Day 60: Operation/Procedure Completed - Back Home

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Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 1/13/2009 3:45 PM (GMT -6)   
Hello one and all,
 
Just got back home not long ago.  The trip to the hospital and the operation/procedure went well according to my dr/surgeon.  Was in a holding pattern for about 2 1/2 hours in pre-op that was starting to get old.  But they put something in my IV to chill me.  Was taken into OR, and put completely under, what bliss. Took the dr. about 40 minutes to do his thing.  Recovery room time this time around was actually a pleasant experience, wonderful nurse.  Soon as my head started clearing the pain hit hard, and was quickly given 3 shots of morphine spread out over an hour.  Soon on the way back home (gentle drive) by lovely wife, stopped at CVS drugs to pick up some newly prescribed meds, now home.
 
Dr. gave my wife some color photos from the procedure, interesting really, the urethra near the bladder was about 5/6th blocked by scar tissue, which explains why I have been going through all this after 2 months.  He used some kind of balloon thing, and expanded it and trimed away some of the blockage.  The last photo in the set shows an opening probably 5 - 6 times larger.  They did put in Catheter #5, even larger then any of the other ones, to keep it open while it heals, next Monday, in theory, he's going to take it out and it should be good to go.  That is the game plan.
Hope everyone is doing well today, I am glad to be on the other side of this one.
 
David in SC
 
If this post sounds weird, it might be the morphine talking still, sorry.
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, 1/9/9 - pre-op, 1/13/9 - corrective operation scheduled at St. Francis
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
 
 


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 1/13/2009 4:00 PM (GMT -6)   
Purgatory,
I'll bet you are...........glad to be on the other side I mean and I am pleased to read the experience was a little easier this time around. The photos will make for an interesting addition to the ol' family album. To say you've had an interesting story so far is an understatement. Well, here's to the procedure turning out well and putting out a horizontal stream. yeah
Bill
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07
4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)


Gerbe
Regular Member


Date Joined Sep 2008
Total Posts : 42
   Posted 1/13/2009 4:03 PM (GMT -6)   
Sounds like strong 'objective evidence' (per my ISO auditor friend's way of thinking) that the root problem has been solved.  It always is what it is, but high high hopes that catheter days will soon be behind you, David.


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.
12/22/08, robotic davinci at U of Washington Med Center, Dr. William Ellis. 6 hr procedure. Both nerves spared.
12/31/08 catheter out 
Final path report:
79 g prostate gland
1.5 cm^3 cancerous (<5%), bilateral, T2c, Gleason 3+4
Margins clear, seminal vessels clear, 14 lymph nodes negative
Aftermath notes:
Dry immediately after catheter out.
ED - some nocturnal erections even with catheter.
1st orgasm at two week mark. 50% erect, BJ w/o the mustard.
Needs more stimulation, orgasm ok, but my 'card deck' is confused, need to reprogram what this is for. 
 


apacker1950
Regular Member


Date Joined Nov 2008
Total Posts : 122
   Posted 1/13/2009 4:03 PM (GMT -6)   
Glad things went well today.  Hope you can finally begin to heal for real.  I look forward to reading your progress this week and especially anxious to read about a successful catheter removal next week.  I hope you'll pee like a race horse.   Good luck,   Allan
Age 54 at Dx.   Currently 58
Jly 05- PSA 8.1
Sept 05- PSA 10.7
Sept 05- Biopsy revealed 9 of 12 cancerous, Gleason 3+3=6, T2 stage
Bone scan and cat scan showed hot spot on hip bone.
Oct 05- Surgery for bone biopsy.  Pathology showed benign growth, no cancer in bones. Who ever thought I would be happy to only have PCa?
Nov 05- PSA 15.4
Nov 18, 05- Nerve sparing open RP at Huntsman Cancer Center, SLC, UT by Dr. Robert Stevenson. 
Home after 3 days.Cath out at 2 wks.
Incontinence gradually improved for about 3 months to 100% continence.
ED- Tried the big 3 pills with no results
Feb 06- PSA undetectable, Started VED which worked but caused discomfort with constriction rings.
May 06- PSA undetectable, Dr. gave me an Rx for Trimx injections. They work great.  Still use VED on off days without constriction for therapy.
Aug 06- PSA undetectable 
Nov 06, May 07, Nov 07, May 08, Nov 08 - PSA undetectable
ED appears to be perminant but doing great with Trimix.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 1/13/2009 4:04 PM (GMT -6)   
Thank you, my friend, Bill. Like many things in life, fear and apprehension can be worse then reality.
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, 1/9/9 - pre-op, 1/13/9 - corrective operation scheduled at St. Francis
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
 
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 1/13/2009 4:11 PM (GMT -6)   
Yeah Allan, I dream of pissing like a rented mule when this is over with.
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, 1/9/9 - pre-op, 1/13/9 - corrective operation scheduled at St. Francis
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
 
 


DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 714
   Posted 1/13/2009 4:17 PM (GMT -6)   
David,

Sounds like a much better experience this time. It is great that you have photos which can give you some assurance that things are actually improved. May you do well flowing both on and off next week!
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


Ralph Alfalfa
Regular Member


Date Joined Nov 2008
Total Posts : 469
   Posted 1/13/2009 4:17 PM (GMT -6)   

Hey, David

Glad to hear all went well.  Now if you can make it next Monday and keep your fingers crossed.  I guess the flap theory was right.  Anybody else who reads this with the same problem may benefit from your experience(painful as it was).

