I am 12 weeks post op and am soon going to decide what to do if anything about a bad margin. I am meeting with Urologist and then radiation oncologist July 2nd. What do I need to know and/or ask them. All I know is that I had a bad margin. Encapsulated, seminal vessels clear and fatty tissue around also clear, gleason 7, 6 week PSA undetectable. Oncologist and Urologist say I have 86% chance no reoccurence. Oncologist recomends radiation to increase my odds. Urologist is on the fence and I got the feeling he is waiting for something else like another PSA or something, I dont know.
I am down to 1-2 pads a day and erections are close to before surgery but not used much with the leaking thing.
I would like to hear from some brothers that have had to make that decision with the margin.
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.