OK Guys...I need some reassurance!

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Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 8/20/2009 10:57 AM (GMT -6)   
Hubby's PSA as of this week is 0.1...have been 0.0 since surgery. I'm in panic mode again and am trying to get a handle on what's next. We see the urologist tomorrow morning (this is a regularly scheduled appointment) and I plan on asking lots of questions. Husband's stats are in my signature.

Any words of advice/wisdom for me?

Am one worried wife.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage updated to T3a with one microscopic extension into but not through capsule. Surgical margins, bladder and SV negative for tumor. Gleason 3+4 (no change from biopsy). PSA of 0.0 every 3 months since surgery. Incontinence is very good to excellent. Making progress with ED.


Geebra
Regular Member


Date Joined May 2009
Total Posts : 476
   Posted 8/20/2009 11:05 AM (GMT -6)   
Too early to tell if this constitutes a recurrence. If the tests that were performed were sensitive to 0.1 then a minute change or even lab difference could show up as "detectable" 0.1. If it continues to rise, then you may need to explore salvage radiation. With your husband's stats it is very likely that if this indeed is a start of a trend, it would be a local recurrence that salvage radiation should take care of.

Take a deep breath and don't panic. This could be nothing, but even if it is something, you still have lots of options.

Father died from poorly differentiated PCa @ 78 - normal PSA and DRE

5 biopsies over 4 years negative while PSA going from 3.8 to 28

Dx Nov 2007, age 46, PSA 29, Gleason 4+4=8

Decided to participate in clinical trial at Duke - 6 rounds of chemo (Taxotere+Avastin)

PSA prior to treatment on 1/8/2008 is 33.90, bounced on 1/31/2008 to 38.20, and down at the end of the treatment (4/24/2008) to 20.60

RRP at Duke (Dr. Moul) on 6/16/2008, Gleason downgraded 4+3=7, T3a N0MX, focal extraprostatic extension, two small positive margins

PSA undetectable for 8 months, then 2/6/2009-0.10, 4/26/2009-0.17, 5/22/2009-0.20, 6/11/2009-0.27

Salvage IMRT + 6 Months ADT: Casodex started 6/12/2009, Lupron 6/22/2009, PSA 6/25/2009-0.1, T=516, 7/23/2009-<0.05, T<10, IMRT to start mid-Aug


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 8/20/2009 11:24 AM (GMT -6)   
Thanks, Geebra. I am once again pouring over information on the Web and so far have found nothing that points to a problem yet. I asked exactly what my husband's last PSA was (wondering how many decimal places were used). was told the number last time was 0.0, so I don't know if he had a rise from 0.08 to 0.1, for instance.

Appreciate your calming words.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage updated to T3a with one microscopic extension into but not through capsule. Surgical margins, bladder and SV negative for tumor. Gleason 3+4 (no change from biopsy). PSA of 0.0 every 3 months since surgery. Incontinence is very good to excellent. Making progress with ED.


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 8/20/2009 11:43 AM (GMT -6)   
Your doctor will be able to give you a better perspective on this because he sees lots of readings from the same lab. He may want a re-test to check it, or he may just say that he'll see you in three months. Whatever is going on you will have plenty of time to deal with it when you have more information. And no matter what the case there are still very effective treatment choices.
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


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 8/20/2009 12:25 PM (GMT -6)   
The guys have all given great advice here. The first order is no panic is necessary, The watchful eye certainly is in order. If the PSA raises again, then start to log them and see how fast. Usually three consecutive increases is a sign that it's time to look into the next steps. Radiation is high on that list. Many have had to do it when staged at 3 and above, and many have done very well after radiation. So hang in there, and think good things.,.

Mostly don't let it ruin great days ahead.

Tony
 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  
 
STAY POSITIVE!


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 8/20/2009 1:53 PM (GMT -6)   
The urologist just called and said there are 3 things that could be causing this uptick:

First is the test itself. Discussed how PSA is not an exact science and even though all the blood work has been done through the same lab, there could be some "background noise" (his words) at work here.

Second is that we might be facing a recurrence. No way to tell at this point but he wants another PSA test in a month for 2 reasons: one to put our minds at ease and second to check is the PSA is steady or even has gone back to 0.0.

Third reason could be benign prostate tissue left behind causing the PSA.

