My Doctor's Comments on my Lack of ED at this point

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Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25382
   Posted 2/9/2009 11:25 AM (GMT -6)   
After getting the PSA report, my dr and I spent a lot of time on ED.  At almost 3 months post surgery (open), and 3 weeks to the day post the last of my 66 days on catheters, I can achieve errections with no difficulty, just through normal fooling around with the wife.  This has been going on for 2 full weeks now.  At first, she estimated 60-80%, but after this weekend, she said no doubt 100% pre-surgery.  Was able to obtain, maintain till the job was done, without any effort.  And can repeat this probably about the same frequency as before surgery, which at 56, wasn't as often as when I was 18.  Least I am being honest about it.
 
Told my dr about our group hear and how some here were wanting a medical explanation for what I am experiencing.  He said, he can't give one, that in his 26 years of practice, he has seen men with both nerves spared never have natural errections, and men with both sides removed have natural errections.  I quote him here, "someone up there must like you" in that department.
 
I will change my signature, he now clearly states that he only removed the left side nerve bundle, that he never touched the right side, and that it must not have been damaged as much as he observed.  He said the biggest factor is how much shock and trauma the nerve bundles go through in surgery, whether they stay or are removed.
 
He said he was thankful I had that kind of results, and I assured him I was too.  We both agreed that there was no need for pumps or drugs at this point, not unless I lose the ability in the future or have some kind of relapse.  He said even a couple of good workout a week the natural way will keep plenty of blood flowing in the right places.
 
I hope this post can be an encouragement to each man here, whether you are pre-treatment or post-treatment.  With PC, nothing is written in stone, you can have different results, no positive way of knowing ahead of time.  My doctor and I's agreement going into surgery was the standard order:  Get the cancer out with whatever wide margins were needed, try to consider incontinence second, and ED was a distant 3rd.  You may remember from some of my pre-surgery posts, that my wife and I were emotionally prepared to deal with me having perm ED.
 
He also told me not to worry about what becomes of the sperm that is no long ejaculated, he gave me a complicated lesson in biology that made sense but I cant remember now.  And then I do ask goofy questions, I asked if penis size had anything to do with ED results, i.e. a tiny weiner might not require as much blood flow as a long dong, he laughed on that and said that made no difference.
 
Sorry to be so long, wanted to share while this was fresh in my mind.
 
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
 
 


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 2/9/2009 11:37 AM (GMT -6)   
David, you are definetly the poster boy for ed miracles. Maybe reward or karma for your awful experience with continence.. In any case, that's great, and I am envious... tongue
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


gpg
Regular Member


Date Joined Jan 2009
Total Posts : 180
   Posted 2/9/2009 11:45 AM (GMT -6)   
Hi David,

Well at least that is part of the puzzle, you had indicated that your surgery was non nerve sparing, and it is well documented that both bundles are not required. I remain puzzled concerning your Drs. statement that some men with both bundles removed have normal erections, I am not a Dr. and I have not read everything printed on this matter but I have read that it is not possible to have normal erections in the absence of both bundles.

Continued health and well wishes to you. 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


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25382
   Posted 2/9/2009 12:20 PM (GMT -6)   
Scott, I am only repeating what a dr/surgeon with 26 years of experience said, based on his cases and his practice. I hope my progress continues in this direction on its own, and I assure you, I feel lucky, but no more deserving of getting a break in this department than any man that suffers here with us with PC and ED.

My dr/surgeon is no egotist, I assure you, very humble man. He was not claiming any extra surgical skills or grace while working on me. He was pleasantly pleased with the news.

We all know there is nothing certain with PCa, too many variable in every aspect of it, just look at the multitude of stories just in our little family here, enough to fill several books.

Like most men, I am thankful to be alive, thankful to be ahead at this point, and thankful for all the endless and wonderful support I get from this site, HW. Combined that with a great wife and family, I feel blessed.

