Get Rid of Those Diapers!
Incontinence After Robotic Prostate Surgery

21 May 2009

Get Rid Of Those Diapers! Incontinence After Robotic Prostatectomy by Dr. Samadi

Even though you are having prostate surgery, we here at Mt. Sinai use da Vinci robotic surgery to spare nerves responsible for bladder control. Rest assured you can be confident that your urinary incontinence issues after surgery will be short lived. With this technique and my experience in performing over 3,300 cases, you can be confident that you won’t have to deal with these issues for long. Many patients comment on their experiences and I’d like for people to share those experiences. Tell us your success stories about your experience overcoming incontinence after surgery.

Post your comments below (click on comments). Fill out all of the appropriate fields including your name, email address, and comments and then click “Submit.”

13 Responses to ' Get Rid of Those Diapers!
Incontinence After Robotic Prostate Surgery '

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Incontinence After Robotic Prostate Surgery '.

  1. John Vig said,

    on November 4th, 2007 at 10:38 pm

    I was 64 years old when I was diagnosed, in January 2007. My PSA was 4.2 ng/ml, Gleason Score 6 (3 + 3), two of 12 biopsy cores were positive, one 10%, the other less than 5%; and I was staged T1C. My PSA doubling time was 6.5 years.

    I spent the next several months learning about prostate cancer (PCa); read five books, joined on-line discussion groups, consulted a MSKCC oncologist, asked lots of questions. I considered active surveillance, radiation treatments of various kinds, surgery… Being a researcher (with a Ph.D. in physics) I read not just books but also articles in medical journals.

    After digesting a huge amount of information, I decided that robotic surgery was the best treatment form for me. After considering many surgeons, I decided that Dr. David Samadi was the one for me, based, primarily, on his extensive experience with all three major types of prostatectomies, open, laparoscopic, and robotic laparoscopic.

    More details on the reasons for my choices and how my surgery went can be found at http://www.yananow.net/Mentors/JohnV.htm. YANA stands for You Are Not Alone, and is a website run by a PCa survivor. Hundreds of PCa survivors, with all kinds of treatments, have posted their stories there (some with happy outcomes and some with not so happy). Dozens of postings there are by those who have had robotic surgery. The YANA website is a great resource. I hope that PCa survivors reading this will also post their story.

    It is now three months since my surgery. The most remarkable parts of my story are that: at no time did I have any pain after the surgery, at no time did I feel sick, I lost only about 20 cc of blood (one tablespoon = 15 cc), and, shortly after I awoke, I felt so well that I could hardly believe that I’d just had major surgery. My wife and I went for a long walk, from the West wing of Mt. Sinai Hospital to the East wing and back. The next day, I went home. THANK YOU, DR. SAMADI!

    My recovery is going better than I had expected. The incontinence is nearly gone; only upon physical exertion do I leak, slightly, and the impotence is steadily improving (I’ve been taking 50 mg Viagra every night).

    During this whole process, the most valuable on-line resource to me was the Prostate Problems Mailing List (PPML), http://ppml-info.org. Whenever I had a question, about anything having to do with PCa, I posted it and, usually within minutes, I would have an answer; often, several answers. PPML has about 1,300 participants, including a few MDs. (Recently, I became a co-facilitator of PPML.) The topics include, the pros and cons of various treatments, nutrition and PCa, impotence and their treatments, incontinence and their treatments, intimacy questions, etc., etc.

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  3. bruce merriam dds said,

    on November 16th, 2007 at 4:22 pm

    It is now almost 1 1/2 years after my robotic surgery for prostate cancer. I am 63 years of age and thanks to Dr. Samadi I feel I have many more years to enjoy my life filled with family, friends and interests. As of 6 months following the surgery I threw away my Cialis and I find my incontinence, which only follows stressful activities, to be a minor inconvenience.

