Cousin with enlarged prostate headed to surgery ???

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Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 2/1/2010 11:06 PM (GMT -6)   
This isn't a PCa question, but I can't think of a better group of guys and gals to ask.
 
My wife's cousin's husband David, great guy, by the way, has a prostate that's so enlarged the doctor after scoping him told him he couldn't do a TURP (reaming it out) and told David he's have to have a radical prostatectomy, and he's slated for April 2.
 
I don't know the size, expect the doctor told them it was the size of a grapefruit.  Some walnut!
 
David is in some considerable discomfort, pain, urinary issues and unable to sleep for long without needing to get up.  The doctor has said it is not cancer, although I wonder how he can be sure there isn't some cancer in that prostate.
 
David is 66 and a radical sounds pretty radical to me.  If anyone here has any suggestions as to a doctor, or a clinic, he should check I'd be glad to hear of them.
 
Many thanks and best wishes to all of you. 
 
I'm making good progress on restructuring and refinancing the business and look forward to the day when I can visit more often.
 
Sheldon AKA  Sleepless

Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
From "knock out" to wake up in recovery less than two hours.  Actual surgery 70 minutes
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
First post op PSA Sept 09  less than 0.02
PSA on Oct 23 test again less than 0.02
PSA on Jan 8 less than 0.02  
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7 
Feel free to email me at:  sheldonprostate@yahoo.com    


Franchot
Regular Member


Date Joined Jun 2009
Total Posts : 130
   Posted 2/2/2010 12:18 AM (GMT -6)   
I'm sure others will chime in, but I've read that Finasteride (Proscar) and Dutasteride (Avodart) can help in reducing the size of the prostate. However, if your friend is in that much pain and the size of the prostate is that enlarged and the doctor is recommending that the prostate be removed, I don't know what would be the solution.

Perhaps, get an opinion from another doctor? That's what I would do.
Age: 53 6' 0" Weight: 170 Caucasian

Rising PSA over the last six years (from when I started being tested) from 3.9 to 5.2 to 4.6 to 4.5 to 4.9.

DX with PC in January 2009 after biopsy. Bone scan--negative

Consulted Cedars-Sinai Beverly Hills urologist--recommended surgery
Consulted Cedars-Sinai Beverly Hills radiologist--recommended IMRT
Consulted San Diego Cyber-Blade doctor--recommended treatments
Consulted Long Beach radiologist--recommended IGRT
Consulted Loma Linda radiologist--recommended Hypo-fractionated Proton treatments

Insurance approved any treatment I wanted.

Consulted Marnia del Rey urologist Dr. Scholz.
Dr. Scholz referred me to Dr. Bahn for a Color Doppler test.
Scholz and Bahn recommended Active Surveillance, some diet changes, and steady exercise.

I am currently on Active Surveillance.


Jstars
Regular Member


Date Joined Oct 2005
Total Posts : 489
   Posted 2/2/2010 11:47 AM (GMT -6)   
Wow ... a grapefruit ....
.. Jim does calculations in head ... dia = 4" = 10 cm ... pi * r**3 = almost 400 cc !!!! Ouch!!

Why is it that tumor-y things are always the size of FRUITs(and nuts!) and hailstones are sized in golfballs and baseballs and sports things?? Inquiring minds want to know.

Anyways, I was heading for that same situation with my Uro -- very large prostate (see sig below) and he casually said he could always just take it out. That made me shiver for sure. Lucky for me I got PCa and that was the reason for removal -- i'd have been pissed to have just had it for BPH (and would not have gotten near as much sympathy from folks!).

All side-effect (aside!) -- he'll love life after it comes out -- PLASYO (Pee Like A Seventeen Year Old) -- and easy bowel movements too (EBMT!) (your friend probably did not mention the delicate subject of bowel obstruction due to the prostate pressing into the colon).

And of course, he won't have the worry about PCa in the future either.

