Hello everyone, I am will have DaVinci assisted RP on Monday morning and am looking for any tips / advice for the first few days and week(s) post surgery. My surgeon is extremely experienced (I will be ~2,700th robot assisted case).
Background: I'm 46 years old, Dx'd in Feb. PSA was 32.2 with 12/12 cores positive, Gleason 8. The bone scan, pelvis & abdomen CT scan, and multi-pan MRI were unable to identify any issues conclusively (the scans highlighted a few areas, but multiple readings and Drs. believe it is related to my degenerative disc disease).
The original multi-pan MRI showed gross extra-capsular extension with invasion of the right neurovascular bundle and bilateral seminal vesicles. Category 5 lesion measuring 4.2 x 3.4 cm transaxially, 2.8 cm craniocaudal.
I have been on Firmagon for the past two months (trying to see if shrinking would pull away from neurovascular bundle in order to preserve function). The result has been positive as my PSA is now 4.8 (85% reduction), the prostate gland shrunk from 32mL to 19mL (41% reduction) , and lesion is now 3.2 x 1.6 cm transaxially, 1.6 cm craniocaudal). Unfortunately, virtually all shrinkage happened in the gland (slight reduction around nerve bundle).
Dr recommended (and I agreed) to not delay surgery and stay with ADT longer since main goal was to preserve neurovascular bundle and shrink to make removal easier. Since my Gleason score is so high, don't want to wait too long before removing in case it spreads.
Any advice (or links to advice that helped you) would be greatly appreciated.