2nd PSA since DaVinci Surgery

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LenB
Regular Member


Date Joined Jul 2009
Total Posts : 102
   Posted 1/26/2010 9:24 AM (GMT -6)   
Hi Guys,
 
I just wanted to share the good news.  I received the results fof my second PSA since surgery and it has remained at <0.1...YAHOO!!!tongue
 
My visit with the Urologist went well because I got a lot of my questions answered. I though I would share our discussion.
 
1. I asked him when he thought the incontinence would stop and he told me that when I visit with him in April I should be almost dry. Currently I use 3 pads during the day and one at night which is half of what I was using when I visited in October.
 
2. I aksed what he thought of me using the penis clamp and he recommended aganist it becaus he felt I would become dependent on it and my nerves and muscels might not start doing what they are supposed to do or it would delat my progress.  I asked about using it on occasion i.e visiting a client or going to the store; he said that would be fine for short term solutions. He said to get a wide rubber band and us that in stead of a clamp. Just don't forget to remove it. (use paper towel under the rubber band; DON'T MAKE IT TOO TIGHT.
 
3. Regarding artificial sphincter or the sling, he told me that based on my progress thus far I won't need either.
 
4. Regarding ED, he wants the incontinence under control first then we'll work on the ED. Full erection is still 12 months away at best.  He'll start ED meds in April, if I'm dry. He said in the mean time to master*ate regularly to keep the nerves in shape.
 
Well that was my visit yesterday. I guess that's progresswink . I just wish it would move fasterdevil .
 
Len

Age: 65
DX: 7/10/09
Gleason: 7
Biopsey: 2 chips with some cancer cells out of 30.
Robotic Surgery: 9/10/09
Cath out: 9/23/09
1st post op PSA: 10/20/09: <0.0
 
 


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4849
   Posted 1/26/2010 9:28 AM (GMT -6)   
Great News..

Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
11/20/09 - 18 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2461
   Posted 1/26/2010 9:28 AM (GMT -6)   
Len,
That is great news. I hope the zeroes continue forever.
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 in circumference.
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
11.5 months test 1/21/10 result 0.004


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 1/26/2010 9:54 AM (GMT -6)   
That is standard dr. line for Cunningham Clamp. I'm not saying he's not correct, but I had to use one for a month or just to be able to function in my job. I knew when i was ready, and today I am pad free.

The rubber band sounds really bad compared to the clamp. The clamp has a little divot that hits the urethra, so the whole clamp doesn't have to be so tight. The rubber band has to squeeze the whole banana to make it work. Could end up with a purple penis.

Good luck

Goodlife

P.S. Worried guy had a few he manufactured that actually worked pretty good. Maybe he'll sell you his design, or trade you for a woody.
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 injection
No pads, 1/1/10


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 1/26/2010 10:09 AM (GMT -6)   
Wonderful news, Len, hope you keep piling up more and more zeros
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: 1/10 .12
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 43 days, 1/10 - Corrective Surgery #4, and Caths #11 and #12 in at the same time


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4119
   Posted 1/26/2010 10:30 AM (GMT -6)   
LenB. Great news. Wow 2 guys in the zero club in the same day. Ok buddy let me fill you in just in case you don't know. It will not make you go blind. LOL


Jeff T
Cajun Country
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.
15 months out injections Caveject (success)


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2243
   Posted 1/26/2010 10:40 AM (GMT -6)   
Good to hear all of that and congrats on the zero. The other is useful information. While Jeff is right about the blindness, it scientifically proven that you wil get hair on the back of your hands. I read that in Mad magazine I think.
Michael
Dx with PCA 12/08 2 out of 12 cores positive 4.5 psa
59 yo when diagnosed
Robotic surgery 5/09 Atlanta, Ga
Catheter out after 10 days
Gleason upgraded to 3+5, volume less than 10%
Margin slightly involved
2 pads per day, 1 depends but getting better,
8/5 1 depend at night only, now none
 started ED tx 7/17, slow go
Post op dx of neuropathy
3 months psa.01, 6 month psa.4, 6 1/2 month psa.5
Starting IMRT on 1/18/10
Great family and friends
Michael


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 1/26/2010 11:03 AM (GMT -6)   
Len, great news, glad for the zero. Also, thanks for sharing your discusssion with your doc.
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP 110gms.- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
24 mts: PSA's: .04 each test since surgery, ED Continues-Bimix .3ml PRN or Trimix .15ml PRN


LenB
Regular Member


Date Joined Jul 2009
Total Posts : 102
   Posted 1/26/2010 11:52 AM (GMT -6)   
Jeff T & Michael,

Thank you fro the information. Now I know why I needed glasses and why my hands are so hairy. LOL

Len
Age: 65
DX: 7/10/09
Gleason: 7
Biopsey: 2 chips with some cancer cells out of 30.
Robotic Surgery: 9/10/09
Cath out: 9/23/09
1st post op PSA: 10/20/09 <0.1
2nd post op PSA:  1/25/10 <0.1
 

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