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Reply to "Advice Please--Radiation with J-Pouch"

News577:

Thanks for your response.  My J-Pouch surgeon, Dr. Safar, Johns Hopkins, also recommended no radiation and that is why I chose to have the prostate removed.  I have yet to speak with him about salvage radiation.

My prostate surgeon, Dr. Bivolacqua, also from Johns Hopkins, did the surgery; not robotic surgery.  He had to make an incision from my belly button all the way to just above my penis. He had done many prostate removals and a number of those removals included individuals with a J-Pouch.

I have had few problems after my prostate removal.  Some incontinence for about two months and now, over one year out I don't even think about urinary incontinence.  There has been some problem with erectile dysfunction, however even that is correctable with some pills and even injections.

Good luck to you and let me know if I can answer any other questions about prostate removal.  The bottom line is if you do need prostate removal, find yourself a surgeon who is experienced in removing prostates with a patient who has a J-Pouch.

Nick

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