Husband just had surgery

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lovestosing
New Member


Date Joined Nov 2009
Total Posts : 4
   Posted 11/5/2009 3:15 PM (GMT -6)   
My husband, age 44, just had his prostate removed last Wednesday.  The diagnosis came as a big surprise this summer.  He went to the doctor for a physical (his first physical in the 13 years we have been married...I nagged at him to go get a routine physical to get some baselines since he was in his 40s now).  Anyway, his routine blood test turned up a PSA of 3.2.  They retested a few weeks later and it was 3.4.  Urologis  recommended a biopsy.  The biopsy revealed cancer with a Gleason score of 3+3=6.  Due to his age and high PSA for his age, the urologist recommended the surgery. 
 
All went well with the surgery.  He came home 2 days post-op and is recovering nicely.  He is scheduled to have catherter and stitches removed on Monday. 
 
My main concern is his pathology report.  The report (thankfully!) showed that the seminal vesicles and the margins were clear.  However, the report could not say with certainty that the apex (posterior of the prostate where it connected to the urethra tube) was clear.  The cancer may have come up to the apex...which means it may have escaped a bit.
 
As it is unclear, the doctor stated that we will take a wait and see approach with his PSA at 6 weeks.  An undetectable PSA at 6 weeks will be good news (at least for now...we would have to retest every 3 months for a while, then every 6 months, etc, as long as it stayed undetectable).  However, if it is not undetectable they recommend 3 courses of radiation to get rid of whatever might be at that apex. 
 
Doctor said prognosis is EXCELLENT.  But as a mom of 4 young kids I am still scared.  Would have loved to have heard the words "cancer fully contained" but I guess this is the next best thing. .  Anyone out there have any similar results with good endings?  Thanks in advance! 
 
 

engineer55
Regular Member


Date Joined May 2009
Total Posts : 121
   Posted 11/5/2009 3:23 PM (GMT -6)   
Looks like the nagging saved his buns, I know wives that could not get the guy till 60. I think surgery with a good look followed by radaition if necessary is the surest bet out there. I assume they will monitor PSA and zap him if required. I am sure he will be fine
Dx'ed 5/08 one core 2%  out of 12  3+3 gleason
DREs all negative
PSA was in the 3-4 range then jumped to 7
I have the enlarged prostate, on the order of 100cc.  After taking Avodart for 3 months  my
PSA was cut in half.
I did Active S for a year but concluded that I didn't want a life
of biopsies and Uro meetings.
DaVinci on 6/24/09  UCI Med Center  Dr Ahlering, long surgery based on size and location
Final was 5% one side all clear, but had a huge 90 grm prostate
Now we work on pee control, ok at night but sitting is a big problem.


lovestosing
New Member


Date Joined Nov 2009
Total Posts : 4
   Posted 11/5/2009 3:25 PM (GMT -6)   
I have already teased my husband that I am going to get him a T-shirt that says "My wife is a nag but she saved my life."  And make him wear it!  :-)

LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 11/5/2009 4:15 PM (GMT -6)   
While the path report IS excellant, your worries don't need to be elavated right now. Residual cancer cells have a very difficult time surviving following surgery. Most of the time they will die out and that will be the end of it.

I know it's going to be very difficult not to be concerned before each PSA test from now on...it's called PSA anxiety but it will subside with each test. For right now...stay positive and help your husband concentrate on the recovery process. We all here will be looking forward to that first test result as being a zero.

BTW welcome to this forum...lots of great folks here.
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
                 12 month Oct 2009 .09 


lovestosing
New Member


Date Joined Nov 2009
Total Posts : 4
   Posted 11/5/2009 6:04 PM (GMT -6)   
Thank you so much for your kindness and understanding. Yes, the anxiety is difficult. I think I get more anxious than my husband does! But I am trying to be positive and have faith! This does seem like a great forum for information and support.

Herophilus
Veteran Member


Date Joined Sep 2009
Total Posts : 664
   Posted 11/5/2009 7:15 PM (GMT -6)   
I just had my surgery on Monday. Have not received any of the final pathology. Your post gives me much to think about and the replies have given me some comfort if I don’t get a definitive “all clear” BTW does your husband have any family history of prostate cancer?
Jack
Age: 51 years,
Overall Health: Excellent

PSA: 08/31/2009 6.8

DRE: 09/10/2009 "nothing really" ????

