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James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 1/27/2010 10:45 AM (GMT -6)   
Welcome to HW. In another thread you said:

The surgery itself didn't present any real problems or pain for me! ... It was the associated problems of the co2 and consitpation that was the real source of pain. After a week that finally that finally passed (PUNN INTENDED)!

Age:58 PSA 8/06 8.74, 10/09 7.46, 12/22 6.50

Needle Biopsy 11/10/09: 16/16 cores positive 2 - 85% of tissue,

Gleason score 7 (3+4 with tertiary pattern 5). CT,Bone, and PET scans all negative.

Da Vinci laparoscopic prostatectomy performed on Jan. 07, 2010 at IU Simon Cancer Center… Indianapolis, IN

Prostate size: 42 g Gleason score (primary + secondary): 4 + 3 = 7

Primary pattern (%):4, 60% Secondary pattern (%): 3, 35% Tertiary pattern (if present) (%): 5, 5%

Greatest dimension, largest tumor focus: 34 mm Additional dimensions: 27 x 9 mm

Histologic type: Adenocarcinoma Variant histology present: No Multifocality: Yes

Extraprostatic extension: Yes Seminal vesicle invasion: No Cancer at surgical margin:No

Bladder neck involvement: No Lymph-vascular invasion: No Perineural invasion: Yes

Catheter removed Jan-19-10 Dry Nights 2 pads/day Baseline PSA checkup appt 2/3/10

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 1/27/2010 4:22 PM (GMT -6)   
Larry,

Welcome to HW, so glad you are through the surgery bit and now on the recovery side, hope you continue to heal well, and sure you are looking forward to getting a big f at zero on your first PSA coming up. We are always looking for new members in the zero club.

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: 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


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 1/27/2010 5:18 PM (GMT -6)   
HI Larry and Angie....welcome to the forum. Sounds like you have a pretty good path report and may the road to recovery be even easier.

Take care
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 


larryandangieohio
Regular Member


Date Joined Jan 2010
Total Posts : 44
   Posted 1/29/2010 4:07 PM (GMT -6)   
To David and Les .... Thanks for the welcome!

Yes I'm going next week for the first PSA check ... The more I read on here, the more I feel that they may be rushing it a little. It's only beem a month since the surgery. Seems like most wait a period of at least 2 months prior to being tested. What is the standard?


Larry

Age:58  PSA 8/06 8.74,  10/09 7.46,  12/22 6.50 Needle Biopsy  11/10/09: 16/16 cores positive 2 - 85% of tissue,

Gleason score 7 (3+4 with tertiary pattern 5). CT,Bone, and PET scans all negative.

Da Vinci laparoscopic prostatectomy performed on Jan. 07, 2010 at IU Simon Cancer Center…  Indianapolis, IN  Prostate size: 42 g Gleason score (primary + secondary):  4 + 3 = 7

Primary pattern (%):4, 60%  Secondary pattern (%): 3, 35%   Tertiary pattern (if present) (%): 5, 5%

Histologic type: Adenocarcinoma   Variant histology present: No   Multifocality: Yes

Extraprostatic extension: Yes   Seminal vesicle invasion: No   Cancer at surgical margin:No  

Bladder neck involvement: No    Lymph-vascular invasion: No    Perineural invasion: Yes

Catheter removed Jan-19-10  Dry Nights 2 pads/day  Baseline PSA checkup appt 2/3/10

 


DS Can
Regular Member


Date Joined May 2009
Total Posts : 195
   Posted 1/29/2010 5:15 PM (GMT -6)   

Welcome Larry,

My first post surgery PSA was at 6 weeks.  Hope things go well for you,

Keep healing,

Dan


PSA 01/07 1.2, PSA 01/08 1.9, PSA 01/09 2.5
BIOPSY 02/24/09  PCa DX age 52
Right: 3+3=6, 3/6 cores 10% involved,PNI-Y
Left:  3+3=6, 1/7 cores <5% involved,PNI-N
LARP 04/09/09 nerve sparing. Final pathology:
GS 3+4=7, Margins uninvolved, 2 lymph nodes negative
Catheter out 04/17,1st no-pad day 05/03
Followup PSA 05/28/09,08/20/09,12/08/09 <0.1
 
 


larryandangieohio
Regular Member


Date Joined Jan 2010
Total Posts : 44
   Posted 1/29/2010 9:37 PM (GMT -6)   
Thanks Dan .. I just found another posting that has gone into a lot of detail about the first test ... lol ...after reading it I'm still confussed and it looks like I won't have my REAL answer for about 5 years.

Age:58  PSA 8/06 8.74,  10/09 7.46,  12/22 6.50 Needle Biopsy  11/10/09: 16/16 cores positive 2 - 85% of tissue,

Gleason score 7 (3+4 with tertiary pattern 5). CT,Bone, and PET scans all negative.

Da Vinci laparoscopic prostatectomy performed on Jan. 07, 2010 at IU Simon Cancer Center…  Indianapolis, IN  Prostate size: 42 g Gleason score (primary + secondary):  4 + 3 = 7

Primary pattern (%):4, 60%  Secondary pattern (%): 3, 35%   Tertiary pattern (if present) (%): 5, 5%

Histologic type: Adenocarcinoma   Variant histology present: No   Multifocality: Yes

Extraprostatic extension: Yes   Seminal vesicle invasion: No   Cancer at surgical margin:No  

Bladder neck involvement: No    Lymph-vascular invasion: No    Perineural invasion: Yes

Catheter removed Jan-19-10  Dry Nights 2 pads/day  Baseline PSA checkup appt 2/3/10

 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 1/29/2010 10:08 PM (GMT -6)   
Larry, like most things concerning PC, there is no standard, not even for that first post surgery PSA test. My doc did the old school of waiting 3 months post surgery to get a new base level.
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 : 4110
   Posted 1/29/2010 11:11 PM (GMT -6)   
Good like with the PSA. David said it best there is no standard. Each Dr has its choice and PC itself is so very different from person to person. We will be waiting for your PSA results.

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)


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2691
   Posted 1/29/2010 11:18 PM (GMT -6)   
I am hopeful that a zero at 6 weeks says that it was all in the prostate, but that is wistful thinking, I think. Made me feel good anyway.

Weloome to the club.

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 injection
No pads, 1/1/10

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