Posted 7/2/2008 7:55 PM (GMT -6)
Just had my 4 month follow up with my Urologist and here is what I know. My 4 month PSA is undetectable below 0.05. My six week PSA was done at my local Hosp and I learned that their testing only goes to 0.01 and I cant use them any more and need to search for a better local lab.
My Urologist instilled confindence in me to wait on the radiation for the bad margin. He said 50% of patients with bad margins have PSA failure. 50 % of those with radiation follow ups with no PSA rise get radiation when they did not need it. He stated that my PSA needs to be watched every three months and if it just blinks he recomends Radiation. I am leaning toward agreeing with him but will still meet with the Radiation Oncologist to get his opinion. Urologists seem to be conservative with this.
My cancer was located in an unusual spot. At the top Distal at the apex right by the urethra. He thinks he made an indentation with a Robotic tool and when they inked it, this dimple caused the margin. He said a positive margin is a positive margin though.
Anyway 4 month PSA of 0000000000000000000000000000's I feel good.
Thanks for the replies on my earlier post I truly appreciate it.
I just got my summer back.
Oh and for you Golfers. I dont Golf much and did so for the first time since surgery. Felt great, golfed ok but did I leak. I am down to 1 light pad at 4 months but during my game I went through 3 pads. Make sure you take extra with you for your first couple of games.
Take care all
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.