    To backtrack: 3/06 my internist suggests I have a prostate biopsy because of an elevated PSA for the second straight year: 2.8 to 4.6. The biopsy proved to be positive demonstrating a gleason 6 with 4 out of 10 specimens being positive. Being 61 years of age and in good health my urologist recommended I consider robotic laproscopic prostatectomy. He told me of a surgeon who had performed the procedure for one of his patients and that the procedure and recovery period were significantly easier and shorter than a radical prostatectomy. His suggestion was that I contact the surgeon, Dr. Samadi, and go from there. Well I did make an appointment with Dr. Samadi as well as 2 other surgeons who were performing the robotic procedure. Following consultations with all three I had no difficulty in chosing Dr. Samadi as his experience with the procedure, his considerable medical background and the confidence he exhibited allowed me to feel very comfortable with my choice.

    The surgery itself was uneventful, no doubt due to the quality of care administered by Dr. Samadi and his wonderful staff. I returned home the day after the procedure and experienced minimal discomfort. My only recommendation I expressed was that the catheter remain for more than 4 days. Remarkably I was back to work 2 weeks following the surgery. I have friends and acquaintances who had the non robotic procedure and it was close to 6-8 weeks before they could work. 6 weeks later I was playing 18 holes of golf and although I can’t prove it, I seemed to be playing the best golf of my life.
    I am grateful to Dr. Samadi for giving me the chance to enjoy many more productive and enjoyable years of life.

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  5. on December 3rd, 2007 at 10:00 pm

    Dec.3d 2007,

    My Radical Prostatectomy was performed by the Honorble Dr.David Samadi on Oct.1st 2007 at Mount Sinai Hospital, New York City.
    Initial PSA 6.5 ng/ml,Gleason score 6,stage T1C.
    The recovery time was amazingly short, painless and very quick healing of the puncture wounds where the robot arms were inserted into my abdomen.
    I have spent 2 nights at Mount Sinai Hospital in New York City and I was deeply touched by the high quality of the health care provided at this hospital.I am very grateful to Anne from Dr.Samadi’s staff, who helped me a lot with her kind and useful advices.She is a very caring and gifted person willing to help anyone.She’s an angel.
    I consider myself very lucky having the right insurance which made possible the approval for the surgery and having Doctor Samadi as my surgeon, was a ,,once in a lifetime” great oportunity and decision , which I will never regret ever and I’ll be thankful forever.
    I am deeply grateful having met such a Great Man and Doctor with those GOD given healing hands and mind.Thank you Dear Doctor Samadi for saving my life.When I’ve sent you that desperate e-mail in the middle of the night asking for your help,I was enormously impressed by your quick phone response at 7 AM the next morning, assuring me that everything will be fine, not to worry anymore because you will take care of me.
    Those words ment everything to me, touching me deeply in my heart and I will never forget your words of encouragement.Thank you Doctor Samadi for giving me the Hope in those desperate moments of my life.I hope many others who needs your help will have the chance as I had, to discover you and benefit from your experience and special care you’re giving to everyone of us.
    I am very optimistic since my PC was organ confined and my first post op. PSA reading is 0.05 . I am very confident that whith a healthy diet and a positive state of mind I can win this battle and many years will come from now on and I will enjoy every minute of it together with my family.
    The incontinenece at this point is still a problem but the Kegel exercices are very helpful and I can see the improvement every week when I’m counting less pads used than the previous week.The sexual side of the matter needs a longer recovery time as described in the medical books.However, I had a few erections and with the help of Cialis and the Pump recommended by Dr. Samadi I hope I can bring back the life again in my most affected organ, and with time, everything will be better.
    I am very satisfied with my decision of having the Da Vinci surgery and I believe this was the best option for me.
    Dear Doctor Samadi thank you again, God bless you and your family.


