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Britain's best PCa Surgeons

User
Posted 07 Jun 2018 at 01:34

A few years ago the Daily Mail produced a list of Britain's best Prostate Cancer Surgeons as nominated by their fellow doctors.  This has now been updated, although I recognize same of the names are still the same. as hitherto.  This is not a recommendation and does not mean these surgeons can achieve the impossible and certainly not every result will be great.  Nevertheless, it may help some to know how these surgeons are rated. http://www.dailymail.co.uk/health/article-5808997/Meet-best-urologists-Britain.html 

 

Barry
User
Posted 07 Jun 2018 at 08:38
Thanks Barry It was nice to see the guy who did mine on there - as he is s really unassuming fella I would not have expected to see him on this kind of celebrity surgeon list!!
User
Posted 07 Jun 2018 at 08:52
The guy who did my RP on Monday is on the list and four days post-op I am back home and out and about after two nights in hospital - I could have come home after one, but we had a hundred and fifteen miles journey back. Bloody British roads, potholes and speed bumps! Bouncy bouncy.

Some discomfort, I think more to do with bowel function interruption than having a belly like a pincushion. So far so good, couldn’t be more pleased.

User
Posted 07 Jun 2018 at 13:57

Mine is also on there, and in fact he's done the robotic procedure on 5 other surgeons in the same field who all developed PC!

 

David 

Edited by member 07 Jun 2018 at 13:58  | Reason: Not specified

User
Posted 07 Jun 2018 at 15:14

Nice one Barry my surgeon is on there too will be seeing him next Wednesday for my follow up it's nice to know the mail does seem to be very pro active in all areas of cancer. 

User
Posted 07 Jun 2018 at 16:05

The surgeon who was supposed to operate on me is there but due to a farcical mix up and zero communication I ended up with a different surgeon on the day. I only found out an hour before the op and was asked if I still wanted to go ahead or wait. Given the other surgeon had done hundreds of laparoscopic radical prostatectomies and his results were good I decided I couldn’t wait another few weeks and went ahead.

Given my cancer recurred a year later despite negative margins I have tortured myself since.

Would things be different I.e. better if I had waited those few weeks.

I have lost a lot of sleep over that even although there’s nothing I can do about it.

I complained to the heal authority and the health minister and got a sort of apology but no real appreciation of how mix ups/lack of communication affect people.

 

User
Posted 07 Jun 2018 at 17:59

Originally Posted by: Online Community Member

Given my cancer recurred a year later despite negative margins I have tortured myself since.

Would things be different I.e. better if I had waited those few weeks.

I have lost a lot of sleep over that even although there’s nothing I can do about it. 

How sad, I am so sorry.

Although I have just had my RP carried out by a ”leading“ surgeon, I am not so naïve as to think I have got a “get out of jail free card”. In fact my Nomogram post-biopsy states I have a 37% chance of recurrence within five years. Maybe that will change when they check the histology of the whole of Tommy the Tumour - good riddance you b******!

If it does recur, I won’t blame my surgeon, as we gave it our best shot.

I can understand the doubts in your mind.

Best of luck. 

Cheers, John.

User
Posted 07 Jun 2018 at 18:29

My surgeon wasn’t there.  Locally, he is held in high regard.  

ulsterman

User
Posted 07 Jun 2018 at 19:06

Mines on the list. And the complimentary comments are entirely accurate. 

After the RP.in Jan 2107 I developed a persitant UTI. He took an interest in the  problem until all the surgical avenues had been explored. I now take nitrofurantoin every day which seems to work.

As often seems the case in the NHS silos he had no interest in oncologists.  So passed me over without ceremony to his colleagues to deal with my rising PSA

 

User
Posted 07 Jun 2018 at 19:40

As Cardinal Mazarin, chief minister of France, 1642-61, said the question to ask of a general is not, “Est-il habile?” Is he skilful? but “Est-il heureux?” Is he lucky? 

