M. H., MD, Pennsylvania, USA
I am a 71 year-old retired otolaryngologist-head and neck surgeon, who has been in excellent health. I was on no medication and live a very active, engaged life. In March 2006 my PSA, which had been stable for many years, went from 3.5 to 6. My DRE revealed no abnormalities. Biopsies were done which were positive for adenocarcinoma with a Gleason score of 3+4, a CT Scan of the abdomen with contrast; bone-scan and trans-rectal MRI were all normal. All other lab studies were normal.
I discussed and reviewed the various treatment options for prostate cancer. I decided that surgical removal was most appropriate for me. In the last few years the daVinci radical prostatectomy has become the procedure of choice. A friend, 11 years younger than myself, had the procedure done by Dr.Samadi eight months prior to my diagnosis. His post-op course was uneventful. I reviewed the credentials of various surgeons who were now doing this procedure and, after discussing the surgery with my local urologist, made an appointment with Dr. Samadi.
After reviewing my slides and examining me, Dr. Samadi discussed the expectations of surgery with my wife and me. He explained that there was a possibility that the tumor might be extra-capsular and the ramifications of possibly having to sacrifice the neuro-vascular bundle on one side. I felt that with his experience that he would be the best surgeon to perform the surgery.
The robotic prostatectomy was performed on May 25. I was discharged early on May 26. Total blood loss: 135cc. There was, indeed, focal infiltration of the prostatic capsule. Most important to me is that all margins were free of disease. My post-op course was uneventful. I took medication for discomfort the first post-op day only. I have returned to my full activities.
Of course, it is early in the course of the disease, but the nomograms are encouraging. One always wishes he had picked up the disease earlier, but I don?t think that was possible. One also reviews in his mind if he should have decided on a different treatment option. I know this was the right treatment option for me. There is no question, however, about the choice of surgeon. My choice of Dr. Samadi for the robotic surgery was without any doubt the best choice giving me the best outcome for this problem.
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