Incontinence Frustrations

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Gunner59
Regular Member


Date Joined Nov 2008
Total Posts : 109
   Posted 12/13/2008 6:18 AM (GMT -6)   
Really just need to vent, and I know comparatively speaking, I'm fresh out of surgery, but I'm getting so frustrated with the leaking that I feel like I'm about to explode. Unlike a lot of folks, I don't have an office job, my office is a Ford F250. I'm a commercial HVAC service tech by trade, so that means a lot of walking, climbing, bending and occasional crawling. Finding a restroom on a forty acre factory rooftop can be a challenge.

Not sure what my point is, just felt like ranting, and perhaps wondering how anyone else in my predicament handles it. On a good note, there has been some improvement since catheter removal, at night, I leak very little, and sometimes have even woken to a near dry pad. Daytime is another issue, can't use pads at work, still using pull ups, because of the leakage, and changing a pull up during the day is a real pain in the buttocks.

Anyway, thanks for listening, and thank you all for being there, I know I'm better off than many, but sometimes it just doesn't make ant difference.

OK, time to get off the pity pot and carry on.

Cheers!
Age 48 at diagnosis
3 Jul 08 PSA 27.21
Biopsy positive 3+3 6 of 16 punches
Bone scan clear
22 Sep 08 Laproscopic Radical Prostatectomy and bilateral pelvic Lymphadenectomy
Gleason 3+4 after prostate removal, lymph nodes clear
Stage T2B
PSA after 6 weeks <.02


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 12/13/2008 7:52 AM (GMT -6)   

gunner59, some guys a while back were investigating and a couple using a condom catheter for those times when a pull-up or pad wasn't working or was practical.  Here's the link to some info about them. It's a possibility, if you truly need something like this to function or to continue working.  Some might argue that it places a false reliance, and doesn't teach how to control, but ....

http://www.drugs.com/cg/how-to-care-for-your-condom-catheter.html

 


James C.
Co-Moderator- Prostate Cancer Forum
Age 61
4/19/07 PSA 7.6, referred to Urologist, recheck 6.7
7/11/07 Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07 Path report: 3 of 16 PCa, 5% involved, left lobe , GS 3/3:6.
9/24/07 (open) Retropubic Radical Prostatectomy performed
9/26/07 Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
Present- 1 year: ED- Viagra, pump continues, no response- Trimix ..35ml x 2 weekly continues
Post Surgery PSA's: 3 mts-.04, 6 mts.-.04, 9 mts.-.04, 1 Year-.02.


jerseycity
Regular Member


Date Joined Nov 2008
Total Posts : 123
   Posted 12/13/2008 11:37 AM (GMT -6)   
Hey Bro,
 
I hear you. Our conditions are very similar. Had surgery Oct 1st. I also am a working guy. I am a furniture service tech. I do alot of bending, up and downing, plus in and out of vehicle alot. I am 10 weeks out with some minor improvment. I am pretty dry during the night and only get up once instead of 3 or 4 times. I use depends plus pads during the day. I go though about 4-5 pads a day and 3 pull ups. It is like a curse of sorts. People say if thats how you think about it, thats the way it will be. Yeah well spend a week in my pants and then we will talk. I sound bitter but I really am not. I hope by 6 months I am down to just a pad or 2 a day. My surgery was nerve spareing but no life down below and being wet has me wondering. Time will tell. Be assured we know how you feel. Rant your ass of brother, I will hear you. They say time changes everything.  Well , I'm still waiting. I just joined the 000 club and am grateful. Fella who had same surgery as me  same day is dry and up and running down below so it is a crap shoot. We have become friends and discuss issues . You are not alone, but up on that roof it feels like it. I  Listien to alot of Springsteen and Neil Young music. It helps.  Carry on.

