I was diagnosed with PC on 11-11-08 which proved to be the most frightening day of my life. I am 64 years old and my father died of prostate cancer. My PSA was 3.3 and was just done in November. I agreed to a biopsy but I never would have guessed that I had PC with a PSA of 3.3. There were 14 cores taken on my biopsy resulting in 7 samples with a Gleason score of 7, two with a 6, and 5 benign. There was also one mid core sample with a focal perineaural invasion noted.
My doctor recommended that it would be in my best interest to treat the disease within the next 30 days. The two options I considered were the seeds and the Da Vinci surgery which I ultimately chose. I recognized the risks with both procedures and my wife who is a hospital administrator and a therapist by degree, and I felt the surgery was the best solution for me. My Urologist and Surgeon felt that the disease was contained but of course no one knows until they go inside and then get the pathology information.
On the eve of my surgery I of course was suffering a case of nerves, but at least I knew I was taking my first step in dealing with this dastardly disease. The surgery was fairly un-invasive, and I was out of the hospital the next day which was a Thursday and I was able to go back to work on the next Monday. I have a desk job so I was able to at least work a half day for the first week, and add hours on to that in the following weeks. On my first visit with my doctor two weeks after surgery my doctor removed the catheter and went over my pathology report. All margins were clear and the only thing of concern was a spot where the cancer had risen to the apex of the prostate capsule. He said it did not appear that the cancer escaped the capsule, but we would know if the PSA was over .10 which is what he allowed. If it was over that he said he wanted me to take radiation treatments.
One month later on January 16 he gave me the results of my PSA which was exactly .1. He was very pleased, but nobody was as elated as much as I was. My next PSA is in three month and I am hopeful that my PSA will remain low.
One lesson I learned among many is that everyone’s PC is different. Although my PSA was only a 3 before I went to the urologist it turned out I had very aggressive cancer with an average Gleason of 7. Three weeks later after the removal of the gland the pathology report said it was an 8. I thought this stuff grew slow but in my situation that didn’t seem to be the case.
Thank you all for your support as I really don’t know what I would have done without your kind words, encouragement, and advise.