Surgery Tomorrow

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mirv
Regular Member


Date Joined Nov 2008
Total Posts : 30
   Posted 2/3/2009 3:53 PM (GMT -7)   
Hi All,

Well it looks like my day has finally come around and tomorrow I'm going in for my robotic lapro surgery. I've got a doctor I trust, a procedure that I believe to be effective, and good family support so now it's time to get it done. Once I set this up back in December I pretty much concentrated on enjoying life and I tried not to think too much about the surgery and aftermath, but here it is now so here I go. One of my doctors made the remark that this disease is like riding a rollercoaster with the difference being you can't choose to get off. I sometimes think of this surgery as a kind of controlled car crash where I know I'll probably survive but I'm just not sure what the damage is going to be. In any case, the main thing is I hope they get all the cancer and that the side effects, over time, aren't too bad.
I feel very lucky to live in a time when there are excellent treatments and surgeries available to help us with this disease and I hope they get better in the future. I'm also thankful for this group that allows so many people to communicate with each other so easily and thus end some of the isolation that can occur with this illness. Thanks for all your great information and posts, you're all making an even bigger difference than you probably know.

Uh-oh, I think that pre-op magnesium citrate bowel cleansing solution is starting to kick in, I better get a move on.................. : )

Take care and good health!!

Mark
Age     52
Dx      11-07-08
PSA    3.1
fPSA   26%
1 of 12 cores with 5% adenocarcinoma
11 of 12 cores clear
Gleason grade 3+3=6


chrisinmaine
Regular Member


Date Joined Aug 2008
Total Posts : 31
   Posted 2/3/2009 3:56 PM (GMT -7)   
Good luck Mirv! See you on the other side!
Age 51
March 08 PSA prior to biopsy 6.65
PSA caught in life insurance exam.
Completely asymptomatic.
April 08 Biopsy: Gleason Grade 3+4=7
Tumor in 5 of 13 cores
July 22, 08 Radical Robotic Prostatectomy
All nerves spared
Pathology: Margins clean, Seminal Vesicles negative for tumor
Gleason Grade 3+4=7 Percent Gleason Grade 4-20% no Gleason grade 5.
First post-op PSA scheduled for 10/08
Very minor incontinence since catheter removal on 7/29
ED assisted by low dose of Levitra. So far so good.
I feel very, very lucky.
First post op PSA 11/19/08 <.02 undetectable!


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25354
   Posted 2/3/2009 3:59 PM (GMT -7)   
Mirv, best of luck to you, your surgeon, and your family. We look forward to seeing you on the other side. Then you will be on the recovery side of your treatment. We are here for you, brother, just remember that.

David in SC
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
 
 


gpg
Regular Member


Date Joined Jan 2009
Total Posts : 180
   Posted 2/3/2009 4:03 PM (GMT -7)   
Good luck Mark,

Looking forward to your speedy recovery.

Scott
Diagnosed @ 48yo 04/07
focal, low volume tumor gleason 6
RRP 07/30/07
Persistance of PSA
IMRT 11/07-01/08
Emerg, cysto obstructed bladder 01/08
Persistance of PSA
08/08 learned Dr. left significant amount of prostate
12/08 PCA3 negative
12/08 saturation biopsy 36 cores 24 having normal prostate tissue
12/08 referred whole to med malprac attorney


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 2/3/2009 4:41 PM (GMT -7)   
See ya on the other side, guy
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
16 mts: ED- 50 mg Viagra 3X week, pump daily,Trimix .35ml 2X week continues
PSA's: .04 each 3 months


BillSD
Regular Member


Date Joined Sep 2008
Total Posts : 143
   Posted 2/3/2009 5:26 PM (GMT -7)   

Mark,

We will all be thinking of you tomorrow. Your post brought back so many memories of the day before surgery. We can't help but be apprehensive, but just be assured you will be getting the best care possible. The worst is behind you...getting the news you have PC. Mine was open surgery, and it really wasn't bad at all. I was back at work in three weeks.

