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Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 7/30/2009 4:08 AM (GMT -6)   
Hay all,
No I didn't mis-spell hay.  I was just rolling in it, and after two years of complete impotence and lack of libido ~ I had a partial (7/8) usable erection.  With advanced prostate cancer I have been through surgery, radiation, and I am still on hormone therapy, and I had not had anything remotely resembling active participation.  But it was there this time...I did not take any Cialis, but if I had I am certain it would have been better...And it was all spontaneous!
For those who know me well, you know this is news.  I tend to keep these discussions to myself, but if it could happen to me, it could happen to anybody and I wanted to share it.  I did not think anything like this could happen while I was still on HT, but it certainly did.  My technical analysis is that I believe that nerves damaged by possibly surgery, and more likely the radiation have begun to regenerate.  And the missing element of libido was over run by the sensation I haven't felt in so long.  This has put a tear in my eye (see I am still on HT)  tonight, but whatever just happened, happened... There was no leaking, no hesitation, and it was beautiful.
With my termination of HT looming in September, Ruth and I see hope where we thought it could likely never happen again.  Dang, I feel like a kid again...I have read very few stories where and advanced guy goes through the gambit I went through and gets anything back before terminating HT.  Now I believe chases around the kitchen table are still possible in the future... :-)

 Age 47 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 16, 2007
Geason 4+3=7, Stage pT3b, N0, Mx
Positive Margins (PM), Extra Prostatic Extension (EPE) : Bilateral Seminal vesicle invasion (SVI)
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (May 11, 2009): <0.1
My Journal is at Tony's Blog  

Post Edited (TC-LasVegas) : 7/30/2009 3:15:48 AM (GMT-6)

Veteran Member

Date Joined Mar 2009
Total Posts : 739
   Posted 7/30/2009 4:39 AM (GMT -6)   
Hay tony, thats just beautiful, my wife and I sit here thinking wow, it can happen, and we are all waiting for that moment.  We are so excited for you, must of brought back alot of memories for you and Ruth, and we hope you enjoyed the moment and may many more be just around the corner.  I'm still living up to my forum name, but still thinking positive, particulary after hearing this type of news.  Good on ya Mate. yeah
Age 51yrs
DX 11/11/08
6 out of 8 cores positive 3 X 60% / 3 X 10%
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  .03
PSA 2/09  .03
PSA 5/09  .03
"Everyday in Everyway I get better"

Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4849
   Posted 7/30/2009 5:22 AM (GMT -6)   
COOL News.

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.

Regular Member

Date Joined Aug 2007
Total Posts : 125
   Posted 7/30/2009 6:00 AM (GMT -6)   
53 years - 5' 11" 202 lbs.
T1c 3+3=6
DaVinci July 16, 2007
Bladder Sling installed during prostate removal
nerve sparing with both nerve bundles intact
all cancer contained within prostate nothing near margins
11 weeks post-op - no more pads
all PSA's since removal < .1 - Undetectable

Regular Member

Date Joined May 2008
Total Posts : 260
   Posted 7/30/2009 6:52 AM (GMT -6)   


   ....well you ole' devil you!  Never say never, great news Tony.  

  age: 53 @ Dx, Pre-op PSA Feb 08' 5.0, April 08' 4.1
  Biopsy 5.1.08, 5 of 15 cores postive, T2a, Gleason 3+4=7
  DaVinci performed 7.29.08
  Bladder sling installed, umbilical hernia repaired during surgery.
  Path report, "cancer fully contained, margins clear".
  Cath removed 8.8.08, ED therapy begins 8.9.08
  100mg Viagra three times a week, pump for ten minutes daily
  and hold for ten minutes.
  8.16.08 switched to Levitra 20mg, immediate results
  9.15.08 Pad free at night, one thin (light) pad during the day
  9.18.08 1st Post-op PSA Undetectable Zero's....Yes!
  12.22.08 2nd Post-op PSA  Zero's still...
  6.23.09 1yr Post-op PSA Still a zero..
  Pads gone 1.3.09, finally found the courage...Thanks ya'll
          ".....tryin' to reason with hurricane season...."

