MRI with coil - horrible?

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Godfather
Regular Member


Date Joined Jan 2009
Total Posts : 64
   Posted 2/26/2009 4:05 PM (GMT -6)   
Well, the days dwindle down to a precious few.  I leave for NY a week from Sunday for open RRP on 3/10 at MSK.  Today's little present was the news that the day before surgery, I will be getting an endorectal MRI with a coil.  I've heard that this little wonder is a real treat because (1) it's uncomfortable, (2) it takes 45 minutes and (3) you have to remain still the entire time.  I'm having the surgery the next day so I'm told that no sedative is possible.
 
Anybody out there have this?  The day before surgery?  Bad as it sounds?  Thanks.
 
Tony
Age at diagnosis 61  5'10" 260 lbs.
Resides in SW Florida
12/07 PSA 2.6  12/08 PSA 4.0
Biopsy 1/09 - 6 of 8 nodes positive 
Left - 2 of 4 positive, 2% involved, 4+3=7 Gleason
Right - 4 of 4 positive, 40% involved, 4+3=7 Gleason
Perineual invasion is present 
DRE positive for nodule on right - Prostate 22.6 cc's
Scheduled for open RRP @ MSK 3/10/09
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 2/26/2009 4:09 PM (GMT -6)   
Tony, what do you mean with a coil? I have had 3 mri's but never with a "coil". What is the purpose?
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
 
 


Godfather
Regular Member


Date Joined Jan 2009
Total Posts : 64
   Posted 2/26/2009 4:16 PM (GMT -6)   
David:

Here's a quote from a web site...

"If an endorectal coil is to be used during the exam, a nurse or physician will place a disposable cover over the coil, lubricate the assembly and insert the coil into your rectum. Once inserted, a circular balloon is inflated which sits around the coil and holds it in place during the exam. When the exam is complete, the balloon is deflated and the coil is removed."

Apparently, it's used to enhance the images.

Hope you are doing well.

Tony
Age at diagnosis 61  5'10" 260 lbs.
Resides in SW Florida
12/07 PSA 2.6  12/08 PSA 4.0
Biopsy 1/09 - 6 of 8 nodes positive 
Left - 2 of 4 positive, 2% involved, 4+3=7 Gleason
Right - 4 of 4 positive, 40% involved, 4+3=7 Gleason
Perineual invasion is present 
DRE positive for nodule on right - Prostate 22.6 cc's
Scheduled for open RRP @ MSK 3/10/09
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 2/26/2009 4:35 PM (GMT -6)   
Geez Tony, that sounds like as much fun as sitting on a bicycle seat post without the seat! I learn something new everyday. Hope you get to have the rights on the dvd after that test, might be a big one on You Tube.
Sounds rough brother, but perhaps like other ordeals we go through, won't be as bad doing it as thinking about doing it. I will be thinking the best for you. And your surgery is about 2 weeks out now, I will be very thankful when you are "on the other side", the recovery side. I am sure you will do fine through that part, and with it being "open" like what I had, the doctor(s) will have the best shot at looking around down there while they are operating. Don't let them rush you out of the hospital, I stayed my full four days my insurance would pay, and needed all of them before coming home.

Me, I am doing fine, considering I am only slightly less then 3 1/2 months out of surgery. I feel healed up for the most part, still have some endurance problems, but then, it wasn't like I was a physically fit athelete to start with, I have to remind myself that I am a 56 year old guy that had been through a lot of things long before the PC came on the scene. I consider myself about 98% dry by day, 100% dry by night, so feel I am doing well there. And on the ED side, it's still somewhat of a "miracle" or unexpected good thing. Since my last catheter, #5, came out on day 66, I have been able to acheive natural wood on my own, and able to have sex through completion. Took about 2 - 3 weeks to go from let's say 60% pre-surgery to what my wife will now testify 100% errections. It is still very weird to climax without ejaculation, but the quicker you get the former method out of your head, the easier it is to adjust to the "new way". I still haven't had to use a pump, or any ED drugs. Originally, my surgery was slated to be no nerves spared, but after the fact, it is now considered right side spared, but according to my dr/surgeon, the right side appeared to be "damaged and scarred". For whatever reason, it's working, and I am most thankful for whatever reason.

I hope you do well with your after affects from your surgery, but first things first, let's get you through that test and then your surgery.

