Time from biopsy to surgery

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compiler
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Date Joined Nov 2009
Total Posts : 7269
   Posted 1/3/2010 2:01 PM (GMT -6)   
This is discussed as part of a different thread, but it's an interesting topic and I thought deserving of a seperate thread.
 
My biopsy was 11/30. My surgery is scheduled for 1/25 (actually they wanted to do it on 1/18 but I delayed it a week due to a back injury). That's exactly to the day 8 weeks.
 
I thought that was about average, but I read elsewhere that this is quick. So, I'd like to compare. Please respond with your experience and we can see what is generally done.
 
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

REVISED BIOPSY REPORT: The previous was read by Umich. Slides were then sent to Dr. Menon at Ford Hospital. Here is their report (much better) -- changes in bold print below:

5 out of 12 cores positive. Gleason 3+4. More specifically: 2 cores were 3+3 (one 5% and the other 20%) on one side. On the other side, 3 cores were 3+4 (5%, 5%, 20%)

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

 


rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1132
   Posted 1/3/2010 2:12 PM (GMT -6)   
Mine was about 6 weeks. I have read the length of time should be 8 weeks. It gives the prostate time to heal from the biopsy.
 
Age 49
occupation accountant
PSA increased from 2.6 to 3.5 in one year
biopsy march 2008 - cancer present gleason 7
Robotic Surgery May 9, 2008 - houston, tx
Pathology report -gleason 8, clear margins
12 month  PSA <.04 (low as the machine will go)
continent at 10 weeks (no pads!)
ED is still an issue but getting better


coxjajb
Regular Member


Date Joined Nov 2008
Total Posts : 184
   Posted 1/3/2010 2:13 PM (GMT -6)   
My Biopsy was July 11, 2008 and my surgery was 8/1/08. My doctor originally said that he likes to wait 6 to 8 weeks after the biopsy to let the prostate heal. Additionally, his schedule is booked 10 + weeks out on average. As we were talking about a surgery date he discovered he had an open date due to a cancellation. I asked about the short time since the biopsy but he said it would be okay. I took the August 1 date and things turned out great for me.
Age 51
Pre - Op PSA, 4.3
Gleason 3+4=7
Stage T1C
da Vinci Prostatectomy 8/1/08
No issues with incontinence since day 1 after catheter removal
Mild ED. Levitra works well for me
PSA 0.00 at one year post op


skeener
Regular Member


Date Joined Dec 2009
Total Posts : 214
   Posted 1/3/2010 2:20 PM (GMT -6)   
Compiler
 
I would say that you made a very quick decision.  Considering one generally waits 6 weeks past biopsy, you have waited only two extra weeks.
 
Because AS was suggested as a possibility for me, even though I decided to go with open RP, I took a month to make a surgery appointment and when I called the date they gave me for my surgeon who is very busy was four months down the road.  I wasn't concerned  because I felt that the slow growing cancer I have (had hopefully!!) was in me for years.
 
Good luck with your surgery!!
 
Skeener


Age:  63 
Biopsy: May 09 showed 2 of 12 cores positive for prostate cancer -- 1 at 5% and 1 at 25%.  Cancer indicated as non aggressive.  Gleason Score: 3+3.
RRP on Oct 23/09 in London, Ontario.  Excellent surgeon. 
7 Weeks Post Op -  The fears I had about bad things about the operation and recovery did not materialise except of course ED!!.  Otherwise, everything went very smoothly.  Incontinence not a problem.  Wear a pad when out just in case. Pain was never a problem.
Pathology:  Unremarkable 
First followup PSA and Visit: Feb 07/10.      


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 1/3/2010 2:22 PM (GMT -6)   
My surgeon wanted a full 8 weeks min between my 3rd and last biopsy and my open surgery. In the end, it was 9 weeks because of a conflict in schedule at the hospital I used. I was comfortable with the time gap.

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


Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2448
   Posted 1/3/2010 2:54 PM (GMT -6)   
Mel,

It would seem like the general rule of thumb is about 6-8 weeks as a minimum.

