First Post Surgery PSA Result in

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KrisP
Regular Member


Date Joined Mar 2008
Total Posts : 162
   Posted 6/17/2008 1:56 PM (GMT -6)   
After deciding to make the three hours trip to Austin for my first Post surgery PSA test, I don’t regret taking the trip. They took the blood and within 10 minutes, they got the result.

Good News the doctor told me, with negative margins and a PSA of less than 0.04 (undetectable), you are on your way to a full recovery. Boy, what a relief. Was getting very nervous. He told me to do my next PSA in 6 months. For some reason, I thought that for the first year after surgery, PSA test should be done every three months. Oh well, who am I to argue with the doctor - 6 months it is.

I want to thank all the folks here for their love and support.

Thank you all.

Kris<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p>
Biopsy done 3/2008
Pre surgery: Gleason 6 (3+3), involving left lobe
DRE=15gm with indurated left base and mid prostate
Cores positive: left base medial, left base lateral, left mid medial and left mid lateral (4 of 12)
Clinical stage t2b.
Prostate Carcinorna 185
DaVinci Surgery on 4/21/2008 in Austin by Dr Randy Fagin.
Pathologist report upgraded to a Gleason 7 (3+4)
Clinical stage upgraded also to a T3a
Margins Clear
First post surgery PSA = < 0.04 (Undetectable)

Post Edited (KrisP) : 6/17/2008 7:41:20 PM (GMT-6)


biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1464
   Posted 6/17/2008 2:05 PM (GMT -6)   
Good for you Kris!!!

Those are the sweetest words we get to hear. From "You have cancer" to "You are on your way to full recovery" is and arduous journey but having done all the right stuff, you earned the reward.

Congratulations...

Jim
Age 73. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Catheter out on 12/13/06.  Dry on 12/14/06.
Pathological stage: T2C N0 MX. Gleason 3+4.
50 mg Viagra + 1000 mg L-Arginine + .03 cc Trimix = Excellent Results
PSAs from  1/3/07 - 1/17/08 0.00. 
Next PSA test on 7/17/08
"Patience is essential, attitude is everything."


Salty_clark
Regular Member


Date Joined Apr 2008
Total Posts : 95
   Posted 6/17/2008 2:24 PM (GMT -6)   
Great news Kris...always knew you would get a great PSA result...(or, at least, I was reasonably sure.)  I am going to get my first PSA on the 24th of June here in El Paso and fully expect good results.  Its just too far to go to Austin for the test.  I have been doing reasonably well but still have a problem with the incontinence.  I went to a therapist yesterday and started a programmed approach to regaining continence.  All my best to you and your family and continued good health.
 
Salty
Age 75 at DX 76 on 9 May 08
DRE positive with nodule 15 Jan 08
PSA 3.8 18 Jan 08
Biopsy 11 Mar 08 Gleason 8 (4+4) on the right 3 out of 12 positive <5%. Gleason 7 (4+3) on the left 1 out of 11 positive <5%.
Bone scan and CT scan Negative 12 Mar 08
Robot Assisted da Vinci prostectomy with Dr Fagin in Austin scheduled for 30 April 08.
- - - - - - - -
da Vinci successfully completed by Dr Fagin as scheduled.
Path Report:
Gleason downgraded to 3+4=7
Tumors confined to the prostate.
Bilateral tumor on right side 5 of 10 levels and on left side tumor present in 9 of 10 levels.
Margins Negative.
Extraprostatic Extension Negative
Seminal Vesicle Invasion Negative
Stage pT2c
As far as it goes between you, me and the fence post I am cured. But I am required to keep an eye out for the PSA due  toward the end of June.


Doting Daughter
Veteran Member


Date Joined Aug 2007
Total Posts : 1064
   Posted 6/17/2008 2:59 PM (GMT -6)   
Great news!! Congratulations!!!
Father's Age 62 (now 63)
Original Gleason 3+4=7, Post-Op Gleason- 4+3=7,
DaVinci Surgery Aug 31, 2007
Focally Positive Right Margin, One positive node. T3a N1 M0.
Bone Scan/CT Negative (Sept. 10, 2007)
Oct. 17 PSA 0.07
Nov. 13 PSA 0.05
Casodex adm. Nov 07, Lupron beg. Dec 03, 2007 2 yrs
Radiation March 03-April 22, 2008- 8 weeks 5x a week
Praying for a cured dad. First PSA 3 months!


