While waiting to tee off at the local CC today I had a talk with an old friend who is a retired urologist. He noted that I was looking well and that my 30 month trip from prostate surgery seemed to be successful. His experience is interesting in that in his day he performed almost exclusively pereneal surgery and had little feed back as to the success. He has been retired for over two decades.
When I reminded him that I had been diagnosed with a Gleason 8, he remembered that he once had a patient with a Gleason 19. I don't know if he "mis-remembered", or if the Gleason system once showed a higher degree of involvment. Does anyone know what changes we have seen in the explanation of Gleason and other prostate cancer diagnosis.