My Urologist has me scheduled for a Davinci robotic simple prostectomy
and I'm wondering what the results are for those who have had the
procedure?


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You may want to also post this question at alt.support.cancer.prostate . If you do, it would probably be a good idea to provide a little more info about your case: biopsy Gleason score, age, PSA results, etc.

That forum (alt.support.cancer.prostate) is more active that this one. And those who post on, and read, this BPH forum are not likely to be persons who received a prostectomy.

Good luck.

------------------------------------------------------------------

"XS11E" wrote in message news:XnsAA03B1ECB7188xs11eyahoocom@127.0.0.1...

My Urologist has me scheduled for a Davinci robotic simple prostectomy
and I'm wondering what the results are for those who have had the
procedure?


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In article <XnsAA03B1ECB7188xs11eyahoocom@127.0.0.1>, XS11E <xs11eNO@SPAMyahoo.com> writes:

My Urologist has me scheduled for a Davinci robotic simple prostectomy
and I'm wondering what the results are for those who have had the
procedure?

No prostatectomy is simple.

Da Vinci definitely means less time in hospital, less bleeding, quicker recovery. Long-term survival prospects are about the same as with a conventional operation. Whether Da Vinci or conventional, the main
thing is the skill of the surgeon. It seems to be the case that a
conventional operation is better if one wants to spare the nerves
responsible for maintaining an erection.

Do you have prostate cancer?

Goal 1 is to get rid of the cancer. Goal 2 is to avoid inconentence.
Goal 3 is to avoid impotence. It is obvious that 1 is the most
important, since if prostate cancer spreads beyond the prostate it can't
be cured. Some might think 3 is more important than 2, but if you are incontinent, you probably don't have much from the fact that you're
impotent. (Well, some people might like the combination.)

Despite biopsies, MRI, etc, one has to look inside to see the state of
things, so any surgeon who guarantees you something before the
operation is dishonest.

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helbig@asclothestro.multivax.de (Phillip Helbig (undress to reply))
wrote:

In article <XnsAA03B1ECB7188xs11eyahoocom@127.0.0.1>, XS11E <xs11eNO@SPAMyahoo.com> writes:

My Urologist has me scheduled for a Davinci robotic simple
prostectomy and I'm wondering what the results are for those who
have had the procedure?

No prostatectomy is simple.

Actually it may be, there are two types, a radical which is removal of
the prostate and a simple which is cutting the top off the prostate,
removing excess material and then sewing the top back on creating a
more normal sized prostate.

Radical is for cancer, simple is for BPH if the prostate is 5 times or
more than normal size which is my situation. I'm told I'm way past the
stage where laser surgery will help.

Do you have prostate cancer?

No, I'm fortunate in that respect.

Despite biopsies, MRI, etc, one has to look inside to see the
state of things, so any surgeon who guarantees you something
before the operation is dishonest.

The surgeon is Dr. Daniel Cooper, I think (I HOPE!) he's a fairly
honest and capable guy. Here's some information:

https://www.affiliatedurologists.com/the-team/daniel-e-cooper-md-mph

I'm hoping for no incontinence, erectile dysfunction is not a problem,
I haven't had much of a sex life since I was a young kid of 80 or so.
When I see a pretty girl I know I want her but I can't remember why?
<sigh>

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"LenJP" <LenJP@TomRhjghgl.ncm> wrote:

You may want to also post this question at
alt.support.cancer.prostate . If you do, it would probably be a
good idea to provide a little more info about your case: biopsy
Gleason score, age, PSA results, etc.

That forum (alt.support.cancer.prostate) is more active that this
one. And those who post on, and read, this BPH forum are not
likely to be persons who received a prostectomy.

Good luck.

Thanks but I'm getting too close to back out now, cross your fingers
and hope, see my reply to (Phillip Helbig (undress to reply))

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"XS11E" wrote in message news:XnsAA09DA2D3645Bxs11eyahoocom@127.0.0.1...

helbig@asclothestro.multivax.de (Phillip Helbig (undress to reply))
wrote:

No prostatectomy is simple.

Actually it may be, there are two types, a radical which is removal of
the prostate and a simple which is cutting the top off the prostate,
removing excess material and then sewing the top back on creating a
more normal sized prostate.

Radical is for cancer, simple is for BPH if the prostate is 5 times or
more than normal size which is my situation. I'm told I'm way past the
stage where laser surgery will help.
. . . ,
I'm hoping for no incontinence, erectile dysfunction is not a problem,
I haven't had much of a sex life since I was a young kid of 80 or so.
When I see a pretty girl I know I want her but I can't remember why?

------------------------------------------------------------------

Did you have the surgery yet? If so, how did it go?

I am curious because I never knew that one option for some BPH patients is
the surgery that you described.

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"LenJP" <LenJP@TomRhjghgl.ncm> wrote:

"XS11E" wrote in message
news:XnsAA09DA2D3645Bxs11eyahoocom@127.0.0.1...

helbig@asclothestro.multivax.de (Phillip Helbig (undress to
reply)) wrote:

No prostatectomy is simple.

Actually it may be, there are two types, a radical which is
removal of the prostate and a simple which is cutting the top off
the prostate, removing excess material and then sewing the top
back on creating a more normal sized prostate.

Radical is for cancer, simple is for BPH if the prostate is 5
times or more than normal size which is my situation. I'm told
I'm way past the stage where laser surgery will help.