Regular Member

Date Joined Oct 2007
Total Posts : 300
   Posted 7/30/2009 7:58 AM (GMT -6)   
Congrats Tony, Things are looking up for you. LOL
Age 65
Diagnosed 10/12/07
PSA 6.3
Biopsy 18 core samples, 2 positive <5%
Stage T1a Gleason 6 (3+3)
LRP  1/29/08
Gleason 7 (3+4)
1 positive margin (.3cm)
4/16/08- Started Bi-mix injections 
5/15/08- 1st Post-Op PSA 0.07 Undetectable
8/11/08 -2nd Post-OP PSA 0.02 Undetectable
8/15/08- No more pads as of today  Whoopee!!!
11/13/08- 3rd post-op PSA 0.02 Undetectable
03/02/09- 1 yr. post-op PSA .09 Undetectable
05/13/09   PSA .18 (ouch)
Started IMRT June 13, 2009

Veteran Member

Date Joined May 2009
Total Posts : 2692
   Posted 7/30/2009 8:12 AM (GMT -6)   
Wow, hope for the limp guy ! Thanks for putting it out there !
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)

Regular Member

Date Joined Jun 2009
Total Posts : 38
   Posted 7/30/2009 8:40 AM (GMT -6)   
Tony that is great news! I don't want to hijack your thread but this morning I awoke (5:30am) to a spontaneous erection! This is the first time since prior to my DaVinci back in Jan. 2008. It also occurred without the help of any meds and was about 80%. To bad my wife had already left for work. I have been using viagra/cialis along with the pump as preventive maintenance since August, 2008. That is when I finally had the last catheter removed following the problem with blockage/scar tissue (What David is now going through). Had it not been for the 8 months of hell I might  be even further along, who knows. Just to reiterate to all my brothers out there keep the faith, it can happen!
49 @ diagnosis 51 now
Gleason 3 + 4
DaVinci 01/2008
Numerous f/u cysto's for blockage/ scar tissue 

Cajun Jeff
Veteran Member

Date Joined Mar 2009
Total Posts : 4119
   Posted 7/30/2009 8:50 AM (GMT -6)   
Tony! Thanks for the news. You give us all hope. May wood come in that hay more often......Congrats

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
 10th month  PSA <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next

Veteran Member

Date Joined Nov 2007
Total Posts : 598
   Posted 7/30/2009 8:51 AM (GMT -6)   
Yahoo! wow. Tony - no one deserves this more than you. Let's hope it happens again. But at any rate, with cessation of HT coming up, you probably have LOTS more to look forward to! Life is full of nice surprises.
46 at Diagnosis.
Father died of Pca 4/07 at 86.
10/07 PSA 5.06 (Biopsy 11/07 1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC www.roboticoncology.com
Saved both nerve bundles.
Path Report: Stage T2cNxMx
-Gleason (3+3)6
Pad free on March 14 - (10 weeks.) Never a problem since.
ED - at one year, ED is fine with viagra.
One year PSA - undectable!

ED Website: www.franktalk.org - frank discussions of Erectile Dysfunction

Veteran Member

Date Joined Jul 2008
Total Posts : 966
   Posted 7/30/2009 9:03 AM (GMT -6)   
Great news Tony...and yes very encouraging to those with advanced disease to keep faith and hope alive. May your blessings continue as you enter the next phase of the HT vacation. Hopefully it will be a long vacation with all the rewards as things are beginning to look up literally.

Congrats to you with blissful moments and I will include Ruth with that statement.
You are beating back cancer, so hold your head up with dignity
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 Apr 2009 .06
                   9 month Jul  2009 .08

Veteran Member

Date Joined Jul 2009
Total Posts : 1267
   Posted 7/30/2009 9:08 AM (GMT -6)   
Tony --- I'm thrilled for you, and frankly for myself, as your success and Kbars' too, bring hope to all.

Bravo !

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9, so far, so good
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"  

Regular Member

Date Joined Apr 2008
Total Posts : 158
   Posted 7/30/2009 9:19 AM (GMT -6)   
I AM REALLY HAPPY FOR YA TONY , I REMEMBER WHEN IT FIRST HAPPENED TO ME IT WAS ALMOST LIKE I WAS KINDA LIKE THE REST OF THE WORLD AGAIN , IM THRILLED FOR YA AND NOW IM EVEN MORE CURIOUS , CAN CHANGE HAPPEN THAT FAR AFTER SURGERY?   ,,,OBVIOUSLY SO , KEEP US POSTED  YOUR  1 INSPIRING MAN , WERE PROUD OF YOU , AND GLAD IT WAS YOUR TURN FOR GOOD NEWS ....................................DIRT tongue smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin smilewinkgrin
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

Elite Member

Date Joined Oct 2008
Total Posts : 25393
   Posted 7/30/2009 9:19 AM (GMT -6)   
Tony I am thrilled to read your news. It is a big deal, kind of "hard" to swallow the news, hope you had no "stiff" opposition to telling what happened. May you be filled with oak like wood and the just and desire of a 17 year old boy. Enjoy Enjoy Enjoy.

