Latest Three-Month PSA

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Kark60
Regular Member


Date Joined Jun 2008
Total Posts : 91
   Posted 7/17/2009 9:32 AM (GMT -6)   
Even though I seldom post on the forum, I read it daily, learn a great deal from you guys, and follow everyone's journey. I just had my latest three-month PSA and it came back as another 0.0. I'm thrilled to still be a member of the Zero Club. I've also been completely continent and urinating "perfectly" since September 2008 and have a great sex life with the aid of 100 mg of Viagra, even though it took almost a year from surgery to get to that point.

Based on anyone's experience, given my profile (see signature below) how long can I expect to stay with PSA testing every three months before going to a six-month interval? I meet with my surgeon in September, but wanted to see if anyone else has experience with this topic.
Husband and father of two (current ages 5 and 7).
Age when diagnosed: 47 (currently 48)
Pre-surgery PSA: 13.7
Pre-surgery Gleason: 4+3=7
CT Scan, Bone Scan, PET Scan: Clear
Robotic Surgery on May 28, 2008, at Barnes Hospital in St. Louis.
Right nerve bundle spared; left bundle removed.
POST-SURGERY PATH REPORT:
Gleason: 4+3=7
Involved 10% of prostate; all quadrants involved
Extraprostatic extension at left base and apex
Extensive perineurual invasion present.
Bladder neck, lymphvasular space, seminal vesicles, 17 examined lymph nodes, and all surgical margins FREE of tumor.
T3a
Four-week post-surgical PSA = 0.1
Seven-week post-surgical PSA = .01
October 2008 PSA = 0.0
January 2009 PSA = 0.0
April 2009 PSA - 0.0
Next PSA scheduled for July 2009.


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4828
   Posted 7/17/2009 9:53 AM (GMT -6)   

Congrats you big ZERO guy.

I too just recently had my one year mark with another .01 and am now on a six month schedule. Six months is nice - but it wouldn't have bothered me if I was still on 3 months.


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
05/14/09  - 4th Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


Dirtmover
Regular Member


Date Joined Apr 2008
Total Posts : 158
   Posted 7/17/2009 11:48 AM (GMT -6)   
BOOOYAH  ...... GOOD FOR YOU BROTHER AND MAY YOU HAVE MANY MORE ...DIRT tongue
Diagnosed November 2007   (43 years old )
PSA 3.9 / Gleason 6 / TC1 6 cores 1 shows 25%
Sugery scheduled 5/29/08 - City of Hope - Dr. Mark Kawachi
 "First show of the day"
 and now for the new ive been waiting for
 FINAL PATH REPORT:gleason upgraded to 3+4 T2c bilateral disease,tumor involvment 5%
extra prostatic extention:absent
seminal vesical invasion :absent
pathological staging:pTNM pT2 ORGAN CONFINED
margins free of carcinoma
usable erections ;6-6-08 with little blue pill
continence; 1 pad a day, dry at night
continence a non issue at 10weeks
 1 year p.s.a. undetectable


SHU93
Regular Member


Date Joined Aug 2008
Total Posts : 328
   Posted 7/17/2009 12:07 PM (GMT -6)   
Congrats!! I just had my last checked last month and now on the 6month schedule, wont mind the 3 month either. I think the time intervals is determined based on post op pathology... either way as long as they are Zero's!!!

Have a Great Weekend!

LIVESTRONG!!!
Age Dx 37, 7/2008, First PSA : 4.17 5/2008
Second PSA After 2 weeks of antibiotics : 3.9 6/2008
DRE: Negative 5/2008, Biopsy: 6 out 12 Postive all on right side, Gleason 7 (3+4). Bone Scan/CAT Scan: Clear 7/2008
Cystoscope: Normal 7/2008, Prostate MRI: Normal 7/2008
Da Vinci Surgery 7/2008, PostOp: T2c (On Both sides), margins clear, seminal clear, nodes, clear. Gleason 6(3+3).
4 Post OP PSA's from 9/2008 to 6/2009: <0.1
 
 
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25368
   Posted 7/17/2009 2:07 PM (GMT -6)   
Hello Kark, congrats on a nice zero.

