Was surgery a poor treatment choice?

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

Carlos
Regular Member


Date Joined Nov 2009
Total Posts : 486
   Posted 11/19/2009 9:51 AM (GMT -6)   
I had robotic surgery 18 months ago and had good results.  But, I am still bothered by comments from my former uro who had recommended RT.  When he learned of my surgery, he said, "I can practically guarantee you a recurrence."
 
Is surgery a poor choice for guys with high Gleason scoresHas my outcome to date just been blind luck?
 
My new uro says there is no way of knowing if I will have a recurrence.  I either will or I won't.  His advice: suck it up, get tested regularly and get on with my life.
 
I am a retired engineer and have a tendency to over analyze everything.  Sometimes I drive my family nuts.  And, here I am doing it again.
 
Carlos



Diagnosed 2/2008 at age 71, PSA 9.1, Gleason 8 (5+3)and stage T1c.  CT and bone scan neg.
Robotic surgery 5/2008, nerves spared, bladder neck spared with pelvic floor reconstruction.
All margins, SV and lymph nodes were neg. 
Staged pT2c, Gleason sum 8 (5+3).
Continent at 6 weeks. 
PSA <0.1 at 18 months, Nov. 2009.

Post Edited (Carlos) : 11/19/2009 9:02:28 AM (GMT-7)


Rolerbe
Regular Member


Date Joined Dec 2008
Total Posts : 235
   Posted 11/19/2009 9:56 AM (GMT -6)   
I think your former Uro was an ass. That's no way to talk to any patient after treatment. Right or wrong.

I'm an engineer too, working in the medical field, and know well the overanalysis 'bug' of which you speak.  But if all your margins were neg, why would your personal and particular chances be substantially worse than the pool of others who were encapsulated?


51 YO
PSA at Dx: 8.2
DaVinci RALP: 10/31/08 -- Great MD in New Haven, CT
Negative margins, no extra-capsular involvement
One nerve spared
PSA at 0 for just over a year now.
 
 

Post Edited (Rolerbe) : 11/19/2009 8:59:03 AM (GMT-7)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 11/19/2009 10:06 AM (GMT -6)   
Carlos, let's look at the facts, you have done nothing wrong, and right now you are in a good situation

The prime purpose of your treatment choice was to rid yourself of PC. You had your surger, and despite being a Gleason 8, you are still drawing zero PSA at 18 months. That is a sucess story so far.

Your former URO is beyond rud and unprofessional in what he told you. He can't guarantee you anything, good or bad. Sounds like sour grapes to me.

Glad that he's not your doctor.

Any one that has ever had PC, has a chance of reaccourance. It may never happen to somone, it may happen 1 month from now or 20 years from now, or never.

Some of us, myself included, had good surgery, yet dealing with reaccurance just months after surgery. PC has a mind of its own.

You are doing great, just enjoy living, because either your cancer is gone, or at the least, its in a deep remission . Either way, you are doing fine.

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
Incontinence:  1 Month     ED:  Non issue at any point post surgery
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


Carlos
Regular Member


Date Joined Nov 2009
Total Posts : 486
   Posted 11/19/2009 10:35 AM (GMT -6)   
Rolerbe, thanks for you comments. My wife and I agree with your thoughts about my former uro.

David, thanks. I can't even begin to imagine what you are going through.

By the way, I have tried the MSK nomogram. The results are almost too good to be true.

Carlos
Diagnosed 2/2008 at age 71, PSA 9.1, Gleason 8 (5+3)and stage T1c.  CT and bone scan neg.
Robotic surgery 5/2008, nerves spared, bladder neck spared with pelvic floor reconstruction.
All margins, SV and lymph nodes were neg. 
Staged pT2c, Gleason sum 8 (5+3).
Continent at 6 weeks. 
PSA <0.1 at 18 months, Nov. 2009.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 11/19/2009 10:42 AM (GMT -6)   
Carlos with a good surgery, and appearently you did, and the fact that your final staging was a Stage II, not Stage III, hopefully you will remain cancer free for many years, if not forever.

Some paths in PC have more pot holes and frost heaves then others, I just happen to be on a bumpy one. When I pulled my ticket out of the hat of PC, that was the card I drew. Yeah, there are others much better off, but then again, there are many much worse off.

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
Incontinence:  1 Month     ED:  Non issue at any point post surgery
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


defender3
Regular Member


Date Joined Nov 2009
Total Posts : 98
   Posted 11/19/2009 10:58 AM (GMT -6)   
Operative wording - "former uro." Good choice!

