Wife and I met 9/30 with our Urologist/Surgeon. Although pleased with the Post-op PSA result of <0.01, he doesn’t want to wait around for more PSAs, so I’m meeting with a Prostate Oncologist and a Radiation Oncologist on 10/8 to decide whether to start radiation therapy and which form, (adjuvant or wait for salvage) or to go all the way with NeoAdjuvant Combination therapy, in which we start HT (Lupron) for 2 months, then begin the radiation. I’m concerned about doing hormone therapy as I’ve read that there is a higher risk of heart attack for CAD patients taking the Lupron. Seems the testosterone is helpful in protecting the heart. That question will be at the top of my list. I’ll post again after the oncologist consults. Comments welcome.
BTW, UroDoc says I can go sailing, so on 10/17 I will be at Riverton NJ YC to race with my son and daughter-in-law on their J-22. Got to keep living!
All the best.
Age 67 at diagnosis. Treated for coronary artery disease (CAD) since 1998, and under control with medications.
6/09 Routine physical, with DRE and PSA Test. PSA 4.02. Referred to Uro
4/20/09 TRUS w/needle biopsy
4/23/09 Diagnosis PCa with Gleason 4+3 in 2/2 cores, Gleason 3+3 in 5/10 cores.
CT scan and Bone Scan both negative. Stage T2C.
8/27/09 DaVinci RP at WakeMed Cary NC with Dr. Tortora. Discharged 8/28.
9/8/09 Catheder removed. Path post-surgery confirms PCa, with Gleason 3+3 with scattering of 4. Positive margins in L & R posterior, R and L seminal vesicles, with perineural invasion. Stage T3b.
9/30/09 PSA Post-Op <0.01. Met w/Uro/Surgeon to review surgery and path report. Referred to Prostate Oncologist and Radiation Oncologist. Appointments set for 10/8.
Initial incontinence pretty bad, starting w/6 Depends pants/day. Gradually getting better, with dramatic reduction in leakage around 9/20. Currently on 1 pad during the day and one at night (for security). Actually totally dry at night. (Pressure off the bladder neck?)
“I’d rather die while I’m living, than live while I’m dead.” (Jimmy Buffett. Changes in Latitude, Changes in Attitude.)