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Medical Forum / Diseases and Disorders / Prostate Cancer / September 2004LRP Who has the best surgery location
Trying to find best location for LRP. I have been told Dr Krongrad @Aventura Hosp (Miami Fl area) or Henry Ford Hosp Dearborn Mi. can anyone advise. rbowlin1@gte.net Dr. Guilloneau (sp?) was one of the French *pioneers* of the LRP. He is currently practicing at Sloan Kettering in NY... and has performed thousands of these procedures! If you have the luxury of travelling wherever you want for treatment, I would certainly consider him! MikeH > Trying to find best location for LRP. I have been told Dr Krongrad > @Aventura Hosp (Miami Fl area) or Henry Ford Hosp Dearborn Mi. can anyone > advise. > rbowlin1@gte.net I would recommend Dr. David Lee in Arlington/Grapevine, Texas. He is with a group of physicians at Urology Associates of North Texas. He performed my robotic LRP and everything could not have gone smoother. You can read his bio at: www.uant.com Because of the large diverse group of physicians, they are equipt to handle most anything. Robotic, cryo, radiation, seeds, and the list goes on. The do not have the photon beam radiation yet. I highly recommend this group and especially Dr. David Lee. MrBill age at diagnosis 48 PSA 1.4 Gleason 3+3=6 T2a robotic RRP 12/15/03 PSA 4/2/04, 7/8/04 = <.1 no more pads: 8/15/04 age 49 > Dr. Guilloneau (sp?) was one of the French *pioneers* of the LRP. He is > currently practicing at Sloan Kettering in NY... and has performed thousands [quoted text clipped - 7 lines] > > advise. > > rbowlin1@gte.net One of the members of our Us Too group just had the robotic procedure by Dr Ahsutosh Terwari, who just joined the staff of NY-Columbia Hospital. Dr Tewari's bio is at http://www.cornellphysicians.com/aktewari/ At the same time, I can't say enough about how great Memorial Sloan-Kettering is. > I would recommend Dr. David Lee in Arlington/Grapevine, Texas. He is > with a group of physicians at Urology Associates of North Texas. He [quoted text clipped - 26 lines] > > > advise. > > > rbowlin1@gte.net I totally agree with Mr. Bill - I had robotic LRP by Dr. David Lee on October 14 and it was quick and easy. I went into surgery at 2 pm - 3 hours later I was in recovery (so much for the long operating time). I was back in my room by 6 pm. I had no pain (only a little soreness around the six small "hole" for the robot - about like doing too many sit-ups) and no blood loss. I was up walking about 3 hours later. The next morning Dr. Lee came by (at the time he said he would - what a different approach) and released me to go. I did hold out for breakfast (eggs, bacon, sausage, biscuits, juice, coffee, etc). One of the nice things about the hospital - USMD in Arlington, Tx - was the way they treated you - I never had so much attention! I was home by 10 am the next morning. I had the catheter for a week and am ready to get back into action. I did not have to have any pain medication, the soreness only lasted a few days, and I look forward to my visit next week to get the final results. Each person must make their own choice - I only wanted to share my experience. Wild Willie Robotic LRP 10/14/04 Before PSA 4.1 > I totally agree with Mr. Bill - I had robotic LRP by Dr. David Lee on > October 14 and it was quick and easy. I went into surgery at 2 pm - 3 [quoted text clipped - 16 lines] > Robotic LRP 10/14/04 > Before PSA 4.1 How'd you do that? It's only 9/26/04 here : ) I've always read that they have to make one two inch incision to remove the prostate. My main RRP incision was only 4". I expected to wake up with an 8" incision so I was very happy as you can imagine. Docile Don : ) RRP 3/29/04 Before PSA 5.94 Gleason 3+4 = 7 Post-Op Gleason 4+3 = 7 All margins negative. PSA: 6 weeks 0.03, 19 weeks 0.01 I, too had my surgery at UANT (3/26/04) and my experience mirrors that of Bill. Don, in answer to your question (re: number of incisions), the procedure used by Dr. Lee is the DaVinci Robotic LRP (RLRP) in which four 1" insisions are made right at the belt line, one 1.5" incision right above the navel, and one 1" just to the left of the navel. These incisions allow the entry of the robotic "arms" as well as other intruments. Although there were MORE incisions in the RLRP than the standard LRP, I feel the recovery time was substantially lessened by this method. Just MHO. jh >> I totally agree with Mr. Bill - I had robotic LRP by Dr. David Lee on >> October 14 and it was quick and easy. I went into surgery at 2 pm - 3 [quoted text clipped - 30 lines] > All margins negative. > PSA: 6 weeks 0.03, 19 weeks 0.01 > > I totally agree with Mr. Bill - I had robotic LRP by Dr. David Lee on > > October 14 and it was quick and easy. I went into surgery at 2 pm - 3 [quoted text clipped - 29 lines] > All margins negative. > PSA: 6 weeks 0.03, 19 weeks 0.01 Don We must be in a different time zone (ha) just kinding - I guess was was looking into the future - my surgery was in September. Wild Willie > I would recommend Dr. David Lee in Arlington/Grapevine, Texas. He is > with a group of physicians at Urology Associates of North Texas. He [quoted text clipped - 14 lines] > no more pads: 8/15/04 > age 49 Ditto Mr. Bill --- I visited Dr. Lee's robotic workshop almost a year ago and am very pleased with the the results of the surgery and with the facilities at USMD Arlington. Larry Diagnosed age 59 PSA 22 Biopsy 8/12/2003 Gleason 4+3=7 (first opinion) Gleason 4+5=9 (second opinion) CAT scan negative Bone scan and skeletal survey negative Da Vinci Robot-assisted Laparoscopic Radical Prostatectomy 10/13/2003, one nerve spared. Final path report, Gleason 4+5= 9/10 Seminal vesicles positive Lymph nodes negative Padless 2/13/2004 PSA History: 10/13/2004 ? 07/20/2004 < 0.1 04/13/2004 < 0.1 01/09/2004 < 0.1 07/28/2003 22 12/14/2002 15.70 10/25/2000 4.51 09/26/1997 2.5 10/19/1993 1.3 01/16/1993 0.9 I do not know about Dr. Krongrad ( except for his Web site) but I have had the opportunity to have first hand experience with the Avebtura Hospital. My mom was hospitalised there after having a stroke. I have seen a nursing staff that is overwhellmed, flagrant lack of glove use and hand washing and a very hi rate of english as a secondary or terciary language such that some of the nurses and aids were very difficult if not impossible to understand and at time did not understand me and my requests. Not an isssue for this NG but the Medical staff was not a lot better as the trreated my mother for "a little bit of Pneumonia" for 2 day before they realized that she had had a stroke. I vote thumbs down on Aventura Mike S |
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