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RickinDallas
New Member


Date Joined Jul 2009
Total Posts : 6
   Posted 7/25/2009 12:41 PM (GMT -6)   
Hi. I'm a 55 year old man in Dallas in good physical shape who underwent a radical robotic prostatectomy on 3/16/09.  My tumor was located left of center on the prostate, was invisible, and was caught early as I have had a history of elevated PSAs for the last three years, and it has been carefully monitored. According to my doctor, the tumor was little but aggressive. My Gleason was 3+4. All pathology after the surgery showed clear margins, and my first PSA was <.01 on June 22. I just had my second PSA test on 7/22, and am awaiting the results of it.
 
Post op, I was home the morning of the second day after surgery due to a small blood clot in my urethra that had to dissolve first. I felt mostly fine, but was tired feeling and needed a long nap in the afternoons of most days. I was lucky to have a good friend who came in from NYC on vacation to take care of all the cooking, cleaning, and chores that I had no business attempting. The catheter came out on 3/23/09, and by mid-May I was no longer wearing pads. Except for an occasional small "squirt" when I am at the gym (I go five days a week and work out hard), or forgetting to be sure I have emptied my bladder completely, I have virtually no continence problems. I started back to the gym on a limited basis the week of the catheter removal, and am back to full form and more now in late July. I'm even gaining in size.  As for the five incisions, it appears that none of them is going to leave a noticeable scar, a fact that I consider a nice result, but not vital to self image. wink
However, with all that success, I'm in the same boat as so many men. In April, I started on Viagra (50mg) for three weeks, followed by 100 mg since then. Three doses a week, and I'm getting the same story as many of you.  I'll get 2/3 to 3/4 erect on the Viagra with an erection ring in place.  I can come to orgasm, but given how quickly I had recovered in the other ways, I guess I expected to come back in the erection department sooner.
 
During my post-op on 7/22, I shared all this with the doctor. His reply was that despite how I perceived it, it really and truly was still very early in the recovery process.  I know he's right, but patience is hard to develop here. I'm too alpha for my own good, I guess. He said to get another appointment if I wanted to start injections immediately, so I returned the next day for the trial injection. He used tri-mix injected with an insulin needle (or so it appeared) on the left side of my penis. Within ten minutes I was 5/6 erect, but I was in pain all along the shaft of my penis. When he returned to the examining room, he explained that most likely that was the nerve damage residue coupled with the fact that my penis had not been erect in months, so a lot more blood was flowing through than it had been used to since early March when I last had sex.  He has put me on a 10 ml. bottle of tri-mix with six refills and says not to use the Viagra with it due to the dangers of priapism. I see all that as logical.  There is a residual bruise on the side of my penis from the trial injection that is painless. 
 
Now that all my background info is there, I have a few questions for those of you who have been in these same warrior's sandals:
 
Do any of you have penile pain when you lightly squeeze your flaccid penis? I do, and it runs the entire length of the shaft from the very base and lower. I assume that's the nerve damage the urologist talked about, right?
 
In manipulation of my semi-erect penis, the same pain is slightly more intense but not awful. Anybody having that same issue?
 
Any advice or thoughts would be appreciated. While I'm doing great and feeling normal, I know I'm not totally healed yet inside. I'll be your cheerleader if some of you will be mine.  wink

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 7/25/2009 12:53 PM (GMT -6)   
Rah, rah, sish, boom bah! go guy go! Ok enough cheerleading. smilewinkgrin Welcome to Healing Well. Your story sounds like you arevery fortunate, and your recovery is on the high side of average here, so congrats for that.

As far as ED, you also are a little ahead of the curve than most, also. Good deal! AS to the ache/pain, I remember some small aches/pain when I first began injections, so your doc is probably right, not necessarily nerve damage, but possibly tissue injury internally from the resumed engorged erections you are now getting. The pain should subside with time and use. If not, see the doc again, but it really doesn't sound anything out of the normal, considering what has been done to the area and what all is missing or rearranged now... smilewinkgrin I had many small pains and aches for the first 6 months after, buy nothing serious or permanent.
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 110gms.- 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


RickinDallas
New Member


Date Joined Jul 2009
Total Posts : 6
   Posted 7/25/2009 1:04 PM (GMT -6)   

Thanks, Mr. Moderator! I read some more posts and saw how much luckier I was than many, so I should shut my whiny mouth here. LOL. I am going to read these daily and try to be support to others in my journey back to health.

