Update - the best news going into the New Year

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Gerbe
Regular Member


Date Joined Sep 2008
Total Posts : 42
   Posted 12/31/2008 8:38 PM (GMT -6)   
Had davinci 12/22.  Got my catheter out and my pathology report today, just in time for the New Year.
 
I chose surgery because the long term outcome seemed to be slightly better than brachytherapy, for the psychological peace of mind of removal over kill in place, and to maintain sexual function.  Surgery seems to cause short term problems which improve over 1-2 years (to anywhere from near same as before to reduced but functional with injections), while brachytherapy seems to not cause problems initially but there is a cumulative negative effect which I believe will be permanent.  I chose davinci over open radical prostatectomy because it seems to have an equivalent cancer control outcome (though it is a bit of a projection because it has not been around that long) and is less intrusive to the body.  Experience is critical to optimum outcomes, so I chose a surgeon that had done at least 150 procedures (some sources say 300, he has actually done >350).
 
The davinci went well, a 6 hour procedure.  Normal time for my surgeon is 4 1/2 hrs, but I had a humongous prostate (79 g).  Home the next day, a couple of days of feeling tender around my midriff, then I was fairly mobile.  The catheter was a bit of discomfort, and I treated it very gingerly, but the psychological effect was larger than the physical effect.  I am extremely blessed in that even with the catheter in I had several nocturnal erections.  The catheter has been out for 6 hrs now, and I have peed several times feeling pretty much like I used to and still seem to have a dry pad, so I believe I may be extremely blessed in that as well.
 
The pathology report was also as good as I could hope for.  Bilateral cancer, but less than 5% involvement.  Surgical margins clear, negative lymph nodes, no seminal vessel involvement.  A T2c.  Gleason 3+4, a slight uptick from biopsy.
 
Newly diagnosed men who find HW, find hope in my story.  There can be a very good outcome. 
 
The one choice I made which may be of interest is that I chose a surgeon at a teaching hospital (University of Washington).  I stipulated that he do the procedure, not an intern, but what struck me in hindsight was that he normally spends 4 1/2 hrs on a procedure, and spent 6 hrs on me.  The average davinci procedure time I saw in published literature was like 162 minutes, or slightly under 3 hrs.  I think I benefited from the fact that my surgeon was not on the clock, with a need to get 2 to 4 procedures done in a day as might be the case in a private practice.  I am ever so grateful that he spent all the time he wanted.  As my operation was just before Xmas, I told him I did not want him distracted with visions of sugar plums dancing through his head, just pay attention to MY little sugar plum.  I think he did just that.
 
Thank you HW for being a source of advice and wisdom, and my sincere wishes for the best of New Years for all those who find their way here.

This moment, here and now, is nothing less than the totality of existence.
I can't control my life, but I can influence this moment.


Age 59
PSAs 1.6, 1.8, 2.0 at yearly intervals
Mild DRE finding (hindsight unrelated) lead to biopsy
3/08 1st biopsy, 18 core. Pathologist 1, HPIN and ASAP, 0.5mm 1 core. Pathologist 2, carcinoma
7/08 2nd biopsy, 16 core. Pathologist 1, 1 core carcinoma. Pathologist 3, 3 cores carcinoma
Urologist retired. Referred to another Dr. in same practice, not experienced enough.
Robotic da Vinci performed 12/22/08, Univ of Washington Med Center, Dr. William Ellis. Both nerves spared.
Catheter out 12/31/08
Final path report:
79 g prostate gland
1.5 cm^3 cancerous, Gleason 3+4, bilateral, T2c
Margins clear, seminal vessels clear, 14 lymph nodes negative


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 12/31/2008 8:46 PM (GMT -6)   
Happy New Year with that news. Sound like E.D. is not gonna be happening, super plus side.
"Youth is wasted on the young"-W.C. Fields
 
"I wouldn't join a club that would have me as a member"-Groucho Marx


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25382
   Posted 12/31/2008 8:56 PM (GMT -6)   
Great news Gerbe, you are on the other side, and sounds like you are starting out in good shape, that was a good pathology report, I know that is encouraging. Good healing ahead to you brother, very happy for you.