My local uro that did the diagnosis was ready to move forward almost right away. The discussion with Arletta at Vattikuti on my first call questioned his urgency and it was she that told me Dr. Menon waited at least 6-8 weeks following biopsy to allow the prostate to heal.

Sonny
61 years old
PSA 11/07 3.0
PSA 5/09 6.4
Diagnosis confirmed July 9, 2009
12 Needle Biopsy = 9 clear , 3 postive
<5%, 90%, 40%
Gleason Score (3+4) 7 in all positive cores
CT Organ Scan - negative
Nuclear Bone Scan - Negative
da Vinci 9/17/09
Post Surgery Pathology:
Gleason: Changed to (4+3) = 7
Stage: T3a
Tumor Volume 12.5%
NERVES SPARED-positive margin, extra-prostatic extension
30 day PSA 0.4, 50 day psa 0.53, 64 day psa 0.6
IMRT scheduled to begin Nov 30,2009 (74 days post surgery)


NewspaperLover
Regular Member


Date Joined Sep 2009
Total Posts : 311
   Posted 1/3/2010 3:16 PM (GMT -6)   
Eight weeks on the nose for me.  Best wishes.
 

NewsPaper Lover

 

Age 66

PSA:  6.0  on 07/31/09 having risen from 4.2 on 12/02/08.  Free PSA 23.5%.Other PSA History: 4.3 on 05/01/08; 3.3 on 11/15/07; 3.1 on 05/20/07; 4.0 on 11/30/06; 3.40 on 09/01/05.

 

Biopsy:  09/04/09  13 snips;  two positive.  Right Mid  4+3 = 7 and 15% of the total volume.   Right Lateral Mid 4+3 = 7 and 20% of the total volume.

 

DaVinci robotic surgery:  11/04/09.  Post surgery pathology:  margins clean, no invasion of seminal vessels, no upgrade of the Gleason scores, no evidence of cancer outside the prostate capsule.  No incontinence.  Used pads two days, then stopped.

 

 

 
 

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 1/3/2010 3:34 PM (GMT -6)   
Just thought of this, it's kind of like healing up a condemmed person so that you can execute them. But hey, no mercy was shown to my prostate when it was him time to bite the bullet. lol. Just a bit of perverse humor.

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


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3741
   Posted 1/3/2010 3:39 PM (GMT -6)   
I was told the waiting period is 6 weeks minimum but they did me in 41 days. My PSA was rising very quickly.
Had I known I'd end up with ED and incontinece I might have waited another week or two so I could really wring out the 'ole prostate.
Jeff
DX Age 56. First routine PSA test on April 8th: 17.8. Start 2 weeks of Cipro to rule out protatitis.
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.
Extraprostatic extension present; Perineural invasion: present, extensive.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 12/11 5 months, Still no activity, zip. Using pump daily since 11/11. No effect with 20 mg of Cialis or 100 mg of Viagra. Shots next?
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 months: Still 3 pads per day. 420ml/day, 91 um leak.
12/11 5 months: Still 3 pads per day. 400-450ml/day Experimenting with Nyquil for 10 days: Can sleep through the night but withdrawal is bad. Stopped 12/20.
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04 undetectable.


Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2448
   Posted 1/3/2010 3:41 PM (GMT -6)   
David,

It is also like the guy that asked if "they rub your arm with a alcohol swab before they stick you with the needle for death by lethal injection".

I can hear the mad-cap dr now. Let the little sucker heal and when he least expects it, we'll rip the thing out of it's home.