Rich man in a poor man's shirt


Gunner59
Regular Member


Date Joined Nov 2008
Total Posts : 109
   Posted 12/14/2008 7:17 AM (GMT -6)   
Thanks for the responses, and for the link for the condom catheter. Not sure if I'm ready to go that far yet, but may be soon. Going in for a PSA test this week, and the result of that will have a profound affect on my attitude, I imagine.
Age 48 at diagnosis
3 Jul 08 PSA 27.21
Biopsy positive 3+3=7 9 of 24 punches
Bone scan clear
22 Sep 08 Laproscopic Radical Prostatectomy and bilateral pelvic Lymphadenectomy
Gleason 3+4 after prostate removal, lymph nodes clear
Stage T2B
PSA after 6 weeks <.02


lastcowboy42
Regular Member


Date Joined Dec 2008
Total Posts : 22
   Posted 12/14/2008 1:45 PM (GMT -6)   
Hello Gunner
I had my Surgery on Nov 18 I had better controle after the cath removel but have lost it now and I know about the going nutts part , I try the kegals but no good lol when I walk I go then run to the bath and stand there nothing driving me nutts so you are not alone here .
 I am 42 years  young
Psa 11.6
gleasen 4+3=7
Catscan-Neg but for a cyst on liver
Bone scane - Neg
11 out of 17 bio tests came back pos full rt side agressive cancer lft side  core  had 2 bios  pos
had the open RP on Tuesday November 18th of 2008 at 7:45  am , finished at 1:30 and took the 3 pts of blood I gave .
 At Kaiser Sunnyside  in Oregon
Performed by Dr Matthew Forsyth
 Came home on 11-21 , cath and staples out on 12-01
now the real work begins
 


kw
Veteran Member


Date Joined Nov 2006
Total Posts : 883
   Posted 12/14/2008 8:42 PM (GMT -6)   

    Hey Gunner,  I know how bad it can be.  I work in a industrial facility but I do not have to crawl around that much.  I was able to deal with just the pads until I had my AUS installed.  Just do what you have to do.  Try not to let it get to you.  I know you will have down days where you get so sick of it you are ready to just go hide somewhere.  You gotta just keep after it.  Were here for you to holler at when you want.

    KW


    43 at Dx and Surgery (RRP)
    PSA 5.7, Biopsy 3 of 12 positive (up to 75%) all on left side of prostate, Gleason 7
    RRP on Oct. 17, 2006 - Nerves on right side saved. All Lab's clear. 
    Cathiter in for 28 days due to complications in healing. Removed Nov. 9, 2006
    First Post op PSA on Dec. 11, 2006  Undetectable 0.00.
    ED workable and usable with Viagra.
    Feb. 20th, 2007 - Feb. 4th, 2008  Cystoscope, Two Collagen injections,Second Opinion Consultation for Incontinance at OU Medical Center, Bio-Feedback training, Chiropractic, Accupuncture  to try to resolve ongoing incontinance (4-6 pads a day)  All PSA's 0.00.
    Feb. 22nd, 2008 - Surgery to install the AMS AdVance Male Sling.
    March 27th, 2008 - Sling not working, Little or no improvement.
    April 18, 2008 - Collagen injection.  Back to using 4-6 full pads a day within a week.
    May 14, 2008 - Another collagen injection to try to Band-Aid the leaking for our June cruise.  Will start making conusultation appiontments for AUS after we return.
    July 14th, 2008 - AUS consultation with Dr. Morey at UT Southwestern (Dallas).
    July 30, PSA 0.00.
    Aug. 22nd, 2008 - AUS Surgery by Dr. Morey
    Oct. 6th, 2008 - AUS Activation by Dr. Morey
     


kcragman
Regular Member


Date Joined May 2008
Total Posts : 240
   Posted 12/15/2008 10:49 AM (GMT -6)   
Hang in there guys! If you read enough of these emails, you'll that what happens to a lot of guys is that SOMEwhere between about 10 and 20 weeks, you suddenly improve for no apparent reason. Mine hit around 15 weeks. I went from 7 to 5 to 3 pads a day in about 2 weeks, and then 3 to 2 to 1 in the next 4-5 weeks. It takes time for your body to heal, and the correct muscles to build up to where they need to be.

