As I have posted before, I have been strongly considering a switch to the "standard" PSA test. I was fortunate enough to have an excellent pathology, but this ultrasensitive test has caused me mild anxiety that never really leaves my conscious. I found a new urologist that agrees with me and uses the test with a "<0.1" sensitivity. Some may accuse me of shopping for the result I am hoping for, and while basically true, I have yet to hear a cogent explanation as to the benefit of the ultrasensitive test for those with a very low chance of recurrence after surgery. Had I had a poorer pathology report or was monitoring an already elevated level, I would probably go for the ultrasensitive test. For now, I am happy with my decision and am going to celebrate with a nice glass of red.
Age:45 (44 when diagnosed)
Father diagnosed and cured at age 52.
08/21/07: Diagnosed with T1c cancer
1 of 12 biopsy cores positive; 10% tissue
Gleason score: 3+3=6
PSA level prior to biopsy: 4.3 (velocity < 0.4ng/ml)
10/19/07: da Vinci prostatectomy by Dr. Vipul Patel
Difficult surgery due to prostate inflammation.
Both nerve bundles spared.
Spongy erections began within 24hrs of surgery!
10/24/07: Catheter out; down to 1 Serenity pad/day next day.
Final pathology: neg margins, no capsular penetration,
Gleason 3+3=6, 5% tumor involvement, multi-focal.
11/04/07 First usable erection with Cialis
11/22/07 Thanksgiving - Bye-bye, pads
01/17/08 First post-surgery PSA result: < 0.008 ng/ml
03/17/08 Erection quality mostly back to pre-surgery levels with Cialis;
have not tried without meds yet.
04/23/08 Second post-surgery PSA result: < 0.008 ng/ml
07/30/08 Third PSA: 0.01 ng/ml
11/04/08 One year PSA: 0.01
Still taking 10mg Cialis every other day - enjoying the results
too much to stop yet.
02/07/09 Taking 5mg Cialis every other day - having too much fun to try
to stop for now.
03/23/09 PSA: 0.02