5 weeks since sugery

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Jerry1
Regular Member


Date Joined Mar 2007
Total Posts : 460
   Posted 11/21/2008 9:25 AM (GMT -6)   
tongue
 
Hi all thought I would share some good news. no more pads!  Tossed away this week, I was only having slight leaks prior now nothing even when I sneeze.  Not bad for a guy almost 70.  I spoke with the doctor yesterday and he fills the bladder leak and lymphocele will resolve on their own and to just be patience with the frequent urinating since there is a mass pressing on my bladder and making it smaller so holds less.  He said it happens often when lymph nodes are removed but most times no serious symptoms are displayed so they are not report and go away on their own.  So if some of you are going every 1 or 2 hours this could be the problem.  He said they prefer not to drain if it is not infected or causing pain because I am doing so well on the continence issue they do not want to risked infection.  Said they will follow up with CT scans every three months until resolved so sounds like a while. 
 
Jerry
Age 69
DX 8/13/08 , PSA 4.0, Biopsy 14 samples 1 positive for Prostate Cancer 12% of sample, Second option of biopsy from Methodist Hospital Houston same DX
Gleason Score 4+4 =8
Bone scan and MRI negative
Da Vince surgery on Oct 17, 08 Florida Hospital Dr Vipul Patel
Tumor size 2.9 x0.8 x 0.8 cm
Location: single focus, left posterior peripheral zone (pt2a)
Post Gleason report  3+3= 6
Lymph nodes on both sides negative
Angiolymphatic invasion: Positive
Perineural invasion: Positive
Extraprostativ extension: Negative for periprostatic or seminal vesile invasion
Surical margins Negative 
Stage II (pt2a) 
Cath out on October 29th. 


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4829
   Posted 11/21/2008 10:13 AM (GMT -6)   
Great!
Age 53   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Gleason - 6
(biopsy done March 4, 2008-> 2 of 12)
 
06/25/08 - Da Vinci robotic laparoscopy
10/03/08 - 1st Quarter PSA -> less then .01
 

Surgeon - Keith A. Waguespack, M.D.

Las Colinas and Plano Offices

 


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 11/21/2008 11:14 AM (GMT -6)   
Great News...Glad you are beyond the pads now.  If only I could say the same...... cry
Les
 
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal-Gland 38 cc
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral (Perineural Invasion present at base)
Gleason (3+3) 6  Stage T1C
August 23 - Bone Scan - Hips, Spine and ribs marked uptake - X-Ray showed clear -Hooray
Sept 9 2nd DRE - questionable - TRUS...shadow in base - Gland now 41 cc
Robotic Surgery Sept 18, 2008
Pathology October 1,2008
Gleason 7 (4+3) Staged pT2c NO MX
Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
4 tumors in prostate - largest being 6 cm 
PSA Oct 08 <.05


Lungman
Regular Member


Date Joined Jan 2008
Total Posts : 276
   Posted 11/21/2008 11:53 AM (GMT -6)   
Good News Jerry, I am glad you can lose the pads!! and I hope that the lymphocele continues to disappear, it may take a while.

Les, here's wishing for your continence to return soon, esp since surgery was in Sept you should see improvement any day now. I thought my biggest post-op concern would be potency but I have come to realize that the issue of continence for me has been reassuring. My heart goes out to those struggling with incontinence, as it truly tests a mans being. I am sure it will improve.

Randy
46 you when diagnosed, now 48
Pre-Op PSA 9.9
1 of 12 cores positive, Gleason 3+3
DaVinci on 9/5/2007
Post-Op Gleason 3+6, Negative Nodes and Margins
Less than 1% of prostate involved with CA
3 Month PSA 0.01, 6 Month PSA 0.01, 9 Month PSA 0.01
One Year PSA 0.01
Incontinence resolved 9/15/2007, one day after cath removal
ED showing significant improvement.
Occasional Success with Oral Meds
Success with BiMix


Frank1205
Regular Member


Date Joined Feb 2008
Total Posts : 308
   Posted 11/21/2008 3:39 PM (GMT -6)   

Great news Jerry,  you are way ahead of the recovery curve for sure.

I read your history and don't think I have ever seen the word angiolymphatic invasion.  I often thought angio meant heart.  Anyway what is that?

Keep up the good recovery.

