I think if you asked 10 different urologists/surgeons, you'd probably get 10 different opinions regarding chances of post-op recurrence. Here's what my urologist told me
1. It all depends on the pathology report
2. The first year is critical. If the PSA remains 0 the first year then I can go from getting tested every 3 months to twice a year, and will continue getting tested twice a year for the rest of my life.
3. The chances for recurrence decrease as the years go by with each successive 0 PSA test result.
4. He did not like to use the word, "cured," but preferred the word, "survivor." Nothing is a 100%, not even a good pathology report. There's always a chance, however slight, that some small cells that escaped might lay dormant for years, and show up in a PSA years later. But, I shouldn't think about
that since the chances were small from the studies he'd seen.
5. My chances for recurrence were "not likely," given my pathology report, but (and I hate that word "but") the only thing I had going against me was a post op Gleason 7 (3+4).
I put my faith in my father. He had a radical removal 11 years ago and has had a 0 PSA ever since. Hopefully it's like father like son.
: March 25, 2007. Age 49Biopsy
: Gleason 6. Five of twelve samples positive with <5% each. No perineural invasion seen.
Surgery: May 21, 2007
Post-op Pathology: Upgraded to Gleason 7 (3+4), negative margins, negative capsular penetration, negative seminal vesicles, lymph nodes left intact, multifocal perinural invasion, 15% of prosate involving cancer in both lobes. T2c
Continence: Out of pads at five weeks. Seven months post-op I'm fully continent.
Erections: Yes! With the assistance of Cialis.
Post Surgery PSA: Three tests, all <0.1
Family history: Great-great grandfather died from PC. My Father had his prostate removed at age 67 in 1997 and has had an undetectable PSA ever since. I was diagnosed at a much earlier age and had a more agressive cancer than my father. Go figure.
Post Edited (JCL) : 1/16/2008 6:01:00 PM (GMT-7)