I understand your frustration. I about went crazy with it, and I have a desk job. I'm still not 100% continent, but it is MUCH better. I saw a physical therapist for some bio-feedback, and what I recommend based on that is, try to think of an excercise that simulates your working movements. Do that exercise at home and concentrate on keeping tight. I know you hard-working guys probably don't want to exercise at home - but the "exercise" can be very easy - you just have to simulate the motions that make you lose control. You go through those motions and focus on staying tight. It is tough at first, but then theoretically it becomes an almost involuntary response which helps you out during the day.

Gunner59 - Hopefully you are right on the verge of sudden improvement. Good luck,

kcragman
Age: 52
March 2006: PSA 2.5

Dec 2007: PSA taken for insurance application. I did not see the results until late Jan '08 - after I was rejected. Their lab said PSA 4.5. PSA again in Feb '08: 3.7.

March 2008: Biopsy. Gleason 7 (4+3) 12 cores taken. 5 on the left side were cancerous and the 6th was suspect.  

May 5, 2008: Da Vinci robotic laparoscopy at GW Hospital, Washington DC.

Post op: Gleason 9 (4+5). 15% of prostate involved. Stage: pT3a. Negative margins. Lymph nodes and associated glands all appear to be cancer free.

July 2008: PSA at 7 weeks was undetectable.
August 2008: PSA at 14 weeks (3 months) was undetectable.
Nov 2008: PSA at 6 months was undetectable.


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4828
   Posted 12/15/2008 12:14 PM (GMT -6)   
Gunner - why can't you wear pads at work?
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

 


Gunner59
Regular Member


Date Joined Nov 2008
Total Posts : 109
   Posted 12/15/2008 4:03 PM (GMT -6)   
I could wear pads, but out in the field, there's a shortage of convenient locations where one can change a pad when it's full, so the larger capacity of the pullups sweems to be the best compromise for now. I wear pads at home, and when going out for non work related activities.
Age 48 at diagnosis
3 Jul 08 PSA 27.21
Biopsy positive 3+3=7 9 of 24 punches
Bone scan clear
22 Sep 08 Laproscopic Radical Prostatectomy and bilateral pelvic Lymphadenectomy
Gleason 3+4 after prostate removal, lymph nodes clear
Stage T2B
PSA after 6 weeks <.02


builder
New Member


Date Joined Dec 2008
Total Posts : 6
   Posted 12/16/2008 9:07 AM (GMT -6)   
This is Manrod. l had surgery Oct.1 o8 Wetting or dripping has subsided the last 4 weeks to 98% clear sailing.My psa results were 0. And thats a miracle to me because my cancer was outside of prostate.

Gunny
New Member


Date Joined Dec 2008
Total Posts : 3
   Posted 12/16/2008 12:08 PM (GMT -6)   
Gunner59,

I had Robotic LRP in Jan2007. It's been almost 24 months and I still wear a pad a day. Like you, I am active on the job. I do telephone installs and repair. Lots of ladder carrying and climbing. Running wire in walls and ceilings. Some outside work but not much. The good news for me has been my post-op PSA's have been <.02 but the minor leaks are still annoying.

Post Edited (Gunny) : 12/16/2008 11:25:32 AM (GMT-7)


Davisal
New Member


Date Joined Dec 2008
Total Posts : 15
   Posted 12/18/2008 4:24 PM (GMT -6)   
I am now just over 4 months from my Davinci surgery and was down to 2 pads a day fairly quickly afterwards, but it has not improved in over 8 weeks. No erections however. Lots of pain and tenderness in the surgery area. I surely hope this will eventually end with a return to normal functions.

Hang in there, someday it will be better.

Davisal

RBinCountry
Regular Member


Date Joined Apr 2008
Total Posts : 270
   Posted 12/18/2008 4:34 PM (GMT -6)   
I am right at 7 months out of surgery and basically dry, but even now it can slip up on me - I liken it to a hickup. I know that I was doing pretty good at 8 weeks out as well, and recall thinking that I would for sure be dry at 12 weeks. I read here somewhere that 12 weeks was the average - from someone. Well, it didn't happen - I passed 12 weeks and on & on.

