Update on Husband

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Veteran Member

Date Joined Jun 2008
Total Posts : 1804
   Posted 2/20/2009 10:05 AM (GMT -6)   
My husband just called after seeing his urologist (had the PSA test earlier this week and results were zero). Urologist was very pleased that the PSA remains at zero 11 months after surgery. He was a bit concerned because there was a miniscule invasion into the capsule very close to the outer edge. However, the surgeon knew from the biopsy that one of the tumors was very close to the edge and had decided to cut a wider margin than he needed to during the surgery. The urologist - who is a sweetheart - said that he is very happy with the PSA results because the first year is so critical.

For the second year, my husband will continue with a PSA test every 3 months and a visit with the urologist every 6 months. FYI: His surgical pathology staged him at T3a (with clean margins and SV) so the urologist has chosen to continue frequent PSA tests to stay on top of things.

The urologist prescribed Vesicare because my husband still experiences frequent urges to pee. He has no blockage - just needs to urinate frequently. The doctor gave him a 2 week supply of Veiscare (5 mg.) and said to let him know how it works after 2 weeks. My husband also asked whether a rectal exam is needed and the doctor said "no" - I think that made by hubby happy!

We are very happy with today's visit. I hope this information is helpful to some of you guys out there. Enjoy the weekend!

Regular Member

Date Joined Sep 2008
Total Posts : 143
   Posted 2/20/2009 10:55 AM (GMT -6)   

Congratulations on the zero! Your post is encouraging to me as my doctors found the same "ambiguous margin" when they did my surgery. One said he got it all, but the Oconcologist and Radiologist were not so sure.

Keep the zeros coming!

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

strawberry man
Regular Member

Date Joined Dec 2008
Total Posts : 23
   Posted 2/20/2009 11:03 AM (GMT -6)   
Glad to hear it Sephie! take care

Dx 4/21/08 psa 9.7  Age 58 OMG

Biopsy results  3 areas of  3+3=6 gleason

Di Vinci surgery 6/3/08

Post op 3 months and 6 months -  all clear

0 psa TYG  (thank you God)

Doting Daughter
Veteran Member

Date Joined Aug 2007
Total Posts : 1064
   Posted 2/20/2009 11:15 AM (GMT -6)   
Congrats on the zeroes!!! Wonderful news!! May your husband have a lifetime of them!
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

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4462
   Posted 2/20/2009 11:17 AM (GMT -6)   
Good news! Thanks for the update...
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

Veteran Member

Date Joined Jul 2008
Total Posts : 637
   Posted 2/20/2009 11:38 AM (GMT -6)   
Great news! Continuing good luck to you both..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
Hip replacement total success..pain gone!!
PSA .7 2/10/09

Regular Member

Date Joined Aug 2007
Total Posts : 125
   Posted 2/20/2009 1:09 PM (GMT -6)   
It's always wonderful to hear of the zero's. It's what we all live for! Congratulations.
53 years - 5' 11" 202 lbs.
T1c 3+3=6
DaVinci July 16, 2007
Bladder Sling installed during prostate removal
nerve sparing with both nerve bundles intact
all cancer contained within prostate nothing near margins
11 weeks post-op - no more pads
all PSA's since removal < .1 - Undetectable

Elite Member

Date Joined Oct 2008
Total Posts : 25382
   Posted 2/20/2009 3:03 PM (GMT -6)   
Sephie, that is wonderful news for your husband. I think the plan to continue the 3 month PSA another year out makes sense too. Least his dr is on top of things, I respect that. Hope you two have a marvey weekend.

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

Veteran Member

Date Joined Jun 2008
Total Posts : 1804
   Posted 2/20/2009 5:04 PM (GMT -6)   
Thanks guys ... it's always wonderful to share good news and to have it received so joyfully!

I forgot to mention that the doctor prescribed Viagra 2 to 3 times a week to see if we can get junior to pay attention!