 

Frank

 


Diagnosed @ 53 years old now54
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
Post Pathology T2C, Gleason 7, 10 % of both portions of prostate
Seminal vessels clear, fat tissue clear
single positve margin measureing less than 1/2mm 
Six week PSA < 0.1 , 4 month PSA <.05 Gen II test. 6 month PSA  <0.01
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 in 3 months lets see in 9 months.
Next PSA January 2009.
11-08-08 (7months) starting to go without day pads, 100 mg Viagra seeing good results
 
 
 
 


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 11/21/2008 4:17 PM (GMT -6)   
Frank.... angiolymphatic invasion means that there are signs that the cancer has invaded the blood vessels or lymph vessels
Les
 
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal-Gland 38 cc
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral (Perineural Invasion present at base)
Gleason (3+3) 6  Stage T1C
August 23 - Bone Scan - Hips, Spine and ribs marked uptake - X-Ray showed clear -Hooray
Sept 9 2nd DRE - questionable - TRUS...shadow in base - Gland now 41 cc
Robotic Surgery Sept 18, 2008
Pathology October 1,2008
Gleason 7 (4+3) Staged pT2c NO MX
Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
4 tumors in prostate - largest being 6 cm 
PSA Oct 08 <.05


Frank1205
Regular Member


Date Joined Feb 2008
Total Posts : 308
   Posted 11/22/2008 3:29 PM (GMT -6)   
Thanks.
Diagnosed @ 53 years old now54
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
Post Pathology T2C, Gleason 7, 10 % of both portions of prostate
Seminal vessels clear, fat tissue clear
single positve margin measureing less than 1/2mm 
Six week PSA < 0.1 , 4 month PSA <.05 Gen II test. 6 month PSA  <0.01
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 in 3 months lets see in 9 months.
Next PSA January 2009.
11-08-08 (7months) starting to go without day pads, 100 mg Viagra seeing good results
 
 
 
 


Jerry1
Regular Member


Date Joined Mar 2007
Total Posts : 460
   Posted 11/23/2008 1:30 PM (GMT -6)   

 

 

Thanks LV for the explanation to Frank's question it can be confusing trying to read these reports especially when you see anything that says positive but Dr told me all cancer was contained and he removed all lymph nodes and they were all negative.  So I hope for the best.

Thanks again


Age 69
DX 8/13/08 , PSA 4.0, Biopsy 14 samples 1 positive for Prostate Cancer 12% of sample, Second option of biopsy from Methodist Hospital Houston same DX
Gleason Score 4+4 =8
Bone scan and MRI negative
Da Vince surgery on Oct 17, 08 Florida Hospital Dr Vipul Patel
Tumor size 2.9 x0.8 x 0.8 cm
Location: single focus, left posterior peripheral zone (pt2a)
Post Gleason report  3+3= 6
Lymph nodes on both sides negative
Angiolymphatic invasion: Positive
Perineural invasion: Positive
Extraprostativ extension: Negative for periprostatic or seminal vesile invasion
margins Negative 
Stage II (pt2a) 
Cath out on October 29th left in longer due to small leak.
11/10/08 diagnosed with lymphocele 7.7 x5 pressing on bladder reason for urinating every two hours and leak is not  yet healed.
11/19/08 dry no more pads


CaPCa
Regular Member


Date Joined Aug 2007
Total Posts : 118
   Posted 11/23/2008 10:41 PM (GMT -6)   
Congratulations - it's a great feeling to throw away the pads, huh? You'll have something extra to celebrate personally on Thanksgiving. I, too, am a Dr. Patel "alumnus". Having had a great outcome about a month before Thanksgiving last year, I was quite emotional on Thanksgiving. I expect it will be the same again this year.
Age:45 (44 when diagnosed)
Father diagnosed and cured at age 52.
08/21/07: Diagnosed with T1c cancer
1 of 12 biopsy cores positive; 10% tissue
Gleason score: 3+3=6
PSA level prior to biopsy: 4.3 (velocity < 0.4ng/ml)
10/19/07: da Vinci prostatectomy by Dr. Vipul Patel
              Difficult surgery due to prostate inflammation.
              Both nerve bundles spared.
              Spongy erections began within 24hrs of surgery!
10/24/07: Catheter out; down to 1 Serenity pad/day next day.
              Final pathology: neg margins, no capsular penetration,
              Gleason 3+3=6, 5% tumor involvement, multi-focal.
11/04/07  First usable erection with Cialis
11/22/07  Thanksgiving - Bye-bye, pads
01/17/08  First post-surgery PSA result: < 0.008 ng/ml
03/17/08  Erection quality mostly back to pre-surgery levels with Cialis;
              have not tried without meds yet.
04/23/08  Second post-surgery PSA result: < 0.008 ng/ml
07/30/08  Third PSA: 0.01 ng/ml
11/04/08  One year PSA: 0.01
              Still taking 10mg Cialis every other day - enjoying the results
              too much to stop yet.
 

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