Bob, I have no problems with the gist of your last post above. For many men, their bout with PC is their first ever with cancer, and with some, even their first bout with a major surgery. I do agree that the books and doctor's for whatever reason, grossly underestimate the side affects. This PC is my 4th bout with cancer since turning 45, so I am not completely green to the subject. With the PC, I knew up front, that I was risking perhaps being impotent the rest of my life at age 56 after surgery, something my wife and I discussed openly and often before the decision. Not every relationship can handle that, as others would attest. As much as I have enjoyed sex in my married life, never a problem or issue in almost 35 years, we decided that I would rather have the chance of being alive longer to see my grandchildren grow up and prosper than then to be guaranteed of still having sex and having a nasty new cancer growing in me. Those that think of PC as the "easy cancer" are so misguided. When I had my other cancers, I didn't have to make treatment choices that could leave me limp and in diapers to survive, a lot of "outsiders" don't seem to get that part, that aside from my rapidly rising PSA, I felt fine, and at my last physical in July, my doc said except for the PSA, I was in great shape for 56. And then I have to make a decision about a tough operation with nasty side affects, and hope and pray for zero PSA, and then hope they stay that way. That's why I personally respect every man's decision here. It's their life, their body, their relationships, and ultimately, their cancer. Just my take.
Age 56, 56 at DX
PSA 2007 5.8
PSA 9-2008 14.9
3rd Biopsy 9-2008 Positive
7 of 7 cores positive, ranging from 40 - 90%
2 tumours noted, Gleason 4+3 and 3+4
Open RP surgery completed on Friday, 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 - uncertain of what went wrong.
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. Left lobe: infiltrating tumor miscroscopically appears to extend to marked left posterior margin
First PSA Post Surgery Scheduled for 1/5/9