Co-Moderator Prostate Cancer Forum


norskie
Regular Member


Date Joined Jan 2007
Total Posts : 376
   Posted 6/17/2008 3:09 PM (GMT -6)   
Kris

Way to go! may you keep the big "0" for all your future tests.

Norskie
norskie
Age 49, PSA 6.22 on 9-26-06
Biopsy 11-01-06, 2 of 13 cores 10% cancer, 2 other cores abnormal Up-dated 20% prostate cancerous
Gleason score 3+3=6 After Surgery Pathology report 4+3=7 a couple agressive Grade 5 cells found
Da Vinci surgery 01-09-07 UW Madison
Pathology Report- cancer 100 % capsual contained 1-18-07
1st & 2nd Post PSA Blood Test .1 and less - Undetectable
3nd Post PSA Blood Test 01-17-07 .3
March 27th PSA .4 Begin Salvage Radiation April, 14 2008
Incontenence-Pad free since end of May 07 4 1/2 months post surgery 
ED back to 95% prior to surgery - no medication required.


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 6/17/2008 3:50 PM (GMT -6)   
00000000000000000000000000000000
 
                Congrats, KrisP
                Zeros, Zilch, Zip
 
00000000000000000000000000000000
 
A very big Woo-Hoo!
 
Tony

Dirtmover
Regular Member


Date Joined Apr 2008
Total Posts : 158
   Posted 6/17/2008 4:47 PM (GMT -6)   
good for you brother and many more to ya

Diagnosed November 2007
PSA 3.9 / Gleason 6 / TC1 6 cores 1 shows 25%
Sugery scheduled 5/29/08 - City of Hope - Dr. Mark Kawachi
 
 and now for the new ive been waiting for
 FINAL PATH REPORT:gleason upgraded to 3+4 T2c bilateral disease,tumor involvment 5%
extra prostatic extention:absent
seminal vesical invasion :absent
pathological staging:pTNM pT2 ORGAN CONFINED
margins free of carcinoma
usable erections ;6-6-08 with little blue pill
continence; 1 pad a day, dry at night


VaFan
Regular Member


Date Joined Mar 2008
Total Posts : 203
   Posted 6/17/2008 6:35 PM (GMT -6)   
Congratulations Kris!!! :) Big Big Big Smile!!
Age 51 Kent Cindy 49
January 08 PSA 5.2 round of antibiotics went to 4.3
February 08 another round of antibiotics went to 4.2
March 17,08 had biopsy, 2 days later told cancer was on
one entire side of prostate.
Gleason 3+3
Doctor thinks its best to get the whole prostate with Perineal  Prostatectomy.
Surgery scheduled for this Thursday April 10th. Only took 1 1/2 hours. In recovery 1 hour.  Both nerves were spared.
Home 4-11. Cath out 4-22. Incision looks completly healed on the outside by 4-25.  Incontinence "a thing of the past" as of 5-28
lst PSA 0.04 June 3. YAY!!!
viagra up to 100 a day and feeling some change. Keep our fingers crossed.


rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1131
   Posted 6/17/2008 8:03 PM (GMT -6)   
congratulations. i went in for a one month test and the nurse told me they would have to send me blood to another lab and i would hear back in the a couple of days. i ask if their lab could do the psa and they said yes. i said use you lab and let me know the answer. it was the most anticpated 20 minutes i had in a long time. i reported to you guys earlier that mine came in at .04 so hoping the 2/3 month is the same.
 
Age 48
occupation accountant
PSA increased from 2.6 to 3.5 in one year
biopsy march 2008 - cancer present gleason 7
decision - surgery (robotic)
surgery may 9, 2008 - houston, tx
pathology report -gleason 8
margins clear
waiting on first psa post surgery
continence ok during day - 1 pad
night time different story
kegel's twice a day 20 reps


GBINAB
Regular Member


Date Joined Apr 2008
Total Posts : 206
   Posted 6/17/2008 11:05 PM (GMT -6)   
Great News Kris .keep up the good work and keep us posted!!!