Well, I found the process of improvement beyond near dry (one pad a day with just a little leaking here and there) is very very slow. Some of our dear ones here are having it much worse than this, so it is hard to complain when you read some of the difficulties they are going through. It sounds like yours is following a good trend, and I am simply writing to let you know not to expect too much too fast, and that I think you are on a fairly normal track.

RB
Age 61 (now 62)
Original data - pre-operation
PSA: 5.1
T1C clinical diagnosis, Needle biopsy - 10 cores, Gleason 7 = 3+4 in 1 core (40%), 7 cores Gleason 6 = 3+3 ranging from 5% to 12%
All scans negative
Lupron administered 4/9/2008 for 4 months (with idea I would undergo external beam radiation followed by seed implants - then I changed my mind).
Robotic DiVinci surgery - Dr. Fagin (Austin) May 19th
Post operative - pathology
pT2c NX MX
Gleason 3+4
Margins - negative
Extraprostatic extension - negative
seminal vesicle invasion - uninvolved
1st Post PSA <.04
2nd Post PSA <.1 10/30/2008


rvtraveler
New Member


Date Joined Dec 2008
Total Posts : 3
   Posted 12/29/2008 1:40 PM (GMT -6)   
I had my surgery on 11/21/08 (Robotic) and like many of you I am now dealing with the incontinence issue. I find that during the night I can use the same pad (a few drips on the pad in the morning when I wake up). I get up during the night about 2 or 3 times and find that i can release and stop as desired. I can continue using that same pad through the morning as long as I just sit and get up to go to the bathroom every hour. The minute I exert myself in the morning or once the afternoon comes all bets are off as it just seems to leak out. As hard as I can I try to stop it but cannot. Sometimes I get depressed and just say ---- -- and make myself a scotch and enjoy myself. I am really lucky as I know now that the cancer is gone and I have 300 sick days so i am OK to take care of myself.

I am getting the feeling in reading all the posts that it will take about 2 full months for this to get better and that I just have to be patient. The one question I have is: Am I on schedule for where I need to be?

RBinCountry
Regular Member


Date Joined Apr 2008
Total Posts : 270
   Posted 12/29/2008 2:47 PM (GMT -6)   

RV,

I think you will find in reading on this site that there is no general rule.  The very blessed are dry almost immediately.  You will find others that are having to undergo secondary procedures because they have radical on-going leaking after months or years.  You will also find persons who are months out and still have some leaking.  I am past seven months post Di'Vinci and call myself dry.  However, I still wear a pad for security and minimal dribble.  It is not much of a bother at this point, but I am not back to where I was prior to surgery.  I can dribble a little if I strain, bend a certain way, or just get extremely tired in the evening.

It is a longer road for some of us.  I know I got pretty good about 3 months out, but progress from there with that last little bit has been slow.  Admittedly, I have never been a kegel exerciser.  Blessings.


RB
Age 61 (now 62)
Original data - pre-operation
PSA: 5.1
T1C clinical diagnosis, Needle biopsy - 10 cores, Gleason 7 = 3+4 in 1 core (40%), 7 cores Gleason 6 = 3+3 ranging from 5% to 12%
All scans negative
Lupron administered 4/9/2008 for 4 months (with idea I would undergo external beam radiation followed by seed implants - then I changed my mind).
Robotic DiVinci surgery - Dr. Fagin (Austin) May 19th
Post operative - pathology
pT2c NX MX
Gleason 3+4
Margins - negative
Extraprostatic extension - negative
seminal vesicle invasion - uninvolved
1st Post PSA <.04
2nd Post PSA <.1 10/30/2008


rvtraveler
New Member


Date Joined Dec 2008
Total Posts : 3
   Posted 12/29/2008 4:13 PM (GMT -6)   
Thanks for your reply-its nice to know that others are going through or have been through what I am going through. I am lucky that i do not have to go back to work anytime soon. As a High School Administrator the last thing I want to do is embarrass myself with an accident and have to excuse myself in front of a bunch of students.

