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Medical Forum / Diseases and Disorders / Prostate Cancer / April 2006Urologists/surgeons in Rochester, NY area
This is primarily to Pops who is a frequent user of this board. I noticed that you are from Rochester,NY and have had LRP in Roch., but didn't see which Uro/surgeon you used and at which hospital. I haven't been diagnosed yet, but have just completed a 6 core biopsy due to a suspicious DRE.(No one else felt anything, previously. PSA is only 1.71, Prostate 57 cc.) I went to this Uro (Dr.Erturk) with moderate to severe BPH symptoms (primarily because he specializes in PVP), but he wanted to rule out cancer first prior to treatment. While I know the odds are still in my favor, I wanted to be prepared during the "results meeting" I realize from previous posts that your surgeon moved out of town due to lack of a Robot in his practice, so he's probably not with Strong. What practice did you use and at which facility. and what was your experience? Would you use them again? Have you any other comments about surgeons in Roch? While I wouldn't rule out radiation (I'm 64 years old), I understand that if you've already got retention problems, you should avoid radiation. Suspicious DRE and 1.71 PSA are not all that convincing of Prostate Cancer. But, if I were going to go through a biopsy, I'd want at least a 12-needle test. With a 1.71, at 6-needle could easily miss cancer.  SignaturePSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins PSA .1 .1 .1 .27 .37 .75 EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05, 5/05, 10/05, 2/06 PSA .07 .05 .06 .09 .08 .132 Non Illegitimi Carborundum > This is primarily to Pops who is a frequent user of this board. > I noticed that you are from Rochester,NY and have had LRP in Roch., but [quoted text clipped - 16 lines] > that if you've already got retention problems, you should avoid > radiation. Steve, As it turns out, cancer was found. One core of six, 1% with T1a. PSA 1.71! The cancer was on the side opposite from where DRE showed a problem,That side showed prostatitis. Probably will go with robotic LRP since we have a high volume robot guy in Rochester, Dr. Jean Joseph who does 3 per day.Will also see radiologist, but with prostate volume of 57cc and retention problems, probably eliminates brachytherapy. Ed Since something was detected upon DRE, you are not T1. Depending what was noticed during the DRE, you'd be T2a, b or c. Just guessing that since the biopsy showed so little cancer, your probably T2a, but again, it really depends on the DRE results...Ron What DRE detected was prostatitis on the left side, DRE detected nothing on the cancer side (right side) so Uro argues that it's T1a. Ed > Steve, > As it turns out, cancer was found. One core of six, 1% with T1a. > PSA 1.71! You have a fine doctor, Ed.... and a sharpshooter at that! Welcome to the club. Your Stage and PSA are very good. Did you get your Gleason? SignaturePSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins PSA .1 .1 .1 .27 .37 .75 EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05, 5/05, 10/05, 2/06 PSA .07 .05 .06 .09 .08 .132 Non Illegitimi Carborundum Hi Steve, Yes, I should have mentioned that Gleason is 3+3=6. Are familiar with any of these Docs? Ed > I should have mentioned that Gleason is 3+3=6. I expected a G6, but I was holding out hope for a G5. > Are familiar with any of these Docs? No, I don't know the docs, but that doesn't mean anything. Other than my doc and the three authors, I don't know any of the PCa doc.s SignaturePSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins PSA .1 .1 .1 .27 .37 .75 EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05, 5/05, 10/05, 2/06 PSA .07 .05 .06 .09 .08 .132 Non Illegitimi Carborundum I have a second opinion coming from Johns Hopkins Ed Hi Eddie, I'm not Pops, but I had my RP done in Canandaigua by a surgeon who has moved to Chicago to do more LRP's. However, in our Man-Man group, Dr. Messing at Strong is the big name. He's a big name in prostate cancer nationally, so you probably would not be able to get him. But you can try or see who he recommends. Claude > This is primarily to Pops who is a frequent user of this board. > I noticed that you are from Rochester,NY and have had LRP in Roch., but [quoted text clipped - 16 lines] > that if you've already got retention problems, you should avoid > radiation. Thanks Claude! That's great input. As it turns out my Uro is in the same practice as Dr.Messing so it's good to hear good things about him. Dr. Joseph is in the same practice. You probably know that Dr. Joseph is pushing robotics very hard. Ed
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