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  7. Louie G said,

    on December 4th, 2007 at 7:13 am

    I was diagnosed with prostate cancer in June. of 2006, I was recovering from total knee replacement surgery which hasn’t gone well and decided to get a blood test to see if I had contracted an infection while in the hospital. In getting the blood test I asked my gp to also do my psa, as I have monitored my own psa for many years on my own. This is one of those things that you do in life and really don’t know why but when you find out you know someone was watching out for you. No one in my family had any history of prostate problems. When my psa came back it was 3.2 which my gp told me was in normal range and nothing to concern myself with. As I stated I had monitored my psa for many years and kept my previous psa results from 2 years earlier. That test result was 2.2, So my psa had gone up 1 point which prompted me to see the urologist. To my shock and surprise a biopsy was done and I had prostate cancer. my gleason was 7. The first week I was in a fog and then got on the computer to learn as much about thgis disease as I could to find the best treatment possible. I went to many doctors and facilities to discuss treatment and left all of them undecided and afrad. I then heard about this robotic surgery and went to the companies websit that makes the machine. There they had listed a David B. Samadi md. I contacted him and made an appointment. When I met him I was extremelt relaxed and confident. I scheduled my surgery that day and never worried about my cancer after that. Dr. Samadi not only is a wonderful capable surgeon , he is also one the most caring and concerning human beings I have ever met in my life. My surgery was in Oct. 2006 and I was amazed I was home the next day. Toady I am cancer free. I still have some incontinence problems but every day it gets better. I went through some tough personal problems during my recovery and that set me back. Now I am all one with those issues and now will focus on getting myself healty and enjoy life.

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  9. Tim Crowe said,

    on January 8th, 2008 at 8:59 pm

    For anyone considering surgery for their prostate cancer, Dr. Samadi is the BEST choice you can make! My surgery was 01/27/06 and I’m doing FANTASTIC today! He is the ultimate surgeon and made me feel completely comfortable and reassured throught my whole treatment! All my functions have returned at the 98% level. In fact, my orgasms are even better now! It’s not even two years for me and the surgery seems a lifetime away! Dr. Samadi is an amazing surgeon and I owe my life to him! I am eternally grateful that I chose to have him perform my surgery!

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  11. Joel Turbin said,

    on March 9th, 2008 at 8:44 pm

    I was diagnosed with stage 2 prostate cancer in Nov. ’07 at age 63 and met with Dr. Samadi in early Dec. I had a PSA of 5.7 and a Gleason score of 7. I had a tumor that could be felt with a digital exam. Dr. Samadi ordered an Endo rectal MRI which showed that the cancer was confined to the prostate. I wanted the cancer and the prostate removed as soon as possible. The thought of surgery scared me but not nearly as much having cancer. My first meeting with Dr. Samadi was very comforting. Dr. Samadi clearly explained the procedure and told me that I will be fine and I actually believed him. My goal was clear; to live a very long life, and surgery was the very best option. Dr. Samadi performed the Robotic surgery at Mt. Sinai on Jan. 28 and I must say that the entire experience was virtually pain free and recovery was quick. I left the hospital with a catheter in me for one week. HATED the catheter and never really got used to it but the week went by quickly and by the time it was removed, I felt almost fully recovered. During the next few weeks did a lot of walking to build up strength. It is now a little more than 6 weeks and I will be driving down to Florida from NY tomorrow for a well deserved vacation. There is some incontinence {leaking/dripping} but the pads control the problem and I can be patient for this to improve. The part I most care about is that I am cancer free after a one time treatment by Dr. Samadi. My life is just about back to normal after having the worst scare of my life back in Nov. There is no one more competent or more compassionate than David Samadi. Also three cheers for nurse Helen and Ann. Always available when you have questions.

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  13. Bill Fung said,

    on March 20th, 2008 at 10:15 pm

    My dear friend Dr. Samadi,

    I want to tell the folks who read this blog that you were the one who made it possible for me to write this joyous report. Indeed, as my wife said, you were the angel who gave me my life back. Thank you, Dr. samadi.

    Let me recount my simple journey.

    Dr. Samadi operated on me on 11/1/2007. My prostate was large, about 135 gm, and 7 cm long. The surgery? There was no pain, no discomfort, no nausea, and I only lost 40 cc of blood. I regained all the vital body functions in the next 24 hours, walking included.

    It is now five months since my surgery. My latest PSA reading was 0.1. In this last month, the only symptom that reminds me that I once had prostate cancer is the slight incontinence. And like Mr. John Vig’s experience, my incontinence is probably 90% gone.

