Is Circumcision relevant?

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English Alf
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Date Joined Oct 2009
Total Posts : 2211
   Posted 10/28/2009 5:35 AM (GMT -6)   

I have a bit of a query. I hope it’s the right kind of thing to mention here.

 

I had been wondering if there were any aspects of prostate cancer, its treatment and the side effects of treatment where whether or not the penis was circumcised might be relevant. (I am not circumcised, and have heard plenty over the years about the possible relevance or circumcision to the spread of disease etc))

 

So I had been going to post with an simple question as to whether having a foreskin or not effects things differently, eg problems with having a catheter in, with keeping things clean/dry when leaking, or with sexual difficulties etc. But then today I found this website:

 

http://www.britpro.com/default.asp?p=information_prostate

 

which contains a link to another site about circumcision, the key page of which is probably:

 

http://www.circinfo.net/prostate_cancer.html

 

This site seems to be suggesting/claiming that among other things uncircumcised men are more likely to get prostate cancer, that men of the Jewish faith rarely get prostate cancer. And that circumcision thus prevents prostate cancer. And so if more money was available for circumcisions, then less money would be needed to treat prostate cancer.!!!

 

I don’t trust the science of this at all. For one thing how many urologists are keeping records of the religious beliefs of their patients? And is prostate cancer also rarely encountered among Muslims?

 

Without wanting to be facetious I feel that on the basis of that they could perhaps just as easily conclude that pork must cause prostate cancer as Jewish men don’t eat pork. And if other ideas mentioned on this site are taken to an absurd extreme then I might as well say that if everyone had their breasts removed at birth, then there would be no more breast cancer. (I’m not including in that last remark women with high incidence of BC in their families who make an informed choice to have mastectomies. And I wrote what I just did even in the context of having just spoken to a dear friend who has just had to have her post-mastectomy reconstruction surgery postponed as she has a cold,)

 

Am I misunderstanding something or is there something weird and slightly alarming here vis a vis the role of the (absent) foreskin?

 

(The Forum rules say I can post a link to a helpful website, so I hope it’s okay to include these links, though they feel like unhelpful websites to me.)

 

Alfred


Age at Dx 48         No Family history  of Prostate Cancer

Married 25 years, and I cannot thank my wife enough for her support.

April 2009: PSA 8.6  DRE: negative. Tumour in 2 out of 12 cores. Gleason 3+3.

RALP (nerve-sparing) at AVL-NKI Hospital Amsterdam on 29th July 2009. Stay 1 night.

Partial erections on 1st and 2nd Aug 2009, Catheter out on 6th Aug 2009. 

Dry at night, but wearing pads 24/7

Post-op Gleason 3+4. Seminal Vesicles invaded, but otherwise negative margins,

Erection 100% on 15th Aug 2009   Stopped wearing pads on 21st Sept 2009

Pre-op style intercourse on 24th Oct 2009 !! No use of tablets, jabs, VED etc.

 


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4823
   Posted 10/28/2009 6:18 AM (GMT -6)   
My guess - the same rules that you've always lived with would apply to having a catheter - keep things clean and you should be good to go.

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.


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 10/28/2009 6:21 AM (GMT -6)   
Alfred, interesting post. I did a Google search myself because I was curious and here is what I have learned since this was the first time I have heard of this theory.

Apparently, uncircumcised men have more STDs. Certain STDs, such as HPV, can lead to chronic inflammation of the prostate which, some researchers believe, can increase a man's risk for prostate cancer. The article went on to say that the Jewish male population has a very low rate of PCa because they practice circumcision.

I did not get the impression that this study, which is European-based, was conclusive one way or the other. In the U.S. black men are more likely to develop PCa than non-blacks but I don't know why. As with most cancers, genetics, diet and lifestyle play a role but as we all know, there are no hard and fast rules.

Thanks for posting this, Alf.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (extraprostectic extension in posterior left). Perineural tumor infiltration present. Apex margin, bladder neck and SV negative. Gleason 3+4 (no change from biopsy). PSA results: April 2008 0.1; May 2008 0.0; August 2008 0.0; November 0.0; February 2009 0.0; May 2009 0.0; August 2009 0.1; September 2009 0.3. Met with radiation oncologist and began process for salvage radiation. CT scan and bone scan done on October 8. One spot on bone scan (clavicle) being investigated. Third PSA taken on October 16 - PSA IS UNDETECTABLE! Next PSA scheduled for early December. Urged not to begin radiation treatment until it's needed (no problem there!).


Geebra
Regular Member


Date Joined May 2009
Total Posts : 476
   Posted 10/28/2009 7:27 AM (GMT -6)   
In US most men are circumcised yet we have high (if not highest) incidence of PCa.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 10/28/2009 7:45 AM (GMT -6)   
Alfred, I come from a family of non-circumsised men, and all I will add, is that it makes having a catheter more of a hassle being installed, and I have had that done 8 times so far.

