Post op progress

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Regular Member

Date Joined Jan 2009
Total Posts : 47
   Posted 1/26/2009 9:24 AM (GMT -6)   
It is now three weeks since my robotic surgery. I still wear the diaper at night but I've had minimal leakage. I've changed to light pads during the day and now use 3 per day to stay dry.
Pathology report states: Prostatic adenocarcinoma, Gleason grade 4+3 =7. NO EVIDENCE OF EXTRAPROSTATIC EXTENSION AND THE MARGINS OF RESECTION ARE UNINVOLVED.
Extraprostatic extension: absent
Seminal vesicle invasion: absent
Pathologic staging: pT2cNXMX
Margins: uninvolved by invasive carcinoma
Perineural invasion: present
Venous invasion: absent
Lymphatic invasion: absent 
Thus far I've had no sexual desire or response. My post op appointment with the surgeon is February 20 so I'm hopeful of further progress.
Comments please!!!

Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4840
   Posted 1/26/2009 9:32 AM (GMT -6)   
Lookin good...
Age 53   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
Catheter in for five weeks.
Dry after 3 months.
10/03/08 - 1st Quarter PSA -> less then .01
01/16/09 - 2nd Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4462
   Posted 1/26/2009 9:35 AM (GMT -6)   
First congratulations and welcome to the other side. Your path report is excellent. The gold standard for all the words we want to hear on ours. No evidence, not involved, absent- really great words to see written down. The Perineural invasion: present is common, almost every path report will say that. The PIN is in the nerve sheaths inside the gland, not the nerve bundles outside. Almost any cancer in the gland will spread to the nerve canals, as that provides growing room.

ED: Still a little early for most of us guys, just 3 weeks. Your doctor will probably have you on a 3 month checkup schedule for the immediate future, so ask him his plans for ED rehab at your next checkup. Remember, sexual desire is mostly in the head, sexual response is in the nerve bundles in the abdomen. If you have nerve sparing surgery, then it will still take some indeterminate amount of time for them to recover from being moved, etc, during the surgery, so time will tell. All in all, you seem to be on the average time line for milestones during your recovery.
James C. Age 61
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
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
PSA's: 3 mts-.04, 6 mts.-.04, 9 mts.-.04, 12 mts.-.04, 16mts.-.04

Elite Member

Date Joined Oct 2008
Total Posts : 25382
   Posted 1/26/2009 9:40 AM (GMT -6)   
Welcome back to the land of the living! You have really good post-surgery pathology report, it is saying all the right things you need it to say. I agree with James, probably a tad early on the sexual side, but hey, at least you are thinking about it.
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3
3rd Biopsy 9/8 Positive 7 of 7 cores pos, 40-90%, Gleason 7
Open RP surgery 11/14/8, Non-nerve sparing, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery   2/9/9

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