Posted 10/6/2008 10:14 AM (GMT -6)
Have not been on the site as regular lately as I was during and before my surgery but thought some of you would be interested in progress from a Six Month guy.
I had a single short bad margin after my DaVinci and decided not to do Pre-emptive Radiation. 50/50 chance of PSA re-occurence per Urologist.
6 week PSA= less than 0.1 old type PSA lab
3 month PSA=less than 0.05 2nd generation test I am told
6 Month PSA=is 0.010 3rd generation test I am told.
Urologist states this measurement is below their accepted standard and therefore is considered undetectable. Next PSA not for six months.
My question is ..... Six months for observation with a bad margin. Is this the standard? Does any others have comments on this third generation test too. It suposedly goes to 0.008. Also, any comments from guys with bad margins doing surveilance on their time between PSA's would be great.
I am being cautious with my feelings of celebration here but if I can go six months with out testing. Oh boy, oh boy I am a happy man.
Diagnosed 01-08-08 @ 53 years old
DRE normal , 2004 Biospy negative - 2008 Biopsy positive (01-08-08)
10 cores, 1 positive and at 1% of that one core
PSA @ surgery 6
Bone and Ct scans negative
clinicaly Staged at T1C - Gleason 3+3 = 6
Robotic Da Vinci performed March 27th, 2008
University of Chicago,Hospital stay 30 hours - Catheter out in 7 days normaly expected leakage Erectile function better with Viagra
Post Pathology T2C, Gleason 7, 10 % of both portions of prostate, Seminal vessels clear, fat tissue clear,Tumor on top of prostate. 1 positve margin measureing less than .5 ml at urethra and bladder..
Six week PSA < 0.1 , 4 month PSA <.05 Gen II test. Urologist recomends to hold off on Radiation and watch PSA closely. Oncologist and Radiation Oncologist seem to lean to doing pre-emptive radiation.Uroligist says 50/50 chance of PSA re-occurence.
I have decided to hold off and see for 3 months.
Next PSA October...
Six Month PSA 0.010, undetectable per Urologist
Next PSA Six months or at one year (March)