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


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 1/13/2009 4:18 PM (GMT -6)   
Wow David...what a ride. I really hope that this will be the last of the catheter come next week. I (and I believe most here) have honestly felt every pain, agravation, fear and misery you have gone through by just by reading your posts...but in reality I know I have no real idea what you have been going through except for what my imagination would tell me it would be like. And I hate to say this...that imagination is like a bad nightmare and yet you live it for real. Your story is very unique and informative all in the same post each and every time. Hang in there bud and keep us informed.

Thanks for all the posts and updates you have given us despite what you are going through.
You are beating back cancer, so hold your head up with dignity
 
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 2008 <.05
      Jan 2009 .06


DoingFine
Regular Member


Date Joined Sep 2008
Total Posts : 46
   Posted 1/13/2009 5:28 PM (GMT -6)   
Alright! I bet at this point you can't wait until Monday . . .

Cheers,
Rich
Age at dx: 51 Age now: 52
Great health: Riding bike 200+ miles weekly; no symptoms
First PSA: 4.7 March 2008 (bummer)
Second PSA: 4.97 June 2008
Biopsy June 2008
Positive 5 of 12 cores (real bummer) T1c
Gleason 3+3
Bone scan: 7 July negative
RRP surgery 3 Sept 2008 at the Mayo Clinic: Rochester, MN
All clear
Catheter out 22 Sept 8:30 AM, catheter back in at 11:30 (not happy)
Catheter out 30 Sept (this time for good!)
Total continence, no erectile difficulties from day one (Cialis 10mg daily)
Back on bike 15 Oct. (42 days . . . with doc's approval)
Dec. 2 2008 psa Undetectable!


sandstorm
Regular Member


Date Joined Dec 2008
Total Posts : 194
   Posted 1/13/2009 5:34 PM (GMT -6)   
Welcome Home, David

I sure do like the sound of what you are saying. Get some well deserved rest and we all look forward to Monday and a succesful conclusion to this nightmare you have had to endure.
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
Da Vinci RRP 01-09-09
Time to heal now.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 1/13/2009 5:44 PM (GMT -6)   
Thanks, my friends, one and all, if my experience with this helps someone else here one day, all the pain and suffering will be worth it. That's why I love how we all share the good and the bad here, I wish we were able to sit and talk some place at the same time in real life, but this is the next best thing. I feel more sincerity here with you guys and girls here, then I do with a lot of people that I really know in my real life. I appreciate each of you, as we wage our wars and battles with the PC beast.

As I see more and more newbies join us here, it saddens me in one sense, because it means more and more men are getting dx. with pc. And we are only seeing the ones that randomly or steered here. That's why I enjoyed the thread on the "good cancer" argument. Only someone outside our battlefield would say something that stupid and cold.

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, 1/13/9 - Had operation St. Francis - removed blockage, put in Cath #5, suppose to be removed 1/19/8
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
 
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 1/13/2009 6:22 PM (GMT -6)   
Thanks Mike, but even in my peak days pre-PC, couldn't get much more than a country mile, but would settle for that right now.

David
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, 1/13/9 - Had operation St. Francis - removed blockage, put in Cath #5, suppose to be removed 1/19/9
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
 
 


Todd1963
Veteran Member


Date Joined Oct 2008
Total Posts : 3208
   Posted 1/13/2009 7:34 PM (GMT -6)   
hurray hurray I hope this does the trick david you deserve it. Todd
dx:06/03/06
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!!!


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 1/13/2009 7:43 PM (GMT -6)   
I surely hope so, Todd, it certainly hasnt been for the lack of trying. lol. Hope you are doing well.
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, 1/13/9 - Had operation St. Francis - removed blockage, put in Cath #5, suppose to be removed 1/19/9
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 1/13/2009 8:26 PM (GMT -6)   
Hello Dear David, What a time you have had......but you are on the up side now!! You have a wonderful wife....lovely as you noted.....and you will be better each day... .Great that you have photos. I also think that new people can learn and profit from each of the different stories that they hear about on this site. I especially identify with you because you and Pete had the same scar tissue problem.. and catheters in for so long. Good luck to you feeling better in the coming days. xxDi
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
AUS improving..only 2 pads a day and one at night
Complete hip replacement surgery Dr. Waters Gainesville, FL 1/9/09
Forging ahead to health!


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 1/13/2009 9:15 PM (GMT -6)   
Thanks, Diane. Was hoping to hear from you tonight. I hope Pete is healing well on your end. The photos were a complete surprise to me, it is easy to second guess, but it's too bad they didn't "scope" me after the first blockage, would have saved me some serious wear and tear. But I still stand by my doctor's abilities and level of patient care. Once again, St. Francis in Greenville, SC is one first class hospital. Everyone today that had any contact with me treated me with the upmost respect and tender care. The thought of being off the catheters for good (hopefully) in 5 more days is almost too good to be true at this point, but my dr has a high level of optimism that this op today will do the trick. Give my best to Pete, as he heals and gets use to those new high tech hips. Was reading about that recently, and didn't realize they were so hardware intense.

