May 31, 2012 - 5:28 pm
I just got diagnosed last week. My PSA was 4.2 before being referred to my local urologist. He indicated that based on a DRE my prostate felt perfectly smooth and normal, although it was pretty large for a person my age. During the biopsy, in doing the sonagram he still thought everything looked good. However, the result of the biopsy was 5 positives out of a 12 sample. The pathologist scored it a gleason 6 (3+3) which my urologist thought was good. He felt reasonably confident that it had not moved outside the capsule. A cat scan did not reveal any red flags.
I am very active and, besides this, healthy. I am a marathoner and triathlete. I was hoping that Active Surveillance was and option for me, but I think I am not a candidate because of my probable remaining expected longevity and number of positive samples.
My real question is.. I am from Texas but began researching the best urology care and urologists in the US. It seems like John Hopkins under Dr. Walsh is considered the best. I understand that Dr. Walsh no longer does surgery, but his protege is Dr. Edward Schaeffer there. My only concern is that he has only been practicing for 11 years and is almost as active as a cancer researcher as as a surgeon. He does have tremendous accolades and reputation. He does both robotic and open surgery, which appears to be the most reasonable option for me.
Does anyone have experience with John Hopkins Urology Center and with Dr. Shaeffer specifically?