I had my first follow-up with my uro today, 8 wks post surgery. He is concerned with the "slight positive margin" which he believes is an "artifact from surgery" but isn't totally sure. He did a dre (what are you feeling for I asked!) and said it felt "tough not soft" ans it should. Scare tissue? More cancer? Just a tough rectum!? (Hard-ass!) My recent psa was .05 and he does not want another psa check for 6 months. He said that he would be concerned if the psa started to climb. But he wants to wait 6 months? That means we won't see a trend, if there is one, until this time next year.
Any thoughts on this would be helpful.
He also put me on Cialis 20, even though Willy seems to be waking up on his own! I hate taking drugs on any sort!
Dad dx at 72 with Pca; RP at 73; Died 11/08 at 88 from Pca met.
3 Uncles have had Pca; 2 deceased from Pca met.
Me: Age 51: Joyfully Married; father of 7!
Routine Physical 11/07 PSA 1.73 DRE normal
Routine Physical 1/09 PSA 2.77 DRE abnormal.
1st Urologist visit 2/09 DRE normal, small - PSA 6.3!
Biopsy 3/17- St. Patty's Day! 3 of 12 cores positive with 5-8% Pca
3+3 Gleason; Visit Johns Hopkins 3/26/09 and decide for surgery.
Lapro RP 6/29/09; discharged 6/30/09
Cath out 7/9/09 Gleason unchanged 3+3;
"Larger amount of cancer" than expected.
Organ confined Pca, positive margin as "artifact" of surgery.
All other tissues clear.
7 wk psa 8/20/09 - 0.05
"We walk by faith, not by sight."