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
 
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25382
   Posted 2/9/2009 12:24 PM (GMT -6)   
James, I would only be interestd in being poster boy for giving HOPE to any man here and their families. With PCa, you never know what you are going to get, and I don't want anyone to give up hope that their lives can still go on despite cancer, its treatments, and its side affects. Who knows what I may have to still deal with in the future. Today, I am happy to be in the Zero Club, makes most of what I went through in my own unique journey worth it to be on this side of the PSA numbers.
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
 
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25382
   Posted 2/9/2009 4:52 PM (GMT -6)   
P.S. On the orgasam part, my dr. did say it takes the brain x amount of time to sort all that out. He plainly said you can have a good orgasm without an errection, that the two don't need to be connected to work. He also said what I sensed was the case, in that, it's hard for men at first to associate an orgasm without any kind of ejaculation. From the time we come of age, we expect one to be with the other, and for the orgasm to be seamless between the inner feeling and the feeling of fluid releasing from our bodies. He said over time, the distant feelings I am experiencing now, should sharpen up fine, that would be more typical. I told him right now (and I am not complaining), I can feel a distinct build up, and then a series of releases, but they seem more muted and distant, and of course, dry.
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, Right nerves saved, 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 .05
 
 


sandstorm
Regular Member


Date Joined Dec 2008
Total Posts : 194
   Posted 2/9/2009 5:36 PM (GMT -6)   
I enjoyed your post David and this answered some questions I had. Following your story gives me hope since I'm now 4 weeks post-op and still have a braindead little guy. But maybe he is waking up some in the night time with the noticeable lengthening. Thanks
Age at DX 57
5-18-07 PSA 7.7
5-06-08 PSA 4.6  8% free psa, but stable
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 / post-op 3+4  7  stage t2c
CT and Bone scan negative
Da Vinci RRP 01-09-09
Catheter removed 1-15-09
Pathology Report says it's gone!
First Post-op PSA due 2-17-09


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25382
   Posted 2/9/2009 6:28 PM (GMT -6)   
sand, sometimes i think i describe too much, but as a writer, i am use to descriptive passages, and i have always been very much in tune with my body and feelings. most of my doctors have liked that over the years, as it makes their job easier with dx. and stuff. at 4 weeks, sand, my wee one was still in a deep coma, shriveled up in another dimension, but you had robotic, so perhaps it will come out sooner than me, plus all my cath time didn't make one want to think about errections and such. I wish you great healing yourself.

david
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, Right nerves saved, 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 .05
 
 


spisam
Regular Member


Date Joined Jan 2009
Total Posts : 47
   Posted 2/9/2009 7:32 PM (GMT -6)   
Dave, God bless you!!!
 
Sam

divo
Veteran Member


Date Joined Jul 2008
Total Posts : 637
   Posted 2/9/2009 8:02 PM (GMT -6)   
Whoa!! You are the Man!! 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!


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25382
   Posted 2/9/2009 8:10 PM (GMT -6)   
Thanks again, Diane, I almost feel guilt reporting good news in that dept. Now if I were as lucky at winning the Powerball, Id be all set. lol. Just kidding
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, Right nerves saved, 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 .05
 
 


mvesr
Veteran Member


Date Joined Apr 2007
Total Posts : 823
   Posted 2/9/2009 9:36 PM (GMT -6)   
Hi David
 
You are the MAN!!!
 
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
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25382
   Posted 2/9/2009 9:52 PM (GMT -6)   
Thanks Mika, happy for your 1 1/2 years of zeros, keep em coming
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, Right nerves saved, 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 .05
 
 


DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 797
   Posted 2/9/2009 9:58 PM (GMT -6)   
David,

It was great to read your good news. On both fronts!

So now, are you going to write a book about it?

DJ
Diagnosis at age 53. PSA 2007 about 2; PSA 2008 4.3
Biopsy September 2008: 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 out on 7th day, replaced on 8th day, out again 14th day following negative cystogram
Pathology: pT2c; lymph nodes negative; margins involved; 41 grams, 8% involved by tumor; same Gleason 4+3=7
PSA 1/22/08 non-detectable! 8-)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25382
   Posted 2/9/2009 10:09 PM (GMT -6)   
DJ,

For all my writing in my life, I never write non-fiction, tried a few times over the years, but feel it limits my imagination. Plus not sure how interesting my, or any of our stories would be to anyone not dealing with PC or knew someone dealing with PC. Speaking of writing, I finally heard back this weekend from a publisher about my latest novel, a dark horror book, a new genre for me, somehow, they sent it to the wrong editor, the romance editor, and she didn't think it was a good choice, lol, took one full year to get a reply. Such is the life of a writer.