His words to me were don't panic yet. We need to be cautious and concerned but no indication that any action is required at this time.

I know that many on this board have gone through similar situations and our doctor said this is not an uncommon occurrence. I pray that this is just some wacky test result and that the next PSA will be back down to undetectable.

Thanks Geezer and Tony for your words of advice.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage updated to T3a with one microscopic extension into but not through capsule. Surgical margins, bladder and SV negative for tumor. Gleason 3+4 (no change from biopsy). PSA of 0.0 every 3 months since surgery. Incontinence is very good to excellent. Making progress with ED.


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 8/20/2009 2:07 PM (GMT -6)   
Sephie...just out of curousity...was the ultra sensitivity test ever considered...the one that goes to two decimal places. It would be able to detect the difference of 0.08 and 0.1 for determining velocity. Granted it has it's drawbacks as well, including adding more anxiety with small changes. But then at least you could detect any consecutive rises. Just a thought.
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


Squirm
Veteran Member


Date Joined Sep 2008
Total Posts : 744
   Posted 8/20/2009 3:07 PM (GMT -6)   
What was your husbands three pre-surgical PSA's numbers?

goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 8/20/2009 3:08 PM (GMT -6)   
I know for myself, I try to not let one test get me too upset. Too many variables in the blood draw, the handling of the specimen, and the actual lab test.

Beyond that, worrying doesn't seem to do much of us anything positive. We have to remain calm both for ourselvces and for our families. we just need to keep focused on the issues, and the possible solutions.

Praying doesn't seem to hurt either. If nothing else, it seems to calm me down a little !
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)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 8/20/2009 3:55 PM (GMT -6)   
Dear Sephie,

Sorry to hear that news, but I agree with the others, one reading at .10 isn't reaccurance. Even if it is, still too early to call, new two more readings upward to begin to believe that. Kind of like the situation I am facing. When does his doctor want to re-test? That's the first thing I would want to do, to see if it were a test quirk or mistake. Will be thinking of you two, and hoping for the best.

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, 8/9 .16
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, 8/14 met with Rad Oncl, still talking option, 8/18 - had laser scope surgery to clear blockage, now on Catheter #7
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 8/20/2009 4:24 PM (GMT -6)   
Squirm: husband's PSA prior to surgery was 6.4 in 2008 and 4.65 in 2007. Can't find the test results for 2006 but I believe it was lower than 4.65. He definitely had a trend going the past few years but it wasn't til the jump in '08 that his MD said "get thee to the urologist."



David: you are a dear. Urologist said he'd probably want to retest in a month's time but I'm going with my husband to see the urologist tomorrow morning and am thinking about asking for another PSA in 2 weeks' time. Thanks for the good thoughts - I think of you often as well and know that you're going through your own trials and tribulations.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage updated to T3a with one microscopic extension into but not through capsule. Surgical margins, bladder and SV negative for tumor. Gleason 3+4 (no change from biopsy). PSA of 0.0 every 3 months since surgery. Incontinence is very good to excellent. Making progress with ED.


livinadream
Veteran Member


Date Joined Apr 2008
Total Posts : 1382
   Posted 8/20/2009 5:32 PM (GMT -6)   
Sounds like you have been given some great advice. What an awesome support network here at HW. I would agree not to panic however I do recommend being cautious. I like the three options the doctor gave you. As a spiritual person I think you should look at all your blessings, enjoy every moment, and look forward to many years together.

may you have much peace in your day
dale
My PSA at diagnosis was 16.3
age 47 (current)

http://www.caringbridge.org/visit/dalechildress

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
PSA July 28th 2009 is .01

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%


creed_three
Veteran Member


Date Joined Jan 2007
Total Posts : 762
   Posted 8/20/2009 6:09 PM (GMT -6)   
Hi Sephie, I am sorry I don't really have anything helpful to say but I hope you can see clear to try to live with it until you know. I allowed myself to sink into depression over things like this, and my hubby only had slight rises in (ultrasensitive) PSA which turned out to be OK, so take care of yourself in whatever way helps. I recently took up yoga again which helps heaps (the mind!). Hope you can get the answers, stay calm and keep asking questions until you have all the info. The first few years are really scary for us all in the PSA watch mode. Keep breathing! Warm wishes and good luck to you and your hubby, Lana (with CJ)
Creed_three - Husband 51 yrs (49 years at diagnosis)
PSA (2002) 2.1.  PSA (2006) 3.5.  1 x 5% core of 12 positive at biopsy. Open Radical Prostatectomy with nerve sparing April 2007. Gleeson 3 + 4 = 7.   Undetectable <.1 PSA since, specifically, June 2007-0.01, Oct 2007-0.02, April 2008-0.02: Oct 2008-0.03, Nov, 2008-0.02, April 2009-0.03. 