Sonny
61 years old
PSA 11/07 3.0
PSA 5/09 6.4
Diagnosis confirmed July 9, 2009
12 Needle Biopsy = 9 clear , 3 postive
<5%, 90%, 40%
Gleason Score (3+4) 7 in all positive cores
CT Organ Scan - negative
Nuclear Bone Scan - Negative
da Vinci 9/17/09
Post Surgery Pathology:
Gleason: Changed to (4+3) = 7
Stage: T3a
Tumor Volume 12.5%
NERVES SPARED-positive margin, extra-prostatic extension
30 day PSA 0.4, 50 day psa 0.53, 64 day psa 0.6
IMRT scheduled to begin Nov 30,2009 (74 days post surgery)


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 1/3/2010 7:33 PM (GMT -6)   
John's biopsy was February 3; his surgery was March 18. Within two weeks of the biopsy, he had a CT scan and a consultation with the uro/surgeon to discuss the biopsy results and talk about treatment options. about 10 days before the operation, he had to have a physical with his regular doctor - the hospital gave him a sheet with the tests that were needed, his doctor did them, and faxed the results to the hospital. Everything was in order when we showed up at noon on March 18.
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. PSA: 0.0 til July 2009. August 2009- 0.1, September 0.3, October back to 0.0, December 0.0. Thank you God!


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7269
   Posted 1/3/2010 8:44 PM (GMT -6)   

It sounds like my 8 week time interval is about average

 

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

REVISED BIOPSY REPORT: The previous was read by Umich. Slides were then sent to Dr. Menon at Ford Hospital. Here is their report (much better) -- changes in bold print below:

5 out of 12 cores positive. Gleason 3+4. More specifically: 2 cores were 3+3 (one 5% and the other 20%) on one side. On the other side, 3 cores were 3+4 (5%, 5%, 20%)

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

 


Bluenose
Regular Member


Date Joined May 2008
Total Posts : 260
   Posted 1/3/2010 9:21 PM (GMT -6)   
 
 ..I was just a few days short of three months.
 
  age: 53 @ Dx, Pre-op PSA Feb 08' 5.0, April 08' 4.1
  Biopsy 5.1.08, 5 of 15 cores postive, T2a, Gleason 3+4=7
  DaVinci performed 7.29.08
  Bladder sling installed, umbilical hernia repaired during surgery.
  Path report, "cancer fully contained, margins clear".
  Cath removed 8.8.08, ED therapy begins 8.9.08
  100mg Viagra three times a week, pump for ten minutes daily
  and hold for ten minutes.
  8.16.08 switched to Levitra 20mg, immediate results
  9.15.08 Pad free at night, one thin (light) pad during the day
  9.18.08 1st Post-op PSA Undetectable Zero's....Yes!
  12.22.08 2nd Post-op PSA  Zero's still...
  6.23.09 1yr Post-op PSA Still a zero..
  Pads gone 1.3.09, finally found the courage...Thanks ya'll
          ".....tryin' to reason with hurricane season...."
       


Herophilus
Veteran Member


Date Joined Sep 2009
Total Posts : 664
   Posted 1/4/2010 10:06 AM (GMT -6)   
Great Topic!

I realize that prostate cancer is not an emergency.  But as I have in the past posted,I hated the interval imposed on me by my urologist between biopsy and surgery.  It was 40 days including my day of prostate biopsy and day of surgery.  So I have been doing some document searches to see what the scientific data indicates.  In the spirit of evidence based medicine and best practice and all that stuff. Not that it makes much difference because after all it should be up to he person holding the knife so to speak.   But… I have identified the following studies, not exactly proof positive, does anybody have additional info?

 

 

I.http://www3.interscience.wiley.com/journal/118599297/abstract?CRETRY=1&SRETRY=0

CONCLUSION

The interval between prostate biopsy and retropubic RP appears to have no effect on immediate postoperative outcomes. We were unable to determine a specific minimum required interval beyond 2 weeks after prostate biopsy before proceeding with RP.

 

2. http://cat.inist.fr/?aModele=afficheN&cpsidt=18870804

CONCLUSIONS The results of our study have shown that performing radical prostatectomy shortly after prostate biopsy, within 4 to 6 weeks, does not adversely influence surgical difficulty or efficacy.