Heading to the pharmacy this afternoon to pick up the tri-mix. I have no idea how much it's going to cost, and it really angers me that insurance plans see Viagra therapy/ED therapy in much the same way that they do purely cosmetic surgery. Whatever happened to the rumor that Viagra was going off patent, and that new generics would make it all cheaper. Mine is $175 for ten 100 mg. tabs. God knows how much the tri-mix is, but I've heard it's cheaper than the Viagra. BTW, I tried Cialis, and it was not different in results from the Viagra. Not one bit of difference.


livinadream
Veteran Member


Date Joined Apr 2008
Total Posts : 1382
   Posted 7/25/2009 1:21 PM (GMT -6)   
Welcome to our family Rick glad you found us. Hope you hang around and join in the conversations.
Enjoy the new lease on life this side of cancer.

peace and love
dale
My PSA at diagnosis was 16.3
age 47 (current)
My gleason score from prostate was 4+5=9 and from the lymph nodes (3 positive) was 4+4=8
I had 44 IMRT's
Casodex
Currently on Lupron
I go to The Cancer Treatment Center of America
Married with two kids
latest PSA 5-27-08 0.11
PSA July 24th, 2008 is 0.04
PSA Dec 16th, 2008 is .016
PSA Mar 30th, 2009 is .02
Testosterone keeps rising, the current number is 156, up from 57 in May
T level dropped to 37 Mar 30th, 2009
cancer in 4 of 6 cores
92%
80%
37%
28%
 


CapnLarry
Regular Member


Date Joined Apr 2009
Total Posts : 75
   Posted 7/25/2009 1:22 PM (GMT -6)   
Your nums and dates are almost identical to mine: RRP on 3/23, Gleason 3+4, first post-surgery PSA <0.01.

It looks like you've got your priorities right:

#1: Get the stuff OUT! Your nadir of less than 0.01 gives you something like 95% odds of making it through 5 years with a flatline PSA (www.ncbi.nlm.nih.gov/pubmed/16601384).

#2. Get dry. We should all lift one to Dr. Arnold Kegel tonight.

#3. Get hard. Well, 2 out of 3 ain't bad. Actually, it sounds like you've got a very accomodating insurance plan with respect to ED. I heard of a guy who asked his plan for Viagra and they gave him a popsicle stick and a roll of duct tape. He was really insulted...he'd hoped for at least a tongue depressor! (Credit to Yananow for that one.)

But seriously, don't try to rush it. The healing process, especially with respect to the nerves, can take years. If you give yourself performance anxiety, you can defeat yourself. I'm told that Viagra or its cousins taken every night or so can improve blood flow during the erections you get during your sleep, and that accelerates the healing.

Welcome to HW and the other side of surgery. Keep the PSA down and you can deal with everything else.
Larry Shick
Personal homepage incl. PCa story: www.sv-moira.com.
01/09: Diagnosed (age 60) biopsy PSA 4.4, free PSA 9%, T2c stage, Gleason 7 (3+4), 7 of 14 cores; 6'2", 200 lbs.
03/09: Robotic surgery (Dr. Kawachi, City of Hope) 47 gms, 10% involved, staging/Gleason unchanged (pT2cNXMX), margins clear, no ECE/sem ves involvement, fully continent from day 1, some success w/Viagra 50mg/day.
Followup: 05/09 <0.01


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 7/25/2009 1:50 PM (GMT -6)   
Rick, that your insurance will pay for 10 pills monthly, even at $17.50 each is a miracle, as most can attest to. The Indian version of Viagra generic names Sildenafil Citrate 100mg. , at www.alldaychemist.com at two for one figures out to 56 cents each, if you are interested. There's lots of threads here about people using them.

I'd really be interested in what pharmacy you used for compounding the trimix, the size of the vial and the cost. I got to fill a new prescription Monday and am looking locally rather than to Franck's this time around, if I can be convinced that the drugs are fresh, rather than older and sitting around waiting to be used.
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 110gms.- 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


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 7/25/2009 2:02 PM (GMT -6)   
Rick

I started the injections last week. I didn't have any pain, just a lot of joy. I don't have any pain flacid or hard, so I assume yours must be a short circuit in your nerves somewhere.