I'll say a special prayer for you tonight. 

Bill in San Diego


Age 60 (59 when Dx) PSA 4.4
Biopsy 5/15/08 Gleason (3+3=6)
Bone scan and pelvic CT: clear
HT - 2 mo Casodex, 3 mo Trelstar
RRP Surgery 9/15/08 La Mesa California
Geason 3+4=7, Stage pT2c pN0 MX
Seminal vesicals, perineural margin, 18 lymph nodes, bladder neck: all carcinoma free
Perineural invasion & Distal Margin: Carcinoma present
IMRT adjuvant radiation (35 Treatments) End 1/27/09
PSA (10/13/08): <0.1
 


durantlion
New Member


Date Joined Jun 2008
Total Posts : 12
   Posted 2/3/2009 5:27 PM (GMT -7)   

Mark...

Our prayers and thoughts for you and your family tomorrow. We do live in a wonderful time for treatments and surgeries.  Keep the faith. You will do okay, just remember we all are pulling for you.

 

durantlion 


Born Aug. 14, 1940; dx 6-3-08
Oct. '05 PSA 3.7; Free PSA 14.3
1st Bio July '06 - negative; PSA 5; DRE Negative
2nd Bio Mar '07 - negative; PSA 6.68; DRE Negative
Feb. '08 PSA 7
Mar. '08 PSA 10.8;  Free PSA 24.1
April '08 PSA 8.2; Free PSA 14.6
3rd Bio June 3'08, one core of 10 (LMid 20% cancer)other 9 cores negative
Stage T1c, Gleason 3+3=6; DRE Negative
Scheduled surgery, da Vinci, Aug. 7, '08. Canceled due to failed pre-opt stress test. Had cardiac stent put in August 1. da Vinci surgery Oct. 31, '08.  Cath. out Nov. 11.  Nerves sparred. No incontinance at night and only 1 pad per day, more for precaution. 
ED...still! 
1st Quarter PSA report on Jan. 11, 2009 was ZERO (0.0).
 


Tobmeister
Regular Member


Date Joined Jan 2009
Total Posts : 41
   Posted 2/3/2009 5:30 PM (GMT -7)   
Hey Mark

Once you reach this point you are in God's hands. And he will control your surgeon's hands. You will be fine. Just go with the flow.
Tom, age 51
Diagnosed 11/12/2008
PSA 2006 - 2.8, 2007 3.06, 2008 4.6 (remember the rate of increase is as important as the level), PSA free 8.7%
Family history - brother and uncle (remember family history is very important)
Gleason score 7 (4+3); 6 out of 19 cores sampled positive for cancer; perineural invasion present
Bone scan and CT scan both negative
Prostate mildly enlarged, DRE negative
DaVinci radical prostatectomy 12/30/2008 - Duke Medical Center - left side nerves spared
Catheter removed 1/15/09 - no pain!

Post operative results:
Pathologic stage - T3aN0Mx
Post surgery biopsy - Bladder neck margin negative, lymph nodes negative, specimen confined, extracapsular extension positive, perineural invasion positive, seminal vesicle invasion negative, all margins negative, Gleason 3 + 3 = 6.

No incontinence problem within 1-2 weeks after catheter removal
1st post op PSA scheduled for 4/16/09

"Pick a good doctor and say your prayers"


GarthK
Regular Member


Date Joined Feb 2009
Total Posts : 74
   Posted 2/3/2009 6:05 PM (GMT -7)   
Good luck to you tomorrow and may all go better than expected with only the best of results!

We're waiting for you to join us.

