Final path report and update

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Regular Member

Date Joined May 2008
Total Posts : 36
   Posted 9/14/2008 6:27 AM (GMT -6)   
hi folks,
Well the pain has not happened for several days the Dr said really bad bladder spasms combined with gas pain. hopefully thats over I started feeling better day 7 then every day since a little better so i think
i turned the corner. Dr called with final path report. Gleason the same as going in 3=3-6 margins negative,semi vesc negative, lymph nodes negative. Everything i wanted to hear so its really takin a load of my shoulders.

now to new problems lol
Every BM or sometimes passing gas i get blood from penis.. its not in the urine for the most part {although it was once a little bit} heck if i even go to sit down on the bowl some times i can feel it coming up it feels like im urinating but its blood
i have to be ready to have a towel there to get it i mean most of the time its a little but sometimes its more the a little. i spoke to the DR he was a little concerned but he keeps saying dont force a BM i told him im not forcing it just happenes
i know ive read alot on the board about this but when is it to much blood?

thx for being here

new jersey
age 45 hi im rick
first ever psa 4.5
dre negative
biopsy june 08 1 0f 12 cores positive <5% score 3+3 =6
surgery 9-5-08 philly pa Dr Stephen Boorjian {great guy made me feel so comfortable }
Fox Chase Cancer CTR
home 9-6-08
first 7 days very painfull bladder spasams very tough getting up or down
9-12-08 final path report
still 3+3 6
total confined to prostate
margins negative
seminal vecials negative
lymp nodes negative

Veteran Member

Date Joined Apr 2008
Total Posts : 1382
   Posted 9/14/2008 6:49 AM (GMT -6)   
Rick, I am not familiar with this problem I will however watch this thread to see what others say. I had surgery and radiation and never experienced bleeding from the penis. I think that warrants further investigation, again though I am not familiar with this problem.

peace to you
My PSA at diagnosis was 16.3
age 46 (current)
My gleason score from prostate was 4+5=9 and from the lymph nodes was 4+4=8
I had 44 IMRT's
Currently on Lupron
I go to The Cancer Treatment Center of America
Married with two kids
latest PSA 5-27-08 0.11
PSA July 24th, 2008 is 0.04
cancer in 4 of 6 cores

Veteran Member

Date Joined Jun 2008
Total Posts : 1804
   Posted 9/14/2008 7:15 AM (GMT -6)   
Blood from Penis is common when having a BM. When my husband was released from the hospital, he was given a list of things to do and not do, as well as general instructions and information as to what to expect. One of things on the list was passing of blood in urine (my husband passed a couple of blood clots for about 4 days) and seeing a bloody discharge from the penis when having a bowel movement. I wouldn't worry too much about this but checking in with your doctor's office should put your mind at rest.

Good news about your path report ... now, on to healing well.

Navy corpsman
Regular Member

Date Joined Aug 2008
Total Posts : 61
   Posted 9/14/2008 7:43 AM (GMT -6)   

Rick -

Your path report sounds excellent.

As far as the bleeding goes, I had a little during my first post-op week and after that nothing.  The blood is probably a result pushing too hard during a bowel movement.  A tablespoon of milk of magnesia once a day helped me keep my stools soft.  When I was on the toilet all I had to do was think about pooping and everything just slid right out.  If you get your stool loosened up and don't do anything physical for several days the bleeding will probably go away.

- John

Age:  44
We have a family history of PCa.  My Dad and uncle died from it at 65 and 53. My PSA velocity increased in the last 2 years and I had to talk my GP into refering me to a urologist.
Biopsy results:  5 of 11 cores positive, all 30%. Gleason 6. T1c. PSA 2.53  Date of biopsy 15MAY08.
Open RRP at Johns Hopkins with Dr. Partin on 09JUL08.
Pathology report:  Gleason 6, pT2, neg. margins, 0 lymph node and seminal vessical, organ confined, I lost 1 nerve bundle and 22 lymph nodes.
As of today, about a month after surgery, I feel at about 80%. Urinary control seems to be improving. Little Elvis has taken a nap and has not awakened yet. I hope when he wakes up he is well rested because he is going to get one heck of a workout.

Regular Member

Date Joined May 2008
Total Posts : 43
   Posted 9/14/2008 7:51 PM (GMT -6)   
Hi Rick, Great news on the path report. I was also happy when I recieved a good path report. I was lucky not to have bladder problems. I only had a few small clots in the bag after that I was fine. I hope all continues to go well. I have 4 weeks until my first blood test for my PSA.
Good luck Jeff
New Jersey
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.

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