 

Hero

 


Age 51, PSA 08/31/2009= 6.8, DRE Neg.
Biopsy 9/24/09 =10 of 12 positive. Gleason 6. involving up to 75%
da Vinci at Wash U, Barnes on 11/02/09
Modified Pathology, Gleason 4 + 3 = 7. Gleason 7 present throughout Prostate.  Negative surgical margins
4 of 4 periprostatic Lymph Nodes Negative, 10 of 10 pelvic Lymph Nodes Negative. Seminal Vesicles tumor free. No prostate extension
Post-op PSA 12/10/2009, Undetectable
12/12/2009, Pad Free and Started jogging.


Ziggy9
Veteran Member


Date Joined Jul 2008
Total Posts : 981
   Posted 1/4/2010 10:29 AM (GMT -6)   
At 6 weeks post dx, I was so confused I wasn't about to make a decision. In 3 months I went from leaning towards robotic surgery to seeds to finally doing a clinical study of TFT and cryosurgery. I'm still amazed how many take more time considering buying a car than they do contemplating radical procedures and the after effects. Oh well to each their own. This is one decision I can't see rushing or just jumping to because it's more convenient to do it because a doctor has an open date. darn the fact that the prostate should really heal at least 8 weeks according to most surgeons. Personally if I was undergoing major surgery I would want the best possible conditions before it. This is once again more treating anxiety than the PCa itself. The ole get it out of me asap ignoring the fact it's grown over years and that a few more weeks doesn't matter. Now of course there are those with high PSD and velocity that do have a valid rush I understand that. My normal disclaimer
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
 
 
 


brainsurgeon
Regular Member


Date Joined Jul 2009
Total Posts : 137
   Posted 1/4/2010 10:33 AM (GMT -6)   
It is my understanding that the plane between the rectum and prostate is what need to heal. Otherwise, there is normal granulation tissue there in the healing process. This has a rich blood supply and can make for technical problems when trying to separate the gland from the rectal wall. I was told this to quieten my jumping up and down because I was given a six week interval between the two procedures. Made sense to me.
70 years old (1939) USA citizen
Prostatic carcinoma dxed June 2009 by PSA (7.0) and then Bx
PSAs yearly since 2001 ranged 1.52 to 7.0
Neg. CT and Bone Scan
4 of 8 biopsies positive (all right side) Gleason Score 3+4=7
Robotic assisted total prostatectomy and node excision July 2009 in Luzern, Switzerland by Dr. A. Mattei in the Kantonsspital
pT2c G3 pN0 (0/14)
Catheter out in 5 days (home in 3 days)
No incontinence
Positional neurpraxia resolved in 5 months.
Potency: beginning tumescence??? at 3 weeks post-op. Still happens at 3 months PO. Nearly usable one month later. At 5 mo. with 100 mg Vitamin V, pretty good.
3month PSA less than 0.01


Dilbert61
Regular Member


Date Joined Nov 2009
Total Posts : 21
   Posted 1/6/2010 6:16 PM (GMT -6)   
Intersting. I had to delay due to my wife's surgery--it was quite a year-- so it was 3 1/2 months between diagnosis and surgery. I worried, that it would grow in that time lag--needless to say I was not a good patient for watchful waiting. It is gone now, so now I worry about ED. Cheers.
Initial PSA 4.7 retest 4.9
Biopsy January 2009, two cores 3+3=6 Gleason
Diagnosed Febuary 2009, age 47
open Surgery June 2009, radical, open, nerve sparing retropublic prostectomy
No positive margins and a favorable Gleason's grade of 3+3=6
PSA August 2009 .3
PSA November 2009 undetectable


RonE
New Member


Date Joined May 2009
Total Posts : 12
   Posted 1/6/2010 10:58 PM (GMT -6)   
about 8 weeks for me. Almost exactly 2 years and 1 week ahead of you.
Oct 2007 - Family doctor checkup at age 53
PSA 2.4, ~10% increase from 6 months previous
Nov 2007 - Consult with urologist
Biopsy 1/12 cores positive 1% Gleason 6=3+3
Dec 2007 - Consult with radiation oncologist
Jan 2008 - DaVinci radical prostatectomy
Hospital stay of 3 days, JP drain in 1 week and catheter 10 days
Gleason 7=3+4 with early foci extracapular extension
Surgical margins clear, prostate 5x4x4cm & 43g, involvement 3%
Mar 2009 - Consult with radiation oncologist about adjuvant radiation therapy
Decided to monitor PSA instead of doing adjuvant radiation
Post surgery PSA undetectable thru Sept 2009


