• What is the most nerve sparing surgery? Is open surgery and the DaVinci method equivalent?

    Asked by HotRodTodd on Wednesday, January 30, 2013

    What is the most nerve sparing surgery? Is open surgery and the DaVinci method equivalent?

    7 Answers from the Community

    7 answers
    • Peroll's Avatar

      In general tghe less invasive the surgery the less likely that there will be nerve or other damage. I had DaVinci robotic surgery last fall on my right adrenal gland and it was deffiniately less invasive. The robot "hands" are much smaller and more precise than any surgeons hands are. I would definately recommend robotic surgery when available. Good Luck

      over 4 years ago
    • Lirasgirl33's Avatar

      I can't answer from a prostate cancer view but I had an open surgery, abdominal hysterectomy. They cut me open 2 inches above my belly button all the way to my lower pelvic region. They took my reproductive organs and 14 lymph nodes. I had to take it easy and rest for a good month. All came out well. The only real pain and discomfort for me was mobility, since my abdominal wall was healing, but that wasn't too painful, just had to find creative ways of getting up or having someone help me. My digestive system had to normalize as well. My family and I have never been happier to hear me pass gas! Hahaha! We celebrated. :D All in all my body healed. I hope all the best for you with whichever method you choose if you are given an option. I would say ask your doc about pro's and con's of each, that might help with the decision process. :) Sending hugs your way.

      over 4 years ago
    • tomget's Avatar

      I'm not an expert, but I had the DaVinci method..last mid Dec..and I was up and walking around the hospital hallways about eight hours later. I guess with the open surgery its much more traumatic on the body..and i suppose nerves as well. I was only in the hospital 24 hours total from beginning to end. Its only been about 6 weeks since the surgery, and I'm still on "light duty"..but I've never had any pain or discomfort...even the first days after surgery..and I've been walking hours a day since maybe the third day after the surgery and been doing light weight lifting and similar chores around the house from the very beginning. I have to "remind" myself to take it easy..I feel totally fine. The only thing is still doing the Kegel urinary exercises...which is much better than the beginning but I still use a maxi pad in my shorts, but only used diapers the first two weeks or so. Still trying and hoping to restore erectile function, but even with Cialis..its only maybe 50 or 60% erect. Couldn't penetrate a bowl full of jello, but at least it does get bigger, but still flaccid. At my age..it was totally good before the surgery..but its a possibility it may never get good again. You're younger..maybe it will be better for you. Good luck with whatever you choose.

      over 4 years ago
    • tomget's Avatar

      BTW I should have mentioned that a lot of people choose many of the non surgical treatments for prostrate cancer. You probably know all about that. Lots of radiation and such treatments. Plus new treatments coming on line all the time. I've heard rumors about a ultra sound treatment being tested in Canada..but don't know anything more about it. Erectile dysfunction is not something most any guy wants at any age..so think about it! Each persons situation is different. Many of us have knowingly accepted this downside of the otherwise very good surgical option because surgery is often a very "clean" fix. And with some of the other treatments there can maybe be more collateral damage that could appear down the road a bit or even in the beginning. Plus in a young person the cancer can come back in a few years and the treatment would need be done again. It seems to me that with surgery and the temporary but immediate urinary issues and the unknown but commonly experienced erectile dysfunction these problems are significant at first but often get better in 6 months or a year. With the other non surgical treatments it might be more the reverse. Feel great at first, often, but more reoccurrance and similar problems down the road. Not a doctor:) but I've had doctors explain it to me this way..Of course ask 10 doctors and get 10 different opinions. In the end its up to you.

      over 4 years ago
    • WizardOfWesley's Avatar

      Less overall trauma with robotic surgery..like others was walking the same day ...cath was removed within a week .. Everything was working perfectly up until and including the night before my surgery .. sadly that is only a distant memory .. going on two years ..I was told I had a nerve sparing procedure... But not many guys I know have had much natural luck ..but there is always hope when there is life ...and ....many ways for you and your partner ,wife,lover GF ... (Want to be PC here) to enjoy each other ... Good Luck ...G-d's speed in your recovery ...

      over 4 years ago
    • mgm48's Avatar

      As others have said I'm not a doctor and certainly no expert. But I can tell you what I was told and my experience from 2005 surgery. My doctor at Mayo said that at that time the robotic surgery was too new for him to comment on. He was one of the doctors who mapped out the nerves and said that if I got in shape, he saw no real reason to go robotic since most of his patients recovered quickly from "open" surgery. He also said that at the time this surgery had become reasonably common and they knew what to look for beyond the prostate itself. I decided to go to Mayo and he was my surgeon. I got in shape (lost 65 pounds and exercised daily) and I spent 19 hours in the hospital post surgery and returned to work 6 days post surgery. I really haven't heard anyone robotic or other who has done much better. My continence and function returned shortly after surgery (function was killed by hormone therapy 6 years post surgery, but that's a different story).

      I really think you need to evaluate what your doctor recommends AND make absolutely sure you trust your surgeon.

      Keep it positive and smile :)

      over 4 years ago
    • ROBERT's Avatar

      I just had the robotic surgery last week as City of Hope which is very well known in prostate surgery and they dont do traditional surgery anymore since they have had such great success with robotic. i had both bundles spared and will be waiting for an answer. From what i have read it is important to ask your surgeon what his results and percentages are because the procedure is only as good as the surgeon who performs it weather it is traditional or robotic. you can get good results from either but of course i agree that robotic is the way to go if you have a doctor that has proformed at least 200 procedures and has good results. If you dont like the answer you get keep checking with other doctors and referrals before you choose because this is a very important decision. if the doctor doesnt anser your questions completely and honestly maybe he is not a wise choice. There are a lot of doctors out there doing this procedure and some have better results than others so since curing the cancer is numer one concern maybe some doctors have a better record with the two other concerns even if they acheive the first concern. If you are organ confined and young go for the surgery I believe it is your best chance of a cure at this time unless someone else has other experiences. congratulations on your investigative journey and keep it up! Good Luck and we are all hoping for a great outcome for you.

      over 4 years ago

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