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
 
 


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4268
   Posted 2/26/2009 9:00 PM (GMT -6)   
Tony,
I had one about 1 1/2 years ago at UCSF. The coil is very much like the ultrasound they stick up your butt during a biopsy, but it's up there for about 1 hour. It's uncomfortable but not painful. Much easier than a biopsy.
You have to lie in an MRI machine for about an hour. I took a valium and it wasn't as bad as I expected. Hope you're not clostraphophic because it's a pretty enclosed space.
Anyone getting an MRIS should make sure it's a Telsa 3 machine. Most use a Telsa 1.5 and it's not that effective. I got a much better picture of my tumor with a Telsa 3 machine without an endorectal coil. The Telsa 1.5 didn't see anything with the coil.
JohnT

I had a psa of 4.4 in 1999 and steadily increasing psa every 3-6 months before reaching 40 in 5-08.Free psa ranged from 16 to 10%

I had biopsies every year, 13 total in all. I saw 5 different doctors, all urologists or urological oncologists at Long Beach, UCLA, UCSF and UCI and had an MRIS at UCSF in 2007. All tests were negative and I was told that because of all the biopsies I most likely didn't have PC, but to keep getting biopsies every year.

in Oct 08 my 13th biopsy of 25 cores indicated 2 positive cores, gleason 3+3 less that 5% in 2 cores. Doc recommended surgery.

2nd opinion from a prostate oncologist, referred by my wife's oncologists said cancer found wis indolant and statistacally insignificant, but PSA histor was a major concern and ordered a few more tests.

Color Doppler ultrasound with targeted biopsy found a transition zone tumor 18mmX16mm, gleason 3+4 and 4+3. CT and bone scans clear, but Doc thinks that there may be lymph node involvement (30% chance) because of my high PSA, and referred me for a Combidex MRI in Holland, currently scheduled for Feb 14.

Changed diet and takiing supplements while I wait. The location of the tumor plus the high psa make surgery an unlikely option. I'm still evaluatiing all treatment options and will make a decision once I get the results of the Combidex scan.

JohnT


cvc
Regular Member


Date Joined Jun 2008
Total Posts : 440
   Posted 2/26/2009 9:12 PM (GMT -6)   
Tony, why the open not robotic ?? What made you choose MSK ? Did you ever research Dr Wheeler in Florida ?? Just curious and good luck with the surgery and the "coil"

will be 50 years old this year ( 2009 )
 
Uro said enlarged prostate 
 
DRE Negitive
 
Psa  2003- .55
 
     2007 - .99
 
     2008 -  1.01
 
watchfull worrier , lol


Godfather
Regular Member


Date Joined Jan 2009
Total Posts : 64
   Posted 2/26/2009 9:57 PM (GMT -6)   
cvc:

I chose the open after interviewing Dr Patel in Orlando about robotic. My doc is James Eastham, the Chief of Surgery, Urology at Sloan Kettering. He felt that my best chance in getting it all was open. I've got 4 of 4 nodes positive (40% involved) on the right, 2 of 4 on the left with a palpable tumor and a Gleason 4+3, PSA 4.0 - not good stats. I feel that MSK is the best cancer institution and I've got the best surgeon there so I'm following his advise.

I didn't look into Dr. Wheeler - his name never came up.

Tony
Age at diagnosis 61  5'10" 260 lbs.
Resides in SW Florida
12/07 PSA 2.6  12/08 PSA 4.0
Biopsy 1/09 - 6 of 8 nodes positive 
Left - 2 of 4 positive, 2% involved, 4+3=7 Gleason
Right - 4 of 4 positive, 40% involved, 4+3=7 Gleason
Perineual invasion is present 
DRE positive for nodule on right - Prostate 22.6 cc's
Scheduled for open RRP @ MSK 3/10/09
 


Bluenose
Regular Member


Date Joined May 2008
Total Posts : 260
   Posted 2/26/2009 10:27 PM (GMT -6)   

 

  Hey Tony don't get yourself too worked up over this thing....I had one and it's not bad at all, only  took about thirty minutes. I think an enima is more uncomfortable.... You'll do fine


 
  age: 53  Pre-op PSA Feb 08' 5.0, April 08' 4.1
  Biopsy 5.1.08, 5 of 15 cores postive, T2a, Gleason 3+4=7
  DaVinci performed 7.29.08
  Bladder sling installed, umbilical hernia repaired during surgery.
  Path report, "cancer fully contained, margins clear".
  Cath removed 8.8.08, ED therapy begins 8.9.08
  100mg Viagra three times a week, pump for ten minutes daily
  and hold for ten minutes.
  8.16.08 switched to Levitra 20mg, immediate results
  9.15.08 Pad free at night, one thin (light) pad during the day
  9.18.08 1st Post-op PSA Undetectable Zero's....Yes!
  12.22.08 2nd Post-op PSA  Zero's still...
  Pads gone 1.3.09, finally found the courage...Thanks ya'll
          ".....tryin' to reason with hurricane season...."
       


LJF
New Member


Date Joined Feb 2009
Total Posts : 14
   Posted 3/7/2009 11:58 PM (GMT -6)   
Spouse had it after the 2nd biopsy revealed where the cancer was hiding. No biggie. Hardest part is staying still. Talk to the Uro who will be doing it if ya can in advance. I shouldn't think a tiny sedative dosage couldn't be safely provided in order to help ya get through that would clear in time for the big surgery the next day.

You will have to tell us your perception of it after its done.
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