    In the last few months, I have had the opportunity to talk to two of Dr. Samadi’s patients. I told the two gentlemen that prostate cancer was very curable, and please don’t be afraid to treat it. Then at the end of the conversations, I related what I remembered the most about Dr. Samadi. It was the morning of my surgery, and Dr. Samadi came to see me before he went into the operating room. He asked me who came with me, and then he simply said, “Everything will be O.K.”

    Everything has indeed been OK. I am now living like I have always been; and, again, my latest PSA reading was 0.1.

    And how can it not be when one of the finest surgeons plied his skill on me!

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  15. T Faragher said,

    on June 3rd, 2008 at 9:09 am

    Dr. Samadi,

    I just wanted send you a little update and thank you for your spectacular
    expertise and skill.

    I had my catheter removed 2 days ago and it just gets better everyday. I haven’t experienced any major urination issues and I feel like things are
    getting back to normal.

    This morning, to my amazement, I woke up with an erection, I was so shocked I woke up my wife and we both had a laugh about it. That compounded with the great pathology report have made for a very upbeat recovery.

    I think we may be looking at a trifecta. I am very grateful for your dedication and abilities, you are truly a life saver.

    I am still planning on writing a testimonial for your web site, I just thought I would send you a little note.

    All my very best,
    T. Faragher

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  17. T. Maile said,

    on June 17th, 2008 at 4:59 pm

    Dr. Samadi.

    You and your team performed my robotic prostatectomy on January 6,2007, almost 18 months ago. As you remember I am an avid runner so in addition to the normal concerns about the “plumbing” I wanted to get back into training and racing as soon as possible. I spent less than a day in the hospital, catheter on for only six days, running in a month, running well in two months. My recovery enabled me to earn the Runner of the Year at the New York Roadrunners for 2007.
    This Sunday, where we saw each other at the annual
    5 Mile Fight against Prostate race in Central Park
    I won my age group, 65-69. This would be hard to imagine without your care. You are positive and enthusiastic, qualities that are picked up by your patients, me anyway. Attitude is probably a big part of the recovery process in addition to technical skill and training. Anyway, thanks again. The past 18 months have been great and I have you to thank.
    Tom Maile

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  19. L. Goldstein said,

    on September 22nd, 2008 at 9:06 am

    Good morning Dr. Samadi:

    I guess I felt like most guys when my PSA test indicated that I should have a prostrate biopsy. Of course I said to myself “there is no way I could have a problem”! When my Urologist informed us that he took twelve samples and one was cancerous I guess I was in shock. Bear in mind that I have never been admitted to a hospital, much less had any surgery performed. My Urologist immediately walked us into a surgeon’s office and we made an appointment to see him as soon as possible. I already knew the cure rate for this type of cancer is 90%+, but I did not know how to treat it or what to do concerning the horrible stories I heard about the “quality of life” issues. I then called my Internist to get him into the loop. As soon as I got him up to date he told me there was only one Surgeon that I should have perform the procedure; and that was Dr. Samadi. I immediately called Dr. Samadi’s office and made an appointment. In the interim I contacted my nephew who is a Gynecological Oncologist. My nephew not only offered his opinion, but he also spoke to three surgeons on the hospital staff where he works. The bottom line was that all of the doctors separately stated that I should have the Prostrate removed, and if all things were equal “experience” should be the deciding factor. With that, the decision was made and Dr. Samadi who was personable and had a very positive attitude would perform robotic surgery on me at 7 AM on 8/7. Well, I followed the pre operating instructions and showed up at 5 AM for the admission process. Once I completed the check in I met with Dr. Samadi and some of his staff. I was promptly taken into the operating room where before I knew it I was asleep. When I awoke it was over, and I spent some time in recovery before I was taken to my room where my family was waiting. Would you believe that I was actually feeling pretty good at that time. Dr. Samadi had suggested that if I could afford it I should take a roo m on 11 West, and no doubt that was the right place to spend the night. Dr. Samadi and his staff stopped by numerous times . Dr. Samadi also informed us he removed another mass while he was operating; but most important he was able to keep the nerves in tact. I had six relatively small incisions; and I was discharged form the hospital the next day. I had to wear a catheeter for a week which was uncomfortable, but not unbearable. A few days after my discharge I was informed the pathology report was as expected, which gave me a sigh of relief. I judicially followed my post op instructions and Dr. Samadi’s staff was available to answer any questions I had. I just went back for my first (6 week) check up. My incisions are well on the road to healing, and I am just about finished using incontinence pads. I have been given permission to slowly resume my normal activities. And, back to the quality of life issues. I can’t tell you what open surgery might have been like, but having Dr. Samadi perform robotic surgery is the most amazing thing one can imagine. I hope they find a cure for prostrate cancer; and I hope no one has to experience prostrate cancer surgery, but if you do the only way to go is to have Dr. Samadi perform robotic surgery. Would you believe that after all of the horror stories I heard I can now say having the catheter tube was probably the most difficult thing for me.