See ya,
Garth
Vitae:
DOB: Q4'46, HT: 5'9", WT: 180
PC:
Biopsy: 12/08
Cores: 4 of 12+ positive
PSA: <2.5
DRE: Slight enlargement, one node
Gleason: 3+3
Surgery: RRP on 1/21/09
Catheter: 15 days
Pathology:
Adenocarcinoma occupying 5% of prostatic volume (right posterior aspect)
Gleason: 3+2
No extraprostatic extensions
Perineural invasion within prostate only
No angiolymphatic invasion
No seminal vesicle invasion
Clear margins
AJCC: pT2a


El Solo Gaucho
New Member


Date Joined Feb 2009
Total Posts : 1
   Posted 2/3/2009 6:23 PM (GMT -7)   
Mark,

I just discovered this site and have not yet completed "my address," but wanted to wish you all well tomorrow. I was in your situation on the evening of 5 November 08 and had the DaVinci-assisted radical prostatecomy the next morning (cancerous cells contained in one quadrant, Gleason 4+4=8, no sign of escape from capsule). The surgery went well, out-of-hospital the next afternoon, and an uncomplicated and pretty quick recovery. Post surgerical PSA on 19 Dec was 0.01 - "undetectable." Full continency achieved in mid-January. ER still present but the situation getting better by the week! All of this to say to encourage and support your confidence that you have done the right thing and that you are in a great position to be cured and beat The Beast. My thoughts will be with you tomorrow - be sure and let us know how it went and we can help. I have a hunch that your resources for support and counsel on this forum are countless! Be well my man!!!
El Solo Gaucho
"The tango waits for you."


Ralph Alfalfa
Regular Member


Date Joined Nov 2008
Total Posts : 469
   Posted 2/3/2009 8:04 PM (GMT -7)   
Hey, Mark
Isn't the bowel prep the most insidious of medecine's crreations? Starve, then purge, then purge some more, and some more, and some more, etc. You'll do fine tomorrow...especially after the Verced kicks in. After that they could cut off your head and you wouldn't care. My wife told me that as they were wheeling me in the nurse asked, "Do you know what you're having done?" My reply, "How long have I been a nun?" Better living through chemistry. I asked for a six pack to go of the good stuff. See you on the other side. Bon chance.
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


RBinCountry
Regular Member


Date Joined Apr 2008
Total Posts : 270
   Posted 2/3/2009 8:35 PM (GMT -7)   
Mark,
Your biopsy shows you got this thing early, and you will find the surgery for most of us was less of a hassle than the biopsy. Regardless, soon it will be behind you and you will be on the healing end. I know for me the stress before surgery was by far the worst part of it. The post surgery for the most part was happy time.

Let us know on the other side!

RB
Age 61 (now 62)
Original data - pre-operation
PSA: 5.1
T1C clinical diagnosis, Needle biopsy - 10 cores, Gleason 7 = 3+4 in 1 core (40%), 7 cores Gleason 6 = 3+3 ranging from 5% to 12%
All scans negative
Lupron administered 4/9/2008 for 4 months (with idea I would undergo external beam radiation followed by seed implants - then I changed my mind).
Robotic DiVinci surgery - Dr. Fagin (Austin) May 19th
Post operative - pathology
pT2c NX MX
Gleason 3+4
Margins - negative
Extraprostatic extension - negative
seminal vesicle invasion - uninvolved
1st Post PSA <.04
2nd Post PSA <.1 10/30/2008


vs1vs2
Regular Member


Date Joined Dec 2008
Total Posts : 60
   Posted 2/3/2009 8:45 PM (GMT -7)   
Mark-Prayers coming from all over Ohio. Wish you a great surgery and a better recovery.
Tim
Age at Dx:48, currently 49
PSA May 08 2.96
referred to uro
PSA June 08 3.44
biopsy 7/25/08-29 core samples
path 7/31/08-8 of 29 PCa/10% involved L/R base and mid
high grade PIN in apex/seminal vesicles clear stage GS 3/3=6 pT2a
10/7/08 robotic at Cleveland Clinic-Dr. Kaouk
10/10/08 path GS 3/3=6 pT2c
cancer contained/neg margins
PSA Jan/09 .03


