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T. Civetta, Italy
 Posso dire che è stata una storia a lieto fine. Grazie di nuovo Dottor Samadi per aver dato luce alla mia vita.
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Ian R, Toronto, Canada

Just over a year ago on December 22, 2008 I was diagnosed with prostate cancer. I met with Dr. Samadi in New York on a recommendation from a close friend. The interview was a decisive turning point in my fortunes.

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Dr. Samadi is a unique person having reached the pinnacle of his profession, while at the same time treating all his patients with compassion as though they are members of his immediate family.
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Again, on behalf of myself and my family, I just want to thank you for your compassion, capableness and concern during this difficult time. As a result of having had a Robotic Laparoscopic Prostatectomy I can now look forward to a long and cancer-free life.
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Home | Forum | Quality of life after da Vinci Prostatectomy
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Topic: «Is this normal after the da Vinci Prostatectomy, longer use of Catheter & pain» on forum: Quality of life after da Vinci Prostatectomy   Views: 5228
 
mtb

 
Total messages: 3
Registration date: 05/15/2006
Created: 05/15/2006 12:44:40
 
 
I had my surgery May 2, 2006. I opted for this type of surgery b/c of all the benefits that were listed with the procedure. i.e. less hospital stay, less blood loss, etc.

I went back to the doctor on May 11th for an x-ray and removal of the catheter. Unfortunately, he said that I had not healed enough to have it removed. I am now on my second week with the catheter.
I am still unable to sit in a chair b/c of the pressure and pain I experience. Is this normal?

What might be the reasoning for not healing properly?
My final pathology report after surgery is as follows:

1. Prostate gland, 46 grams, radical robotic prostatectomy: A. Prostatic adenocarcinoma, Gleason grade 3 (60%) + 4 (40%) = 7, bilateral;
B. Tumor involves 80% of the right lobe and 5% of the left lobe; C. Extensive perineural invasion, right lobe;
D. Capsule is intact, all inked margins, negative for tumor; E. Apex, bladder neck and seminal vesicles, negative for tumor; F. Pathologic Stage: T2c, NO, MX, RO.
2. Right pelvic lymph node:
One fatty lymph node, negative for metastatic carcinoma (0/l).
3. Left pelvic lymph node:
One lymph node, negative for metastatic carcinoma (0/1)

What would be the cause of the incision not healing properly and the cause of the pain?

Everyone that I have spoken with that also had the Robotic Surgery seemed to be doing fine after 10 days or so. They all got their catheters out after the first week.

Any information you can pass long will be appreciated.

Thank you,
Mike Boyd
 
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Dr Samadi
Administrator
 
Total messages: 24
Registration date: 03/26/2006
Created: 10/04/2006 19:23:43
 
 
Dear Mike
Hope you are doing better now. It is not common to see the urethral suturing not heal soon. Depending on the experience of the surgeon and the difficulty of the case, you can see this in about 1% of the cases.
By leaving the catheter a bit longer, the area heals just fine with most likely no consequences.
As for your pathology, it seems that you have a negative margin with a high volume of cancer. So certainly surgery was the right choice for you and I am curious to see how your PSA is doing.
You should do very well from your cancer point and I hope you are on your way of recovery.
Please let me know if I could be of any help to you.
thank you.
David Samadi, M.D.
 
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mayo

 
Total messages: 1
Registration date: 09/26/2007
Created: 09/26/2007 19:24:40
 
 
Dr Samadi:

You recently did surgery on a friend of mine. He has needed to keep his catheter in a bit longer, but is very happy with the robotic surgery. Thank you for everything.

Marion
 
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