ZERO CLUB - YEAR 3

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

October free and total PSA 12% free and 5.0 total.

A month, or so later, 4.7.

Late in the year decide on Image Guided IMRT.

Begin 43 treatments on January 23, 2007 and finish on March 23.

Wow, almost two years behind.  I had a typical radiation bounce that

scared me, but it seems to be ok.  PSA is about 1.0 which is ok for

a rad guy at this stage of the game.

Got my FAA medical certificate back four months after starting my

treatment.  It's still a First Class, just jumping through a few hoops.

October, 2009.  Latest PSA is still 1.0 - that would make you surgery guys nuts, but it's just fine for a rad guy.

Sept 05- Biopsy  9 of 12 cancerous, Gleason 3+3=6, T2

Bone scan and cat scan showed hot spot on hip bone.

Oct 05- bone biopsy, ouch.  benign , no cancer in bones.

Nov 05- PSA 15.4 Nov 18, 05- Nerve sparing open RP at Huntsman Cancer Center, by Dr. Robert Stevenson. 100% continence at 3 months. ED- Tried the big 3 pills with no results. Feb 06-Started VED, worked, but painful with constriction rings. May 06 started Trimix injections.

ED appears to be perminant but doing great with Trimix.

PSA remains undetectable.

Age 64. Diagnosed with Pca January 2009.

PSA 5.6, Gleason 3+3=6, T1c

Biopsy:

TRUS biopsies of prostate left adenocarcinoma of prostate involving part of 1/4 biopsy fragments, less than 10% of the surface area involved, CT scan clear.

Treatment choice:

Robotic Assisted Laparoscopic Prostatectomy - September 29/09. 

Pre-op PSA down to 5.28 which I attribute to visualization techniques and a new vegetarian diet.

Post-Op:

Robotic Prostatectomy - 09/29/09, back home 10/02/09.

Pathology - 10/14/09  Gleason Score remained at 3+3 = 6 as it was when originally diagnosed. There were no positive margins. Tumors were found in both lobes and involved 3-5% of the prostate. There was no Seminal Vesicle, Perineural, Lymphovascular or Lymph node involvement, and the bladder neck was also cancer free. 

Continence

10/16/09 - 3-4 pads a day and working on pelvic floor exercises as prescribed.

Potency:

10/16/09 - Zip, nada

State of mind:

Excellent - always positive.

2 of 12 malignant biopsy samples - gleason 3 + 3 = 6.

Pathology - Gleeson 3 + 4; stage T2; cancer completely contained, even a second more aggressive, previously undetected cancer) PSA UNDETECTABLE Nov 2006; Feb, May, Oct 2007; May and November 2008.  Also October 2009  WHOOO HOOOO! THREE YEARS! 
Bob also has two secondary conditions -- Polycythemia (elevated red & white cells & platelets) and . . Myelofibrosis) -- If anyone has experience with or information on these, please email us.

Better late than never! Just adding my congrats on your continued good health and clear PSA's after 3 years. Great news to hear. Hope your family and grandchildren are well. Warm wishes from Lana & CJ.

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.