biopsy done today

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OKboy
Regular Member


Date Joined Apr 2009
Total Posts : 55
   Posted 6/5/2009 3:00 PM (GMT -7)   
Just a word of comfort for those new ones who have not yet undergone the biopsy. Mine was done this afternoon - 12 cores - and the absolute worst part of it was the DRE at the beginning. The numbing shot was not even what I could call uncomfortable and the process of taking the cores was barely felt. A little sore as the lidocaine begins to wear off, but not even close to what I had been dreading. I did have one hydrocodone one hour before the procedure and a 5 mg. valium as I entered the clinic. So I was pretty relaxed as I went into the procedure. Ten minutes after I laid down the procedure was complete. Should have results on Tuesday.
Current age 50
Married - 4 children, 2 grandchildren
General health good - meds for hypertension; mitral valve prolapse (no meds)
No known family history of PCa
PSA 10/2005 = 1.2 (free testing site)
PSA 10/2006 = 1.22 (urologist)
PSA 12/2007 = 1.68 (urologist)
PSA 08/2008 = 1.5 (family doc)
PSA 12/2008 = 1.93 (urologist)
PSA 04/2009 = 2.9 (family doc - routine physical)
PSA 04/2009 = 3.4 (family doc sent in to different lab)
PSA 05/13/09 = 3.17 (urologist)
%fPSA 04/2009 = 15% (family doc)
4 DREs over the years - all unremarkable


Radical
Veteran Member


Date Joined Mar 2009
Total Posts : 739
   Posted 6/5/2009 3:11 PM (GMT -7)   
Okboy........Our fingers are crossed for you.
 
I also had no problems with the biopsy, it was alot better than led to believe. 
 
Keep us informed on your results.....Cheers
Age 51yrs
DX 11/11/08
6 out of 8 cores positive 3 X 60% / 3 X 10%
PSA 4
Gleason 3+4=7
Stage T1c
Robotic Surgery 24/12/08
Upgrade Gleason 4+3=7 (60% Grade 4)
Stage T2c
Three small foci total volume <10%
Neg Margins and Nodes
Nil - Extraprostatic Extentions
Dry less than 1 week.
ED- taking Meds/ No results yet/still "NotHard"
PSA 1/09 0.03
PSA 2/09 0.03
PSA 5/09 0.03
"Everyday in Everyway I get better"


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4044
   Posted 6/5/2009 4:50 PM (GMT -7)   
I must say mine was fairly easy as well. Let us know your results. Will say a little prayer for you.

Jeff
Jeff T Age 57
9/08 PSA 5.4, referred to Urologist
9/08 Biopsy: GS 3/4=7
10/08 Nerve sparing open RRP- Path Report: GS 3+3=7 Stg. pT2c, margins clear
3 mts: PSA .05 undetectable
 ED- 5 mg Cialis daily, pump daily,


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4814
   Posted 6/7/2009 4:23 AM (GMT -7)   
Good luck to you...
 
 
Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
 
06/25/08 - Da Vinci robotic laparoscopy
Catheter in for five weeks.
Dry after 3 months.
 
10/03/08 - 1st Quarter PSA -> less then .01
01/16/09 - 2nd Quarter PSA -> less then .01
xx/xx/xx   - 3rd Quater skipped
05/14/09  - 4th Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.
 


SebringR
Regular Member


Date Joined Oct 2008
Total Posts : 29
   Posted 6/7/2009 8:11 PM (GMT -7)   
Mine was very interesting.  The lydacaine injection was a deep breath.  The cores where mostly just benign hit.  There were about three of them that really got my attention.  There was not ryme or reason why some would take you breath away and the others were no more painful that pulling you hair.
 
All in All the biopsy was fine.  The problem I had between the biopsy and the surgery I had continual bleeding when I ejaclulated.
Age 51
Father died of prostate cancer at 73
Yearly PSA testing.
Biopsy after PSA went up .75 in one year
6 of 12 in needle biopsy where cancerous
DaVinci surgery 4/15/2008
Last PSA .008
 


CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 6/8/2009 7:34 AM (GMT -7)   
Greetings, OKboy.  Glad it is behind you and trust you will get good results.  Keep us posted.  By the way - does OK stand for Oklahoma?  If so, where are you from.  I'm originally from a small town in SW OK.  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