    Dr. Samadi, my family and I thank you!


    L. Goldstein

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  21. Bob Hertzka said,

    on December 12th, 2008 at 9:20 am

    Ten days ago I underwent Robotic Prostate Surgery at Mount. Sinai hospital in New York City under the amazing hands of Dr. David Samadi, head of Robotic Surgery for Mount. Sinai.

    I think having just gone through this, that I am in a good position to comment on the various issues that leave so many men confused and scared.

    There is no way to minimize the seriousness of this procedure but in my opinion it is not near as scary or invasive as I was expecting.

    First of all under Dr. Samadi, the procedure takes 2-2.5 hours and he is surrounded by an extraordinary permanent team which includes his assistants, the anesthesiologist, nurses and office staff. On top of that my reception at Mount. Sinai was very warm and set as good a mood as possible to begin all this.

    I woke up in my private room, Dr. Samadi strongly recommended this and he was absolutely right. If you can afford it, and normally we are talking only for one night, this is well spent money (I do not mean to imply the price is not ridicules, just that it is worth it!!)

    My wife was in the room and I was immediately made aware that the operation went smoothly and my nerves just “peeled away from my prostate”. No cutting and splicing: that was a major relief. Dr. Samadi also said that in his opinion the cancer had not spread (this was confirmed a week later by the pathology report)

    The recovery process begins right away and they expect you to be up and walking that day. You do of course have the dreaded catheter and an IV with antibiotics. The only additional medication I took was to prevent bladder spasms (which I didn’t have) and stool softeners. Pain medication is an option depending on the level of pain. Your stomach is a bit distended due to all the gas the put to blow it up in order to preform the operation and this takes a several days to come back to normal

    I did two pain killers on day one and one on day two as I had a bit of pain in my abdomen and sitting up was painful. Quite honestly and much to my surprise, I almost never felt the catheter. You are always aware it is there but as long as it is taped properly and didn’t pull I didn’t feel it.

    As I said you are asked to get up and walk as much as possible pushing your IV stand. This is actually a bit comical to have all the men walking around the halls pushing their IV stand with the catheter coming out of their gown! Having a private room, at least at Mount. Sinai, allowed my wife to spend the night and as the room (and I opted for the cheapest one) came with TV, VCR, DVD, phone and WI Fi she managed to work pretty much as if she was home. There was also a mini bar (which she stocked) and room service for her. My meals consisted of tepid soup, Jello and sorbet: the sorbet was delicious. It was my impression she enjoyed her meals more than I did!

    There is also a drain that comes out of your right side that normally is removed the next day before you leave. In my case it was oozing more than expected so Dr. Samadi suggested I stay for a 2nd night: other than having to pay the extra night I was quite happy with this decision: I don’t think I was ready to go home.

    But the 2nd day my IV was removed and I was now only taking my bladder spasm and stool softeners pills. I did ask for a sleeping pill my 2nd night as I am not good sleeping on my back: you can’t really sleep any other way comfortably.

    I went home after two nights and continued to recover, in my opinion, really well. They decided to leave the JP drain in me so that was a minor convenience as it needs to be drained but it is not a big deal (My wife was quite happy I was able to take care of my various drains on my own!!!). While you must be able to pass gas before you leave the hospital, I can safety say that bowel movements were pretty much back to norm in less that a week.

