Any opinions using Kaiser Santa Clara (SF) for radical prostatectomy ?

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Any opinions using Kaiser Santa Clara (SF) for radical prostatectomy ?

by jronne on Wed Sep 16, 2015 07:29 AM

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56 years old, recently diagnosed last week with prostate cancer.

Looking for any feedback regarding robotic radical prostatectomy at the Kaiser Santa Clara location.

Anyone with recent prostate cancer experience with other Kaiser locations, Stanford or UCSF would be appreciated also.


My biopsy ...

STAGE: T1c
Gleason Score: 3+4=7
PSA 4.4 08/10/2015
NUMBER OF CORES INVOLVED/TOTAL NUMBER OF CORES: 2 of 14.
TOTAL CARCINOMA LENGTH: 10 mm. 
TOTAL TISSUE LENGTH: 192 mm.
PERCENT OF SAMPLED TISSUE WITH CARCINOMA: 5 %
F) PROSTATE, LEFT BASE, NEEDLE BIOPSY
-- ADENOCARCINOMA, GLEASON GRADE 3+4 = 7
-- ADENOCARCINOMA INVOLVES 2 OF 2 CORES AND 10 MM OF 30 MM
TOTAL SPECIMEN LENGTH (33%)
-- NO PERINEURAL INVASION IDENTIFIED

RE: Any opinions using Kaiser Santa Clara (SF) for radical prostatectomy ?

by DarrylB on Fri Oct 02, 2015 11:54 AM

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Hi ironne

I don't have any posative recommendations at all regarding robotic surgery as my experience with it is disastrous.

The only advice is if you are considering robotic surgery be very careful to select a surgeon that has done thousands, is young <50 yrs old and has a comprehensive aftercare plan including incontinence and erectile dysfunstion... you'll have both for a while... if you are lucky you will be continent before 12 months and if you are extremely lucky you'll get a chubby within 2 yrs... and that will be as good as it gets. It's a bit like dialing an old telephone with a marshmellow!

If you want I can send you the "questions I should have asked" to assist with your selection... just send a private reply.

In the meantime check out Dr Bert Vorsmans website regarding robotic surgery complications... a real eye opener!

http://www.urologyweb.com/robotic-prostatectomy-complication

Remember it is not if you get any complications it is what complications you end up with.

Another little gem I leaarnt more recently is robotic surgery failures may be caused by the little tools having no tactile feedback causing cancer cells to be squashed from the diseased organ?? It may explain my recurrence?

kind regards

Darryl

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