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compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7270
   Posted 12/16/2009 10:50 PM (GMT -6)   
Spent today with Dr. Menon's team.
We were extremely impressed. We met lots of people and they took plenty of time to explain things.
 
Also, like Umich, they indicated that scans are not needed.
 
Again, there are no guarantees but the odds seem pretty good.
 
Surgery is scheduled for 1/25/09.
 
Of course, one requires a new worry and they obliged. They require a Endopat test. This is a new heart test. It is completely non-invasive. They monitor the blood flow in your fingers. Meanwhile they put a blood pressure cup on each arm. On one, they cut off the blood for 5 minutes. Then they resume it. It measures the quality of the arteries in your arm. I flunked badly, surprisingly. This indicates a 50% probability of a major cardiac event/stroke within a few years. However, this is considered a VERY early warning sign. From my reading, in my case with elevated cholesterol, we might add a statin and try the test in a few months. That may do it. This is a good test for someone like me who is considered a good cardiac risk (no symptoms, perfect EKG, works out, etc). It unveils problems which are not likely to show up until...BOOM!
 
Anyway, I was depressed about that for awhile, but now it just may be that they will save my life twice!
 
Mel
63 years old
PSA-- 3/08--2.90;  8/09--4.01; 11/09--4.19 (Free PSA 24%), this after 45 days on cipro! DREs have always been normal.
 
History of BPH/prostatitis.
 
PCA-3 test: 75.9 (bad news, guaranteeing I have to do....):
 
Biopsy on 11/30/09
 
Biopsy Report—Prostate Cancer

5 out of 12 positive

Gleason 4+3. More specifically:

2 cores were 3+3 (one 5% and the other 30%) on one side. On the other side:

2 cores are 4+3 (5%)--

1 core 3+4 (30%)

no peri-neural invasion

prostate is 45 grams

Stage: T1C

 Latest: Have set up an appointment at Umich with surgeon, radiation guy, general medical oncologist on Monday, 12/14. Trying to also set up appointment with Dr. Menon at Ford Hospital. Looking at another reading of the slides.


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 12/16/2009 10:56 PM (GMT -6)   
Wow! It is line finding out you are a zombie after living most of your life as a human being!
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


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7270
   Posted 12/16/2009 11:12 PM (GMT -6)   

Geezer:

 

Thanks for my laugh for today.

 

Mel


63 years old
PSA-- 3/08--2.90;  8/09--4.01; 11/09--4.19 (Free PSA 24%), this after 45 days on cipro! DREs have always been normal.
 
History of BPH/prostatitis.
 
PCA-3 test: 75.9 (bad news, guaranteeing I have to do....):
 
Biopsy on 11/30/09
 
Biopsy Report—Prostate Cancer

5 out of 12 positive

Gleason 4+3. More specifically:

2 cores were 3+3 (one 5% and the other 30%) on one side. On the other side:

2 cores are 4+3 (5%)--

1 core 3+4 (30%)

no peri-neural invasion

prostate is 45 grams

Stage: T1C

 Latest: Have set up an appointment at Umich with surgeon, radiation guy, general medical oncologist on Monday, 12/14. Trying to also set up appointment with Dr. Menon at Ford Hospital. Looking at another reading of the slides.


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 12/16/2009 11:13 PM (GMT -6)   
mel,
Dr. Menon pioneered the robotic surgery in the 90's. I'm sure he mentioned it. I sure am glad I was not of the first patients he worked on, but today I believe he has 4000 RALP's behind his belt. The only surgeon I know that has more is Dr. Catalona in Chicago, but he only does the open procedure. I said it to you before. Once the procedure is done, don't look back. Stay positive. And get well!

Peace to you...

Tony
Prostate Cancer Forum Co-Moderator


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7270
   Posted 12/16/2009 11:16 PM (GMT -6)   

TC:

 

I am VERY confident in the decision I made. I certainly did the research and came to a decision that I think is best for me.

Mel


63 years old
PSA-- 3/08--2.90;  8/09--4.01; 11/09--4.19 (Free PSA 24%), this after 45 days on cipro! DREs have always been normal.
 
History of BPH/prostatitis.
 
PCA-3 test: 75.9 (bad news, guaranteeing I have to do....):
 
Biopsy on 11/30/09
 
Biopsy Report—Prostate Cancer

5 out of 12 positive

Gleason 4+3. More specifically:

2 cores were 3+3 (one 5% and the other 30%) on one side. On the other side:

2 cores are 4+3 (5%)--

1 core 3+4 (30%)

no peri-neural invasion

prostate is 45 grams

Stage: T1C

 Latest: Have set up an appointment at Umich with surgeon, radiation guy, general medical oncologist on Monday, 12/14. Trying to also set up appointment with Dr. Menon at Ford Hospital. Looking at another reading of the slides.