David
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, Right nerves saved, 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 .05
 
 


biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1464
   Posted 2/9/2009 10:13 PM (GMT -6)   
Good for you David.

Most of us don't fair as well on the ED issue but its important not to give up. I had a total flat tire for 3 months. No response naturally or with meds. Part of my problem was low testosterone and after getting that part fixed, started having some response to stimulation. Finally at about 7 months I went to Trimix injections. The first non-erect orgasms were really strange but as was said in a post above, it took a while for my brain to re-arrange things so that they started working. Now the orgasms are better than ever before surgery, longer lasting and more intense. They are the same erect of not.

This topic is very imprtant and we need to keep the conversation going for new people to give them hope. Sex is imprtant to most of us and from what we see here on the forum, every guy can overcome post-treatment ED one way or another. Two points seem to be important for success. Practice makes perfect and use it or lose it.

Jim
Age 74. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Catheter out on 12/13/06.  Dry on 12/14/06.
Pathological stage: T2C N0 MX. Gleason 3+4.
50 mg Viagra + 1000 mg L-Arginine + .03 cc Trimix = Excellent Results
PSAs from  1/3/07 - 7/17/08 0.00. 
PSA on 1/28/09 - 0.02
Lung cancer dxed on 5/16/08.  Surgery on 6/25/08  T1N1M0 - Stage IIA  Finished 4 cycles of chemo on 11/7/08.
CT scan on 12/2/08 - in remission!!!
Next scan on 2/26/09.
"Patience is essential, attitude is everything."


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25382
   Posted 2/10/2009 8:34 AM (GMT -6)   
Jim, your points are well taken. My mind was resigned to the fact that I may never have natural errections again after my surgery, my wife/I talked often about that. The fact, that in my case, it just started happening on its own after I ended the long catheter saga was a complete surprise to both of us. Trust me, I am as normal as the next guy when it comes to sex, so I knew it was time to experiment and exercise the equip while the going was good. Connecting the dots in the head is taking awhile, and may take a while longer. You do have to adjust to the concept of orgasm without ejaculation. You have to adjust to orgasm without an errection, if that is the case. And while practice makes perfect, you have to be reasonable in your physical therapy. If one obsesses around the clock, you will just make yourself tired and frustrated. If one has a lovely, supportative other half, it even makes the efforts more easlily handled. My dr just said yesterday, the part involving the mind, can be just as tricky as any of the physical part, and in my case, I know its true. If I am in the arms of my wife, the majic happens all on its own, just like before, only big difference, can't be as rough because I am still paranoid of hurting myself (though dr. said no way that would happen). Now if I am experimenting on my own, i.e. a simple HJ, right now, it takes much more concentration to get all the dots lined up right, but it does most times. Even before surgery, I wouldn't always connect right, sometimes I think we need to be more honest to ourselves about what and how it worked before surgery. I think every man here needs the hope, our bodies are all different, rate of healing, the mental portion of the process, our feelings in general, and of course, the actual physical condition involved of all the "players". We all know, we are not dealing with an ailment or malady that is straight forward, one that goes by the rule book, like other diseases. We make a tough choice, go for it, and then have to learn to deal with the cards that we are dealt, and there is no turning back for having best out of two. My heart goes out to each and every man here, no matter what his dx is, no matter what stage of treatment, no matter where he is in his recovery. We truly are all in this together, and if we didnt feel this way, we wouldn't be here all the time.
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, Right nerves saved, 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 .05
 
 


DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 797
   Posted 2/10/2009 3:52 PM (GMT -6)   
David,

One book I read while recuperating was Look Me in the Eye: My Life with Asperger's by John Elder Robison. Nonfiction, autobiography, about a mental illness (syndrome). I thought it was very interesting, but then, maybe I'm mentally ill too. So why not a PCa book? Maybe you have to know a celebrity. Anyone here famous?