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, 1/13/9 - Had operation St. Francis - removed blockage, put in Cath #5, suppose to be removed 1/19/9
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 1/13/2009 9:24 PM (GMT -6)   
Well,
We have to hope for the best, and we will. And I really hope this does it for you. Geez.

Tony
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:
 
STAY POSITIVE!
 
 


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 1/14/2009 10:23 AM (GMT -6)   
David, glad to see you return, and hope you are now on the road to full recovery...
James C. Age 61
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/07 Path report: 3 of 16 PCa, 5% involved, left lobe , GS 3/3:6.
9/07 Nerve sparing open Retropubic Radical Prostatectomy
9/07 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.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 1/14/2009 10:25 AM (GMT -6)   
Thanks, Tony. Despite some low level pains, managed to get pretty decent sleep but disapointed that no sooner then I stepped out of bed, had a major, painful bladder spasm. So back on the ditropan for me, was hoping to avoid it. I guess my poor bladder is just so sick of catheter contact after 2 fulll months, and perhaps because the dr yesterday after the op put in the largest diameter cath in me. Was hoping to make it till Monday without the spasms. I will be a new man with a new attitude if this procedure works in the end, and I can be freed of catheters. Actually have a lengthy job interview in the morning, hoping to hide that leg bag under my best suit again.

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, 1/13/9 - Had operation St. Francis - removed blockage, put in Cath #5, suppose to be removed 1/19/9
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
 
 


Doting Daughter
Veteran Member


Date Joined Aug 2007
Total Posts : 1064
   Posted 1/14/2009 10:34 AM (GMT -6)   
David-
5/6 of the way blocked. No wonder!! So glad that things are cleared up and hoping this recovery is a speedy one and the final one. All the best in your recovery.

Chayna
Father's Age 62 (now 63)
Original Gleason 3+4=7, Post-Op Gleason- 4+3=7,
DaVinci Surgery Aug 31, 2007
Focally Positive Right Margin, One positive node. T3a N1 M0.
Bone Scan/CT Negative (Sept. 10, 2007)
Oct. 17 PSA 0.07
Nov. 13 PSA 0.05
Casodex adm. Nov 07, Lupron beg. Dec 03, 2007 2 yrs
Radiation March 03-April 22, 2008- 8 weeks 5x a week
July 2, 08 PSA <.02
Oct. 10, 08 PSA <.02
Praying for a cured dad.

Co-Moderator Prostate Cancer Forum


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 1/14/2009 10:42 AM (GMT -6)   
Hello Chayna,

Yeah, with that kind of blockage, when they did attempt twice to get me off the caths, it would quickly swell shut in a few hours. With the neat photos the dr showed me after the op, it looks really positive, that even allowing for some new swelling, should be able to flow freely. I will believe it when I see it, but hoping he's right. Not much else it could be in that part of the plumbing. lol.

David
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, 1/13/9 - Had operation St. Francis - removed blockage, put in Cath #5, suppose to be removed 1/19/9
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
 
 


Doting Daughter
Veteran Member


Date Joined Aug 2007
Total Posts : 1064
   Posted 1/14/2009 10:50 AM (GMT -6)   
Did your Dr. say why there was so much scar tissue to begin with? I know some people produce more scar tissue (like myself) and anytime I have a procedure done I have to let them know. It's not a big deal, they can just prevent the additional scar tissue from forming.
Father's Age 62 (now 63)
Original Gleason 3+4=7, Post-Op Gleason- 4+3=7,
DaVinci Surgery Aug 31, 2007
Focally Positive Right Margin, One positive node. T3a N1 M0.
Bone Scan/CT Negative (Sept. 10, 2007)
Oct. 17 PSA 0.07
Nov. 13 PSA 0.05
Casodex adm. Nov 07, Lupron beg. Dec 03, 2007 2 yrs
Radiation March 03-April 22, 2008- 8 weeks 5x a week
July 2, 08 PSA <.02
Oct. 10, 08 PSA <.02
Praying for a cured dad.

Co-Moderator Prostate Cancer Forum


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 1/14/2009 11:41 AM (GMT -6)   
No, he didn't specifically the reason, he has said, all along, that he had a very difficult time joining the urethra to the bladder neck after the prostate was removed, said it was the toughest in his 26 years.
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, 1/13/9 - Had operation St. Francis - removed blockage, put in Cath #5, suppose to be removed 1/19/9
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
 
 


Jerry1
Regular Member


Date Joined Mar 2007
Total Posts : 460
   Posted 1/14/2009 1:40 PM (GMT -6)   
 
 
So glad to hear they finally found the cause of your problems and hopefully now you will be able to heal and be able to put this behind you.  glad to hear all is well you are in our thoughts and prayers for a speedy recovery.
 
Jerry & MJ 
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
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
12/2/08 first PSA <0.1

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