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.
PSA up to 4.7 July 2006 , nodule noted during DRE
Biopsy 10/16/06 ,stageT2A
Very Aggressive Gleason 4+4=8 right side
DaVinci Surgery January 2007
Post op confirms gleason 4+4=8 with no extension or invasion
no long term continence problems
Post surgery PSA continues to be "undetectable"
One side nerves spared
Bi-Mix for ED
born in 1941