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 8/20/2009 7:06 PM (GMT -6)   
Hi Sephie,
The usual point at which a recurrence is said to have occurred is 0.2, but not all doctors even agree about that. I am in a similar situation having had two <0.05's (undetectable) followed by most recently a 0.07. However my uro was unconcerned about it, saying much the same things as the other posters here. He even told me to expect my next PSA to be higher, but even so, still left the interval until the next PSA test at the usual six months.

One thing I will be doing before my next test is abstaining from sex for three days beforehand. The theory: if there are any normal prostate cells left behind, I don't want to stir them up. Maybe completely ineffective, but costs nothing. May even be a saving -- less wear and tear on the bedding :-)

It is important not to panic. Even if hubby does have a recurrence, by no means proven yet, you still have good options.
Pre-op:
Age 63 at diagnosis, now 64.
No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores.
Operation:
Non-nerve sparing RRP on 7 March 2008.
Two nights in hospital; catheter out after 7 days.
Post-op:
Continent; no pads needed from the get-go.
Pathology showed organ confined and negative margins. Gleason downgraded to 4+4=8.
PSAs:
6-week : <0.05
7-month: <0.05
13-month: 0.07 (start of a trend?)
ED:
After a learning curve, Bimix injections (0.2ml) are working well. VED also works but we find it inferior to Bimix.
14 months: Occasional nocturnal erections.


maldugs
Veteran Member


Date Joined Jun 2007
Total Posts : 789
   Posted 8/20/2009 8:11 PM (GMT -6)   
Hi Sephie, no real need to worry at that figure, as you can see I have been 0.5 since my op, and recently 0.6, the darn PSA test blues can make you crazy if you let it.

All the very best, Mal.
age 67 PSA 5.8 DRE slightly firm Rt
Biopsy 2nd July 07 5 out of 12 positive
Gleason 3+4=7 right side tumour adenocarcinoma stage T2a
RP on 30th July,

Post op Pathology, tumour stage T3a 4+3=7, microcsopic evidence of capsular penetration, seminal vessels, bladder neck,are free of tumour, lymph nodes clear, no evidence of metastatic malignancy, tumour does not extend to the apical margins.

Post op PSA 0.5 26th Sept.
PSA 23rd Oct.0.5 seeing Radiation Onocologist 31st Oct.
Started radiation treatment on 5th Dec, to continue until 24 Jan. 08.
Finished treatment, next PSA on 30th April.
PSA 30th April 0.4
PSA 30th July 0.5
PSA 27th Oct 0.4 (I am now 68)
PSA 11th March 09 0.5
PSA 3rd Augiust 09 0.6


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2460
   Posted 8/20/2009 8:54 PM (GMT -6)   
Hi Sephie, PSA test can sure cause a lot of anxiety. In your husband's case it may be nothing more that a lab variance. I think the advice given so far are right on. Retest and watch knowing that even if it is a recurrence you still have lots of bullets to shoot this PC with. Hopefully it is nothing.
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


IdahoSurvivor
Veteran Member


Date Joined Aug 2007
Total Posts : 1015
   Posted 8/20/2009 10:43 PM (GMT -6)   
Hi Sephie,

You have received great advice from forum members and your urologist.

On my elevated PSA, I received two of the three reasons given by your urologist. However, she did not believe the test was in error.

She suggested that I not worry and to wait six months. I decided for peace of mind to have another test in three months which will be in September.

I hope you find that this was just a silly blip, like a temporary sunspot! tongue

I wish you and hubby well!