I asked my dr when I was dx. if not being circumsised had any thing to do with me getting PC, he said absolutely not.

We have to remember, that circumsism is a religious rite in its origin, not a medical necessity.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3731
   Posted 10/28/2009 7:59 AM (GMT -6)   
I was snipped. (Shhh... the secret's out! ) It didn't do me any good. Maybe it's because bacon is my favorite condiment.
Jeff
DX Age 56. First routine PSA test on April 8th: 17.8.
May PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, Gleason 6=3+3. Bone scan and C/T scan negative.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7 Tumor size: 2.5 x 1.8 cm location: both lobes and apex. No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Extraprostatic extension present; Perineural invasion: present, extensive
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 10/05 10 weeks, Still no activity
Incontinence - 8/20 4 full pads per day
. 9/7 3-4 full pads per day (I'm going to try cutting down on fluids. Bad idea. I know.)
9/17 2 months: Still 3 pads per day.
10/5 10 weeks: Still 3 pads per day. At this rate I'll be fine in 2012.
Post Surgery PSA - 9/3 6 weeks- 0.05, 10/13 3 months- 0.004 undetectable.


English Alf
Veteran Member


Date Joined Oct 2009
Total Posts : 2211
   Posted 10/28/2009 9:15 AM (GMT -6)   
Thanks for response.
I too was under the impression that nobody yet knew anything very much about what causes or prevents PCa.
I was wondering if there was anything to be learned from adding the snipped or not aspect to signatures.

Alfred

Age at Dx 48         No Family history  of Prostate Cancer

Married 25 years, and I cannot thank my wife enough for her support.

April 2009: PSA 8.6  DRE: negative. Tumour in 2 out of 12 cores. Gleason 3+3.

RALP (nerve-sparing) at AVL-NKI Hospital Amsterdam on 29th July 2009. Stay 1 night.

Partial erections on 1st and 2nd Aug 2009, Catheter out on 6th Aug 2009. 

Dry at night, but wearing pads 24/7

Post-op Gleason 3+4. Seminal Vesicles invaded, but otherwise negative margins,

Erection 100% on 15th Aug 2009   Stopped wearing pads on 21st Sept 2009

Pre-op style intercourse on 24th Oct 2009 !! No use of tablets, jabs, VED etc.

 


MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 10/28/2009 2:28 PM (GMT -6)   
I doubt its the bacon, there are many foods that are forbidden, one would never know which one it was

Many guys I know are Jewish and do not omit many forbidden foods from their diets

Jewish men have also been known to not eat, Shrimp, lobster, clams, oysters, many cuts of beef

Even something as common as Chicken Parmigiana is a No no for some Jewish Men

Could you imagine if its found out that all those Chicken Parm Heroes we all ate gave us PC ?
Stats:
Age: 52
PSA (2008)=1.9
Biopsy on Jan 09, 2009
One (1) out of twelve (12) cores was positive, plus external nodule found
Gleason Score = 3+3
Surgery (Da Vinci, robotic prostatectomy): 4/7/09
Removed Catheter: 04/19/09
100% bladder control - Pad free 7/09
PSA 7/09 undetectable, under .0


hangin-in
Regular Member


Date Joined Sep 2008
Total Posts : 78
   Posted 10/28/2009 5:53 PM (GMT -6)   
Well, well - I am snipped and follow a strict kosher diet and still got PC. So go ahead enjoy your bacon and Chicken Parmigiana if you want. I'm not sure how healthy it is for your heart though....

Rising PSA 12/06=1.6 12/07=2.1 5/08=2.6
Biopsy 6/4/08 12 core 4 Positive 15%,15%,8%,3%
Diagnose @ Age 51 Gleason 3+3=6
Bone & Cat Scans Normal
Lapro Surgery 8/18/08 at Memorial Sloan Kettering
Pathology report stage T2c organ confined with positive apical margin Gleason 3+3 = 6 (with tertiary grade 4)
Catheter removed 8/26 - reinserted 8/29 - removed 9/2
No continence or potency problems from the get-go.
First post op PSA 10/2/08  < 0.05
2nd  post op PSA 12/30/08 < 0.05
3rd  post op PSA 3/30/09 < 0.01
4th  post op PSA 6/25/09  0.01
PSA 9/25/09 0.01


MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 10/28/2009 8:28 PM (GMT -6)   
I could not imagine that Chicken Parm here and there is more harmful than schmaltz or gribenes on ones arteries.
Stats:
Age: 52
PSA (2008)=1.9
Biopsy on Jan 09, 2009
One (1) out of twelve (12) cores was positive, plus external nodule found
Gleason Score = 3+3
Surgery (Da Vinci, robotic prostatectomy): 4/7/09
Removed Catheter: 04/19/09
100% bladder control - Pad free 7/09
PSA 7/09 undetectable, under .0


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 10/29/2009 4:20 AM (GMT -6)   
I am uncircumcised, and apart from pCa, have never had any health problems in that department.

