Thank you for your question. Robotic prostatectomy is certainly possible for Gleason 9 patients. For a Gleason 9 patient, extended lymph node dissection would be done. A bone scan and a CT scan should be performed to rule out the possibility of lymph node metastasis. I have successfully performed scores of robotic procedures in patients with Biopsy Gleason 9.
Ash K. Tewari, MD
This forum is for information only. The contents, such as graphics, images, text, quoted information and all other materials ("Content") are provided for reference only, do not claim to be complete or exhaustive or to be applicable to any particular individual's medical condition. Users should always consult with a qualified and licensed physician or other medical care provider. Users are warned to follow the advice of their physicians without delay regardless of anything read in this forum. The Weill Cornell Prostate Cancer Institute assumes no duty to correct or update the Content nor to resolve or clarify any inconsistent information which may be a part of the Content. Reliance on any Content is solely at the User's risk. This forum may contain health or medically related materials considered sexually explicit. Users are warned that if they may be offended by such Content, an alternate source of information should be found. Publication of information or reference in forum to specific sources such as specific products, procedures, physicians, treatments, or diagnoses are for information only and are not endorsements of the Weill Cornell Prostate Cancer Institute.
Dear Arnie: I was diagnosed with prostate cancer with similiar numbers in 2005. I had Proton Radiation for my treatment. I personally would not consider any of the other type treatments if I could have Proton Radiation. It has approximately a 90% cure rate and little to no side effects. 85 to 90% of the treatment energy is delivered at exactly the point being treated... thus surrounding tissues and organs are not damaged as with traditional radiation. I was never sick or felt bad one single day during the time I had the treatments... well was not sick or felt bad after the treatments either. My PSA is now .05 . Its like I am cured and was never sick..Everything works just like it always hasand I dont wear a dipper.. I have -0- side effects as a result of the treatments.. Personally if one considers the side effects of most of the other treatments.... why have them when Proton treatments are available with no side effects and a 90 % cure rate... I had my treatments at Loma Linda University Medical Center in Loma Linda California...M D Anderson in Houston and 3-4 other hospitals are now doing Proton Radiation treatments... I would highly recommend Proton treatments. If you would like any other info on Proton send me a message ...I will be glad to share my experience with you... Claytex
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.