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
 Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
2009 PSA   2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, scarring closed up bladder neck, again

Regular Member

Date Joined Mar 2007
Total Posts : 315
   Posted 7/30/2009 9:24 AM (GMT -6)   
Great surprise!! smilewinkgrin

it sounds like that little toy animal my daughter had when she was little, it said a few things and then went to sleep for a while, sometimes for weeks. I remember being alone for a weekend when wife and dau were on a trip, late a night that thing woke up and started talking, like to have scared me to death, the only way I could shut it up was to take out the batteries. Sounds like your batteries are still working.
diagnosed sept 2006 @ 54 years old, live in Georgia, gleason 3+4=7, (r) lobe only

psa 4.7 (psa rose 1 point per year for 3 years, urologist said still under 4 and no concern. If I can find out about PSA velocity, why didn't he know!)

Told not to have surgery at Dana Farber as cancer had already penetrated prostate, in seminal vesicles, would have positive margins. Would only treat with radiation and HT

RP Emory Atlanta December 2006. Path-negative margin, negative lymph nodes, negative SV, both Lobes involved, 40% gland involved
multifocal perineural invasion, Gleason 3+4=7

1st psa April 2007-<0.04, 6 mos-<0.04, 9 mos <0.04, 1yr <0.04, 21 mos <0.04, 2 yr 0.04 (rising?) 26 mos-0.05, 27 mos-0.04, 29 mos 0.06

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4463
   Posted 7/30/2009 9:35 AM (GMT -6)   
Tony, that's great news, and I am so hopeful that your recovery will continue. Atta boy, guy! You too kbar...
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
22 mts: ED- 50 mg Viagra 3X week, pump daily,Trimix 30/1/20-.10ml 2X week continues
PSA's: .04 each test since surgery

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 7/30/2009 9:55 AM (GMT -6)   
I guess the excitement got the best of me. This morning I'm a little embarrassed...
Kiss and tell is for the teenagers...lol...But something like this is news to a prostate cancer patient, and I guess I had to share it. Montee, that story made me laugh. I gues when I thought if I would again check that battery compartment there would be corrosion around the batteries. Thanks for telling that story...lol...it put a smile on my face to start a new day. It must have scared the crap out of me, too.  I guess a Woo-Hoo for me...

As said in the Shawshank Redemption "Hope is a good thing...maybe the best of things...and no good thing ever dies..."

Peace and love to you all...thank you for understanding.


 Age 47 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 16, 2007
Geason 4+3=7, Stage pT3b, N0, Mx
Positive Margins (PM), Extra Prostatic Extension (EPE) : Bilateral Seminal vesicle invasion (SVI)
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (May 11, 2009): <0.1
My Journal is at Tony's Blog  

John T
Veteran Member

Date Joined Nov 2008
Total Posts : 4269
   Posted 7/30/2009 11:54 AM (GMT -6)   
Great News! just goes to show there is always hope in dealing with this disease.

64 years old.

PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DX BPH and continue to get biopsies yearly. Positive Biopsy in 10-08, 2 cores of 25, G6 less than 5%. Scheduled Surgery as recommended.

2nd Opinion from Dr Sholtz, an Oncologist said DX wrong, path shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G 4+3 approx 2.5cm diameter.

Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy.

Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and burining urination. Daily activities resumed day after implants.

Scheduled for 5 weeks IMRT in July


Uncle Harley
Regular Member

Date Joined Feb 2009
Total Posts : 85
   Posted 7/30/2009 5:14 PM (GMT -6)   
Way to go Tony. I'm looking forward to your report of spontaneous fireworks over Vegas real soon!
PSA History
3/99 1.2
3/00 1.04
3/01 1.16
7/02 1.24
2/06 1.59
3/07 1.79
3/08 2.54
8/08 2.3
4/09 2.3
7/09 2.6
12 needle prostate biopsy Jan 09
Dx of (1) core adenocarcinoma 20%
All other cores benign
Gleason 3+3 T1C
Currently in Active Surveillence
Age 60

Regular Member

Date Joined Sep 2008
Total Posts : 143
   Posted 7/30/2009 5:59 PM (GMT -6)   

Tony, that is fantastic. You have given hope and inspiration to many of us...and this is one more example.