Send him best wishes and mention some promising things to come after surgery.
Age 58, 57 at DX, PSA Aug2008 7 4 ... June2007 4.7 (BPH + LUTS)
11/2008 Biopsy: 1 of 12 cores 5%, Gleason 3+3 - Sona showed size 140+ cc (110 grams post op).
02/03/09 open RRP surgery , Nerve sparing both sides, 1 day in hospital, Day 4 first BM,
Pathology Report: All margins clear - No Invasive spread - no change in Gleason score.
02/18/09 Cath out, passed a 1cm oblong STONE within hours.
03/06/09 Started Levitra@20mg / Viagra@100mg / (04/01) Cialis@20mg -- no real effect (thru 01/2010).
04/01/09, 07/07/09, 10/01/09, 01/15/10 PSA <0.1
08/09 MUSE@1000mcg +pump&plump - (80-90%) (alpro ache).
09/09 MUSE@500mcg +pump&plump + 2 advil - (80-90%) - (less Alpro ache).
10/09 TrimixGel@(500/300/100mcg): 1st:60%, 2nd:(pump&plump) 60%, 3rd(added 500mcg muse):70-80% --
12/09 MUSE@500mcg+Cialis@20 working well (>90%) and useful erection.
02/10 TrimixGel@1000/300/100mcg - first squirt -- 80-90% - just barely @ useful level. Needs Cialis I think.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 2/2/2010 12:22 PM (GMT -6)   
Sheldon, good to hear from you, brother. Glad your biz is coming around. Seeing signs of that locally here too.

As far as your friend, if they do remove this huge prostate, there will certainly be pathology done on what they take out, and if there were any undetected cancer prior, it should be found and noted. Hopefully that won't be the case.

I feel for your friend David's pain, sounds bad.

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


RickyD
Regular Member


Date Joined Dec 2009
Total Posts : 163
   Posted 2/2/2010 12:56 PM (GMT -6)   
Jim.. do not forget the 4/3 factor.  V = 4/3 * pi * r^3  for 10 cm diameter; V = 523.6 cc OUCH

Age 55,  PSA = 4.97 on 11/17/09, DRE negative,
Biopsy 12/2/09: 1 of 12 cores positive with less than 5% volume
Gleason 3 + 3 = 6
Prostate Size Estimate on 12/2/09 = 28 cc


Jstars
Regular Member


Date Joined Oct 2005
Total Posts : 489
   Posted 2/2/2010 1:25 PM (GMT -6)   
ricky ... darn ... how could I forget that 4/3 part ...

I am, therefore, dumber than a 5th grader now ...

jim
Age 58, 57 at DX, PSA Aug2008 7 4 ... June2007 4.7 (BPH + LUTS)
11/2008 Biopsy: 1 of 12 cores 5%, Gleason 3+3 - Sona showed size 140+ cc (110 grams post op).
02/03/09 open RRP surgery , Nerve sparing both sides, 1 day in hospital, Day 4 first BM,
Pathology Report: All margins clear - No Invasive spread - no change in Gleason score.
02/18/09 Cath out, passed a 1cm oblong STONE within hours.
03/06/09 Started Levitra@20mg / Viagra@100mg / (04/01) Cialis@20mg -- no real effect (thru 01/2010).
04/01/09, 07/07/09, 10/01/09, 01/15/10 PSA <0.1
08/09 MUSE@1000mcg +pump&plump - (80-90%) (alpro ache).
09/09 MUSE@500mcg +pump&plump + 2 advil - (80-90%) - (less Alpro ache).
10/09 TrimixGel@(500/300/100mcg): 1st:60%, 2nd:(pump&plump) 60%, 3rd(added 500mcg muse):70-80% --
12/09 MUSE@500mcg+Cialis@20 working well (>90%) and useful erection.
02/10 TrimixGel@1000/300/100mcg - first squirt -- 80-90% - just barely @ useful level. Needs Cialis I think.


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 2/2/2010 5:25 PM (GMT -6)   
Thanks everyone.

As I read through the above two things occured to me. One was that cousin, by marriage, David is headed to his suprapubic prostatectomy and he'll be a happier camper once it's gone. The second was that I trust you guys more than I trust his doctor.

I'll be sending David off to the OR for the ultimate PCa prevention measure with confidence now.

God forbid they should find cancer when they do a biopsy afterwards, but if they do --- talk about catching it early!

BTW I was in to see my skin doctor for my annual go over and took great pride in showing off my da Vinci "scars" such as they are. You don't get to show them to everybody, although I have been known to hike my shirt up and show them off which generally gets a polite, "Oh yes," from the audience and a royal blast from my wife. And, after she's finished blasting I always say in a sweet voice, "you should hear her when I show off my hemorrhoid scars," which never fails to get me in even more trouble.

Cheers to all from frozen Canada,

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
From "knock out" to wake up in recovery less than two hours.  Actual surgery 70 minutes
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
First post op PSA Sept 09  less than 0.02
PSA on Oct 23 test again less than 0.02
PSA on Jan 8 less than 0.02  
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7 
Feel free to email me at:  sheldonprostate@yahoo.com    


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 2/2/2010 5:35 PM (GMT -6)   
Sheldon, surprised the hemmoroid remarks don't get you a good kick in the gonads. lol. Sounds like something I would do though.
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

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