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 11/19/2009 11:31 AM (GMT -6)   
Carlos,

I'm sorry I have to disagree with you - a new member. But nobody over-analyzes more than me!
Did you weigh your pee pads this morning? Well I did. 360.82 grams. I weigh them every morning, when my wife is not looking, and track it on an excel chart with linear and 2nd order polynomial forecasting. I am in the process of calculating my leak orifice size as we speak.

I don't know if your Former Uro is a fortune teller or not. But, I can say with certainly, he is a jerk.

Welcome to HW!
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 - 10/31 3 months, Still no activity, nada, zip
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.)
9/27 2 months: Still 3 pads per day.
11/14 4 month: Still 3 pads per day. 420ml/day, 91 um leak. At this rate I'll be fine in 2012.
Post Surgery PSA - 9/3 6 weeks- 0.05, 10/13 3 months- 0.04 undetectable.

Post Edited (Worried Guy) : 11/19/2009 11:30:39 AM (GMT-7)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 11/19/2009 11:47 AM (GMT -6)   
Jeff, I know you joke all the time about weighing your pads, etc. You are kidding, correct? Or am I just taking things too literally?
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
Incontinence:  1 Month     ED:  Non issue at any point post surgery
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


Rolerbe
Regular Member


Date Joined Dec 2008
Total Posts : 235
   Posted 11/19/2009 12:28 PM (GMT -6)   
Worried -- You're right. I'm pretty bad, (no thorough. That's the word -- thorough!) as far as analysis goes, but you've got me beat! :-)
51 YO
PSA at Dx: 8.2
DaVinci RALP: 10/31/08 -- Great MD in New Haven, CT
Negative margins, no extra-capsular involvement
One nerve spared
PSA at 0 for just over a year now.
 
 


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 11/19/2009 12:42 PM (GMT -6)   
Ummm.... David... Yes... God help me! Yes, I weigh them. The guys who came here for the GFMPH Retreat saw the unit. You thought I was kidding when I said I used a lab grade scale?
I know my pee flow to within 0.01 ml per day. The scale is so sensitive I can watch pee evaporating from the pad. Unfortunately for me, my wife's nose is so sensitive she can smell pee evaporating from the pad so I have to time my measurements when she's out. Women!

If you don't measure, how do you know where you are or where you are heading? That's why I was able to see progress, or lack thereof, so quickly.
Jeff

(Clearly I'm a mental case - I can certify it.)
Oops. Did I just make a circular reference? See? There's even more proof.
Carlos, Rolerbe, You guys have nothing to worry about.

60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2222
   Posted 11/19/2009 1:51 PM (GMT -6)   
Carlos,
Any Dr. that would say something like that is not a good Dr.  Now, if you are a worrier by nature my guess is that you have given a lot of power to those words. Please read the many posts of the men who are doing well after surgery on this forum, and talk to people that you might know and listen to their success story. My wife likes to tell me that worrying is like praying for the bad to happen. I finally got the message after hearing that phrase for years. Take care and move forward.
Michael
Dx with PCA 12/08 2 out of 12 cores positive
59 yo when diagnosed
Robotic surgery 5/09 Atlanta, Ga
Catheter out after 10 days
Gleason upgraded to 3+5, volume less than 10%
Margins not involved
2 pads per day, 1 depends but getting better,
8/5 1 depend at night only
 started ED tx 7/17, slow go
Great family
Michael


Carlos
Regular Member


Date Joined Nov 2009
Total Posts : 486
   Posted 11/19/2009 2:44 PM (GMT -6)   
Michael,
Thanks for the message.  I do tend to worry too much sometimes.  It comes and goes.  My wife likes to remind me that the things we worry about the most seldom happen.
Carlos

CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 11/19/2009 3:25 PM (GMT -6)   
Greetings, Carlos.  My guess is he wanted to do your radiation, right? Or at least his practice?  I always say make your decision and never look back - only forward.  You made a good decision and the results are great and all indications are it will continue that way.  Congratulations on doing the right thing and moving forward. David
Diagnosed Dec 2007 during annual routine physical at age 55
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 pos; 2 marginal
Gleason 3+3; upgraded to 4+3 post surgery
RRP 4 Feb 08; both nerves spared
Good pathology - no margins - all encapsulated
Catheter out Feb 13 - pad free Feb 16
PSA every 90 days - ZERO's everytime!
Great wife and family who take very good care of me