Bill in San Diego

Age 61 (59 @ Dx) PSA 4.4

Biopsy 5/15/08 Gleason (3+3=6)

Bone scan and pelvic CT: clear

HT - 2 mo Casodex, 3 mo Trelstar

RRP Surgery 9/15/08

Post-OP Gleason 3+4=7, Stage pT2c pN0 MX

SV, perineural margin, 18 lymph nodes, bladder neck: all carcinoma free

Perineural invasion & Distal Margin: Carcinoma present

IMRT adjuvant radiation (35 Treatments) Ended 1/27/09

PSA Tests: (10/13/08) (3/13/09) (7/10/09): all <0.1

Veteran Member

Date Joined Apr 2008
Total Posts : 847
   Posted 7/30/2009 7:40 PM (GMT -6)   
Tony -- congratulations, and to you too Kbars! Make hay while the sun shines. :-)

Tony, what penile rehab have you been doing? You mentioned Cialis so I guess you have been taking that. Probably not injections as they will give you erections even when you are not interested in sex. What about the pump, and how often? Sorry about the personal questions here, but curious minds need to know :-)
Age 63 at diagnosis, now 64.
No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores.
Non-nerve sparing RRP on 7 March 2008.
Two nights in hospital; catheter out after 7 days.
Continent; no pads needed from the get-go.
Pathology showed organ confined and negative margins. Gleason downgraded to 4+4=8.
6-week : <0.05
7-month: <0.05
13-month: 0.07 (start of a trend?)
After a learning curve, Bimix injections (0.2ml) are working well. VED also works but we find it inferior to Bimix.

Veteran Member

Date Joined Apr 2008
Total Posts : 1382
   Posted 7/30/2009 7:47 PM (GMT -6)   
Tony that is truly great news. I had succumb to the fact that those days are gone. I,like you, have not even had a hint of an erection and the libido doesn't help either. I pray that when you come off the HT that things will improve even more. Blessings are all around us aren't they?

Love you my brother

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
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

Veteran Member

Date Joined Apr 2007
Total Posts : 823
   Posted 7/30/2009 8:35 PM (GMT -6)   

Hi Tony


Great news, you deserve it



age at dx 54 now 57
psa at dx 4.3
got the bad news 1/29/07
open surgery Duke Medical Center 5-29-07
never more than 2 pads
ED is getting better
the shots work great, still can't give them to myself
two years of zero's

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 7/30/2009 9:24 PM (GMT -6)   
You all are wonderful people!
I would like to thank you all individually but I will use a general thank you from the bottom of my heart. As best and conservative as this Christian boy can get, I will respond one question:

Nature was the recipe I guess. There was no program to get things kick started. My loss of libido was so intense that I have had no desire to even attempt anything for two plus years. Without the details of what we would try to do, simply nothing worked. Recent months I started seeing some signs that I was not dead yet down there. Mornings down there was showing a sign of slight inflation. I started filling prescriptions of Cialis in May, and took a few, but again, no desire meant no results. Because I knew we were going to stop the hormonal therapy, I thought it wise to "stock up" with what my insurance would cover (6 per month) in ED medications. I am still on the HT until September, so I can only attribute these changes to physical healing and devine intervention. This experience was out of the blue.

For those who don't understand how hormone therapy can affect us, let my testimony stand for what I dealt with. HT leads to loss of libido. Loss of libido leads to total ED. HT can cause depression in two ways. No testosterone leads to metabolism changes that affect our minds and bodies. Combine this with total ED and now depression is a very real enemy for the guys on HT. Many don't get it, but many do and it is debilitating. I suffered it last summer and I had to address it. But I have found my peace living with HT, ED, and I remain hopeful that this is a good sign as to how things will be once my T levels return to normal.

I have traveled in that boat you are sailing in. There is hope. I'll call you tomorrow...I love you my friend...


 Age 47 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 16, 2007
Geason 4+3=7, Stage pT3b, N0, Mx
Positive Margins (PM), Extra Prostatic Extension (EPE) : Bilateral Seminal vesicle invasion (SVI)
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (May 11, 2009): <0.1
My Journal is at Tony's Blog  

Ed C. (Old67)
Veteran Member

Date Joined Jan 2009
Total Posts : 2461
   Posted 7/31/2009 2:17 PM (GMT -6)   
Great news Tony. Congratulations. The one thing that most of us PCa guys miss is the spontaneous aspects of love making. Having to use the needle or medication and hoping it works takes most of the fun out of it. I hope things continue to get better for you.
Age: 67 at Dx on 12/30/08
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09 Dr Fagin, Austin TX
Pathology report:
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Posterior lateral lesions measuring 1.5 x 1.4 x 1.0 cm showing focal capsular penetration over a distance of 3mm.
Prostatic adenocarciroma accounts for approx. 10-20% of the hemisphere.
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx, Negative margins
seminal vesicles clean, lymph nodes: not dissected
continent after 4 months
8 weeks PSA test 4/7/09 result <0.1
5 months PSA test 7/9/09 result <0.1

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