I will be grateful if you do not mind sharing what effects radiation theraphy may have had, or not had, on your continence.
I will begin salvage (adjuvant) radiation therapy in November. I had a RP in February with gland-confined cancer; however, the path report showed Gleason 8, contrary to the initial biopsy report of Gleason 6. Due to the lower biopsy findings, my surgeon did not remove the lymph area. Although I have had less than .1 psa's since the surgery, the doctor advised salvage radiation due to the Gleason 8 and the fact that my lymph glands were not removed. I agreed to begin the radiation. The only drawback, as I understand, is anything from minor to major incontinence since the sphincter muscle closing the bladder normally is damaged by the radiation.
Any experience with this that you care to share?
Nov 2007 - PSA 6.2
Biopsy Nov 07: Three of 12 cores positive for adenocarcinoma; Gleason 3+3=6 at left apex, right lateral mid and right lateral base.
Open Surgery (RP) Feb 2008
Path Exam of Tissue: Gleason 4+4=8
Tumor confined to prostate gland
Staging: (pTNM): pT2c pNX pMX
Margins: Free of Tumor
Extraprostatic Extension: Absent
Seminal Vesicle Invasion: Absent
No perineural space invasion identified
CT Scan: No metastasis found
1st postop PSA: <0.10; 2nd: <0.10