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
 
 


divo
Veteran Member


Date Joined Jul 2008
Total Posts : 637
   Posted 12/31/2008 9:06 PM (GMT -6)   
9 pm on New Years Eve, and I am reading Gerbe's good report. That is a good sign for a good year for us all!! Happy New Year!!...Di
Husband Pete
dx Jan 2001 gleason 4 + 3 PSA 16.5
Seed implant and conformal radiation and Lupron from Jan 2001 to Jan2002
2005 Dec PSA began to rise from .5 to 8 within 6 months
Salvage surgery at MSK 9/06 Dr. Eastham
Fistula operation 2/07 MSK Dr. Wong
Many cystoscopies and ER visits with strictures
Catheter for one year....Catheter taken out Sept 07..
Total Incontinence since then....
PSA .52 3/08
AUS Operation at MSK Sept 8 2008 Dr. Sandhu
Activated Oct 28th Dr. Sandhu..MSK
Some difficulty with AUS arising Nov 10 2008
Meeting with Dr. Sandhu to discuss AUS problems and new PSA test Dec 11, 2008
PSA .6 12/08
Waiting to see if AUS gets better results
Complete hip replacement surgery coming up Jan 9, 2009


Ralph Alfalfa
Regular Member


Date Joined Nov 2008
Total Posts : 469
   Posted 12/31/2008 10:23 PM (GMT -6)   
Gerbe, sounds like great news. Keep it up(no pun intended) with the continence, and erectle issues. Good path. report. Keep us posted. Have a Happy New Year. Like Di and Pete, We're in for the evening. Don't want to get out there with all the amateur sots.

Bob
 AGE:57
 Dx: October,27(the day after my birthday)
 Psa 14.5
 Gleason:(4+3) 7 T1c
 Bone scan:Negative
 Cat scan: Negative
 Biopsy: 4 of 12 positive, left side, pre-cancerous on the right.
 Confined to prostate.
 DaVinci scheduled for Jan. 19, 2009.Dr. Scott Montgomery, KC Urology,
Shawnee Mission Med. Center. Kansas


DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 797
   Posted 12/31/2008 10:31 PM (GMT -6)   
Gerbe,

Thanks for sharing the good news. Interesting, I don't know if I can even find out how long my doc took. So glad things are working well so far and I hope you continue on a positive path.
DJ

Age 53
PSA 2007 about 2
PSA 2008 4.3
Diagnosed September 2008.
Biopsy: 6 of 12 cores positive
Gleason 4+3 = 7
CT and Bone scan negative
Da Vinci surgery at City of Hope December 8, 2008
Radical prostatectomy and lymph node dissection
Catheter removed on 7th day, replaced on 8th day, removed again 14th day following negative cystogram
pT2c
lymph nodes negative
microscopic margins
next PSA 1/22/08


sandstorm
Regular Member


Date Joined Dec 2008
Total Posts : 194
   Posted 1/1/2009 10:29 AM (GMT -6)   
Great News Gerbe and Happy New Year!
Thanks for the inspiration and uplift from your report. I begin the same journey in 9 days and I hope my outcome is just as good.
Age at DX 57
5-18-07 PSA 7.7
5-06-08 PSA 4.6  8% free psa
10-23-08 PSA 5.65 4% free psa
11-04-08 biopsy
11-11-08 2 of 12 cores positive
Gleason 3+3  6  stage t1c
CT and Bone scan negative
Scheduled for da vinci RRP 01-09-09


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25382
   Posted 1/1/2009 10:35 AM (GMT -6)   
Sandstorm, We are rooting for you to have a good surgery, good recovery, and even better yet, a clean bill of health on your post surgical pathology report, and then, your initiation into the Zero club. So best of the new year to you too.

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 10:45 AM (GMT -6)   
Gerbe, welcome to the other side and hopefully the zero club as well. As your indicators point to a fast recovery of things, so congrats for that.
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.

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