Posted 3/18/2009 10:47 PM (GMT -6)
One again the treatment and diagnosis for prostate cancer is a big, fat, question mark?
One study showed no survival improvement 10 years out from prostate ca diagnosis regardless of treatment; a British study found a very small benefit 10 years out. Dr. Timothy Johnson now states only men between 50-70 should be given the PSA test and then talk with their urologist about treatment, always get a second opinion from another specialist he notes. Currrently nobody knows if you have a kitten of a cancer that is going nowhere, or a tiger that is going to kill you shortly. I thought the gleason score and degree of spread gave us some idea of what to do, I guess I was wrong, confused and disappointed....................
my age=52 when all this happened,
PSA went from 1.9 to 2.85 in one year, urologist ordered biopsy,
First biopsy on 03/08, "suspicious for cancer but not diagnostic"
Second biopsy on 08/14/08, 2/12 cores positive for Prostate Cancer on R side, 1 core=5% Ca, other core = 25% Ca, Gleason Score= 3+3=6 both cores,
Clinical Stage T1C
Bilateral nerve sparing Robotic Surgery on 09/11/08, pathological stage T2A at surgery,
No signs of spread, organ contained,
First post-op PSA=.01 on 10/15/08,
Second post-op PSA <.01 on 01/15/09,
Incontinence gone in early December '08,
ED remains, using daily Viagra and 2x/wk bimix/trimix injections for penile rehab