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New Member

Date Joined Oct 2008
Total Posts : 12
   Posted 6/4/2009 10:09 PM (GMT -6)   
Today was my 2 month followup after a 44 day regimen of external beam radiation. Suffice it to say the the last year has been quite an emotional experience. After being diagnosed last July (PSA 4.3, Gleason 3 + 3), I was certain that robotic prostatectomy was the best option for me. I never in a million years imagined that the surgery would have to be aborted because the surgeon (Dr. David Lee) ran into adhesions that made access to the prostate very difficult. After rethinking my options again, I chose radiation. My oncologist was Dr. Vapiwala at the University of Pennsylvania, and I must tell you that my experience was nothing short of amazing. I experienced almost no side affects from the radiation. Towards the end of the 44 day treatment I did have some bladder issues. But Flomax cleared those issues within a month. Sexual function is as good as (I even think better than) before. And so, we come to today where I was anxious awaiting my PSA result. When I learned that it was 2.5, I must admit I was disappointed. I expected it to be lower, but I understand that it may take up to 18 months for the PSA to drop to a negligible amount. Keeping the faith.

Charlie F.
Age 59, Good health
Diagnosed July 2008

PSA 3.89, DRE neg

Gleason (3+3) - 6

6 of 12 cores

Nov 13, 2008 - Robotic Prostatectomy aborted due to adhesions

Jan 5, 2009 - Calypso Beacon implants

April 2, 1009 - Completed 44 days of external beam radiation at the Univ of PA

DS Can
Regular Member

Date Joined May 2009
Total Posts : 195
   Posted 6/4/2009 10:20 PM (GMT -6)   

Hang in there Charlie,

We're all pulling for you.  You said it best -- keep the faith!


PSA 01/07 was 1.2, PSA 01/08 was 1.9, PSA 01/09 was 2.5.
BIOPSY 02/24/09, adenocarcinoma DX at age 52
 Right:GS 3+3=6, tumor 3/6 cores, 10% involvement,PNI-Yes
 Left: GS 3+3=6, tumor 1/7 cores, <5% involvement,PNI-No
LARP 04/09/09,nerve sparing. Final pathology:
 GS 3+4=7, Margins uninvolved, 2 lymph nodes negative.
Catheter removed on 04/17. First no-pad day was 05/03.
ED treatment is 25 mg Viagra nightly.
First followup PSA results on 05/28/09: <0.1,undetectable!

Veteran Member

Date Joined Feb 2008
Total Posts : 655
   Posted 6/5/2009 6:38 AM (GMT -6)   
Greetings, Charlie.  I think patience is the key word - while I don't have much experience with radiation I do understand it takes some time for the PSA to come down.  Keep the faith - you have done the right thing and we'll all look forward to future reports of a lower and lower PSA.  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
PSA every 90 days - ZERO's everytime!
Great wife and family who take very good care of me

Veteran Member

Date Joined Apr 2009
Total Posts : 990
   Posted 6/5/2009 8:52 AM (GMT -6)   
It sounds like you have had very good treatment and are on the road to recovery. Among the Philadelphia area doctors I talked to when choosing a surgeon, Dr. Lee was always mentioned near the top of the list so I would have confidence that his decision to abort the surgery was for the best. Univ of Pennsylvania has an excellent radiation oncology department and your experience supports this. (I didn't choose Dr. Lee or the Univ of PA health system, so I do not have a personal interest in this)
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3 + 4 = 7
CAT scan 1/09 negative, Bone scan 1/09 negative

Robotic surgery 03/03/09 Catheter Removed 03/08/09
Post surgical pathology report. Lymph nodes negative, Seminal vesicles negative
Surgical margins positive, Capsular penetration extensive Gleason 4 + 3 = 7
At 6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.

Doting Daughter
Veteran Member

Date Joined Aug 2007
Total Posts : 1064
   Posted 6/5/2009 10:33 AM (GMT -6)   
Great attitude Charlie!!! Glad to hear that your radiation experience went so well and I will also keep the faith that your PSA will continue to drop!!! Cheers to you and your continued success!!!
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

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