Frank1205, 9 month update

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Regular Member

Date Joined Feb 2008
Total Posts : 308
   Posted 1/5/2009 7:57 PM (GMT -6)   
Happy New Year to All,
Thought I would drop a quick update.  Had my 9 month PSA and it came in at below 0.010 (undetectable).  I have mine taken every three months for 2 years because of a single small dirty margin.  I find that it gets pretty emotional toward test time but maybe it gets easier.
My continence is almost normal.  Still have minor issues during the work day.  I think I will soon be free of protection.  I seem to be going back and forth with this.
ED is and has been certainly acceptable. 50 Viagra helps and 100 mg gets er done that's for sure.
My pleasure is better when there are several days between encounters.  
Wish you all the best and thanks for your continuing friendship and support.
Age 54
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.
Catheter out in 7 days normaly expected leakage
Post Pathology T2C, Gleason 7, (3+4) 10 % of both portions of prostate
Seminal vessels clear, fat tissue clear, single positve margin at apex measuring less than 1/2mm. 
Six week PSA < 0.1 , 4 month PSA <.05 Gen II test. 6 month PSA  <0.01
Watching PSA closely,  will do salvage radiation if necessary.
Fair to Good results with Viagra,  side effects are bothersome at times. 

Elite Member

Date Joined Oct 2008
Total Posts : 25380
   Posted 1/5/2009 8:23 PM (GMT -6)   
Hello Frank, that sounds like a real favorable report going there, congrats.

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. 1/5/9 - Cath #3 out, dr. did cycloscope, saw potential blockage, put in Catheter #4, further tests/treatments 1/9/8.
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

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 1/6/2009 12:39 AM (GMT -6)   
Hi Frank,
Happy New Year back at you! And what a nice start. It's no big deal to get these tests done and I wish more of the guys would change the frequency of the PSA's. But that is great news, and it's great to see you again...Stay well my friend!

Age 46 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007 @ The City of Hope
Post-Op Pathology: Gleason 4+3=7, positive margins, Extra Prostatic Extension (EPE)
Bilateral seminal vesicle invasion (SVI); Stage pT3b, N0, Mx
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (September 17 '08): <0.1 ~ Undetectable!
You can visit my Journey at:

Regular Member

Date Joined Jul 2008
Total Posts : 113
   Posted 1/6/2009 7:36 AM (GMT -6)   
Hi Frank
that is great news i know the feeling about the psa test i will have one this month not looking forward to it
still have not made up my mind about the adjuvant radiotherapy yet
your great news gives all off us with positve margins great hope
Age 61 at DX
PSA 2/2007 5.71
PSA 4/2008 7.23
Biopsy 5/2007 Negative
Biopsy 7/2008 Positive 1 of 12 cores positive 3+4 5% To 10%
Open Radical Prostatectomy 15/10/2008
Stage pt2c
Post op staging Gleason's Score 3+4=7
apical margin is focally positive
no extraprostatic extension
Seminal vesicles and lymph nodes clear
the vas and the bladder base clear
Catheter out on the 13/11/2008
4 week PSA < 0.1

Veteran Member

Date Joined Oct 2008
Total Posts : 3236
   Posted 1/6/2009 12:27 PM (GMT -6)   
Hi Frank,
Congrats and happy new year. Your report gives hope to many. I will looking forward to many more positive reports. Todd
Age at dx: 42 age now 45
Treated for sciatic nerve pain 6 months prior to dx.
Heavy amount of blood in urine Unable to urinate 
Lung x-ray for pnumonia revealed multiple lesions in each lung
P.S.A. at time of dx. 3216.14
Began lupron and casodex
Cat scan showed large mass in the pelvic area affecting the bladder multiple nodules in both lungs and lymph node envolvement.
Bone scan revealed possible bone involvment in the pelvic area
Biopsy 12 of 12 cores positive gleason 3+4=7
P.S.A.s since lupron 2946, 1274, 532, 5.01 1.23, .09
Begining jan 08 psa .o9, .25, .44, .86, .73, 1.34, 1.49. Doubling time is a little over 3 months
Cat Scan 12/12/08 Prostate normal size and shape. No tumors detected. Left lung clear of all nodules right lung showing only benign scar tissue. Lymph nodes normal
Bone Scan 12/24/08. Clean!!!

Veteran Member

Date Joined Jul 2008
Total Posts : 966
   Posted 1/6/2009 1:10 PM (GMT -6)   
Congrats again to you...I hope to be following your foot steps as well tomorrow. I don't know if us "positive margin" guys worry more than those that had negative margins, but I can't help holding back the emotions sometimes just before getting tested.
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

Regular Member

Date Joined Feb 2008
Total Posts : 308
   Posted 1/6/2009 11:48 PM (GMT -6)   

Thanks all , I appreciate your kind thoughts and comments.

Good Luck tomorrow Les let me know when you get your zero's.

I do think with bad margins you have that extra concern.  When I am cancer free in 10 years I still dont think I could ever say to another that I am confident that I did the right thing by not having the adjuvant radiation. Its such a personal decision.

Thanks again.


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