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 12/16/2009 11:21 PM (GMT -6)   
Good deal,
Can you do me a favor and see if you can fix the spaces in your signature? If you need help let me know...This happens from time to time and I know it's never intentional...

Tony
Prostate Cancer Forum Co-Moderator


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 12/16/2009 11:26 PM (GMT -6)   
I actually enjoy watching the guys here go through what they have to go through to make a decision.

I must say Mel, you asked more questions from more angles than any member of this sight I have seen. You definitely are as prepared as you ever will be.

Glad you have a solid plan and a date. Never doubt yourself, or your plan. You have built it on a solid foundation.

I hope you stay around this site for a long time after surgery. We need guys like you to help the other guys as they make their decsions.

Good luck, and keep us posted along the way. Now go enjoy the holidays, and especially enjoy time with your wife. Things will be different for a while post surgery.

Goodlife
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


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7270
   Posted 12/17/2009 12:45 AM (GMT -6)   

TC:

Is this better?

Mel


63 years old
PSA-- 3/08--2.90;  8/09--4.01; 11/09--4.19 (Free PSA 24%), this after 45 days on cipro! DREs have always been normal.  
History of BPH/prostatitis. PCA-3 test: 75.9 (bad news, guaranteeing I have to do....): Biopsy on 11/30/09. Result of biopsy:

5 out of 12 cores positive. Gleason 4+3. More specifically: 2 cores were 3+3 (one 5% and the other 30%) on one side. On the other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C

 Latest: Surgery with Dr. Menon at Ford Hospital, set for 1/25/10

 


Ziggy9
Veteran Member


Date Joined Jul 2008
Total Posts : 981
   Posted 12/17/2009 12:54 AM (GMT -6)   
Less than three weeks after dx you've chosen a treatment. I'm not surprised at all. Personally I was still in shock and too emotionally numb to do that so soon after my biopsy. Good luck

Post Edited (realziggy) : 12/16/2009 11:03:29 PM (GMT-7)


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7270
   Posted 12/17/2009 1:04 AM (GMT -6)   

Actually Ziggy once I got that PCA-3 score, I KNEW I was in trouble! Research commenced in earnest at that point!

 

Mel


63 years old
PSA-- 3/08--2.90;  8/09--4.01; 11/09--4.19 (Free PSA 24%), this after 45 days on cipro! DREs have always been normal.  
History of BPH/prostatitis. PCA-3 test: 75.9 (bad news, guaranteeing I have to do....): Biopsy on 11/30/09. Result of biopsy:

5 out of 12 cores positive. Gleason 4+3. More specifically: 2 cores were 3+3 (one 5% and the other 30%) on one side. On the other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C

 Latest: Surgery with Dr. Menon at Ford Hospital, set for 1/25/10

 


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 12/17/2009 1:23 AM (GMT -6)   
Mel,
Great job on the signature. It looks fine.

Ziggy, I know what your are saying, and in most cases I agree. But given compilers history with BPH/Prostatitis he is not unfamiliar with the urology experience. His history of suspecting prostate cancer is over a year. He even knew to get a PCA-3, he knew to get three multifaceted opinions, and he was working on information gathering in the mean time. All this with a positive biopsy showing moderate/aggressive prostate cancer on both sides. There is no doubt about whether treating it is wise or not.

Surgery with Mani Menon is actually not the worst he could do...

Tony
Prostate Cancer Forum Co-Moderator


Herophilus
Veteran Member


Date Joined Sep 2009
Total Posts : 664
   Posted 12/17/2009 4:00 AM (GMT -6)   

Good Job, Good Luck,

Hero


Age 51, PSA 08/31/2009= 6.8, DRE Neg.
Biopsy 9/24/09 =10 of 12 positive. Gleason 6. 75% of one core.
da Vinci at Wash U, Barnes on 11/02/09
Pathology Changed Gleason to 4 + 3 = 7. Gleason 7 present in all 4 quadrants
All(4)periprostatic Lymph Nodes Negative, All(10)pelvic Lymph Nodes negative
Seminal Vesicles tumor free. No prostate extension


MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 12/17/2009 6:57 AM (GMT -6)   
Mel,

Elevated Cholesterol is a key problem with men with ED, the tiny blood vessels can get restricted with plaque.

Getting it as low as possible as soon as possible will help in your recovery as it will mean an increased blood flow as the tiny passages are clearer

If you want foods that lower it naturally, start eating wild caught Salmon (not farm raised) and pick up Whole Flax seeds from any Natural Market and grind them, add them to cereal, yogurt, anything, they taste great and are amazingly good for you. You will be amazed how fast you can lower your levels on your own. Of course a Statin will also work very fast but sometimes they have side effects

Here you go

www.mayoclinic.com/health/flaxseed/AN01258
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

Post Edited (MrGimpy) : 12/17/2009 5:03:33 AM (GMT-7)


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 12/17/2009 9:39 AM (GMT -6)   
Mel...I am curious about the Endopat test results and treatment plans. I know this is outside the forum topics, but when you get your next test results could you email me?

