiation 'failures'. He says he was the lead investigator for HIFU trials at IU and that they had about a 60% rate of getting the cancer out without recurrence. Said there is virtually no incontinence with HIFU but that there is impotence. He also said that he was the president of the Americal Urological Association last year and that a statement was issued that it was the urological assn's opinion that HIFU out of the US was not advised since there is no followup available here. Also, the lead investigator there at IU that worked for the company that makes the equipment, (Suarez) was FIRED by the company and taken out of the clinical trials research and this is when he started practicing in Mexico. Dr. Koch also said that he is paying $10,000 'finders fee' to MD's here who get their patients to go to Mexico. Quite interesting.
Dr. Koch said that he would follow Jesse for active surveillance or do his surgery, whichever he wanted and Jesse scheduled surgey with him for 4/23. We are also seeing Randy-in-Indy's group (who was kind enough to meet us for dinner last night!) next Wednesday so will see what Jesse thinks of them, as well.
Dr. Koch said he used to do the open prostatectomies but his rates of incontinence and impotence have actually dropped with DaVinci.
He's done over 900 DaVinci procedures.