Other than the pre-procedure anxiety I felt (wondering what the result would be), my biopsy was - the procedure - almost uneventful. I did feel some slight sticking-needle type pain during the sample-taking and I think the instrument dispensed some local pain killer. The biopsy revealed the presence of cancer and confirmed the suspicion of my primary care physician who told me, before the biopsy, my PSA test result indicated - statistically - a 56% chance of being positive. I've no doubt my primary care's persistence and the biopsy (and the resulting surgery) have lengthened my life, and probably saved it from the spread of the cancer from my prostate to other
locations in my body. During the biopsy, however, I was exposed to bacteria which sent me into the early stages of septic shock and I was hospitalized in intensive care for 3-days until the infection was brought under control. The sepsis was a far worse experience for me than the da Vinci removal of my prostate.
Get the best advice you can - from the best primary care and urological specialists - and listen carefully to the advice before making your decisions. Some of us are fortunate to live close to fantastic medical facilities and medical professionals - and the opportunities for treatment/resolution in Ann Arbor are probably as good as about any other medical center community.
Best wishes for favorable testing results and if you do need surgery for a successful treatment and speedy recovery.
Age: 60 (58 at diagnosis - June, 2008)
April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior
June '08 had biopsy, 2 days later told results positive but in less than 1% of sample
Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days
Dr. recommended robotic removal using da Vinci
Northwestern Memorial Hospital, Chicago, IL
Dr. Robert Nadler, Urologist/Surgeon
Post-op Gleason's: 3+3, Tertiary 4
Bladder & Urethral: Free
Seminal vesicles: Not involved
Lymphatic/Vascular Invasion: Not involved
Tumor: T2c; Location: Bilateral; Volume: 20%
Catheter: Removed 12-days after surgery
Incontinent: Yes (1/2 light pads per day)
Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08
Returned to work 9-29-08 (18-19 days post-op)
PSA test result, post-op, 10/08: 0.0; 12/08: 0.0; 4/09: 0.0; 9/09: 0.0