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
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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
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