    At discharge I was given pain killers, bladder spasm and stool softeners as well as a five day antibiotic routine to start on the day before the catheter was removed. I did not need the bladder spasm or pain killers.

    This past Monday I had the catheter and drain removed. The catheter took about 1 second and I didn’t feel much of anything it was so quick. The drain took a few seconds more and you feel this thing being pulled out of you but we are talking maybe ten seconds so again not a big deal.
    I can only say that while neither the catheter or drain caused pain, getting rid of them was a relief you can’t imagine. Just to have freedom of movement was fantastic.

    My diet at home was mostly soft food until we got rid of the catheter and now I am easing back in to normal diet and a normal life. I do recommend keeping the diet as healthy as possible if not for the rest of your life at least for the first couple of months. Dr. Dean Ornish’s book “Spectrum” would be a good way to approach this.

    The two major after effects that concern everyone (other than bowel movements which are a none issue for me already) are incontinence and ED. ED is too soon to address but as for incontinence, this also seems to be moving toward resolving itself. I think like many men, I thought incontinence referred to a situation like a baby who had to wear a diaper as he could not control himself. Had I read that section more carefully in one of the books I was given when I first was diagnosed and started doing a bit of research I would have understood that “severe incontinence” refers to a leakage of two ta blespoons a day, not some uncontrolled situation. So this is not the horror that I imagined and I can say that after three days of no catheter this looks like it is going to be fine. I realize the stats are different and the average is three months but some doctors report that half their patients are fine within a week. So again, this is not something you want to worry about. There are exercises you must do and it will sort itself out.

    I can also confirm that I have a few small scars on my abdomen that hopefully will eventually disappear but no major indication of surgery.

    Now I can only speak for the procedure I had, Robotic Radical Prostectomy and to the expertise of Dr. David Samadi. One thing all the books I read made perfectly clear was that
    having a top surgeon is crucial to both the success of the operation and the recovery.

    I do think it is important once diagnosed to pick up one or two of the leading books on the subject to not only understand what the prostate is and what removing it means but the various options you have. I also found it really helpful to speak to a friend in detail who had the same procedure I had a year ago as well as others who had the normal surgery, radiation seed implants and radiation beam therapy. So Robotic surgery as I had is one of many options and a lot depends on your age (I am 61), the size of your prostate, how advanced the cancer is, etc.

    I also cannot emphasize too strongly the gratitude I feel also for my GP who had the wisdom to send me to a Urologist who was able to determine based on some newer test that suggested a biopsy. Living in New York I feel really luckily to have access to these highly qualified doctors but in the end, it was Dr. Samadi about whom I cannot speak too highly along with his staff at Mount Sinai Hospital.

    The last issue that I want to address and which was a bit of a nightmare in the beginning was Insurance. Needless to say this is important as this procedure along with the hospital is very expensive and again you want to make sure you get the best doctor you can. Removing the prostate involves some really delicate maneuvers on the part of the surgeon and is not like removing an ordinary tumor. So you really need the best surgeon available and I was beyond lucky that of the maybe three top surgeons in NY Dr. Samadi accepted my insurance plan. My wife made it perfectly clear and I agreed completely that we could afford which ever doctor we wanted with or without insurance so that was not a factor but in the end I felt after Goggling and my first visit to Dr. Samadi that I was really comfortable with him and he was the only one of the doctors I saw who followed my visit with a reassuring ema il that he would take care of me and had his assistant follow up.

    Bottom line is I am doing fine, I think, and am feeling rather relieved that this is behind me. If anyone would like more information, Dr. Samadi is hosting a seminar at Mount Sinai the evening of January 14 and I would highly recommend anyone considering surgery to attend. Additional information can be on his web site at http://www.roboticoncology.com/

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  23. Wendy R said,

    on April 2nd, 2009 at 5:49 pm

    Dear Dr. Samadi,

    My husband and I were recently at your office for his checkup which was six weeks after catheter removal and I wanted to share my thoughts about his disease and the robotic surgery you performed to remove his prostate.