As Geebra said, most US men are circumcised and there is a high level of pCa in the US. But some of us here are not, yet still have pCa. So on the basis of that very unscientific survey, there doesn't seem to be much correlation between the two.

However, I am much more ready to believe that diet, especially in childhood and as a young adult is relevant. I grew up in a farming area, so there was plenty of red meat in my diet (yes bacon too!) along with fruit and vegetables. Not much fish, and when we got it, a real treat.

I remember someone here who was a long-time vegetarian and still got pCa, but we don't know at what stage in life he became vegetarian.

I like my red meat too much to give it up now; I have cut back, but for someone our age, it is probably too late -- the horse has bolted.

Anybody else prepared to point the finger at red meat in their early years?
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?)
19-month: 0.09 (maybe)
ED:
After a learning curve, Bimix injections (0.2ml) worked well. From 14 months, occasional nocturnal erections. Have "graduated" to just the pump.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 10/29/2009 5:30 AM (GMT -6)   
Piano, that is what my doctors said about red meat and other dietary no-no's at our age, the horse is out of the barn. Cutting back even now could still help with other more common health issues.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.


Modelshipwright
Regular Member


Date Joined May 2009
Total Posts : 215
   Posted 10/29/2009 7:07 AM (GMT -6)   
When I was diagnosed, I did some extensive reading on diet and came away convinced that our North American Diet is the primary cause of most of the late onset diseases we all suffer from including heart disease, cancer, diabetes, high blood pressure etc.
 
If you study the folks in this world who are on a plant based diet, you will see that they rarely contract these diseases. I believe we are eating ourselves to death. We eat prepared foods and fast foods to excess.
 
As a result of this reading, we became vegetarian. After 60 days, my blood pressure dropped from 138/98 to 110/70 with no change in medications. Can't dispute the facts on that one. I feel better, lost my belly fat and have more energy.  My surgeon at my Da Vinci procedure said I was the fittest patient he had operated on in a long time.
 
I believe it has also excellerated my quick recovery.
 
Now I step down off the podium and say that is my two cents on diet.
 
Keep well,
Regards,
Bill
Pre-Op:
 
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.
 
 


LittleIsMuch
New Member


Date Joined Oct 2009
Total Posts : 13
   Posted 10/29/2009 11:07 AM (GMT -6)   
Can you folks stand one more response. I tried to eat everything that was mentioned to reduce my chances of getting prostate cancer and was still diagnosed with it. I also read, heard or whatever that not having enough sex could cause cancer and that men should masterbate in this case to get rid of the semen buildup. I personally think all this is a lot of hogwash. I would say that if cancer is in your family by all means stay checked for it. Early diagnose is much better than being to late and it has spread. There is a test called the "PET" test that will tell the doctor if there is any cancer in your body and where it is...that neither did I know. I was diagnosed in 2003 and had radical prostate surgery and did not get a second opinion which I think it very important. I didn't know about the robotic surgery. I didn't know about nerve sparing or nerve splicing. Some doctors don't know or do not share that kind of information with the man. Needless to say the penis is shorter after surgery, the incontinence could be for the rest of a mans life and that is a hassle. Thank God my incontinence stopped about 4 months after surgery. Checked yearly and the psa remains undectecable. As far as diet is concerned, I would say eat well but do not over indulge which most of us do. Concerning circumcision ...the main thing is keep yourself clean. I have never been circumcised but don't think that had a thing to do with prostate cancer. Cicrumcision for the Jewish people was done because of the commandment God gave Abraham. Sometimes a man has no choice but to be circumcised because of a medical condition. STAY WELL.
Hisson


Franchot
Regular Member


Date Joined Jun 2009
Total Posts : 130
   Posted 10/29/2009 9:58 PM (GMT -6)   
I'm circumcised, been a vegetarian for over fifteen years, and am not overweight and exercise daily, but I still got PC. Perhaps it was caused by stress with which I deal with in my job.

logoslidat
Veteran Member


Date Joined Sep 2009
Total Posts : 5629
   Posted 10/30/2009 7:35 AM (GMT -6)   
I read years ago that intense cardio workout 1hour plus daily such as marathon runners and bicyclists train increase free radicals and hence they should really intake lots of anti-oxidents' So I took vitamin e for years, then stopped for some reason. I used to think that if you exercized alot you could eat anything. Wrong.


diagnosed 12-14-09, gleason 3+3, rrp 10-19, pathology, gleason 3+4, contained in prostate, everything negative, except path report, jp still in 11days post op, catheter out today if xray shows healed.
Don't really know how to utilize boards correctly.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 10/30/2009 7:55 AM (GMT -6)   
Just my opinion to weigh back in. From reading all the posts in this thread, it looks like we all are looking at ourselves to assign blame for us getting prostate cancer. Probably a very normal reacation, might even have some theraputic value to a degree.