BXY: Scheduled at 08:30 on 09/24/2009

GLEASON 3+3=6

Cores 10 of 12 positive

SURG: da Vinci November 2 2009 Wash U- Barnes Hospital


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 11/5/2009 7:20 PM (GMT -6)   
Love,

Welcome here to you and your husband. Sometimes nagging is ok, like you did. I volunteered on my own at age 50 and started getting PSA tests as part of my yearly exam. Glad I did too.

The pathology still sounds pretty decent. His youth should work in his favor with healing and side effects. He needs to rest and recover.

Glad you found us, please keep us posted on a regular basis, and if you need anything, just ask away.

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 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 11/5/2009 7:34 PM (GMT -6)   
Hi lovetosing --- first of all, I love your name. I sing about as well as a Spanish cow speaks French, but I love to bellow out when I'm in a congregation large enough, and noisy enough, that they drown me out so I don't frighten any children.

Now, about this lucky husband of yours. Thank God for nagging wives. If nothing else 43 years of wedded bliss have taught me that when she nags, not only had I better listen, she's probably right.

On the pathology, the fact is the cancer could come back, BUT the fact also is that he could get hit by a bus, drop dead of a heart attack, be shot by some two bit crook holding up the self serve where he was filling the car, or simply slip and crash down the basement stairs and break his neck. Point is, if you start to think about it there are a whole pile of "fact is" that aren't great. The issue PCa families face is that we know about the PCa and so we worry about that. No sense telling you not to worry --- you're going to worry. But, what you can do is put that worry into perspective. And, in perspective, it may be bigger than being hit by a meteor or a chunk of the space station when it breaks up, but it's also something that needs to be put in it's place.

Go sing a song, try not to worry, and keep in touch with us here. We'll be wondering how he, and you, are doing.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9, so far, so good
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
First post op PSA Sept 09  less than 0.02
PSA on Oct 23 test again less than 0.02
Oct 1st 09 -- dry at night, during day some stress issues, but better every week. 
Feel free to email me at:  sheldonprostate@yahoo.com    


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 11/5/2009 9:38 PM (GMT -6)   
Just give yourselves a little time to relax. Thank God you got it when it you did. Even if some cells did escape, you have time.

You are beginning to realize why they talk about cures in terms of 5 and 10 years. PSA tests will continue to be important, and cause anxiety for years to come. You will find men on this forum who had clear margins, with no invasions, have rising PSA's.

There is not a lot we can do about it. It just is. Anxiety and worry won't help. Just take it one 6 month interval at a time and enjoy life.

Deal with the could be's when they become facts. Medical science is coming up with new things every day to help us in our fight.

Good luck in your journey, and in your lives together. May this be a positive thing in your relationship, something that draws you together.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injections


Modelshipwright
Regular Member


Date Joined May 2009
Total Posts : 215
   Posted 11/6/2009 8:32 AM (GMT -6)   
Hi Lovetosing,

Bless you for keeping your hubby on the right track. I have a wife who does the same for me and I am forever grateful.

Good luck with your husband's recovery and his future choices.

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.
 
 


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 11/6/2009 11:47 AM (GMT -6)   
Take a deep breath. You are worried about what the path report Did Not say rather than thinking about the good things that it Did say. It sounds like your doctor is right on top this and will be tracking your husband carefully.

As others have said, cancer cells left behind are often cut off from their blood supply and die quickly. These are just misguided cells, not some sort of super villain. You will find many guys here with worse path who still have long strings of post-op zeros.

If you have to have a health scare, PC is one with a lot of happy endings. Speaking of nagging, as your husband heals you will be able to find things which are GFMPH (Good for Men's Prostate Health) which he can be encouraged to do such as good diet and exercise. In addition my wife discovered that cleaning the basement and taking over more or the laundry were GFMPH -- I dare not argue.
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
6 mo. PSA 0.00 -- 1 light pad/day


brad2513
Regular Member


Date Joined Oct 2009
Total Posts : 22
   Posted 11/6/2009 2:24 PM (GMT -6)   
  lovestosing
My situation is about the same only I had possitive margins, and I was told the same thing Les stated that without the prostate to feed the left over cells (if any) they are most likely to die off. My doctor also is taking a wait and see approach, because he believes that with watching the psa levels closely, and starting treatment ( if needed) early it is just as affective. He also said that because of my age treatment for something that may not be there may do more harm than good. I think your doctor is on top or the situation, so keep your head up, think positive, and live life, and remember everyone here is pulling for zeros. By the way my first psa test isn't until January.
age 46
diognosed age 45
PSA 3.9
preop and postop gleason score 3+4
daVince robotic surgery at Fremont area medical center, Fremont NE, 9/30/2009
stage T2c
involvement 2%
perineural invasion focal
extraprostatic extension, seminal vesticle, and lymph nodes negative
apex margin negative
peripheral margins positive, left dorsolateral 0.8, and 0.3mm, right dorsolateral 2.0mm