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2457
   Posted 2/3/2009 9:07 PM (GMT -7)   
Good Luck Mark. I wish the best possible result.
Age: 67
5ft 10 inches 182 lbs
Married. 4 children; 11 grand children
Retired in 2001 and living in Austin TX.
Scheduled for Robotic surgery on Feb 9th
Surgeon: Dr. Randy Fagin, Austin TX.
12 sections tested 2 with cancer
Left Medial Apex 4.0 mm. Gleason score 9 (4+5)
Left Lateral Apex. 2.0 mm Gleason score 8 (4+4)
Negative CT scan and bone scan done on 1/09
PSA 3.5


mvesr
Veteran Member


Date Joined Apr 2007
Total Posts : 823
   Posted 2/4/2009 5:38 PM (GMT -7)   
Hi mirv

Good luck to you.

Mika
age at dx 54 now 56
psa at dx 4.3
got the bad news 1/29/07
open surgery Duke Medical Center 5-29-07
never more than 2 pads
Tossed the pads this spring
ED still a problem
Got a shot last week and it was great
A year an a half of zero's
 


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 2/4/2009 6:05 PM (GMT -7)   

All should go very well for you, good journey. The guy that got the first LRRP in the USA was around 43 yrs. old or so, and he says he was playing golf within a few days, of course catheter must have been with him.  I met the guy on a follow up visit at Henry Ford Hosp. in 2002, he was coming back in for a check up with Dr. Menon.  They filmed his LRRP and because of the documentation his surgery actually ended up with 6-7 hours instead of 3 hrs. wink or so.  He has bragging rights to being the first in the USA to have it done, of course the French were here to train Dr. Menon whom had a very good reputation as a surgeon anyway. Took a little moxy to know you were the first one getting this back then, now it is very common in alot of places.

 

Z-Bob


 


divo
Veteran Member


Date Joined Jul 2008
Total Posts : 637
   Posted 2/4/2009 6:45 PM (GMT -7)   
Best wishes and prayers and good luck to you, Mark. I DO LOVE El Solo Gaucho's remark: "The tango waits for you!" You will be fine. 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
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!


masterguns
New Member


Date Joined Nov 2008
Total Posts : 16
   Posted 2/4/2009 6:56 PM (GMT -7)   

Mirv,  Although you may not read this until after your surgery, I want to wish you a speedy recovery.  Take care my friend and feel free to chime in here anytime.  I'll remember you in my prayers tonight.  Let us know how things are coming along.

Masterguns


AGE: 59 DIAGNOSES: 5/27/08
PSA ONE WEEK PRIOR TO DAVINCI ROBOTIC: .84
ROBOTIC ASSISTED LAPAROSCOPIC PROSTATECTOMY):11/11/08 
TOTAL GLEASON SCORE: 7
PRIMARY PATTERN:   GRADE 3
SECONDARY PATTERN: GRADE 4
CONFINED TO PROSTATE:  BILATERAL INVOLVEMENT OF PROSTATE - pT2c
REGIONAL LYMPH NODE STATUS:  CANNOT BE ASSESSED - pNX
MARGINS UNINVOLVED BY INVASIVE CARCINOMA, THE TUMOR IS <1.0 MM.TO RIGHT
ANTERIOR LATERAL MARGIN.
EXTRAPROSTATIC EXTENSION:  ABSENT
SEMINAL VESICLE INVASION:  ABSENT
DISTANT METASTASIS:  CANNOT BE ASSESSED - pMX
PERINEURAL INVASION: NOT IDENTIFIED
HIGH-GRADE PROSTATIC INTRAEPITHELIAL NEOPLASIA (PIN):  NOT IDENTIFIED
PROPORTION (PERCENT) OF PROSTATIC TISSUE INVOLVED BY TUMOR: APPROXIMATELY 8%
ADDITIONAL PATHOLOGIC FINDINGS:
-NON-NEOPLASTIC PROSTATE WITH GLANDULAR AND STROMAL HYPERPLASIA.
-CALCIFIC ATHEROSCLEROSIS

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