I just got the news yesterday via the answering machine that my PSA was not detectable <0.05. I feel like the 700 pound Gorrila just got off my back and sat in the chair next to me. I am so very pleased with this considering the bad margin and all.
I met with the oncologist today and he was also very please with the PSA but with my expected life to run another 20 or more years, he will meet with Urologist and Radiation Oncologist to discuss the use of radiation to put the gravy on the potatoes so to speak.
I realize that this is the first PSA and after suffering from "PSA Interval Stress Syndrome" (PISS) I am displaying cautious optimism.
Hind sight speaking, I feel I should have gone to a regular Oncologist with prostate experience as soon as I was diagnosed. He seemed to provide a very different dialog in regards to course of action. He did state he would have recomended surgery in my case but since he neither does surgery or radiates he was completely unbiased. I loved this guy...
But now I have different questions...
The decision for radiation in mine. Who else has made this decision with bad margins and what were your considerations?
Should I be able to keep working full time through this?
I am greatly concerned about side effects or permenant damage to the rectum, those fine little nerves that were just spared and of course all of ours second priority, continence.
Thank you all for being there for me.
Diagnosed 01-08-08 @ 53 years old
DRE normal - High PSA for 5 or more years
2004 Biospy negative - 2008 Biopsy positive (01-08-08)
10 cores, 1 positive and at 1% of that one core
Current PSA 6 - Bone and Ct scans negative
clinicalg Staged at T1C - Gleason 3+3 = 6
Robotic Da Vinci performed March 27th, 2008
University of Chicago,5 hour surgery , 3 hour recovery
Unexpected Cardiac issues appear and disappear?
Hospital stay 30 hours - Catheter out in 7 days normaly expected leakage - Erectile funtion back on line 9 days
Post Pathology T2C, Gleason 7, 10 % of both portions of prostate, Seminal vessels clear, fat tissue clear,Tumor on top of prostate distal from apex. 1 positve margin at urethra and bladder.
Six week PSA < 0.05 Ya Ba Da Ba Dooooooooooo. Put a steak on the grill Wilma!!!!
Oncologist to discuss case with Urologist and Radiation Oncologist to consider radiation.