1st Post-Op PSA

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mikey1955
Veteran Member


Date Joined Dec 2008
Total Posts : 673
   Posted 8/14/2009 1:28 PM (GMT -6)   
Being the ever impatient engineering type I am when it comes to getting any kind of test results from any kind of test, I phoned my surgeon's office today looking for the results from blood drawn last week. I couldn't wait until the end of August appointment with him to find out. 
 
Undetectable, less than 0.10. That makes my day, today. And, I'm hoping for the same in 3 months, 6 months and so on.
 
Today is a good day for me. I wish the same for all of you.
 
Doesn't mean a cure, but a good result. I guess I was bit more stressed about it than I thought I was.
 
Mike
 
 
  
-Hernia, mesh and large scar, surgery early 2006
-Nov/Dec 07, March 08 and Dec 08: Severe perineum pain . Septra/Bactrim for 8 months 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: 5 of 8 cores positive GS 3+3 or 6. 30-65%. Perineural invasion.
-General Health: pretty good, 5' 10", 180 lbs, slim.
-Bone scan Dec 08: Negative
-Barium enema X-ray March 09: Small diverticulosis
-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)
-Open RP surgery: May 09 both nerve bundles spared. Bilateral lymph node dissection performed. Discharged 48 hours after surgery.
-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.


wd40
Regular Member


Date Joined Jan 2008
Total Posts : 218
   Posted 8/14/2009 1:59 PM (GMT -6)   
Mike it only gets better from here on. yeah
12/06/07 DaVinci and open prostate surgery after difficulties in breathing stopped the davinci.


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4849
   Posted 8/14/2009 2:10 PM (GMT -6)   
Welcome to the ZERO Club.
 
New kid buys the beers tonight idea
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.


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 8/14/2009 2:48 PM (GMT -6)   
Good deal, welcome to the club, ya big zero!
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


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 8/14/2009 3:05 PM (GMT -6)   
Congrats....welcome to the zero club. Dale will come along shortly to collect the membership fees and mail you the membership card....that is unless he now has a secretary....<grin>
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 Apr 2009 .06
                   9 month Jul  2009 .08


mikey1955
Veteran Member


Date Joined Dec 2008
Total Posts : 673
   Posted 8/14/2009 3:26 PM (GMT -6)   

wd40...Thanks. Now, on to the next challenge, ED.

Steve...I'll buy a round if we can get the get-together going.

James...Thank you. And thanks for the pump advice. It's starting to work. Grateful to you for the insight there.

Les...Send me an invoice. that's one I'll be more than happy to pay.

HW...thank you for being here.

Mike

PS: My wife and one daughter just came home. All my kids will be here this weekend, too. What more can someone ask for?


-Hernia, mesh and large scar, surgery early 2006
-Nov/Dec 07, March 08 and Dec 08: Severe perineum pain . Septra/Bactrim for 8 months 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: 5 of 8 cores positive GS 3+3 or 6. 30-65%. Perineural invasion.
-General Health: pretty good, 5' 10", 180 lbs, slim.
-Bone scan Dec 08: Negative
-Barium enema X-ray March 09: Small diverticulosis
-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)
-Open RP surgery: May 09 both nerve bundles spared. Bilateral lymph node dissection performed. Discharged 48 hours after surgery.
-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.


oldflyingfarmer
Regular Member


Date Joined Jun 2009
Total Posts : 32
   Posted 8/14/2009 4:25 PM (GMT -6)   
Congrats, I had my 6 week post op in July with similar results which I posted. It is a relief. Now comes decisions on radiology.
Good luck in the future, lets hope it stays that low.
Age 55
Diabetic on insulin pump
PSA started rising in 2007
2 negative biopsiesthru 2008
2009 PSA 31, TURP found Gleason 9 cancer
Started holistic approach while waiting for surgery
RRP on May 27, 2009
Cath out 2 weeks after surgery
Very little drip, some pain
Had my 6 week post op doctor visit. PSA was <.05 so I am pleased.
Still some ED problems but seeing improvement. May try VED. Started on daily pills.


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4119
   Posted 8/14/2009 6:55 PM (GMT -6)   
Hey Mike. I'll save you a seat for the next meeting. Congrats on making it to the Zero club.

Jeff T
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


Ralph Alfalfa
Regular Member


Date Joined Nov 2008
Total Posts : 469
   Posted 8/14/2009 7:08 PM (GMT -6)   
Great news to start the weekend! Have a ball with the kids. I'm sure they will love the good news.

