I tease the lady who takes my co-pay that I single-handedly keep their group in business. If I have questions, I schedule an appointment and see the urologist, such as this afternoon.
My latest PSA of 0.1 - As most of you know, the level at which a PSA is considered undetectable depends upon the assay being used. Some register no lower than 0.1, others 0.07, etc. My uro group uses a lab that uses an assay with 0.1 as the lowest level, so my latest reading is considered undetectable.
Radiation likely in my future - The doc said today that despite an undetectable PSA, he will PROBABLY recommend radiation later this year, even if the PSA remains at the same level. The reason is that my Gleason score was 9 (very high) and the higher the Gleason score, the more likely it is that cancer will return.
Leaking urine while erect - Did not have this problem the first two times I used injections, but did have it the most recent time. He said it is not uncommon. Things he suggested to minimize this unpleasant situation:
1. Urinate several minutes before injecting.
2. Significantly reduce fluid intake the last couple of hours before injecting.
3. Try an Actis Venous Flow Controller. The Actis device is an adjustable, reusable ring that can be tightened as much or as little as needed. Designed for men with venous leakage to help them with ED, it also compresses the urethra and therefore does not allow much if any urine to escape. Here is a link to info about using this device - http://www.phoenix5.org/sexaids/other/actis.html - and another link to the website of the company that produces it (see order link in left column of linked page) http://www.vivus.com/main.taf?p=2,2
4. Wear a condom if all else fails.
Found this incontinence Q&A while doing some research...worth reading for anyone dealing with that issue, in my opinion - http://www.drcatalona.com/qa/arch_continence.asp
Inject-Ease Automatic Needle Injector - Uro asked to see what I am using. He said it looks fine to him as a low priced option for autoinjecting.
Danman Bob, Born 1951
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14; Biopsy result - 9 of 12 sticks showed cancer
Post-op pathology stated that cancer was confined to the prostate
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of late April 2008)
100 MG Viagra 3 times a week beginning December 2007
Osbon Erec-Aid Esteem manual pump for therapy beginning mid-February 2008
30 MG papaverine/1 MG phentolamine bimix injections beginning late April 2008
Five week post-op PSA 0.2, five month post-op PSA 0.1, next test August 2008
Post Edited (DanmanBob) : 5/2/2008 4:41:28 PM (GMT-6)