Congrats on moving forward with the selected treatment plans. I think you will find that deciding on the treatment plan will have been the hardest part of your journey that you will encounter.

Best of luck to you Mel.
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 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 12/17/2009 9:58 AM (GMT -6)   
Mel, I am not seeing the obvious again.

You set you had to have a test to have the surgery. You said you failed the test. So they will let you go on with your surgery even though you failed their test? What am I missing here? I thought the heart test was to see if you were"well" enough to undergo surgery.

Please fill in the missing piece of the puzzle for me.

Thanks

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
Post SRT PSA:
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 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 in place


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7270
   Posted 12/17/2009 11:44 AM (GMT -6)   

David:

 

All I know is that they required this test. But it is not a deal-breaker regarding surgery. I think maybe there is some relevance to ED down the road. But it is a very early warning for heart disease. Do a google search. Apparentlly this is quite a breakthrough test, basically replacing an angiogram.

Anyway, it was suggested that I let my family doctor know about this and follow up with him. I'm not even sure that he knows about this test! We shall see. Also, they will repeat the test in 4 months. It is not unusual to get false positives.

Mel


63 years old
PSA-- 3/08--2.90;  8/09--4.01; 11/09--4.19 (Free PSA 24%), this after 45 days on cipro! DREs have always been normal.  
History of BPH/prostatitis. PCA-3 test: 75.9 (bad news, guaranteeing I have to do....): Biopsy on 11/30/09. Result of biopsy:

5 out of 12 cores positive. Gleason 4+3. More specifically: 2 cores were 3+3 (one 5% and the other 30%) on one side. On the other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C

 Latest: Surgery with Dr. Menon at Ford Hospital, set for 1/25/10

 


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7270
   Posted 12/17/2009 11:45 AM (GMT -6)   
LV-- it won't be for 4 months (retest), so you'll just have to make a note to remind me!

63 years old
PSA-- 3/08--2.90;  8/09--4.01; 11/09--4.19 (Free PSA 24%), this after 45 days on cipro! DREs have always been normal.  
History of BPH/prostatitis. PCA-3 test: 75.9 (bad news, guaranteeing I have to do....): Biopsy on 11/30/09. Result of biopsy:

5 out of 12 cores positive. Gleason 4+3. More specifically: 2 cores were 3+3 (one 5% and the other 30%) on one side. On the other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C

 Latest: Surgery with Dr. Menon at Ford Hospital, set for 1/25/10

 


STW
Regular Member


Date Joined Jun 2009
Total Posts : 292
   Posted 12/17/2009 12:21 PM (GMT -6)   
My experience is almost diametrically opposed. Instead PCa revealing heart issues, heart issues revealed PCa.
A year ago, October, I was minding my own business at home when I started feeling a lot of pressure in my chest. (This cannot be good.) My wife called a heart surgeon friend and his educated advice was "Go to emergency - I'll call to tell them you're coming." When I got to the hospital my blood pressure was 195/something-big and my wife tells me blood shot across the room when they put in an IV. The next morning they did a heart catherization which revealed abnormalities in the blood vessels around the heart but otherwise clear pipes. Apparently, the high blood pressure was causing the heart to pinch off one of the veins.
The follow-up visits with an internist which included a full physical with blood tests and a DRE put me where I am today.
Diagnosed at 54
PSA 8.7 Biopsy 1/7/09
4 of 6 cores positive, one at 90%
Gleason 3+4=7 Neg bone scan 1/15/09
One shot Lupron Depot 1/27/09 Tax Season
RP 4/29/09
Neg lymph nodes, postive seminal vesicle, 1 positive margin
Gleason 3+4=7 with tertiary 5
Catheter out at 2 weeks no nighttime incontinence Pad free week 5
PSA 6/6/09 <0.1 PSA 9/10/09 <0.1


Dave7
Regular Member


Date Joined Jul 2006
Total Posts : 202
   Posted 12/17/2009 12:45 PM (GMT -6)   
So Mel, did Dr. Menon do a DRE?
Congratulations on the decision.
Dave
Age:54
PSA 5/22/06: 5.6
DaVinci surgery: 9/14/06
Gleason: 3+3
Organ confined, clean margins.
Both nerve bundles spared.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 12/17/2009 3:18 PM (GMT -6)   
Thanks Mel, I falsely assumed it was a deal breaker, that's what didn't make sense. So full steam ahead, captain.
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
Post SRT PSA:
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 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 in place


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7270
   Posted 12/17/2009 9:00 PM (GMT -6)   

Menon did not do a DRE.