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 11/19/2009 3:54 PM (GMT -6)   
Carlos,
I was pleased on reading your post that you said "new uro". Thank goodness you bounced the other jerk. Sometimes it is difficult for us (especially seniors who usually have an innate respect for the term doctor) to get our heads around the fact that prostate cancer is a very lucrative business and the scramble for our money is what drives some of these "doctors". I mean think about it. What human being with a shred of understanding, would say, " I can practically guarantee you a recurrence", in a fit of pique at missing out on a job. Although the Partin tables are averages and are an overall guide they certainly demonstrate the stupidity of his statement and the results show the wisdom of your choice.
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) : 11/19/2009 5:20:15 PM (GMT-7)


Carlos
Regular Member


Date Joined Nov 2009
Total Posts : 486
   Posted 11/19/2009 4:02 PM (GMT -6)   
Ohio, Noted - thanks for your comments.

David, you are correct. My uro wanted to do HT, seeds and IMRT. I was ok with his recommendations but he wouldn't or couldn't answer my concerns about side effects. The surgeon I used said either option would work about the same. The surgeon was experienced and has a good track record.
Carlos
Diagnosed 2/2008 at age 71, PSA 9.1, Gleason 8 (5+3)and stage T1c.  CT and bone scan neg.
Robotic surgery 5/2008, nerves spared, bladder neck spared with pelvic floor reconstruction.
All margins, SV and lymph nodes were neg. 
Staged pT2c, Gleason sum 8 (5+3).
Continent at 6 weeks. 
PSA <0.1 at 18 months, Nov. 2009.


Carlos
Regular Member


Date Joined Nov 2009
Total Posts : 486
   Posted 11/19/2009 4:25 PM (GMT -6)   
BillyMac,
You are right about how difficult it can be for seniors. We live in a mid-sized FL beach town and just getting a second opinion was difficult. I finally went to my dentist and got a very good 2nd opinion. He said, "get out of town, fast". Hey, laugh with me. Life in Paradise is good, but not always easy. Travel is not easy for us since my wife has lost most of her eyesight. We eventually made the 4 hr trip to Birmingham and the rest is history.
Carlos
Diagnosed 2/2008 at age 71, PSA 9.1, Gleason 8 (5+3)and stage T1c.  CT and bone scan neg.
Robotic surgery 5/2008, nerves spared, bladder neck spared with pelvic floor reconstruction.
All margins, SV and lymph nodes were neg. 
Staged pT2c, Gleason sum 8 (5+3).
Continent at 6 weeks. 
PSA <0.1 at 18 months, Nov. 2009.


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 11/19/2009 4:28 PM (GMT -6)   
Carlos, the only poor choice you made was having this person as your doctor.

Your treatment choice was a sound one, and so far at 18 months post op, you're doing great. No treatment has a guarantee of success regardless of your Gleason score.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (single small EPE in posterior left). Perineural tumor infiltration present. Apex margin, bladder neck and SV negative. Final Gleason 3+4 SA. PSA: 0.0 til July 2009. August 2009 PSA was 0.1, in September it was 0.3 Met with radiation oncologist, CT scan and bone scan clean. Third PSA on October 16 - PSA BACK TO UNDETECTABLE! Next PSA scheduled for early December. No radiation treatment at this time!


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2222
   Posted 11/19/2009 5:53 PM (GMT -6)   
Carlos.
I meant to tell you in my earlier post that my primary Uroligist who found my PCa had Robotic surgery 2 years before mine. Now he did not tell me what type of tx to chose and I had to go elsewhere to have the DaVinci done, but I came to my own conclusions based on my personal circumstances. I will say that he is a guy that I would follow into battle anytime. Be at peace with your choice, and only you can make that choice.
Michael
Dx with PCA 12/08 2 out of 12 cores positive
59 yo when diagnosed
Robotic surgery 5/09 Atlanta, Ga
Catheter out after 10 days
Gleason upgraded to 3+5, volume less than 10%
Margins not involved
2 pads per day, 1 depends but getting better,
8/5 1 depend at night only
 started ED tx 7/17, slow go
Great family
Michael


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2691
   Posted 11/19/2009 5:56 PM (GMT -6)   
No one could ask for any better results. Clean margins, 0 PSA. If you do have a reoccurence, odds are RT wouldn't have gotten it either !
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