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


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 8/21/2009 7:20 AM (GMT -6)   
To all my friends at HW: You guys (and gals) are great! Hubby and I spoke last night about this newest challenge. He is an AMAZING man - from the moment he heard he had PCa, he never worried - and he's still not worried. He's disappointed that his "perfect record" of PSA readings since surgery is now broken but that's about it! He's not happy about the prospect of RT but says he'll worry about that when and if he has to. He sees himself as a healthy, happy and very blessed 59 year old and has an amazing trust in God.

I calmed down last night. For those who are practicing Christians, you will understand me when I say that I handed it over to Jesus and asked him to give us what we need to deal with this.

My husband will talk to the urologist this morning about having a PSA test in 2 weeks rather than 4.

I will keep you guys posted...and will continue to keep you ALL in my prayers! We will get through this.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage updated to T3a with one microscopic extension into but not through capsule. Surgical margins, bladder and SV negative for tumor. Gleason 3+4 (no change from biopsy). PSA of 0.0 every 3 months since surgery. Incontinence is very good to excellent. Making progress with ED.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 8/21/2009 7:41 AM (GMT -6)   
Dear Sephie,

Sounds like your dear husband has come to peace of mind and heart over the matter. That is more important than facts and figures and percentages. And you, there was no better place to lay your utter trust.

May peace be with you,

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, 8/9 .16
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, 8/14 met with Rad Oncl, still talking option, 8/18 - had laser scope surgery to clear blockage, now on Catheter #7
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 8/21/2009 8:20 AM (GMT -6)   
Husband just called after meeting with his urologist.

Doctor said there is a good chance that benign prostate tissue still exists near the urethra. He drew one of his famous diagrams for my husband and showed him the general area where the tissue could be. Apparently even a minute piece of benign prostate tissue will eventually generate low amounts of PSA and the doctor suggested that since its been 17 months since the surgery, that may be what is happening.

Doctor said that he suspects the next blood test (which will be in 4 weeks) will show a reduction or no change in PSA - which would be great! We are not letting our guards down on this, though we are somewhat more optimistic about the reason for this "blip".

Husband did check that all PSA tests since surgery have been done by the same lab and asked whether or not there was a chance the test results could be incorrect. Doctor felt that this would be the least likely of the scenarios - but not impossible.

So, we ride it out for another month and trust that all will be well. We both feel more confident after the discussion with the urologist, whom we trust.

To my friend David: Amen!
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage updated to T3a with one microscopic extension into but not through capsule. Surgical margins, bladder and SV negative for tumor. Gleason 3+4 (no change from biopsy). PSA of 0.0 every 3 months since surgery. Incontinence is very good to excellent. Making progress with ED.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 8/21/2009 9:00 AM (GMT -6)   
Sounds like a perfect plan and progression of events to me. Now you two just need to relax and do the things you love to do. Out of your hands for now, requires no decisions.

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, 8/9 .16
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, 8/14 met with Rad Oncl, still talking option, 8/18 - had laser scope surgery to clear blockage, now on Catheter #7
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 8/21/2009 1:36 PM (GMT -6)   
Greetings, Sephie.  We are with you - you, your husband and your doc have a good plan.  Now just rest in your faith over this next month and know that you are in good hands and can deal with whatever comes down the road.  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


Squirm
Veteran Member


Date Joined Sep 2008
Total Posts : 744
   Posted 8/21/2009 2:31 PM (GMT -6)   
From my laymens thinking:
Since it appears there was a lengthy pre-op psa doubling time, I would suspect your husbands urologist advice is very probable.

Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 8/21/2009 3:00 PM (GMT -6)   
Squirm, thanks for the positive words...my gut is telling me that this is nothing to worry about but, as I've said before, we will be vigilent and cautious and will stay on top of this. Since the surgery in March, my husband has gotten his PSA tested every 3 months like clockwork and is more than willing to do this more often if we deem it prudent.


CPA: We have full confidence in our doctor, and are active participants in my husband's medical care. I've even checked out our hospital which has a cancer center to see what kind of radiation therapy they perform (they do it all!). This is the hospital where my husband had his surgery and where his urologist is the head of the prostate cancer division so I think we are in very good hands (medically speaking).

Have a great weekend all!
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage updated to T3a with one microscopic extension into but not through capsule. Surgical margins, bladder and SV negative for tumor. Gleason 3+4 (no change from biopsy). PSA of 0.0 every 3 months since surgery. Incontinence is very good to excellent. Making progress with ED.

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