GB
April 2007 PSA 8.4 for last 6 months biopsy shows PC 3+3=6
June 13 2007 Nerve Sparing open RP / Dr. Christopher Johnson at St. Francis Hospital NY.
4 days later home for Fathers Day, and Catheter.
Removal of catheter 10 days later , incontinence not an issue, no pads used from the get go.
1 month PSA next to not detected

ED is a longer battle:
1 month out start using occasionally Cialis and 50MG Viagra to promote blood flow with no response.
3 months and 6 months PSA not detected
ED 6 months mark starting with VED therapy and being more aggressive with meds , in addition taking Folgard supplement daily.
April 2008 : 10 month out and start seeing some serious improvements with ED while using Meds and VED , can achieve erections, Mid nights erections almost on a regular basis , and uncontrolled 90 % erections spontaneously.
1 year visit on June 13 2008 woohoooo!!!

UPDATE 1 YAER FOLLOW UP
ED: With Viagra Usable erection for intercourse , AND AT 80% without any medications !! WoooHoooo!!!!
PSA results not in yet. Fully continent since removal of catheter.


jrponalameda
Regular Member


Date Joined Dec 2007
Total Posts : 56
   Posted 6/18/2008 6:08 AM (GMT -6)   
KrisP said...
 He told me to do my next PSA in 6 months. For some reason, I thought that for the first year after surgery, PSA test should be done every three months. Oh well, who am I to argue with the doctor - 6 months it is.
 
I'm on the same schedule after similar pathology and PSA results - I too was a bit surprised when he said to get the next PSA in 6 months, so it's interesting to hear that you got the same advice.

Diagnosed Sep 2007 Age 54 Gleason 6 (3+3)
DaVinci Surgery 11/8/07 University of Minnesota
2/22/08 PSA Undetectable


wallypm
Regular Member


Date Joined Apr 2008
Total Posts : 48
   Posted 6/18/2008 7:09 AM (GMT -6)   
Good news Kris, 0000000 tongue
Age 70 -  Diagnosed late March
PSA 5.52 - stage T2b,T2c
Gleason 7 (4+3)
quad heart bipass 4/06/06
surgery on 4/28/2008, Greensboro NC by David Grapey
path report showed  lymph nodes clear cancer has spread to the margins gleason (4+3)
catheter removed 5/8
Post surgery PSA 0  at 4 weeks


GreenAcres
Regular Member


Date Joined Jul 2006
Total Posts : 474
   Posted 6/18/2008 7:15 AM (GMT -6)   
Excellent, KrisP! That first PSA anxiety wait is really, really tough. Great news to hear.
Husband: Age 67
PSA had doubled in 14 mos to 4.3/Gleason 6
da Vinci 8/06 in Austin with Dr. Randy Fagin
Post surgical path shows encapsular penetration; possible bladder neck involvement.
PSAs remain undetectable; no further treatment at this time.
Next PSA: April 08


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 6/18/2008 7:47 AM (GMT -6)   

Great news, so glad to hear it......

 


James C.
Co-Moderator- Prostate Cancer Forum

Age 61
4/19/07 PSA 7.6, referred to Urologist, recheck 6.7
7/11/07 Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07 Path report: 3 of 16 PCa, 5% involved, left lobe , GS 3/3:6.
9/24/07 (open) Retropubic Radical Prostatectomy performed
9/26/07 Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
10/15/07 ED- begin 50mg Viagra and Vacurect pump nightly, Fully continent
1/14/08 Caverject started/stopped, aching. 2/24/08 .5ml Bimix started-success
5/7/08 ED- Viagra, pump, no response- Trimix .075ml continues
Post Surgery PSA's:  3 mts-0, 6 mts.-0


broker59
Regular Member


Date Joined Apr 2007
Total Posts : 88
   Posted 6/18/2008 8:07 AM (GMT -6)   
nono  KrisP;
Keep those ZEROS coming!  We all can relate to the "RESULTS"! I also though that for the first year it was every 3 months for blood draw.  Just had my last one last week, still get a little anxious. 
Coming up on my first anniversity, VERY THANKFUL yeah !
Broker 59


Date of Dx 3/20/07

PSA: 2.5
Gleeson: 3+4
Stage: T2
Bone Scan: Clean

Date of Surgery: 6/21/07  Open RP
 
Post Opp: ALL NEGATIVE margins & L/N, S/V.
Cath out after 18 days = BIG RELIEF!!!
 
