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Bob Waterstone and Carol live in Georgia, USA. He was 58 when he was diagnosed on April 1, 2009. His initial PSA was 0.5 ng/ml, his Gleason Score was 3 plus 3 = 6 and he was staged T1c. His choice of treatment was Robot Assisted Laparoscopic Radical Prostatectomy. Here is his story.

Hello, My Name is Dr. Bob Waterstone, and my story is a little unique, and I hope it well help others to be active and diligent in their own Health decisions. I am an oxymoron, a Chiropractor with a bad back, but I found IDD internal disc decompression that has helped me. My father had prostate cancer, and I always kept up with PSA's and DRE (Digital Rectal Examination).

A few years ago, had some increased urgency at night, and for a while went on Flomax, and Uroxatrol. The symptoms abated, and I was fine until December of 08, I started to have some urethral pain, and hesitancy, like a UTI (Urinary Tract Infection). I went to my urologist who started me back on Uroxatrol, but the symptoms never went away. There was no infection, and even though my PSA was normal 0.5 and my digital exam just revealed a slight BPH (Benign Prostate Hyperplasia), and a slight firmness. He did not think anything was wrong. So I asked for a biopsy. And on April Fools day, I got the call that they found in only 1 of 12 cores 5% cancer, with a Gleason of 3 plus 3.

I felt that because of my symptoms, I wanted it out. I consulted with Dr. Nikel Shaw at St. Josephs Hospital in Atlanta, Ga, who has performed over 1,500 of these procedures with the Da Vinci Robot.

He at first suggested HDR - (High Dosage Radiation Therapy), because he said my urethral problems may become worse with surgery. I explored not only HDR, but also ProstRcision® with the combination of seeding and beam radiation. And both oncologist thought that I would have more problems with the urethra with radiation, than with surgery. So I opted for the surgery on May 25, 2009.

Usually a person is released to go home within 1-2 days, but when they do the surgery, they fill you up with gas in order to see. This causes a lot of pressure on the intestines, and a lot of pain.**1 And they do not let you go home until you can pass gas.

Unfortunately in my case, it took close to a week, before my bowels started to move. I would recommend to all RP patients to only ask for Tylenol rather than pain medication. It slows down the bowels, and the pain for that pressure on the bowels trying to move, was worse than anything. So simply start to walk right away, so you may be released.

I came home with the catheter for 9 days, and had it removed last week. I started to pee right away, and in only one week, am only wearing a light pad during the day, and depends during the night, but am already dry at night, and can go every hour or so.
I am on no pain meds, and it is getting easier every day.

In five more weeks, I shall return, when we will talk about starting on some ED enhancing drugs, & the pump, so that we may hopefully wake us the sleeping midget! Yes I too seemed to have lost some length. But it is too soon to tell.

Health & Wealth,
Dr. Bob Waterstone

Bob's e-mail address is: wetrock@bellsouth.net

**1: One of the leading Da Vinci surgeons in California goes to some lengths to explain to his patients that the gas used in the surgery is not the cause of the discomfort in recovery. He says that discomfort is due to natural intestinal gas being trapped because of the position in which the body is placed during surgery. [back]

 

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