bcc
Regular Member


Date Joined Oct 2009
Total Posts : 46
   Posted 1/7/2010 6:47 AM (GMT -6)   
hi i was told 8 weeks after a normal biopsy but i have just had well late november a template biopsy[32]parts.does this extend the waiting period as its much more disruptive barry
PSA Aug 07 was 3, Mid 08, 3.5, mid 09, 7.27

First biopsy july 09 - t2a on left . 11 samples taken from 6 blocks. 4 blocks show positive for adenocarcinoma. 1 block 10%, 3 blocks 5%, overall gleason 3 plus 4. No perineural invasion seen. Seminal vesicles clear.

End Oct 2009, bone scan all clear, MRI shows 6mm lesion on bottom left and rest of gland diffused image. Late Nov 2009, a template biopsy of 32 from 20 sites adenocarcinoma, gleason 3 plus 4 at 10 sites; unfortunately spread over both left and right.


CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 1/7/2010 8:00 AM (GMT -6)   
Greetings, Mel.  I had my biopsy on Dec 17 and then surgery on Feb 4.  My doc said "about" six weeks in between and I was just over that.  In our family my wife is the nurse and I am the bean counter.  So when the doc said wait six weeks and she said that makes sense, my only job was to count out six weeks and work with the scheduler!  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


In This Together Wife
Regular Member


Date Joined Dec 2009
Total Posts : 135
   Posted 1/7/2010 8:21 AM (GMT -6)   
We were told wait 4 weeks, ended up with surgery at 10 weeks.
Smiley
(Hubby's stats)
Age 48 healthy-had bronchitis once :)
 
8-4-09    Family Practioner for back pain  PSA 4.9
8-20-09  Consult with urologist                PSA 4.89
9-2-09    Biopsy          3 cores positive 7% 3+3 (6) gleason
9-22-09  Birthday turned 49
10-12-09 2nd opinion
11-13-09 DaVinci
11-23-09 Cath removed  Path report cancer contained neg. margins
Feb 2010 wil be followup PSA


Coachford
New Member


Date Joined Jan 2010
Total Posts : 4
   Posted 1/7/2010 9:27 AM (GMT -6)   
Mine was about 8 weeks also.I understand that 6 weeks from biopsy to surgery is the minimum!
Hope it goes well for you.
I'm 7 weeks post surgery and physically well,challenged on physical relations( none of the erection enhancers are working yet,dealing with normal male ego stuff.

jacketch
Regular Member


Date Joined Apr 2009
Total Posts : 179
   Posted 1/7/2010 11:27 AM (GMT -6)   
14 weeks here from biopsy to surgery but I was in no hurry. It gave me plenty of time to decide my treatment course. Then I had time to prepare myself physically, mentally, spiritually and emotionally. 
 
I was happy to finally get it over with but I was never in a rush.
62yo
V10.46 Dx Feb-09
RRP 5-5-09
No adverse SE
PSA 6-19-09 -0-
PSA 9-21-09 -0-
 
Thriving, not just surviving!
 


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 1/7/2010 1:37 PM (GMT -6)   
Actually what brainsurgeon stated was what my doctors stated. It wasn't for the healing of the prostate in so much to have time to let the rectum and surrounding tissue to heal. I had to wait 10 weeks before surgery.
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 


STW
Regular Member


Date Joined Jun 2009
Total Posts : 292
   Posted 1/7/2010 1:45 PM (GMT -6)   
I could have had mine within 4 weeks of the biopsy if I'd chosen that course. Once the decision was made after meeting with the radiation doc to go with surgery (2 weeks post biopsy) my doc said he needed about 2 weeks to set it up. I actually waited 3 months so I could get through tax season.
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

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