PSA: 7/23/07 0.01
PSA: 9/04/07 0.01
PSA: 12/04/07 undetectable.
PSA: 3/12/08 UNDETECTABLE!!!!!
PSA: 6/13/08 UNDETECTABLE!!!!!!


JCL
Regular Member


Date Joined Jul 2007
Total Posts : 242
   Posted 6/18/2008 8:28 AM (GMT -6)   
Grand news indeed, and congratulations of the highest order! Nice to see so many big fat 0s around here lately.
Biopsy: Diagnosed March 25, 2007. PSA 3.0. Gleason 6. Five of twelve samples positive with <5% each. No perineural invasion seen.
Surgery: May 21, 2007, Florida Hospital, Orlando,FL
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/Erections Out of pads at five weeks. Fully continent and can achieve erections.
Post Surgery PSA: Five 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.


myman
Veteran Member


Date Joined Feb 2007
Total Posts : 1219
   Posted 6/18/2008 3:55 PM (GMT -6)   
Margins clear...undetectable PSA...you're on the road to a full recovery!
Thanks for sharing that great news with us!

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
PSA - Undetectable since 6/07/07

Link to journey:
http://www.healingwell.com/community/default.aspx?f=35&m=826731


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 6/18/2008 6:19 PM (GMT -6)   
Well done ChrisP.....really great news and long may it continue. After 6 months of O's my surgeon said "see you in a year" but requested my GP arrange a PSA to be done each 4 months. However I simply ask for the request the test each 3 months for the first year and he is happy to do so. Probably unnecessary but it gives me peace of mind.
Bill
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07----4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.1 undetectable


IdahoSurvivor
Veteran Member


Date Joined Aug 2007
Total Posts : 1015
   Posted 6/18/2008 10:49 PM (GMT -6)   
                                                                              
 \                             \           _         ______ |                  
  \                             \        /   \___-=O`/|O`/__|                  
   \ Goose Eggs for Kris!!!      \_______\          / | /    )                 
   /                             /        `/-==__ _/__|/__=-|  -GM             
  /                             /         *             \ | |                  
 /                             /                        (o)           
Congratulations, Kris.
 
Keep those goose eggs coming!
 
All the best to you!

Barry ~ (a.k.a. "Idaho") - Prostate Cancer Forum Moderator

 

Da Vinci Surgery July 31, 2007… 54 on surgery day
PSA 4.3  Gleason 3+3=6  T2a  Confined to Prostate

1st PSA  09/11/2007  <0.04 (undetectable)

2nd PSA 12/10/2007  <0.04

3rd PSA  03/17/2008  <0.04

My web site: http://pca-info.blogspot.com


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 6/19/2008 6:17 AM (GMT -6)   
Congratulations KrisP...there are no finer word in the English language than undetectable when it comes to your PSA.

Your path report is very similar to my husbands. stage T3a, clear margins and vesicles with a very small extraprostectic extension. PSA 2 months post-op was zero (thank God). Our doctor does PSA every 3 months for the first year regardless to keep an eye on things. After year 1, hubbie might graduate to every 6 months for a few years.

Keep an eye on the PSA and God speed on your journey back to health!

soxfans4life
Regular Member


Date Joined Apr 2008
Total Posts : 63
   Posted 6/19/2008 1:42 PM (GMT -6)   
We are smiling all over New York! Things look great for you, let out a deep breath and celebrate!
dx. 3-08  @ age 63. gleason 6 . 1 out of 12 cores positive. 4th biopsy in 8 years. previous 3 negative. followed closley due to family hx.grandfather, father and 2 uncles dx. with prostate cancer. dre negative, cat and bone scan negative. davinci scheduled for may 27, 2008. 2 daughters, retired hospital administration, air force family years ago.

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