To all my dear friends at HW,
I just returned from seeing my urologist/surgeon and received the pathology on my RRP (September 15).
Staging: pT2c pN0 MX
Gleason: 3+4=7 (biopsy indicated 3+3=6)
No discrete tumor mass
No capsular penetration (carcinoma extends into but not through capsule bilaterally)
Perinueral tumor invasion: present
Perinuera margin: Free of carcinoma
Bladder neck: Free of carcinoma
Distal (urethral) Margin: Carcinoma present
Seminal Vesical: None present
Lymph Nodes: 18 nodes free of metastatic carcinoma
I am pleased with the results. Staging went down from Stage 3 to Stage 2, but Gleason went up from 6 to 7.
Only area of concern seems to be Distal Margin. My surgeon says he thinks he got it all. Pathologist is not so sure.
I will see my oncologist Monday to get his take on the path report.
Plan now is to see what PSA shows. May follow up with radiation, if indicated.
Cath came out September 30 (15 days)
I returned to work (restricted schedule) on Monday (three weeks to the day after surgery).
I feel great, and am 90% continent. Little dribbles when I take "Little Elvis" out, and sometimes he is not done when I am.
But I am learning to manage the new plumbing.
Some white blood cells in urine, so I am on a week of CIPRO. Not uncommon with cath post op.
Thank you all for your wonderful support. I welcome your take on the path report...any concerns I may be overlooking.
Bless you, all.
Bill in San Diego