I am not convinced by anyone I have spoken too, including lots of medical professionals or by anything I have read or researched, that we can know what caused us to have PC.

The diet issues have been argued for years, and there is no positive proof that any diet or dietary change helps or hurts. Again ,being on a good diet is great for a large number of health issues.

The vegetaraian arguement has been played out too, even lifetime vegetarians and dedicated vegans get PC.

As far as vitamins and supplements, in relation to PC, I still agree with my GP and URO, they feel that all men are doing is masking the symptons and producing expensive urine.

It's not that I am negative to any one thing, but once you have your pc dx, that cat is out of the bag, any lifestyle or dietary changes you make from that point are still positive to the rest of your health issue. I would never advocate someone giving up and spending the rest of their lives with terrible habits just because they have PC. All things in moderation.

Most will never know why we have our cancers. Some will be heredity, most all comes down to genetics, exposures to toxins, can be a hundred reasons that make no rhyme and reason by themselves.

I feel its best to forgo the blame portion of getting cancer, and move on to acceptence. When you eliminate the blame, a lot of the guilt factor goes away too. All the I should have done, could have done, wished I had done, went out the window once your dx was confirmed.

The getting it part has to go down as providence, luck, a bad draw, or whatever term you are most comfortable with.

Accept it, research it to death, gather all the knowledge you can handle on your cancer, weigh in the realisitic options that you have both the access to and the resources for, get multiple opinions, and then ultimately, you just have to make you own decision for your own body.

Not a question of being heartless, just a question of being realistic. If doctors can make mistakes in suggesting and handling our treatments, then we as patients will make mistakes too in our choices. You have to do what you think is right for you, and the rest of the process is out of your hands at that point.

Hope someone finds this helpful.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.


English Alf
Veteran Member


Date Joined Oct 2009
Total Posts : 2211
   Posted 10/30/2009 8:55 AM (GMT -6)   
Lots of good points David,
 
With no causal link yet proven I think we can, as you say, just concentrate on the future.
My concern when  I encountered a website seeming to suggest that circumcision could prevent PCa was the potential effect it might have on those not yet diagnosed with PCa, who might beleive it all and do something irreversible such as rushing to get circumcised as adults in the belif that it could stop them getting cancer. If people cut out red meat and then it proves not to have been relevant, then that is all together simpler as they can go back to eating red meat again without much bother.
 
As for me, well I'm just trying to be healthier all round now, not gone veggie, but eating more fruit, veg and fish.
 
Still eating too much chocolate, but I cycle or walk to the store to buy it though!
 
Alfred
 
 

Age at Dx 48         No Family history  of Prostate Cancer

Married 25 years, and I cannot thank my wife enough for her support.

April 2009: PSA 8.6  DRE: negative. Tumour in 2 out of 12 cores. Gleason 3+3.

RALP (nerve-sparing) at AVL-NKI Hospital Amsterdam on 29th July 2009. Stay 1 night.

Partial erections on 1st and 2nd Aug 2009, Catheter out on 6th Aug 2009. 

Dry at night, but wearing pads 24/7

Post-op Gleason 3+4. Seminal Vesicles invaded, but otherwise negative margins,

Erection 100% on 15th Aug 2009   Stopped wearing pads on 21st Sept 2009

Pre-op style intercourse on 24th Oct 2009 !! No use of tablets, jabs, VED etc.

 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 10/30/2009 9:25 AM (GMT -6)   
Alfred, I have the chocolate crave too, one of my vices. I don't drink or smoke or even drink tea or coffee, but got to have my sweets, I think I get that from having a Brit for a Mum myself.

All of us should be on healthy diets, and use moderations in the things we love to eat that might not be healthful in general. It was interesting when I discussed health issues in general with my GP, my Uro, and my Rad. Oncol. dr. The one thing they agreed on, was if a person had to choose just one lifestyle change to improve the overall quality of the rest of their life, then they should quit smoking.

They were amused at the amount of work people go through with strict self-enforced diets, or even engaging in rigorous exercise routines, yet contined to smoke. They said it was kind of self-defeating if you are still doing something so very harmful to your body.

The cirumsisim angle which you started this thread with, I had discussed in the past, and can't find a single doctor that would agree with a link to be non-circumsised and having higher incidents of PC or any other cancer. We have to remember, we are born with a foreskin, having it removed started with religious purposes, not medical ones.

David
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.

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