    It all began with a routine blood test at his internist which showed a PSA of 2.5. For the 3-4 years prior to this, his PSA was in the area of 1.1 – 1.3. After a repeated blood test a few months later, my husband was advised to see a urologist who then advised him to have a biopsy. After an excruciating wait of 2 ½ weeks, the urologist called with the results of the biopsy. It was the news we had both dreaded. There were cancer cells in the prostate and my husband needed treatment. The timing couldn’t have been worse. Our daughter was getting married within the month and now we had “cancer” to deal with as well as last minute details for our daughter’s wedding. We met with his urologist who was encouraging, and then we were ready to research the options. At this point my husband felt very confident that he would be fine. I, on the other hand, was not so sure. I was worried. Thoughts of the possible outcomes, and what the future held for us, were overpowering me. How would we ever decide on what the best treatment would be? I couldn’t understand how my husband remained so calm. How would we get through this wedding? The urologist made two recommendations. One was to see a radiologist and the other was to see Dr. Samadi.

    Radiation vs. surgery: We met with a radiologist who explained the necessary treatment. The radiologist explained what was involved and how long it would take (approximately 9 weeks) in addition to a couple of weeks prior to that for some other preparatory procedure. He also explained that if the cancer would return, surgery at that point would no longer be an option. My husband would probably get through the radiation without too many difficulties but the cumulative effect of the radiation could cause difficult side effects down the road such as incontinence, bowel difficulties and sexual dysfunction. This option was not sounding too promising.

    Our next appointment was with Dr. Samadi. His office scheduled this appointment rather quickly since they understood the apprehension and anxiety that most people have when dealing with a cancer diagnosis. He looked at my husband’s test results and told us, that with his level of disease, he could be cured with the laproscopic robotic prostatectomy. Dr. Samadi’s confident manner and comprehensive experience in all aspects of prostate surgery was the deciding factor for us. After a brief discussion, we knew that this was the best and only option. I, too, now felt assured that my husband would be fine. We scheduled the surgery and were able to put this out of our minds long enough to enjoy a wonderful time at our daughter’s wedding.

    I knew we made the right decision when I had some concerns about the surgery and it was already past office hours on a Friday night. My husband e-mailed Dr. Samadi at about 8PM that evening and to our surprise and joy, by 10PM, we had a response that answered every single question and gave us the assurance we needed. I knew my husband was in good hands.

    When the day of the surgery arrived, we were both anxious and quite nervous. After it was over, Dr. Samadi came down to talk to me and he told me everything went very well and that my husband lost only 4cc of blood. As I found out later, that is less than a teaspoon. From that point on his recovery was amazing. Aside from seeing him in a hospital gown with a Foley catheter hanging off the side of the bed, you would never know he had just gone through successful cancer surgery. I knew then we would have our life back.

    He went home the next morning and I must admit the first day was difficult for him adjusting to the catheter and I tried to be as supportive as I could. After that, each day showed a marked improvement. He had no other adverse effects from the surgery and by the time the catheter was removed one week later he had already had an erection and was actually feeling quite fine. He was able to urinate by the time we got home and continued to practice his kegels, since he knew that urinary continence was a major concern. At his six week check up he told Dr. Samadi that he was a “magician”. He felt fine and although seemed to be urinating more often, he was thrilled with the outcome. His PSA test was now where it was supposed to be and we celebrated that evening with a wonderful dinner.

    As I write this, we have just returned from an amazing two week trip to Argentina. This trip was scheduled for quite a while and was 8 weeks after surgery. We certainly had concerns or should I say, I had my concerns. However my husband felt great, the trip was awesome and he had TOTAL urinary continence. What could be better! It was the best trip of our lives.

    With sincere thanks,
    Wendy R

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  25. Ray Panchal said,

    on December 28th, 2009 at 4:57 pm

    Dear sirs,
    I live in uk, i have a localy confined prostate cancer, iI like to consider robotic operation, please advise order of cost, for such procedure.

    Than you

    Ray Panchal

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