User
Posted 07 Jun 2018 at 21:54

Interesting Barry.   The surgeon I had isn't on there although I know he's done hundreds of ops and I was keen that he did it.  Three months after my op they got a robot at Preston.   I'm not sure I'd want to be one of the first patients to have it at a hospital.

User
Posted 07 Jun 2018 at 22:46
Three of the surgeons on the original 'best' list have since died of prostate cancer. Another has incurable PCa. It is interesting to see some lesser known guys on the new list among the specialists that we know do most of the really ground-breaking stuff.

I can't help thinking of Capitalman though; I wonder how he feels seeing the man that he believes ruined his life on a list of who's great. In fact, I wonder if Capitalman is even still with us - I have tried to contact him a few times without success.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 07 Jun 2018 at 23:14
I am sure there are many more capable surgeons than those listed, some perhaps less prominent among their peers for various reasons. However, it does emphasise the opinion that some surgeons are more highly regarded than others and to consider this when coneteplating surgery.

Possibly of no significance but observed the dearth of lady surgeon listed - maybe few do do prostactomy. (Lady surgeon did my HIFU)

Barry
User
Posted 07 Jun 2018 at 23:31

Originally Posted by: Online Community Member

The surgeon who was supposed to operate on me is there but due to a farcical mix up and zero communication I ended up with a different surgeon on the day. I only found out an hour before the op and was asked if I still wanted to go ahead or wait. Given the other surgeon had done hundreds of laparoscopic radical prostatectomies and his results were good I decided I couldn’t wait another few weeks and went ahead.

Given my cancer recurred a year later despite negative margins I have tortured myself since.

Would things be different I.e. better if I had waited those few weeks.

I have lost a lot of sleep over that even although there’s nothing I can do about it.

I complained to the heal authority and the health minister and got a sort of apology but no real appreciation of how mix ups/lack of communication affect people.

 

 

Hi Ido4,

I am sad to hear that you are struggling with your situation. You.  No one.  Will ever know, what might have been.  So. No, Zero point beating yourself up about it.  I don't say this glibly or lightly, I was in a similar position that you were in at the point of the op confronting and regarding the op and the scalpel wielder.

 

I had a similar situation to you in that, on the day of my scheduled Robotic Procedure at the Royal Reading a totally new random surgeon introduced himself to me as my future.   I had met a potential  Mister Scalpel at my PRE-op.   On the day off my OP, I met  a new Mister. Scalpel.  

 

Never met him before.  Never heard of him before.  But?  I went for it with him. 

 

Long story short?  Worked for me.  Surgery, Robotic worked for me.  Easily though might not have done?  Sad fact, our outcomes is/are so much down to chance.

 

The point is that on the best information you had at the time, you made your choice.  And with the surgeon presenting on that morning, you made your choice. As I did.

 You may read of those who made a decision on the information available.  Then, regretted it.  But, that regret was based on fresh information that they had not had earlier.

 

You, and I, have had to go with it.  If, and its a big "if", you had had your preferred surgeon, or the surgeon with the best record in the land, there's no guarantee that anything might have turned out better for you or for me. Even the best Surgeon has an off day.

 

I wish you all the best.  But your emotional battle is only one that you can overcome. Took me ma an age before I beat mine.  

kind regards

dave 

Do all you can to help yourself, then make the best of your time. :-)
User
Posted 08 Jun 2018 at 10:39
Thanks Dave, I agree only I can stop beating myself up about this. Sorry you seem to have faced a similar situation on the day of your operation.

I thought about it on the day and was so ready for the operation that I thought was going to cure me when I was faced with a consultant surgeon who I didn’t know but had heard of him. It seems this can be mor3 of an occurrence than I thought.

In retrospect given my staging was upped to T3a waiting another few weeks for the top guy would have allowed the cancer a chance to spread further. Although there is a chance my disease was already metastatic by the time I had the operation. I will only find that answer out when I stop HT at the end of this year.

I so wish I was five years down the line with an undetectable PSA but as you say there’s no guarantees with any of this.

Thank you for your wise words, much appreciated.

Hope all continues to be well with you.

 
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