Timmy77
Regular Member


Date Joined Jul 2009
Total Posts : 40
   Posted 11/8/2009 1:19 AM (GMT -6)   
Lovestosing, I am 48 and just found out in feb and had mine removed in june. If anybody would have told me within weeks that I would be this good 5 months out, i would not believe them. Day by day I have progressed and I am a baby, really my wife will tell you If someone next to me gets a headache I take aspirin. These people are a great help It has something to do with genuine care and being in the same boat.

PS I thought your name was love posting
Good luck and god bless
Timmy77
48 yrs old
Robotic RP
6-15 2009 Da Vinci surgery
Geason Grade 3+3
Gleason score 6 out 0f 10
8-10 2009 almost dry big step
9/9/09 Great day scored a 0 on my PSA test
Still ED / But getting better
Recovery is a process not a switch to turn on and off.
Using support groups like this and in person to make it through
Surviver


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 11/8/2009 5:09 AM (GMT -6)   
Of course you're worried...........but focus on the positives. He is young, strong and will bounce back quickly. Pathology is pretty good except for that apex area. But there is no definite evidence of tumour through the specimen. It is not uncommon for the prostate to have what is known as a "disrupted margin" . All this means is that the margin is not cut clean as a whistle but may be a little crushed, disturbed etc. His prognosis is excellent so go with that. His doctor is wise in being realistic rather than giving wild assurances that some give out. PSA is a great indicator of what is going on so take a deep breath and try and relax..........you have much to look forward to.
Bill
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07
4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)
PSA February 09 <0.01
PSA August 09 (2 year mark), <0.01

My Journey: www.yananow.net/Mentors/BillM2.htm


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 11/8/2009 5:15 AM (GMT -6)   
brad2513 said...
lovestosing
My situation is about the same only I had possitive margins, and I was told the same thing Les stated that without the prostate to feed the left over cells (if any) they are most likely to die off. My doctor also is taking a wait and see approach, because he believes that with watching the psa levels closely, and starting treatment ( if needed) early it is just as affective. He also said that because of my age treatment for something that may not be there may do more harm than good. I think your doctor is on top or the situation, so keep your head up, think positive, and live life, and remember everyone here is pulling for zeros. By the way my first psa test isn't until January.


Brad, I am interested as to why your first PSA is not till January if you had the operation in September. Given the focally positive margins what was your doctors explanation for delaying a PSA test? It is normal protocol for most to PSA test 6 weeks after the op and then 3 months after that.
Edit:
Whoops, sorry Brad, I just noticed that your op was at the very end of September, so early January will be about the 3 month mark
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07
4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)
PSA February 09 <0.01
PSA August 09 (2 year mark), <0.01

My Journey: www.yananow.net/Mentors/BillM2.htm

Post Edited (BillyMac) : 11/8/2009 6:49:42 AM (GMT-7)


Colin45
Regular Member


Date Joined Feb 2009
Total Posts : 216
   Posted 11/8/2009 8:28 AM (GMT -6)   
Billy Mac It seems a lot of doctors say that it takes 3 months for the PSA leave the system looking at your dates it looks like it was about 3 months after your surgery that you had your first PSA or did you miss stating the first one Mine waited more than 3 month before having mine done
 
 
Age 64 From UK now in Thailand Baby boy born 2/14/2009
 First PSA was showing 9.73 on 1/21/09.   on 5/7/09 PSA 9.78  Free PSA 0.83   Free:Total  PSA 0.08 
1/28/09 Biopsy carried out 12 core results show no adenocarcinoma
5/15/0924 Core biopsy results Gleason'S Grade 3+2=5
Involving approx 30% of one out of 12 cores on each side no perineural or angiolymphatic invation identified
One side PIN High Grade Bone scan clear 
Open surgery 7/27/09
Prostate Gland weighting 34 grms
Gleason upgraded to 3+3 Tumour not close to prostatic capsule Seminal Vesicles not involved by Tumour 6 Lymph Nodes negative for Malignant cells
 