Bob
 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.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 8/14/2009 7:17 PM (GMT -6)   
Congratulation and a big hug from your friend and fellow PC brother That is great news. I sure hope you and the misses go out and celebrate your admitance into the zero clug on all of our behalfs. May many more follow this one. So happy for you.

david in sc

ps you never have to apologize for psa anixety, we are the same in that department
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, 8/9 .16
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, scarring closed up bladder neck, corrective laser surgery scheduled for 8/18,
meeting with Rad. Oncl on 8/14 about lastest PSA
 
 


CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 8/14/2009 7:49 PM (GMT -6)   
Greetings, Mike.  Congratulations!  Welcome to the zero club.  Here is wishing you a long, long lifetime of continued zero's.  David
Diagnosed Dec 2007 during annual routine physical at age 55
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 pos; 2 marginal
Gleason 3+3; upgraded to 4+3 post surgery
RRP 4 Feb 08; both nerves spared
Good pathology - no margins - all encapsulated
Catheter out Feb 13 - pad free Feb 16
PSA every 90 days - ZERO's everytime!
Great wife and family who take very good care of me


mikey1955
Veteran Member


Date Joined Dec 2008
Total Posts : 673
   Posted 8/14/2009 7:59 PM (GMT -6)   

Thanks CPA...a bit of anxiety leading up to actually getting the results.

David, thanks, as always. Now, let's get you sorted out...and a hug back.

Bob, Kids are all here along with my grandaughter...POOL TIME!!!

Thanks Jeff T...I'll buy you a beer, save me a seat.

Thanks flying, it is a relief. I hope it's not a temporary one.

All my best to all of you.

Mike


-Hernia, mesh and large scar, surgery early 2006
-Nov/Dec 07, March 08 and Dec 08: Severe perineum pain . Septra/Bactrim for 8 months 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: 5 of 8 cores positive GS 3+3 or 6. 30-65%. Perineural invasion.
-General Health: pretty good, 5' 10", 180 lbs, slim.
-Bone scan Dec 08: Negative
-Barium enema X-ray March 09: Small diverticulosis
-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)
-Open RP surgery: May 09 both nerve bundles spared. Bilateral lymph node dissection performed. Discharged 48 hours after surgery.
-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.


DS Can
Regular Member


Date Joined May 2009
Total Posts : 195
   Posted 8/14/2009 10:39 PM (GMT -6)   

Mike,  A big woohoo for you.  Celebrate and keep healing.  Keep those zeroes coming.

Dan


PSA 01/07 1.2, PSA 01/08 1.9, PSA 01/09 2.5
BIOPSY 02/24/09  PCa DX age 52
Right: 3+3=6, 3/6 cores 10% involved,PNI-Y
Left:  3+3=6, 1/7 cores <5% involved,PNI-N
LARP 04/09/09 nerve sparing. Final pathology:
GS 3+4=7, Margins uninvolved, 2 lymph nodes negative
Catheter out 04/17,1st no-pad day 05/03
25 mg Viagra nightly;100 mg:not ready for prime time
Followup PSA 05/28/09 <0.1
 
 


Colin45
Regular Member


Date Joined Feb 2009
Total Posts : 216
   Posted 8/14/2009 10:53 PM (GMT -6)   
Mike how long after your operation did you have your first PSA is it different for open against Robotic surgery only I had my operation over 2 weeks ago and I am not due to have my PSA checked for another 3 months from today but I see most people on here have theirs after 6 weeks

The good thing in my hospital is you get an appointment with the doctor but you go 2hrs earlier have your bloods done see the doctor 2hrs later and get the results no waiting
 
Forgot to add that I am one of those engineering impatient type


 
 
Age 64 From UK now in Thailand Baby boy born 2/14/2009
 First PSA was showing 9.73 on 1/21/09.   on 5/7/09 PSA 9.78  Free PSA 0.83   Free:Total  PSA 0.08 
1/28/09 Biopsy carried out 12 core results show no adenocarcinoma
5/15/0924 Core biopsy results Gleason'S Grade 3+2=5
Involving approx 30% of one out of 12 cores on each side no perineural or angiolymphatic invation identified
One side PIN High Grade Bone scan clear 
Open surgery 7/27/09
Prostate Gland weighting 34 grms
Gleason upgraded to 3+3 Tumour not closeto prostatic capsule Seminal Vesicles not involved by Tumour 6 Lymph Nodes negative for Malignant cells
 


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 8/14/2009 11:17 PM (GMT -6)   
Oh Mike, do I identify with this one.

Next week, seven out from surgery, I'll find out when I go for my first PSA and I'm already quaking.

Congratulations on your great result. I hope to follow in your footsteps.

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"  


mikey1955
Veteran Member


Date Joined Dec 2008
Total Posts : 673
   Posted 8/15/2009 6:55 AM (GMT -6)   

Thanks Dan. Yep, a really good milestone...woohoo. Sheldon, hope to hear good news from you, too.

Colin, my blood was drawn 3 months to the day after my open RP. I think it depends more on the surgeon than the procedure as to how long until 1st PSA test. I don't like the waiting either. 