For many patients, the first year is every 3 months, then second year, every 6 months, then once a year after that. Depends on your doctor, his methods, and your actual condition.

David in SC
Age 57, 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 capsule, one post. margin, clear lymph nodes 
First PSA Post Surgery   2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, they want to start radiation, 70 gray, I am still considering all options and opinions
 
 


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 7/17/2009 2:55 PM (GMT -6)   
Great news, wishing you a lifetime of them things... smilewinkgrin
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
21 mts: ED- 50 mg Viagra 3X week, pump daily,Trimix .35ml 2X week continues
PSA's: .04 each 3 months


london2000
Regular Member


Date Joined Jun 2009
Total Posts : 36
   Posted 7/17/2009 2:56 PM (GMT -6)   
Congratulations on the zero! And on achieving total continence as well as overcoming ED. Great to know there's light at the end of the tunnel.

Roger
Diagnosed with PCa in April 09, aged 59. PSA 9.5 ng/mL, Gleason 3+3, 3/8 cores positive on biopsy.

Had laparoscopic radical prostatectomy in 21 May 09. Histopathology raised Gleason score to 3+4 but cancer confined to capsule with surgical margins being negative. Stage T2c. Nerves spared.

Catheter removed on 4 June 09. Currently coping with incontinence issues, but making progress!


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2219
   Posted 7/17/2009 3:17 PM (GMT -6)   
Congrat Kark, also had my 3 month today and the report came back less than .01 which is undetectable. Dr thinks I have DVT which might be the cause of some of my ongoing pain. So back to my GI Dr. as he missed that last May. It did show up in my CT Scan prior to Robotic, which was done earlier this year, but I really didnt think anything about it since I had an endoscopy and coloscopy last year.
Michael
Dx with PCA 12/08 2 out of 12 cores positive
59 yo when dx
Robotic surgery 5/09 Atlanta, Ga
Catheter out after 10 days
Gleason upgraded to 3+5, volume less than 10%
Margins not involved
2 pads per day, 1 depends but getting better
hope to start ed tx 7/17
Michael


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 7/17/2009 4:08 PM (GMT -6)   
Congrats Kark....keep them zeros coming.
You are beating back cancer, so hold your head up with dignity
 
Les
 
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral w/PNI - Gleason (3+3)6 Stage T1C
Robotic Surgery Sept 18, 2008
Pathology October 1, 2008 - Gleason 7 (3+4) Staged pT2c NO MX - Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
PSA 5 week Oct 2008 <.05
                   3 month Jan 2009 .06
                   6 month April 2009 .06


Ralph Alfalfa
Regular Member


Date Joined Nov 2008
Total Posts : 469
   Posted 7/17/2009 7:16 PM (GMT -6)   
Well done, Kark.   Always glad to hear good news, so have a celebratory weekend.
Bpb
 AGE:57
 Dx: October,27(the day after my birthday)
 Psa 14.5
 Gleason:(4+3) 7 T1c
 Bone scan:Negative
 Cat scan: Negative
 Biopsy: 4 of 12 positive, left side, pre-cancerous on the right.
 Confined to prostate.
 DaVinci Jan. 19th, No lymph node involvement, all margins clear.
 8 week PSa <0.01
 Gleason downgraded to (3+4)7
 6 month Psa , 0.1 
Fully continent...ED progressing as expected.


IdahoSurvivor
Veteran Member


Date Joined Aug 2007
Total Posts : 1015
   Posted 7/17/2009 8:48 PM (GMT -6)   
Keep up the good work, Kark.

We like to see those zeros! tongue

Wishing you many more in the future!

Barry
Da Vinci LRP July 31, 2007… 54 on surgery day
PSA 4.3 Gleason 3+3=6 T2a Confined to Prostate
6th PSA 06/09 still less than 0.1


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 7/18/2009 4:27 AM (GMT -6)   
Great news there Kark and here's to them being the start of a long line. I made the decision to go with 3 monthly checks organized through my GP for the first two years. I wanted to keep a close watch on how things were going post op. Come August (2 year mark) I'll probably drop back to 3 times a year and play it by ear thereafter. (On a side note the PSA test only costs about $25-00)
Bill
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07
4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)
PSA February 09 <0.01

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