Thanks again-I will keep you posted
PSA started out at 2.0 and ended up at 4.5
Biopsy showed one out of 8 samples positive
3+3=6 Gleason
Post Op biopsy showed all margins clean but a higher Gleason of 7
Surgery on 11/21/08


kw
Veteran Member


Date Joined Nov 2006
Total Posts : 883
   Posted 12/31/2008 12:18 AM (GMT -6)   

Just hang in there guys,  I know most of you will dry up finally.  Just do what you have to do to keep pushing forward and trying to live a somewhat normal life.  Feel free to vent any time you wish.

    KW


    43 at Dx and Surgery (RRP)
    PSA 5.7, Biopsy 3 of 12 positive (up to 75%) all on left side of prostate, Gleason 7
    RRP on Oct. 17, 2006 - Nerves on right side saved. All Lab's clear. 
    Cathiter in for 28 days due to complications in healing. Removed Nov. 9, 2006
    First Post op PSA on Dec. 11, 2006  Undetectable 0.00.
    ED workable and usable with Viagra.
    Feb. 20th, 2007 - Feb. 4th, 2008  Cystoscope, Two Collagen injections,Second Opinion Consultation for Incontinance at OU Medical Center, Bio-Feedback training, Chiropractic, Accupuncture  to try to resolve ongoing incontinance (4-6 pads a day)  All PSA's 0.00.
    Feb. 22nd, 2008 - Surgery to install the AMS AdVance Male Sling.
    March 27th, 2008 - Sling not working, Little or no improvement.
    April 18, 2008 - Collagen injection.  Back to using 4-6 full pads a day within a week.
    May 14, 2008 - Another collagen injection to try to Band-Aid the leaking for our June cruise.  Will start making conusultation appiontments for AUS after we return.
    July 14th, 2008 - AUS consultation with Dr. Morey at UT Southwestern (Dallas).
    July 30, PSA 0.00.
    Aug. 22nd, 2008 - AUS Surgery by Dr. Morey
    Oct. 6th, 2008 - AUS Activation by Dr. Morey
     


Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 12/31/2008 9:28 AM (GMT -6)   

I've gone from about 10 pads daily to 3, and most of the progress (reduction in leakage) has taken place in the past two-three weeks.  I saw my Urologist/Surgeon again last week and he has told me then, and before, that most of his patients see real progress/improvement during the 3 to 6 month post-op period . . . and that I shouldn't worry too much about it yet.

Not to worry?  Easy for someone not dealing with the matter to say.  I have learned, however, how to handle the changing of the pads issue.  I travel with extra pads and, if necessary, excuse myself from a discussion or meeting so that I can quickly go to the men's room to change a pad.  I also, sometimes, change out in public when I can't get to a bathroom - and I'm not too shy about it anymore.  I find a place off to the side somewhere, reach in - and change the pad.  One, two, three . . . it's over quickly and nobody sees.

Creativity.  We become creative.


Age:  59 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

Bladder & Urethral:  Free

Seminal vesicles:  Not involved

Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%

Catheter:  Removed 12-days after surgery

Incontinent:  Yes (getting better, though)

Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08

Returned to work 9-29-08 (18-19 days post-op)

PSA test result, post-op, 10/08: 0.0; 12/08: 0.0

 


hb2006
Regular Member


Date Joined Nov 2008
Total Posts : 299
   Posted 12/31/2008 11:16 AM (GMT -6)   

I went off the pads at 8 weeks exactly from the open Surgery but was down to a pad a day prior to that. But I did kegels extensively and also went to the bathroom every hour while I was working or up and about. I'm 59 almost 60.

However, my cousin who is 5 years younger required 18 months to be free of the pads and he had the davinci surgery. So it just varies..

 


Gunner59
Regular Member


Date Joined Nov 2008
Total Posts : 109
   Posted 1/1/2009 8:40 AM (GMT -6)   
Update time. Seems like in the last two weeks I've crossed the magic line. Leakage has tapers off so I'm down to 2-3 pads a day, the pullups seem to be a thing of the past. Thanks for all the words of encouragement, they came at a time when I was feeling pretty low.

Wishing you all a Happy (and drier) New Year!

Cheers!

