Golf and Cycling said...
Wow! Thanks for all the support. I know I'm not alone, which is why I pretty much punted on the first 1/2 of my work day and looked for you all. I'm glad I found you.
Regarding other tests, I have not had any. I guess my urologist thought that direct confirmation through a needle biopsy was enough, particularly given the relatively low PSA of 4.6. Is there really any reason to do more tests since we now know the little F'er is in my prostate?
Regarding my doctor's experience, the number of 60 surgeries that I reported was only what he's performed in the last year. He's been doing these for a number of years and is the guy who got our local hospital started with robotic surgery for PC.
Regarding exercise...I couldn't agree more. I use my spincycle at home and notwithstanding my early work punt today, I still went to the gym for the lunchtime spin class. I'm feeling better (although I'm still not getting too much done at work).
Regarding second opinions, a friend of mine in town is an oncologist and he is calling UCSF for Dr. Peter Caroll or Dr. Peter Small to see if they will do a phone consult with me (I can fax or email them my records). I also contacted a local doctor who does radiation therapy at our local hospital and set up an appointment with him for my wife and me to attend next week. His nurse told me to plan on 1 1/2 hours (!) and said he will discuss all options with me. As you can imagine, my wife prefers that I get this cut out now, particularly given my family history.
I do have one question for the group about radiation: My friend the oncologist tells me that once you do radiation, the resulting internal scar tissue makes surgery a less viable option later in the event the cancer is not fully eradicated. Is that true? My friend seemed to think that the surgery was the best option, particularly robotic. As noted earlier, so does my urologist (his list of treatment choices was surgery, surgery or surgery).
Welcome to the forum! The emotional roller coaster goes with the territory and we've all been on it since being diagnosed with prostate cancer.
You're on the right track. Taking your time to gather information, research options and get 2nd or more opinions is important. You want to be confident in your decision and the physician who treats you.
I have read that the radiation, whether brachytherapy or other methods makes surgery a less-than-viable option in the future if the cancer remains or returns. Something to consider when making your decision.
You've come to the right place. The men and women at this forum are knowledgeable, empathetic and responsive. We're here to help in the same way that we have been helped early in our own prostate cancer journey.
Take care and hang in there...Tim
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