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New Member

Date Joined Jul 2008
Total Posts : 5
   Posted 8/6/2008 8:41 AM (GMT -6)   
Yesterday I met with Dr Sanflippo my Urlogist and discussed options
1. Da Vincie Robatic sugery
2. RAdioactive Seed implants.
Least invasive but least effective is # 2 and I am thinking that I want to be over this and do the sugery. 

Age 53
PSA 4.2 7/28/2008
Gleason 3+3=6 Biopsy 3 of 12 samples

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4463
   Posted 8/6/2008 9:59 AM (GMT -6)   
Daniel, its your decision and should be made after lots of study, research and comparision.  You aren't in a big rush to get it done, so take your time and let us know what you decide and stick around to share your results....

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
7/31/08 ED- Viagra, pump continues, no response- Trimix .10ml x 2 weekly continues
Post Surgery PSA's:  3 mts-0, 6 mts.-0, 9 mts.-0.

Regular Member

Date Joined Apr 2008
Total Posts : 270
   Posted 8/6/2008 10:12 AM (GMT -6)   
I would also encourage you to do a lot of reading. There is so much available on line, and this forum is fantastic for discussion with people who have gone through the same process you are going through. Your biopsy appears you are catching it early and therefore should have sufficient time to consider all possibilities. This group of travelers are all here to support and help answer questions as needed. You will work through it and be fine. Good luck.

RBAge 61
Original data - pre-operation
PSA: 5.1
T1C clinical diagnosis, Needle biopsy - 10 cores, Gleason 7 = 3+4 in 1 core (40%), 7 cores Gleason 6 = 3+3 ranging from 5% to 12%
All scans negative
Lupron administered 4/9/2008 for 4 months (with idea I would undergo external beam radiation followed by seed implants - then I changed my mind).
Robotic DiVinci surgery - Dr. Fagin (Austin) May 19th
Post operative - pathology
pT2c NX MX
Gleason 3+4
Margins - negative
Extraprostatic extension - negative
seminal vesicle invasion - uninvolved
1st Post PSA .04

Veteran Member

Date Joined Jul 2008
Total Posts : 981
   Posted 8/6/2008 11:07 AM (GMT -6)   
First of all take your time deciding. Only you can consider what's best for you. The good news is there's no rush to make a decision. Remember there are no do overs no matter which way you go. Personally I rejected both of your options, but that was what I thought was best for me and my opinions on PCa.

TAKE YOUR TIME DECIDING. You don't want to look back with any regrets for a hasty decision.
Diagnosed 10/08/07
Age: 58
3 of 12 @5%
Psa: 2.3
Size: 34g
3D Mapping Saturation Biopsy
1 of 45 @2%
28g after taking Avodart
Catheter for 1 day
Good Candidate for TFT
(Targeted Focal Therapy)
Cryosurgery(Ice Balls)
Clinical Research Study
TFT performed at University of Colorado
Medical Center at Denver Fitzsimmons Campus
Catheter for 4 days
Slight soreness for 2 weeks but afterward
life returns as normal
Psa: .32 

Regular Member

Date Joined May 2008
Total Posts : 70
   Posted 8/6/2008 12:09 PM (GMT -6)   
Take your time making your decision. Meet with a surgeon and a radiologist to go over your options. My husband just had the seeds done on the 23rd it was his decision to make. I don't think there is a right or wrong decision you need to base it on your life style and what you can live with. Best of luck to you with whatever you decide to do.

Veteran Member

Date Joined Feb 2008
Total Posts : 1858
   Posted 8/6/2008 6:50 PM (GMT -6)   
Yep, it (as you can obviously see) cannot be stressed enough, TAKE YOUR TIME. Research until you are sick of it but you will eventually arrive at a decision that is right for you. Whichever path you take make sure the Doc has plenty of experience and is anxiously forthcoming with answers to your questions. You have a wealth of experience here to draw on and all offer their support and best wishes.
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 <0.001 undetectable
PSA August 08 <.001 undetectable

Every time I see an adult on a bicycle I no longer despair for the human race.

Regular Member

Date Joined Mar 2008
Total Posts : 203
   Posted 8/6/2008 8:48 PM (GMT -6)   
Again, like everyone else, please take your time on the decision making. We kinda wish we hadn't made such a hasty decision but we were in too much of a rush to get it out. If you need to , go back and talk to your doctor again. Read, research and ask alot of questions.
Good luck with your decision.
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!!!
July 08 (3mths post op) Cialis 10 mg every other day. Right now, things are not looking so good in that department. 

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