I'll second the Indian Viagra. They do a good job.

I paid $54 for 10 mls of tri-mix, and 30 syringes. It was actually the stronger mix, which means I shouldn't have to use as much. I am still trying to get the correct dosage.

Good luck !
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks due to anatomical issues with location of ureters with respect to bladder neck.  Try 3 tubes where no tubes are supposed to be for 2 weeks !
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 7/25/2009 2:07 PM (GMT -6)   
goodlife, did you get the trimix at the Medicine Shoppe chain?
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 110gms.- 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


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 7/25/2009 2:09 PM (GMT -6)   
No, even tho we have a couple here in Toledo. I went to a another local compounder recommended by my Uro named Buderer. Class act.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks due to anatomical issues with location of ureters with respect to bladder neck.  Try 3 tubes where no tubes are supposed to be for 2 weeks !
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 7/25/2009 2:58 PM (GMT -6)   
If your penile pain started only after the injection, then we might guess the cause. If it has been there all along, I have had a similar pain although only near the base of my penis.

The nerves that everyone is concerned about, and probably the ones your doctor mentioned are the ones that control erections. They run right along the outside of the prostate and in a prostectomy they are almost always traumatized to some extent. The fact that you respond to Viagra at three months is a good sign that these nerves are likely to heal, but it may take several months or more. These are NOT the nerves which let your brain know about sensations in your penis.

In an act of self diagnosis I attribute my penile pain to trauma from the catheter. It seems to be subsiding and so I have decided not to worry about it just now. At the present pain level it is just an occasional annoyance. As your doctor noted, we are still in the healing process.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3742
   Posted 7/25/2009 7:33 PM (GMT -6)   
RickinDallas I'm new here too and have found just the right level of support for me. The guys are great. I'm about 100 hours post op and have not even meet with the Uro yet to get my results. You are 4 months ahead of me so your experience will be very helpful. You can bet I'll keep coming back to this thread to see what develops. Right now, Tri-mix, Sildenifil... sounds like something I spray on my fruit trees to keep the insects away. I guess I'll learn.
Age 56. Perfectly healthy with no problems until getting the results of my first routine PSA test on April 8th: 17.8. My doc does not believe in general PSA screening so I did not get results during my 50 year physical.
May PSA: 22.6, 3 weeks later: 23.2.
June 10 Biopsy 7 out of 12 cores positive, Gleason 6=3+3.
Bone scan and C/T scan negative.
Radical prostatectomy by Da Vinci on 7/21/2009.
Left nerve gone, right spared.
No pathology report yet.


CapnLarry
Regular Member


Date Joined Apr 2009
Total Posts : 75
   Posted 7/25/2009 8:21 PM (GMT -6)   
Worried...

Welcome to the other side. Relax and rest. Do your walks. Don't solve problems you don't have yet.

Back to RickinDallas...
Larry Shick
Personal homepage incl. PCa story: www.sv-moira.com.
01/09: Diagnosed (age 60) biopsy PSA 4.4, free PSA 9%, T2c stage, Gleason 7 (3+4), 7 of 14 cores; 6'2", 200 lbs.
03/09: Robotic surgery (Dr. Kawachi, City of Hope) 47 gms, 10% involved, staging/Gleason unchanged (pT2cNXMX), margins clear, no ECE/sem ves involvement, fully continent from day 1, some success w/Viagra 50mg/day.
Followup: 05/09 <0.01

Post Edited (CapnLarry) : 7/25/2009 7:25:30 PM (GMT-6)


RickinDallas
New Member


Date Joined Jul 2009
Total Posts : 6
   Posted 7/27/2009 10:28 AM (GMT -6)   
Thanks for the Indian Viagra Solution . . .

I ordered on line yesterday. GREAT price. It was good to see that a number of guys are going that route. I'm always a little leery of online pharmacies, but I'm taking the word of a number of guys that alldaychemist.com is legit.