Mike


-Hernia, mesh and large scar, surgery early 2006
-Nov/Dec 07, March 08 and Dec 08: Severe perineum pain . Septra/Bactrim for 8 months 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: 5 of 8 cores positive GS 3+3 or 6. 30-65%. Perineural invasion.
-General Health: pretty good, 5' 10", 180 lbs, slim.
-Bone scan Dec 08: Negative
-Barium enema X-ray March 09: Small diverticulosis
-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)
-Open RP surgery: May 09 both nerve bundles spared. Bilateral lymph node dissection performed. Discharged 48 hours after surgery.
-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.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 8/15/2009 7:23 AM (GMT -6)   
colin, i had open surgery, and my first psa was done 3 months to the day after my surgery
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, 8/9 .16
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, scarring closed up bladder neck, corrective laser surgery scheduled for 8/18,
meeting with Rad. Oncl on 8/14 about lastest PSA
 
 


Colin45
Regular Member


Date Joined Feb 2009
Total Posts : 216
   Posted 8/15/2009 8:20 AM (GMT -6)   
It seems like my doctor does it 3 months after his final appointment after the operation I could always get a test done somewhere else but he seems to of treated me good so I guess that I will be patient
 
 
Age 64 From UK now in Thailand Baby boy born 2/14/2009
 First PSA was showing 9.73 on 1/21/09.   on 5/7/09 PSA 9.78  Free PSA 0.83   Free:Total  PSA 0.08 
1/28/09 Biopsy carried out 12 core results show no adenocarcinoma
5/15/0924 Core biopsy results Gleason'S Grade 3+2=5
Involving approx 30% of one out of 12 cores on each side no perineural or angiolymphatic invation identified
One side PIN High Grade Bone scan clear 
Open surgery 7/27/09
Prostate Gland weighting 34 grms
Gleason upgraded to 3+3 Tumour not closeto prostatic capsule Seminal Vesicles not involved by Tumour 6 Lymph Nodes negative for Malignant cells
 


riggerjon
New Member


Date Joined Aug 2009
Total Posts : 7
   Posted 8/15/2009 9:18 AM (GMT -6)   
My doctor set my appointment for 7 weeks after surgery for a follow up and PSA. I asked him how long for the PSA to drop after surgery and was told 2 weeks or so.
Age 58
PSA 9/19/06 5.51
PSA 9/12/07 4.14
PSA 9/17/08 5.67
PSA 05/2009 8.48
Biopsy: 06/08/09 30% on right 5% on left positive
Gleason 6
Cat Scan and bone scan 06/15/09 negative


Robotic Surgery 07/27/09
Mercy Medical Sioux City, IA
Discharged 07/28/09
Nerves spared both sides
Pathology: Gleason lowered to 6, margins clear
Catheter removed 8/3/09


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 8/15/2009 11:14 AM (GMT -6)   
Mine was 3 months, then 3 months for the first year, then 6 months this second year. Going to 9 months next time, then if clear, once a year after Feb. (@32 months)
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


Doting Daughter
Veteran Member


Date Joined Aug 2007
Total Posts : 1064
   Posted 8/15/2009 11:31 AM (GMT -6)   
Congrats! May your lifetime be filled with undetectables!!
Father's Age DX 62 (now 64)
Original Gleason 3+4=7, Post-Op Gleason- 4+3=7,
DaVinci Surgery Aug 31, 2007
Focally Positive Right Margin, One positive node. T3a N1 M0.
Bone Scan/CT Negative (Sept. 10, 2007)
Oct. 17 PSA 0.07
Nov. 13 PSA 0.05
Casodex adm. Nov 07, Lupron beg. Dec 03, 2007 2 yrs
Radiation March 03-April 22, 2008- 8 weeks 5x a week
July 2, 08 PSA <.02
Oct. 10, 08 PSA <.02
Praying for a cured dad.

Co-Moderator Prostate Cancer Forum


IdahoSurvivor
Veteran Member


Date Joined Aug 2007
Total Posts : 1015
   Posted 8/15/2009 3:41 PM (GMT -6)   
Mike... from a fellow engineer, a big congrats to you! tongue

Let's keep those zero's coming! Nice to hear it!

Kind regards,

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


mikey1955
Veteran Member


Date Joined Dec 2008
Total Posts : 673
   Posted 8/15/2009 3:47 PM (GMT -6)   

Thanks so much Doting and Barry. It's been a bit of a rollercoaster. One more milestone in many yet to come. Best to you both, too!

 

Mike


-Hernia, mesh and large scar, surgery early 2006
-Nov/Dec 07, March 08 and Dec 08: Severe perineum pain . Septra/Bactrim for 8 months 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: 5 of 8 cores positive GS 3+3 or 6. 30-65%. Perineural invasion.
-General Health: pretty good, 5' 10", 180 lbs, slim.
-Bone scan Dec 08: Negative
-Barium enema X-ray March 09: Small diverticulosis
-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)
-Open RP surgery: May 09 both nerve bundles spared. Bilateral lymph node dissection performed. Discharged 48 hours after surgery.
-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.

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