Ralph
Age 48 at diagnosis
3 Jul 08 PSA 27.21
Biopsy positive 3+3=7 9 of 24 punches
Bone scan clear
22 Sep 08 Laproscopic Radical Prostatectomy and bilateral pelvic Lymphadenectomy
Gleason 3+4 after prostate removal, lymph nodes clear
Stage T2B
PSA at 3 months=undetectable


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25372
   Posted 1/1/2009 9:42 AM (GMT -6)   
Gunner, that's great news to hear about you on New Years Day. Big improvement, and I hope it only gets better in that department for you in the weeks ahead. Tommorow, will be 7 weeks post surgery for me (open) and I am still on a catheter. So I still haven't had a real meaningful chance of dealing with incontenence since all this started on Nov. 14th. Guess we fight different demons in our PC battle. If you follow my saga, I am on catheter #3, and suppose to see my dr on Monday, already not eager to have this one removed unless he has a whole new game plan for me. I hope only the best for you in your continued recovery in the new year.

David in SC
Age 56, 56 at DX
 
PSA 7/7 5.8, 7/8 12.3, 9/8 14.9, 10/8 16.4
 
3rd Biopsy 9-2008 Positive 7 of 7 cores positive, ranging from 40 - 90%, G 4+3 & 3+4
 
Open RP surgery  November 14, 2008 at St. Francis Hospital, Greenville, SC, Dr. Ronald Smith - Surgeon, Non-nerve sparing, 4 days in hospital, staples removed 11/24/8, Catheter out on 12/15/8 on day 32.  Day 33, urine stopped flowing, new catheter put in 12/16/08, Catheter out 12/29/08.  After 7 hours, complete stoppage again, emergency room put in Catheter #3 early evening of day 45, still 12/29/08. New appt. to see dr. on 1/5/9 as result.
 
Post-surgery Pathlogy Report:
Gleason 3+4=7, pT2c pN0 pMx, Prostate 42 grams, tumor 20% cancer
Contained in capsular, neg. margins apex, bladder neck, right lobe, neg. in seminal vessels and lymph nodes.
 
First PSA Post Surgery  Scheduled now for 2/9/9
 
 


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 1/1/2009 10:12 AM (GMT -6)   
Glad to see the improvement report. I know we read it here lots of times, that incontinence will quickly improve, almost like turning a page, but really don't understand what that means until it happens to us lucky ones.
James C.         Age 61
Co-Moderator- Prostate Cancer Forum
4/19/07 PSA 7.6, referred to Urologist, recheck 6.7
7/11/07 Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07 Path report: 3 of 16 PCa, 5% involved, left lobe , GS 3/3:6.
9/24/07 Nerve sparing Open Retropubic Radical Prostatectomy
9/26/07 Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
16 mts: ED- 50 mg Viagra 3X week, pump daily,Trimix .35ml 2X week continues
Post Surgery PSA's: 3 mts-.04, 6 mts.-.04, 9 mts.-.04, 1 Year-.02.


kcragman
Regular Member


Date Joined May 2008
Total Posts : 240
   Posted 1/4/2009 8:47 AM (GMT -6)   
TA-DA! I said on 12/15 that I thought you were on the verge of sudden improvement. I must be freakin psychic or something.

Of course, I also had Atlanta and Indianapolis in our NFL playoff pool. (darn it!)

Congrats on the improvement. Good luck going down the road.

kcragman
Age: 52

March 2006: PSA 2.5
Dec 2007: PSA taken for insurance application. I did not see the results until late
              Jan '08 - after I was rejected. Their lab said PSA 4.5.
Feb '08: PSA 3.7.
March 2008: Biopsy. Gleason 7 (4+3) 12 cores taken. 5 on the left side were
              cancerous and the 6th was suspect.  
May 5, 2008: Da Vinci robotic laparoscopy at GW Hospital, Washington DC.

Post op: Gleason 9 (4+5). 15% of prostate involved. Stage: pT3a. Negative margins. Lymph node and nerve samples taken, and appeared to be cancer free.

July 2008: PSA at 7 weeks was undetectable.
August 2008: PSA at 14 weeks (3 months) was undetectable.
Nov 2008: PSA at 6 months was undetectable.

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