I'm also amazed that my insurance is a good deal on a regular pharmacist's price on Viagra. Good grief, I thought that having erections (such as they are right now--LOL) would eventually bankrupt me. I'm very grateful for the alternative way of getting it, and I'm getting two-for-the-price of one.

How many of you are taking 100 mg. at a time? How often are you taking it. My doc says as needed, but I neglected to ask him what that really meant. I'm looking for posts that address this, but can't find any and can't read all fifty billion of them. LOL.

Advice would be appreciated. It's easier here than getting through to the NP at my urologist's office.

Also, the penis pain I have happens ONLY if I squeeze it gently. Most of it is at the base, but it exists all along the shaft a little bit. No pain at all without touch to make it show up.

Have a great one, guys. It's all gonna be fine. Off to get the tri-mix so I'll keep everyone posted about the cost.

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 7/27/2009 10:53 AM (GMT -6)   
Rick, I split mine and take 50 mg. m/w/f of each week. I mix it up some weeks by using sample Levitra and Cialis, just to see if they may be ready to work. After 22 months, I am waiting for the magic day when things click and it works again.. Hope springs eternal...? Others will take 25mg daily, some 100mg daily or twice a week. It varies with the man and how much he wants to invest both in dollars and time having the side effects. When I first started I used 50 mg nightly, but the side effects were pretty aggravating, plus I seldom had en empty stomach at 8pm. However, I started taking it at my last of two nightly trips to pee and that works out better. I took it nightly for the first 15 months then switched to 3 times a week. I have an empty stomach and I take it during my sleep, when I may be doing the best good since that is when we have our nocturnal erections if healthy. If I were you, I'd consider taking 50mg nightly for the first 9 to 12 months, unless the doctor tells you differently. You want to keep the blood infusion going in the area as quickly and as long as needed, without much interruption. If you regain erections naturally before then, well, you got a good supply for a party later..... smilewinkgrin I do take a 2000mg capsule of l Arginine along with the pill, an OTC that promotes the release of nitric oxide in the blood, which promotes better absortion of the sildenafil into the blood stream.
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 110gms.- 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


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 7/27/2009 10:56 AM (GMT -6)   
"As needed" on a Viagra prescription translates into "whenever you want to have sex" If your doctor was thinking of using it for rehabilitation rather than intercourse he would have probably recommended a lower dose (like 25 mg) and 3-5 times a week.

Your penile pain does sound like mine, and if it behaves as mine has, it will get less and less noticeable as time goes on. Give it a couple of months if it is not too bothersome.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads


FiftiesMale
Regular Member


Date Joined Mar 2009
Total Posts : 75
   Posted 7/27/2009 12:59 PM (GMT -6)   
Rick,

Likewise, I welcome you to the club.

I currently am combining Viagra with a pump that i purchased recently. I take the Viagra, allow time (an hour to 90 minutes) for it to do the chemical thing. Then, my wife and I do some stimulation. Then, as I am getting fuller, longer, THEN i use the pump. It takes the state of things to a fuller level. I might use the pump for a few pumps, till i notice i am fuller, longer, harder, then take it off. Then, more stimulation. I have been firm enough to enter my wife (but not rock hard, like pre-surgery). It has been enough for my wife to orgasm competely. Then, after she is completed, I will pull out, and let her stimulate me to completion. Sometimes, i use the pump again, to get another quick boost.

about two weeks after receiving and "trialing" the pump, I tried the ring (that came with the pump) and the ring did keep me firm, firm enough to enter her. However, it cut off almost all feeling for me. It was kind of impersonal, as if i was not involved. I am delaying using the ring again.

Here's my current view of things. As my surgeon's office stated (i'll paraphrase): give things time, try different methods, try different pills, get a pump if desired and use it to get the blood flow fuller, etc. So, that is what i am doing. I am hopeful that all the efforts combined will produce better and better results over time.