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 11/8/2009 8:43 AM (GMT -6)   
Colin,
I had my first PSA at 8 weeks post surgery (RP early August 07, 1st PSA early Oct 07) and had the next PSA 3 months after that. I have had PSAs each 3 months since then till I reached the 2 year mark and now have dropped them to 4 monthly for the next year. Thereafter I will have them done 6 monthly. Should I ever have a relapse I want a good idea of the PSA doubling time early in the piece. I should have read Brad's post a little more closely so have added an edit to my query there.
Bill
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07
4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)
PSA February 09 <0.01
PSA August 09 (2 year mark), <0.01

My Journey: www.yananow.net/Mentors/BillM2.htm

Post Edited (BillyMac) : 11/8/2009 6:51:38 AM (GMT-7)


Colin45
Regular Member


Date Joined Feb 2009
Total Posts : 216
   Posted 11/8/2009 8:58 AM (GMT -6)   
Sorry added one to many months my doctor does not want to see me for another 6 months to which I am debating whether to wait or get one done after 3 months
 
 
Age 64 From UK now in Thailand Baby boy born 2/14/2009
First PSA was showing 9.73 on 1/21/09.   on 5/7/09 PSA 9.78  Free PSA 0.83   Free:Total  PSA 0.08 
1/28/09 Biopsy carried out 12 core results show no adenocarcinoma
5/15/0924 Core biopsy results Gleason'S Grade 3+2=5
Involving approx 30% of one out of 12 cores on each side no perineural or angiolymphatic invation identified
One side PIN High Grade Bone scan clear 
Open surgery 7/27/09
Prostate Gland weighting 34 grms lost one nerve bundle
Gleason upgraded to 3+3 Tumour not close to prostatic capsule Seminal Vesicles not involved by Tumour 6 Lymph Nodes negative for Malignant cells
First PSA Nov 2009 was 0.06 Continence 99% occasional stress dribbles no ED from first day after catheter removed


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4119
   Posted 11/8/2009 9:13 AM (GMT -6)   
Lovetosing, Shoot me an e-mail.. myaddress is active
Jeff T
Jeff T Age 57

9/08 PSA 5.4, referred to Urologist
9/08 Biopsy: GS 3/4=7
10/08 Nerve sparing open RRP- Path Report: GS 3+3=7 Stg. pT2c, margins clear
3 mts: PSA .05 undetectable

10th month PSA <0.01
1year psa <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next. Next step injections.


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 11/8/2009 9:54 AM (GMT -6)   
Colin,
If you are not comfortable about waiting six months then arrange one at the 3 month mark. If things work much the same in Thailand as they do here your GP can order the test..........the urologist doesn't need to be involved. I get my GP to order my tests and simply have the urologist sent a copy of the result for his records. How you handle your journey with this disease is your call. I would not have any doubt that given your stats you will come in undetectable but peace of mind at a small cost of $25-00---------what the hell, go for it. Anyway time for bed............it's 2am and I want to be up at 7.

Post Edited (BillyMac) : 11/8/2009 7:58:51 AM (GMT-7)


gold horse
Regular Member


Date Joined Nov 2009
Total Posts : 360
   Posted 11/8/2009 10:39 AM (GMT -6)   
Hi lovetosing I know what you feel right now,my wife and I were in almost the seme vote and here we are after five years
psa=0.04 it will be ok.This is a very long race and you need to start very slow to finish strong it will be ok.God bless your family.


DIAGN=46 YEARS
GLEASON=3+3
FATHER HAD PC,THEN I THEN MY BROTHER STILL HAS TWO BROTHER PC FREE.
MARRIED,TWO CHILDREN.AGE 13 AND 8.
LAPROSCOPY SURGERY 6/2005
PATOLOGY REPORT.
GLEASON=3+3
TUMOR VOLUME=5%
LYMPHOVASCULAR INVASION=NEG
PERINEURAL INVASION=POSI
TUMOR MULTICENTRICITY=NEG
EXTRAPROSTATIC INVASION=NEG
SEMINAL VESICLES BOTH=CLEAN
MARGIN ALL=NEG
PT2ANXMX
DEVELOP SCART TISSUE AND NEEDED A SECOND SURGERY BECAUSE COULD NOT URINATE,
PSA 6/05=0.04,0.04,0.04,6/06,0.04,0.04,0.04,6/07,0.04,0.04,0.04,6/08,0.04,0.04,1/09
0.04,10/09,0.04
 

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