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JCL
Regular Member


Date Joined Jul 2007
Total Posts : 242
   Posted 2/6/2008 10:09 AM (GMT -7)   
I know, there are no dumb questions, but I feel kind of dumb asking this.
 
Since I recently turned the big 50, my family practioner wants me to schedule a colonoscopy. Not something I want to do after going through PC so recently but I can't take any chances.
 
My question is, is there any risk of a colonoscopy damaging my sphincter and interfering with my continence?
Diagnosed: March 25, 2007. Age 49
Biopsy: 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.


Tim G
Veteran Member


Date Joined Jul 2006
Total Posts : 2248
   Posted 2/6/2008 10:16 AM (GMT -7)   
Colonoscopy is recommended every 10 years beginning at age 50. I don't think there is any danger of urinary sphincter damage, but I'd let your physician know about your concern.  It may be written in the fine print you read and sign before the procedure. 
 
I am due for my 2nd colonoscopy in another year or two.  I had the first before I was diagnosed with prostate cancer.  Except for the preparation, it was a walk in the park!
 
Take care and hang in there...Tim
Age 59 PSA 2.6 PSA velocity quadrupled in 1 yr 
1 of 12 biopsy cores positive (5%) 
Open surgery June 2006  Cancer confined to one small area of the prostate Gleason 5
Post-op PSA's non-detectable


myman
Veteran Member


Date Joined Feb 2007
Total Posts : 1219
   Posted 2/6/2008 10:47 AM (GMT -7)   
I don't think that's a dumb question at all. You've been through alot and of course you're concerned about any kind if invasive procedure. You've had very good results and want to keep it that way!

I'm sure your doc knows your recent history, right? I seriously doubt he would want you to have this test if there was concern.

My husband had a colonoscopy about six months after surgery and voiced the same doubts...it was fine. And a relief when over ;-)

Take care of yourself,
Susan
Husband Diagnosed 11/17/05 Age: 63 PSA: 7.96 No Symptoms
2/09/06: LRP - Post Pathology - Gleason 4+3 Stage T2b NO MX
3 mo. PSA: 11.8 Stage T3a
6 mo. PSA: 18.8 Stage IV Systemic w/ distant lymph node involvement
Start HT - Lupron 3 mo. shots
12/06/06: PSA 0.8
03/07/07: PSA 0.3
06/06/07: PSA 0.1
09/05/07: PSA 0.1
11/27/07: PSA 0.1


montee
Regular Member


Date Joined Mar 2007
Total Posts : 315
   Posted 2/6/2008 11:03 AM (GMT -7)   
I had one 4 months after surgery, but my internist didn't want to do it unless prostate surgeon said ok.  Surgeon said no problem, just be careful as the tissue between prostate bed and recturm  is now thinner than it use to be, but it would be no problem, and as was mentioned above, just let your internist know your history.  And the test is a breeze. 
 
They did find some small polyps which they took care of with the scope and thankfully they were not cancerous.  Now because they found polyps, I have to get one every 3 years.  My wife will have one soon. 
 
Wish you the best, when your health and life is concerned, there are no dumb questions.
 
Ron
diagnosed sept 06
gleason 3+4=7, right lobe only
psa 4.7  (psa rose 1 point per year for 3 years, urologist said still under 4 and no concern.  If I can find out about PSA velocity, why didn't he know!)
Told not to have surgery at Dana Farber as cancer had already penetrated prostate, in seminal vesicles, would have positive margins. Would only treat with radiation and HT
RP Emory Atlanta December 2006
Path-negative margins, negative lymph nodes
negative seminal vesicles, multifocal perineural invasion, both lobes involved
40% gland involved
gleason 3+4=7
Fully continent 2 weeks post catheter removal
1st psa April 2007-<0.04
 6 Mos PSA <0.04
9 mos PSA still <0.04
12 mos PSA still <0.04


Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 2/6/2008 11:27 AM (GMT -7)   
Wrong sphincter JCL...but a fair question. A baseline scope is a good idea. Especially true if there is a family history of colon cancer.

Swim
 


Ripandburn
Regular Member


Date Joined Aug 2007
Total Posts : 125
   Posted 2/6/2008 2:03 PM (GMT -7)   
I questioned the same thing. No problem. I had one 4 months out. But....it was conscious sedation.....I was awake for the whole thing. Some discomfort, but no pain. It really was cool to watch it on the screen though.
52 years old
T1c 3+3=6
DaVinci July 16, 2007
largest cancer .2mm
Bladder Sling installed during prostate removal
nerve sparing with both nerve bundles intact
all cancer contained within prostate nothing near margins
PSA after 6 weeks <0.1 - undetectable
PSA after 4 month .07 - undetectable
11 weeks post-op - no more pads


JCL
Regular Member


Date Joined Jul 2007
Total Posts : 242
   Posted 2/6/2008 3:11 PM (GMT -7)   
Thanks for all your replies. You've put my mind to rest.
Diagnosed: March 25, 2007. Age 49
Biopsy: 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.


mvesr
Veteran Member


Date Joined Apr 2007
Total Posts : 823
   Posted 2/6/2008 5:04 PM (GMT -7)   
Hi JCL. I had one 3 weeks before my prostate surgery. The doctor asked me on the way to the room to do the test If I had colon cancer in my family. I told him no but I didn't have prostate cancer in my family either. Better safe than sorry. Everything was fine. I would rather have the colon procedure that attend a city council meeting.

Mika

PianoMan
Regular Member


Date Joined Feb 2007
Total Posts : 365
   Posted 2/6/2008 5:11 PM (GMT -7)   
JCL -- thanks for asking the question and thanks to all who replied. I've had the same question in mind, as I'm facing my first colonoscopy very soon.

D.O.B - 8/9/52

PSA: First ever was 9.8 in late Oct. ‘06, two weeks later, 10.1

DRE: Negative

Biopsy results 11/22/06.  Both lobes involved.  Six out of eight cores positive - from 100 percent to 90, to 60, to 50, two 20s and two zeros.

Gleason 3+3 = 6

Da Vinci Robotic RP surgery, City of Hope, Jan 12, 2007

Post surgery pathology – Organ confined, Gleason still 6, margins clear.  Volume of tumor much less than biopsy suggested.  12 percent overall.

First post-surgery PSA -- Undetectable, 2/20/07

Second post-surgery PSA -- Undetectable, 9/11/07


jetguy
Veteran Member


Date Joined Sep 2006
Total Posts : 741
   Posted 2/6/2008 5:18 PM (GMT -7)   
Do it.

Regards,

Bill
August of 2006, PSA up to 4.2 from 2.7 one year ago. 
October free and total PSA 12% free and 5.0 total.
A month, or so later, 4.7.
Late in the year decide on Image Guided IMRT.
Begin 43 treatments on January 23, 2007 and finish on March 23.
Four month post treatment PSA is 1.9.
Seven month PSA is 0.8.


jetguy
Veteran Member


Date Joined Sep 2006
Total Posts : 741
   Posted 2/6/2008 5:18 PM (GMT -7)   
Do it.

Regards,

Bill
August of 2006, PSA up to 4.2 from 2.7 one year ago. 
October free and total PSA 12% free and 5.0 total.
A month, or so later, 4.7.
Late in the year decide on Image Guided IMRT.
Begin 43 treatments on January 23, 2007 and finish on March 23.
Four month post treatment PSA is 1.9.
Seven month PSA is 0.8.

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