I remember a few weeks after surgery that when my wife touched me, i felt almost no good feelings at all. I was very discouraged. The surgeon'ss office recommended that I start taking Viagra about 2-3 weeks after the surgery. And, even when i first started taking Viagra, i saw very little results, and still when my wife touched me, i felt almost zero stimulation. However, now I am 5 months post surgery, and I definitely see a difference in many ways. Just this past weekend, when my wife was touching me, the stimulation was very close to pre-surgery (in terms of how good it felt). However, the erection was not there, like pre-surgery. But when i think back two months ago, i was very frustrated that when she would touch me, that i did not get any real turned on feelings. Now i do (that is a huge positive change). And even the erections (though not yet rock hard) are longer, fuller, harder than two months ago. I would not say that they are even 90% of hard, maybe not even 80%, but they are getting better and better.

Maybe others who are further down the road, can comment on my progress and advise if that is what they encountered.

I am currently viweing things as many "separate" pieces, that I deal with separately. And hopefully over time, the pieces will come together into one complete process.

One piece is satisfying my wife, and bringing her to complete orgasm. Without getting graphic, let's just say that with both my fingers and mouth, i have always been able to bring her to completion. We even recently added a *** to the toolkit (which she was very much against, but after two uses, she is much more receptive to (on very rare occasions).

A second piece, is our mutual interest in my full hard erections coming back. The expense has not been fun, but we are trying both Viagra and Levitra. I even ordered the generic Viagra through the website occasionally mentioned on this website. Also, we are using the pump. I use it severa times per week (both by myself, just for a few minutes to get the blood flow going, and then stop. and also with my wife durnig love-making to take things to the fullest level possible. As i mentioned, things are improving, but not yet back to pre-surgery.

A third piece is my interest in orgasm. So far, i am unable to come to orgasm while inside my wife. Instead, we rely on my wife for hand and/or oral stimulation. The orgasms do occur. They take longer to get to, then pre-surgery (no duh). And, they are still not as satisfying as pre-surgery, but they are better. The rapid breathing and heartbeats are darn close to pre-surgery, as well as the quick downward spike after orgams. However, what I feel in my penis is still hit and miss. Sometimes, it is quite satifying in my penis. Other times, even though my wife brings me to orgasm, the feels in my penis are minimal. I still miss the strong and complete thrusting feelings of pre-surgery, but like i said, things are improving.

One last note: recently my wife and i had a heart to heart discussion. and the gist of it is that I need to have her touch me at times WITHOUT the anticipation of erection and without the anticipation of my entering her. It started to get to the point where we only fondled each other after a pill, and with the anticipation of my entering her. That put great pressure upon me, that when she touched me, i HAD to become erect. And for a couple fo weeks, we were going backwards. The internal pressure that i felt, caused me to become less erect. Since the talk, she now touches me, just so i can feel some pleasure, and then we stop. It might only be 5 minutes. My theory is that i want our interactions to be so that we will both feel good, and get turned on, and THEN maybe my nerves and blood flow will remember how things used to work, and that the erections will follow the good feelings (instead of a forced erection based on pump).

Lastly, i have chosen to not pursue the shots, after i read someone post about having to go to the hospital to get his penis drained after having a very painful priaspism. I realize that many use shots and have great results. I, personally, and holding off on the shots for now.

My apologies for such a long note.
Age: 53
8/1/2008: PSA 6.2, GP recommended retake.
8/27/2008: PSA 5.8 (%free 12.1) referred to Urologist.
9/10/2008: DRE - non palpable. Urologist recommended biopsy
10/2008 Biopsy appt:
10/21/2008: Biopsy results; 1 positive out of 10 samples.
Biopsy Results: Gleason 7 (3+4) , no evidence of perineural invasion.
Referred to UCSF
12/19/2008: Transrectal Ultrasound at UCSF
12/19/2008: Consultation with Surgeon.
Surgeon concurred on Gleason 7=3+4 (per slides).
2/24/2009: Robotic Assisted Laparoscopic Prostatectomy (DaVinci) UCSF
3/5/09: Cathetor removal.
Post Op Pathology: margins negative/clear, Gleason 4+3=7
4/8/09: first post-op Ultrasensative PSA: less than 0.01
Currently taking Viagra, Levitra (tried Cialis).
Purchased and using Osbon manual pump.


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 7/27/2009 1:21 PM (GMT -6)   
Fifties...
Thank you for such an informative and detailed post. You said it well when you said that return to sexual function is the combination of many things. Also important was your communication with your wife. We need to remember that sex is something we do with someone not to them.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads

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