Carlos
Regular Member


Date Joined Nov 2009
Total Posts : 486
   Posted 11/19/2009 7:21 PM (GMT -6)   
Sephie, Michael, and goodlife,
Thanks for your encouraging words. It has really been helpful being able to talk about some issues that have been bothering me for a long time. On the lighter side, PCa has had at least one beneficial impact on my life. I have lived with crippling shyness most of my life but it seems that PCa has cured me. I can now talk about anything, anytime to anyone, male or female with or without my clothing. I even told the op room nurses I was a retired Chippendale dancer. This from a guy who was uncomfortable going into the mens dressing room at the gym.
Diagnosed 2/2008 at age 71, PSA 9.1, Gleason 8 (5+3)and stage T1c.  CT and bone scan neg.
Robotic surgery 5/2008, nerves spared, bladder neck spared with pelvic floor reconstruction.
All margins, SV and lymph nodes were neg. 
Staged pT2c, Gleason sum 8 (5+3).
Continent at 6 weeks. 
PSA <0.1 at 18 months, Nov. 2009.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 11/19/2009 8:12 PM (GMT -6)   
Carlos, your last post made me laugh, in a good way.

If you go through PC, and its treatments and aftermath, kind of hard to be shy anymore. In the past year or so, I have had so many people, male and female, touch, poke, look, probe, film, etc of me and my private parts, that I have no shame left.

So if this journey opened you up from shyness, then I would say it was a benefit indeed. Good for you
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
Incontinence:  1 Month     ED:  Non issue at any point post surgery
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


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2458
   Posted 11/19/2009 8:31 PM (GMT -6)   
Carlos,
I'm a retired software engineer and worry like anyone else about reccurance. I'm also a Gleason 8 and had robotic surgery. I'm glad I had the surgery. Your results are great so far and you still have the option of RT is things go wrong. Your URO is an *** to tell you what he did.
Age: 67 at Dx on 12/30/08
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09 Dr Fagin, Austin TX
Pathology report:
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Posterior lateral lesions measuring 1.5 x 1.4 x 1.0 cm showing focal capsular penetration over a distance of 3mm.
Prostatic adenocarciroma accounts for approx. 10-20% of the hemisphere.
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx, Negative margins
seminal vesicles clean, lymph nodes: not dissected
continent after 4 months
8 weeks PSA test 4/7/09 result <0.1
5 months PSA test 7/9/09 result <0.1
8 months PSA test 10/9/09 result <0.1


Colin45
Regular Member


Date Joined Feb 2009
Total Posts : 216
   Posted 11/19/2009 8:42 PM (GMT -6)   
Carlos I can echo your last comment about shyness It seems like you had good surgery with a great result which thousands of men in our position would love to have I used to worry a lot but as I got older I learnt there is no point in worrying about anything that I can do nothing about
 
 
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


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 11/19/2009 8:53 PM (GMT -6)   
Carlos
As everyone has said your PSAs are great.

Unfortunately, my own personal nomograms predict that your PC will recur when you are 127 years old -- Bit not to worry, they also predict that you will die at 116 when you are shot by a jealous husband who comes home and finds you in bed with his 40 year old wife and 20 year old daughter!

Until then, live and enjoy!
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


Carlos
Regular Member


Date Joined Nov 2009
Total Posts : 486
   Posted 11/20/2009 8:13 AM (GMT -6)   
Ed C., Thanks for the comments. We thought about using Dr. Fagin but Austin was just a little too far (600 0r 700 Mi.).
Collin45, I think the worry seems to ease with time. I used to be a control freak but PCa has cured me of that.
Geezer99, Thanks for the great predictions. I remember a quote attributed to Yogi Berra,"One should not make predictions, especially about the future." It is good to laugh once in a while.
Carlos
Diagnosed 2/2008 at age 71, PSA 9.1, Gleason 8 (5+3)and stage T1c.  CT and bone scan neg.
Robotic surgery 5/2008, nerves spared, bladder neck spared with pelvic floor reconstruction.
All margins, SV and lymph nodes were neg. 
Staged pT2c, Gleason sum 8 (5+3).
Continent at 6 weeks. 
PSA <0.1 at 18 months, Nov. 2009.

New Topic Post Reply Printable Version
Forum Information
Currently it is Thursday, June 21, 2018 4:51 AM (GMT -6)
There are a total of 2,974,054 posts in 326,246 threads.
View Active Threads


Who's Online
This forum has 161226 registered members. Please welcome our newest member, echevarriacarisa.
302 Guest(s), 10 Registered Member(s) are currently online.  Details
SantaZia, alunke82, Kent M., SlappyHappy, micketlaa, Pratoman, Uncle Harley, neo_4789, Another UC Mum, Kathy77