Elite Member

Date Joined Oct 2008
Total Posts : 25382
   Posted 2/20/2009 5:16 PM (GMT -6)   
Sephie, perhaps the big "V" will coax jr. to come to life.
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

Ed C. (Old67)
Veteran Member

Date Joined Jan 2009
Total Posts : 2460
   Posted 2/20/2009 5:19 PM (GMT -6)   
My pathology staging is exactly as your husband's. In my case, my surgeon also went wide on the left side because the cancer was close to the edge. I hope I get the same zeroes that your husband is getting. Good luck to him and to you.
Age: 67
5ft 10 inches 182 lbs
Retired in 2001 and living in Austin TX.
Dx 12/30/08
Robotic surgery performed on Feb 9th
Surgeon: Dr. Randy Fagin, Austin TX.
Negative CT scan and bone scan done on 1/16
PSA 3.5
Post op Pathology report:
Prostate weighed 57 grams
size:5.2 x 5.0 x 4.9 cm
10-20% involved
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx
Negative margins
Lymph nodes: not dissected
seminal vesicles clean

Veteran Member

Date Joined Feb 2008
Total Posts : 1858
   Posted 2/20/2009 5:27 PM (GMT -6)   
That's excellent news Sephie, you're through the first year which is an important mark. May zeros be your future (in the nicest possible way)
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)
PSA February 09 <0.01

Regular Member

Date Joined Dec 2008
Total Posts : 194
   Posted 2/20/2009 6:56 PM (GMT -6)   
Great news and congratulations on the zero Sephie! Hope there are many more to come!
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

Regular Member

Date Joined May 2008
Total Posts : 240
   Posted 2/20/2009 9:33 PM (GMT -6)   

Always good to hear that another T3'er is doing well. Gives the rest of us hope.

All the best,
Age: 53; 52 at DX
March 2006: PSA 2.5
Dec 2007: PSA taken for insurance application. I did not see the results until late
Jan '08 - after I was rejected. Their lab said PSA 4.5.
Feb 2008: PSA 3.7.
March 2008: Biopsy. Gleason 7 (4+3) 12 cores taken. 5 on the left side were
cancerous and the 6th was suspect.
May 5, 2008: Da Vinci robotic laparoscopy at GW Hospital, Washington DC.

Post op: Gleason 9 (4+5). 15% of prostate involved. Stage: pT3a. Negative margins. Lymph node and nerve samples taken, and appeared to be cancer free.

July 2008: PSA at 7 weeks was undetectable.
August 2008: PSA at 14 weeks (3 months) was undetectable.
Nov 2008: PSA at 6 months was undetectable.
Feb 2009: PSA at 9 months was undetectable.

Veteran Member

Date Joined Feb 2008
Total Posts : 655
   Posted 2/21/2009 12:01 PM (GMT -6)   

Greetings, Sephie.  I have a question that maybe you can help me with.  One of the issues that we have faced is the urge to urinate - particularly at night.  I have had good control right from the first but continue to have to get up 2 or 3 times at night to go.  My doc prescribed Detrol LA which I have been on for about 4 months.  I still have to get up at night - it may have helped a little but not to the extent I had hoped. 

Is the Vesicare working and helpful?  He may not have been on it long enough to know yet but I'd be interested in your input once you have some experience with it.  Thanks.  David

Age 55
Diagnosed Dec 2007 during annual routine physical
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 positive with 2 marginal
Gleason 3 + 3 = 6
RRP 4 Feb 08
Both nerves spared
Good pathology - no margins - all encapsulated - Gleason 4 + 3 = 7
Catheter out Feb 13 - wore pad for couple of days - pad free Feb 16
Great wife and family who take very good care of me

Regular Member

Date Joined Jan 2009
Total Posts : 180
   Posted 2/21/2009 4:12 PM (GMT -6)   
Very good news Stephie, tell him we are all rootin for him and hoping the blue pill has the desired effect.

Diagnosed @ 48yo 04/07
focal, low volume tumor gleason 6
RRP 07/30/07 robotic
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

Veteran Member

Date Joined Jan 2007
Total Posts : 762
   Posted 2/24/2009 1:45 AM (GMT -6)   
Great to hear your hubby is doing so well. All the best for the second year. Hope you are still enjoying the celebrations. kind regards, Lana
Husband 51 yrs (49 years at diagnosis)
PSA (2002) 2.1.  PSA (2006) 3.5.  1 x (5%) core of 12 positive at biopsy. 11 cores negative. Open Radical Prostatectomy with nerve sparing April 2007. Gleeson 3 + 4 = 7.   Undetectable PSA since Surgery (< 0.1) specifically,  
June 2007: 0.01; Oct 2007: 0.02; April 2008: 0.02: October 2008: 0.03: November, 2008 (repeat PSA with instructions to lab to calibrate carefully) = 0.02.

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