NeuroSafe vs Retzius saving

User

Posted 27 Nov 2019 at 14:09

Hi there - looking for some insight if anyones going through a decision process on the above. My surgeons dont seem to do both....how do you decide??? Does anyone do both???

User

Posted 28 Nov 2019 at 01:07

Retzius-sparing prostatectomy and NeuroSafe real-time biopsy are separate procedures.

There are few surgeons in Britain who are competent to carry out Retzius-sparing surgery, as it is technically more complex than conventional methods.

NeuroSafe has a pathologist standing by during the operation to examine tissue excised from the prostate and the area around it to determine whether it is cancer or not. More of you can be left intact if not diseased with obvious potential benefits such as continence and retention of erectile function.

There are a only handful of NHS hospitals that offer NeuroSafe during prostatectomy, but some private hospitals in London offer it as a matter of course.

Retzius-sparing costs twenty grand privately with NeuroSafe, and there are several members here who have undergone the procedure, including ‘TechGuy’ who is recuperating in his hospital bed as I write.

I had Retzius-sparing surgery without NeuroSafe at the robotic hands of Dr DaVinci and his sidekick Professor Whocannotbenamedhere on the NHS, and I am very pleased with the result.

Cheers, John.

User

Posted 28 Nov 2019 at 11:44

Sure. Hope it helps. The Prof whocannotbenamedhere is a ninja :-)

Neurosafe saved my bacon I think. Will report on the corresponding histology when I have that meeting.

Edited by member 28 Nov 2019 at 11:55 | Reason: Not specified

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User

Posted 27 Nov 2019 at 18:08

There are only a very small number of surgeons doing Retzius sparing in the UK, and only one of those has lots of experience in it. I thought everyone that had Retzius sparing was offered neurosafe and if offered, I can’t imagine why anyone would say no except that you will be knocked out for a little bit longer.

Edited by member 27 Nov 2019 at 18:10 | Reason: Not specified

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

User

Posted 27 Nov 2019 at 18:10

Sorry, I haven’t worded that very well. If you are being offered retzius sparing by someone who doesn’t also use neurosafe, you might want to check how long they have actually been doing it ... ideally, you don’t want to be someone’s practice cushion.

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

User

Posted 27 Nov 2019 at 20:24

Had both today. Prof Whocannotbenamedonhere does it. Benefited me massively today as after prostate resection frozen sections showed focal involved margin at the base so one of the nerve bundles removed and sent to pathology.

Will learn more tomorrow and get some histology results in the next few weeks.

so pleased I followed my gut feeling and decided against active surveillance.

User

Posted 27 Nov 2019 at 21:00

I had the same procedure, an intraoperative frozen section of the prostate (so the surgeon has a heads up while I'm still open on the table).

A detailed analysis of the prostate and results follow later.

User

Posted 28 Nov 2019 at 01:07

Retzius-sparing prostatectomy and NeuroSafe real-time biopsy are separate procedures.

There are few surgeons in Britain who are competent to carry out Retzius-sparing surgery, as it is technically more complex than conventional methods.

There are a only handful of NHS hospitals that offer NeuroSafe during prostatectomy, but some private hospitals in London offer it as a matter of course.

I had Retzius-sparing surgery without NeuroSafe at the robotic hands of Dr DaVinci and his sidekick Professor Whocannotbenamedhere on the NHS, and I am very pleased with the result.

Cheers, John.

User

Posted 28 Nov 2019 at 01:40

@John At pre-op they said I wouldn’t fancy vin for a couple of weeks. How do I get Sauvignon blanc in a drip? 😀

User

Posted 28 Nov 2019 at 11:14

Good call - and two weeks without wine - unlikely in my world but we'll see. Good to see you on the other side. Am about to see Dr Davinci myself. Am trying to find somewhere that does neurosafe and retzius saving myself -spoken to guys who do one or the other and both seem great guys but not doing both. Can I ask what hospital you had yours done?

User

Posted 28 Nov 2019 at 11:38

Thanks Techguy - I'm a newbie to the site so apparently cant DM...

User

Posted 28 Nov 2019 at 11:44

Sure. Hope it helps. The Prof whocannotbenamedhere is a ninja :-)

Neurosafe saved my bacon I think. Will report on the corresponding histology when I have that meeting.

Edited by member 28 Nov 2019 at 11:55 | Reason: Not specified

User

Posted 28 Nov 2019 at 14:56

Originally Posted by: Online Community Member

@John At pre-op they said I wouldn’t fancy vin for a couple of weeks. How do I get Sauvignon blanc in a drip? 😀

I went for a pint of real ale at the Hospital social club across the road as soon as I was discharged around midday on day three. The general anaesthetic had made me incredibly thirsty. More so than usual...

The steward of the club spotted my hospital wristband and refused to serve me: “Can’t serve patients, it’s more than my job’s worth!”

”I have just been discharged. Have you got a pair of scissors?”

In the meantime, Her Loveliness had got lost and was headed to Portsmouth rather than Guildford, despite her SatNav...

When I asked the Gaffer: “Where’s the Hindhead Tunnel?” he said: “About ten miles away, in the wrong direction...”

At which point he took pity on me and poured me a pint. Eventually Her Loveliness arrived, but couldn’t park the car in the club car park, so I had to.

We headed back on the hundred odd mile journey to Coventry and had to stop twice at pubs because I was advised to: “Drink plenty of fluids”.

Cheers, John.

User

Posted 28 Nov 2019 at 15:17

Always the best medicine 😅

User

Posted 28 Nov 2019 at 19:42

Excellent medicinal survival skills :-)

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