 

If you think about it, not necessary. Maybe he does just before surgery to get an idea about the pathology.

 

Mel


63 years old
PSA-- 3/08--2.90;  8/09--4.01; 11/09--4.19 (Free PSA 24%), this after 45 days on cipro! DREs have always been normal.  
History of BPH/prostatitis. PCA-3 test: 75.9 (bad news, guaranteeing I have to do....): Biopsy on 11/30/09. Result of biopsy:

5 out of 12 cores positive. Gleason 4+3. More specifically: 2 cores were 3+3 (one 5% and the other 30%) on one side. On the other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C

 Latest: Surgery with Dr. Menon at Ford Hospital, set for 1/25/10

 


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 12/17/2009 9:30 PM (GMT -6)   
Maybe he does it while you are sleeping !
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


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2461
   Posted 12/17/2009 9:34 PM (GMT -6)   
Mel,
Don't think about your surgery until after the Holiday. I'm sure that you are in good hands and will have great results. We are waiting for you on the other side.
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


Ziggy9
Veteran Member


Date Joined Jul 2008
Total Posts : 981
   Posted 12/17/2009 10:31 PM (GMT -6)   
TC-LasVegas said...
Mel,
Great job on the signature. It looks fine.

Ziggy, I know what your are saying, and in most cases I agree. But given compilers history with BPH/Prostatitis he is not unfamiliar with the urology experience. His history of suspecting prostate cancer is over a year. He even knew to get a PCA-3, he knew to get three multifaceted opinions, and he was working on information gathering in the mean time. All this with a positive biopsy showing moderate/aggressive prostate cancer on both sides. There is no doubt about whether treating it is wise or not.

Surgery with Mani Menon is actually not the worst he could do...

Tony

I never implied there was any doubt in treating it, just for most 3 weeks is one very quick decision as to have major surgery and pick a doctor to do it. I think Menon is a good choice.

I've seen a few others here rush to surgery without nearly the knowledge that Mel has. I always thought one good thing about this disease is that after the biopsy you do have to wait at least 6 - 8 weeks before surgery. That gives guys some time to reflect after the initial panic on other issues such as quality of life and sexual. But also the time and curiosity to investigate other treatments. I personally don't know much about PCA-3 numbers to go by them as of now. I do admit my opinions are usually more intended to the typical dx of lower risk, low numbers.

My personal journey of at first leaning towards surgery, then seeds and finally choosing TFT and cryo is always on my mind how ones opinion of this disease and how to treat it can change. No to mention by the time I had treatment almost 6 months had gone by and I was certain of my choice.
Diagnosed 11/08/07 - Age: 58 - 3 of 12 @5%
Psa: 2.3 - 3+3=6 - Size: 34g -T-2-A
 
2/22/08 - 3D Mapping Saturation Biopsy - 1 of 45 @2% - Psa:2.1 - 3+3=6 - 28g after taking Avodart - Catheter for 1 day -Good Candidate for TFT(Targeted Focal Therapy) Cryosurgery(Ice Balls) - Clinical Research Study
 
4/22/08 - TFT performed at University of Colorado Medical Center - Catheter for 4 days - Slight soreness for 2 weeks but afterward life returns as normal
 
7/30/08 - Psa: .32
11/10/08 - Psa.62 - Not unexpected bounce after the 80% drop the quarter earlier. Along with urine flow readings, an acceptable amount left in bladder measured by sonic. Results warrant skipping third quarter tests, and to return April, 2009 for final biopsy scheduled to
complete clinical research study 
 
April 2009 12 of 12 Negative biopsy
10/12/09 - Psa .30
 
 
 

Post Edited (realziggy) : 12/17/2009 8:34:08 PM (GMT-7)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 12/17/2009 10:48 PM (GMT -6)   
Definitely a decision of the magnitude of not doing it under duress, shouldn't feel rushed - either mentally or from outside sources, and should only be made after carefully weighing all available options for that person's individual medical history and stats.

Each guy should know and be willing to abort treatment plan, even at the last minute, if that gut feeling comes up that you know something isn't right. We each only get one shot at our primary treatment. No re-do's, no re-play, no re-wind.

From my 1st to 3rd biopsy, the one that hit pay dirt, was a period of some 15 months, then slightly over 2 months elasped before surgery. I used all of that 17 months to read and learn as much as I could.

Even as I lay on the pre-op bed (before they started to dope me up, lol), my mind was still considering all my thoughts and options on the subject. I was never scared to have the op, had too many before to be worried about it, but had to go through one last mental check list to make sure that this is what I really wanted to do. I am sure many here have been in the same position. In the end, I knew I would be responsible for my decision to go forward, and could blame no one if it went sour.

Definitely need to keep a clear and open mind about treatment. There is no free ride with anything to do with our PC.

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
Post SRT PSA:
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 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 in place

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