NY Times article on PSA numbers

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nemo57
Regular Member


Date Joined May 2008
Total Posts : 43
   Posted 8/27/2008 8:16 PM (GMT -6)   
Interesting article in the NY times yesterday.
Age 51
Psa 0.9
Biospy 1 core positive
Gleason 3+3-6
Surgery date Aug.11, 2008 at Monmouth Medicial Center
Robotic Surgery By Dr. Lanteri And Dr. Esposito
Both nerve bundles saved. Margins clear.
Gleason score stayed at 3+3-6. Cancer contained to prostate.
1-2 pads a day. No problems at night.
ED 25mg viagra at night. Usable erections 1 day after catheter was removed.


Tim G
Veteran Member


Date Joined Jul 2006
Total Posts : 2365
   Posted 8/27/2008 11:22 PM (GMT -6)   
Good article, Nemo. My urologist gave me a pre-biopsy prediction of a 10% chance I had cancer.  Go figure... 


Age 59  PSA quadrupled in 1 yr (0.6 to 2.5) 
DRE neg  1 of 12 biopsies pos (< 5%) 
Open surgery June 2006 
Organ confined pT2a  Gleason 5   
Cancer-free for 2 years  PSA's undetectable 


lemonlime1
Regular Member


Date Joined Aug 2008
Total Posts : 34
   Posted 8/28/2008 10:47 AM (GMT -6)   
ty nemo great article im 4 weeks out still using 5 pads a day . good day smurf

SHU93
Regular Member


Date Joined Aug 2008
Total Posts : 328
   Posted 8/28/2008 11:14 AM (GMT -6)   
Great Article, didnt mention the numbers after the surgery of the repeated PSA's and what they do or dont indicate.....Thats a story within itself as well...
Age 37
 
Diagnosed 7/2008
Da Vinci Surgery 7/2008
First PSA : 4.17 5/2008
Second PSA After 2 weeks of antibiotics : 3.9 6/2008
DRE: Negative 5/2008
Bone Scan/CAT Scan: Clear 7/2008
Cystoscope: Normal 7/2008
Prostate MRI: Normal 7/2008
Biopsy : 6 out 12 Postive all on right side, Gleason 7 (3+4).
PostOp: T2c (On Both sides), margins clear, seminal clear, nodes, clear. Gleason 6(3+3).
First PostOp PSA: 9/2008


SHU93
Regular Member


Date Joined Aug 2008
Total Posts : 328
   Posted 8/28/2008 12:18 PM (GMT -6)   

Noticed while reading the article it had related articles below...

Utilization and Outcomes of Minimally Invasive Radical Prostatectomy

I just read this one and sounded alarming having had the Robotic Surgery.

Conclusion: Men undergoing MIRP versus open radical prostatectomy have lower risk for perioperative complications and shorter lengths of stay, but are at higher risk for salvage therapy and anastomotic strictures. However, risk for these unfavorable outcomes decreases with increasing MIRP surgical volume.

http://jco.ascopubs.org/cgi/content/abstract/26/14/2278

 


Age 37
 
Diagnosed 7/2008
Da Vinci Surgery 7/2008
First PSA : 4.17 5/2008
Second PSA After 2 weeks of antibiotics : 3.9 6/2008
DRE: Negative 5/2008
Bone Scan/CAT Scan: Clear 7/2008
Cystoscope: Normal 7/2008
Prostate MRI: Normal 7/2008
Biopsy : 6 out 12 Postive all on right side, Gleason 7 (3+4).
PostOp: T2c (On Both sides), margins clear, seminal clear, nodes, clear. Gleason 6(3+3).
First PostOp PSA: 9/2008

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