OKboy
Regular Member


Date Joined Apr 2009
Total Posts : 55
   Posted 6/8/2009 11:42 AM (GMT -7)   
David: I've lived for the past twenty years around Tulsa. But, my first thirty were spent in three small towns in southwest Oklahoma - Frederick, Snyder, and Tipton. Graduated from Snyder in the late 70s.
Current age 50
Married - 4 children, 2 grandchildren
General health good - meds for hypertension; mitral valve prolapse (no meds)
No known family history of PCa
PSA 10/2005 = 1.2 (free testing site)
PSA 10/2006 = 1.22 (urologist)
PSA 12/2007 = 1.68 (urologist)
PSA 08/2008 = 1.5 (family doc)
PSA 12/2008 = 1.93 (urologist)
PSA 04/2009 = 2.9 (family doc - routine physical)
PSA 04/2009 = 3.4 (family doc sent in to different lab)
PSA 05/13/09 = 3.17 (urologist)
%fPSA 04/2009 = 15% (family doc)
4 DREs over the years - all unremarkable


Father3
New Member


Date Joined May 2009
Total Posts : 6
   Posted 6/8/2009 12:09 PM (GMT -7)   
I'm more chicken than the rest of you and was knocked out with a twilight procedure.  No problem at all.

zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 6/8/2009 2:08 PM (GMT -7)   
When you see the doc with the results, ask for(demand) complete copies of the pathology report and then study it and learn all about it, is a wise thing. Also find out the name or whom did the pathology??? It could get reviewed even by some of the handful of pathologist experts, thus a second opinion....it is sometimes amazing that a variance of sizeable proportion can exist amongest pathologists, it is an art. Without the pathologists info given to the uro-doc, the uro-doc has no clue as to what grade(s), %-volumes, types/variants of PCa, perinural invasion, ploidity tests etc. He learns to discuss it when he gets the report info, knowing pathology by looking at slides etc., is an art and not pure science.
Good fortune in whatever comes your way.
 


mikey1955
Veteran Member


Date Joined Dec 2008
Total Posts : 672
   Posted 6/8/2009 4:34 PM (GMT -7)   
In hindsight, the prep was worse than the procedure for me. I didn't have any sedatives, local or anything. I remember a couple hits sure woke me up, but the radiologist was also manipulating the biopsy probe in an uncomfortable way to try and target a harder to reach spot. As someone else said...get a copy of the pathology report for youself.

Best of luck...let us know.

Mike
Lower left groin hernia: mesh and large scar: surgery early 2006
Nov/Dec 07 and March 08 and now Dec 08: Severe perineal pain (between scrotum and rectum). Septra/Bactrim for 8 months (Nov 07-Jun 08) for diagnosed prostatitis.
PSA start of 2008: 5.3..... PSA June of 2008: 7.3
14 DRE all benign or nothing felt
TRUS Biopsy Nov 08: Got copy of pathology (see below). Prostate about 40 cm sq.
General Health: pretty good, 5' 10", 180 lbs, slim.
Bone scan Dec 08: Negative
Barium enema X-ray (March 09 due to several days of blood in stool)
MRI with endorectal coil (April 09 as part of a study)
3D advanced TRUS (April 09 as part of a study)
CT (April 09 as part of a study)
Biopsy Pathology: 5 of 8 cores positive, adenocarinoma in both lobes. 30%-65%. One core perineural invasion. 2 cores "foamy" and suspicious. All +ve cores, 3+3 GS 6.
Open RP surgery: May 5/09 Surgeon spoke to my wife and was very positive. Said both nerve bundles spared and not damaged. Bilateral lymph node dissection performed. Discharged 48 hours after surgery. Staples out, catheter out and pathology sheduled for May 21.
Post Surgery Pathology: pT3a N0 MX, extraprostatic extension (EPE), stage III prostate cancer, lymph nodes clear, seminal vesicles clear, Gleason upraded to 3+4 GS 7. EPE within surgical margins. Other than prostate and EPE, all tissue removed negative for cancer involvement.
Physical State: Getting back to working out slowly. Urinary control pretty much from the time of catheter removal. Rectal pain, sometimes bad but, told is normal. Erectile function at best 25-30% of presurgery. Trying Levitra...first 10 mG dose gave me nasal congestion, 50% chubby and a 24 hour headache...may go away with more use or change of meds. Considering pump. Recovery from surgery going very well.
Mental State: Pre-surgery anxiety gone. Positive attitude. Some anxiety about seeing radiation oncologist and upcoming 3 month PSA. 


CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 6/8/2009 7:06 PM (GMT -7)   
Greetings, OKboy.  Small world.  I graduated from Granite, OK in 1970.  Looks like I'm a few years older than you.  I went to college at Oklahoma Baptist University and then practiced accounting in Shawnee for a few years.  Received my CPA certificate in Tulsa and have done some audit work around there.  I've been gone from Oklahoma since 1986 but still have many, many friends and family members - mostly around Granite and Shawnee.  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


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25353
   Posted 6/8/2009 7:36 PM (GMT -7)   
okayboy, good luck to you, my fello okie, along with david-cpa, see, good things can come from tulsa
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 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, 5/9 .10 doubled in 3 months, new test in six weeks, then possibly off for salvage radiation
 
 

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