------------------------------------------------------------------

Did you have the surgery yet? If so, how did it go?

I am curious because I never knew that one option for some BPH
patients is the surgery that you described.

It's apparently the only option if the prostate is too big for the
various laser surgeries to be effective.

Yes, I had the surgery, it went fairly well according to my urologist.
Problems arose because prior to the surgery I was sent to a
cardiologist to make sure my heart was strong enough for the surgery
and there were some concerns but I got through it and am waiting for
Wednesday when the catheter will come out.

I will NOT miss it! <G>

More later.

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Did you have the surgery yet? If so, how did it go?

I am curious because I never knew that one option for some BPH
patients is the surgery that you described.

It's apparently the only option if the prostate is too big for the
various laser surgeries to be effective.

Yes, I had the surgery, it went fairly well according to my urologist.
Problems arose because prior to the surgery I was sent to a
cardiologist to make sure my heart was strong enough for the surgery
and there were some concerns but I got through it and am waiting for
Wednesday when the catheter will come out.

I will NOT miss it! <G>

More later.

----------------------------------------------------

Thanks for the update. Keep us posted.

I had a hernia surgery about 5 years ago and ran into a complication where I had to have a catheter for a few weeks. They said it was probably because I had BPH before going into the surgery. Of course, I hated the catheter.
What they would do is do a trial removal of the catheter in the morning.
Then I had to go back to the urologist in the afternoon to see if may
bladder was empty (emptying without the cathether). It never was, so the catheter would go back in for another week. I H-A-T-E-D it! Each week,
they would do the "trial void" test and each week I flunked and the catheter went back in -- yuck. Then, one week when my uro doc was on vacation, I had
a nurse practitioner who saw me and did the test. In the afternoon, when I failed the test again, I asked the nurse practitioner if the was any way
that I could learn to self-catheterize myself a few times a day to get rid
of the urine buildup without having to keep a catheter in full time. He
said yes, and showed me how to self-catheterize as needed myself like people
in wheelchairs etc do.

It was creepy learning how to do that, but I psyched myself into doing it
and it was easy. That process -- instead of having a full time catheter in place -- was like a miracle. I was so-o-o-o relieved (in more ways than
one). And, the good news was that by allowing my bladder to fill and then
be emptied by me via self-cath, my bladder began to recover and I was soon
no longer needing any kind of cath.

I just can't begin to tell you how much of a relief that was. It meant that
I could sleep at night without a catheter in place.

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On Wednesday, February 27, 2019 at 7:29:29 PM UTC-5, XS11E wrote:

My Urologist has me scheduled for a Davinci robotic simple prostectomy
and I'm wondering what the results are for those who have had the
procedure?

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Is someone else is in need of a simple prostectomy they should investigate PAE (Prostatic Artery Embolization). A radiologist blocks the arteries feeding blood to the prostate, and causes it to shrink by roughly 40%. An out patient procedure not
requiring a catheter.

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"LenJP" <LenJP@TomRhjghgl.ncm> wrote:

Did you have the surgery yet? If so, how did it go?

Yes, I had the surgery, it went fairly well according to my
urologist. Problems arose because prior to the surgery I was sent
to a cardiologist to make sure my heart was strong enough for the
surgery and there were some concerns but I got through it and am
waiting for Wednesday when the catheter will come out.

I will NOT miss it! <G>

More later.

----------------------------------------------------

Thanks for the update. Keep us posted.

Saw the urologist today and now I have no catheter!

He examined the 5 very small incisions done for the robots to insert
themselves into my innards and all are healing nicely, no weeping no
swelling no problems other than some mild itching.

So, the catheter came out and I have a follow up visit in 2 weeks.

And, the good news was that by
allowing my bladder to fill and then be emptied by me via
self-cath, my bladder began to recover and I was soon no longer
needing any kind of cath.

I just can't begin to tell you how much of a relief that was. It
meant that I could sleep at night without a catheter in place.

One good thing about the catheter was sleeping all night w/o getting
up, I'll maybe miss that? Who knows?

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XS11E <xs11eNO@SPAMyahoo.com> wrote:

My Urologist has me scheduled for a Davinci robotic simple
prostectomy and I'm wondering what the results are for those who
have had the procedure?

Well, I did!

No pain. I spent 3 days in the hospital and they insisted I go to a
skilled nursing facility for rehab so I did, don't know if they helped
much or not but the staff was great, very caring. The food was awful
but not as bad as the hospital. Surgery the 13th, Skilled Nursing Home
the 15th, home the 22nd.

Check up with urologist yesterday and the catheter came out. All is
well, I'm peeing like a teenager again!

My uro said he removed 125 grams of prostate, normal prostate size is
around 30 grams, mine was nearly 150 grams before the surgery!

The robotic surgery required 5 holes cut into my lower abdomen and now
I have a little itching as they heal.

NOTES on the above:

1. I said no pain, that was from the surgery. I have very bad
arthritis and am taking a bunch of NSAIDS for it, I had to discontinue
them 7 days prior to surgery to avoid bleeding and for 2 days before
the surgery and several days after was in almost unbearable pain from
the arthritis. It's almost under control again now.

2. My blood pressure was scary high in the hospital and nursing
facility, the morning after I got home it was normal. Go figure?

I wore a catheter from January 6 until yesterday, I DO NOT MISS IT!

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