Must be tough being a writer. I picked up The Last Mortal Man: Book One Of the Deathless by Syne Mitchell, in an airport. Pretty engaging to read. But then I found that it didn't sell well enough for Book Two to be released. I did email Syne Mitchell about it. She was quite cordial.

DJ
Diagnosis at age 53. PSA 2007 about 2; PSA 2008 4.3
Biopsy September 2008: 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 out on 7th day, replaced on 8th day, out again 14th day following negative cystogram
Pathology: pT2c; lymph nodes negative; margins involved; 41 grams, 8% involved by tumor; same Gleason 4+3=7
PSA 1/22/08 non-detectable! 8-)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25382
   Posted 2/10/2009 3:59 PM (GMT -6)   
DJ, I have read the book "Look Me in the Eye". I worked with someone who's son had Asperger's, so I got on a kick and read all I could.

Famous - not me, not in a million years. Don't want fame either, not my thing.

Writing is a funny thing. It's easier for me to write 80,000 - 150,000 word novel in a few short months, then it would be to sit down and write a 2,000 word essay. That's why I sucked at every attempt to do magazine articles. lol. And its funny, though I only write fiction, I almost never read it, I mostly read non-fiction, loads of technical and historic literature.


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, Right nerves saved, 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 .05
 
 


rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1132
   Posted 2/10/2009 8:31 PM (GMT -6)   
After going through what you did with the catheter I am happy you do not suffer from ED. I am 9 months post op and have some nocturnal erections and some minor erections but not much.

Curious about your next PSA. Is it in another 3 months or 6 months. My doc still has me on the 3 month schedule.
 
Age 48
occupation accountant
PSA increased from 2.6 to 3.5 in one year
biopsy march 2008 - cancer present gleason 7
decision - surgery (robotic)
surgery may 9, 2008 - houston, tx
pathology report -gleason 8
margins clear
9 month  PSA <.04 (low as the machine will go)
continent at 10 weeks (no pads!)
ED is still an issue


mb acoreano
New Member


Date Joined Feb 2009
Total Posts : 12
   Posted 2/10/2009 9:01 PM (GMT -6)   
Great news!!

Hope I can share some encouraging news as I go through my procdures.

MB
Age 57
DX 12/12/08
PSA 9 Second PSA 12
Biopsy 12/04/08 7 out of 8 cores positive 35-80% cancerous
Gleason Grade 8
Stage T2C
High Risk Patient


down not out
Regular Member


Date Joined Jan 2009
Total Posts : 25
   Posted 2/10/2009 9:17 PM (GMT -6)   
Purgatory I am happy to see the low PSA, that really is primary to all other concerns. As to the ED issues, like David said "Karma". You have had your share of discomfort living with a catheter as long as you did. As far as myself, I look down on the unemployed every morning and wonder if  it will ever find motivation enough to work. I am starting Cialis this week; its been 2 months post-op and from what I read on the forum I am not the only one with this problem. It would be nice to have just alittle response though.
Regarding Cialis, my insurance company will not pay for this treatment as expected. I googled "Cialis free trial" and I have a free 30 day supply. You print off a form and bring it to the pharmacy with your script. This is only good for your first script.
Good luck to all, Mark.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25382
   Posted 2/10/2009 10:15 PM (GMT -6)   
rob, my next psa is at 6 months, then 9, then 12, then if all goes well, next year it will only be twice. right now, while i am hopeful, that sounds a long way off with a lot of psa anxiety in between.
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, Right nerves saved, 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 .05
 
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25382
   Posted 2/10/2009 10:19 PM (GMT -6)   
Mark, i hope things start to improve for you in the ed department, there doesn't seem to be any rhyme or reason with the men here at this site. I cant detect any difference between open and robotic surgeries, cant tell any difference between lower grade and higher grade pc, not even sure i can tell a diff between ages, or whether there was one nerve saved or both nerves saved. What is happening to me, is not the norm from what I gather, even my surgeon wouldn't take credit for it, I am only hoping that what I have right now to work with, will continue to improve with time, but I have been around PC long enough to know, there is no normal. My best to you, brother
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, Right nerves saved, 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 .05
 
 

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