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St. Louis
New Member


Date Joined Feb 2010
Total Posts : 16
   Posted 2/2/2010 11:03 AM (GMT -6)   
To all:
 
        My name is dan. Please tell me what your experience says about my condition and future.
I had bad bout of strep, which after a week or so made my lower back hurt. I was on anti-biotics for 2-3 days when I began to have extreme difficulty peeing I finally went to the Dr. who ran tests. He said I had permanent kidney damage (50%), and they ran more blood work. My psa came back 34 and Dr. said i had an extremely enlarged prostrate. On flowmax now which worked wonders immediately. I am on more anti-biotics now in preperation for appt. with urology specialist in 2 weeks.
 
       I am 54 yrs old and have always been very active, married. My health had been pretty good with exception of sport injurys. I've been battling the last 2 yrs or so with on/off urge to urinate, sometimes 5-6 times at night. Sometimes only once or so. My lower back continues to be sore, not so uncomfortale, but you know it's there. Then again, it's been like that for many (15+ yrs). I always put it off to intense sports etc..
 
       It's only been 4 days or so since the Dr called with results and I did as much research as I could> which seems to indicate I am with PC. My wife and me are on a roller coaster. I'm scared but have no delusions and am prepared (at least I think I am). This site has brought me out of the dumps and educated me, although I can see I need to do much more reading. Back at work but having trouble concentrating and sleeping, as is wife.
 
       From what I've read (and I know I could be entirely wrong), the PC might be fairly advanced. Most of the posts I've read have much lower PSA readings than mine, being caught during routine physicals etc.... I simply chose to ignore. I had a physical while active duty about 15 yrs ago and the dr told me I had a slightly enlarged prostrate, but never elaborated, and like I said I chose to ignore.  Words of wisdom from the experts here would be much appreciated. Thanks. 
 
       

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 2/2/2010 11:12 AM (GMT -6)   
St. Louis,

Welcome here. I understand the fear at this point. Keep in mind, the high PSA number can simply be related to non-cancerous prostate problems, the enlarged prostate, infection, etc.

You said you are going to meet with a urologist soon. Good. He/she will want to do a DRE Digital Rectal Exam, the finger of the bum, to see if they can feel anything, perhaps you have had one recently or in the past.

The only way to know if you have Prostate Cancer PC, is to submit to a prostate biopsy. Has one been ordered or talked about? Not the most pleasant thing in the world, but we all get through it. Most men can endure them without big issues, some have had to be put asleep. I had 3 of them, most men only need 1. It is possible to show negative, then the doctor will monitor and decide to do another later, depends on a lot of circumstances.

Even if you test positive with the biopsy, there is no reason to assume you have advanced PC, again, too many unknowns and factors at this point. In your case, you already have non-cancerous prostate issues going on, so that alone could cloud the real PSA issues and numbers.

Best thing is to calm yourselves, I know no easy, and have that appt. with the urologist with an open mind. Please report back what you find out, or if you need a biopsy, we can give you good advice about the procedure. As is often said here at this forumn, the best way to overcome your fear, is with knowledge. The more you learn, the less afraid you will feel.

David in South Carolina
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


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4848
   Posted 2/2/2010 11:14 AM (GMT -6)   

Sorry you have to be here but Welcome to the site..

I vote you meet with the Uro....he'll probably want to do a biopsy - then you'll go on from there.

 

 

 


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.


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3739
   Posted 2/2/2010 11:25 AM (GMT -6)   
Hi Dan,
Welcome to Healing Well. You have found a wealth of support.

You are correct in noticing that most of the guys here had PSAs around 4 or less when they were diagnosed. Mine was 23. But don't let that discourage you. There are guys here with numbers much higher and they are still around to talk about it. If you have spent any time looking around this site and checking out other guys' signatures, you will note that probably a biopsy is in your future. That will be important info for you.
Do you have a urologist picked out? He/she will be your friend on this long journey so find one you can work with.
Was this your first PSA?
Other guys will no doubt chime in so I will stop now.
The important thing is not to panic. You and your wife can weather this. Honest.
Good luck,
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, 20%-70%, 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? See Uro 1/22/10 Trimix unsuccessful.
Incontinence - 8/20 4 full pads per day
.. 9/7 3-4 full pads per day (Try cutting down on fluids. Bad idea. I know.)
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
1/11/10 6 months: Still 3 pads but leak is now 320 ml (5 day avg.)
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04, 1/14 6 months - 0.05.


St. Louis
New Member


Date Joined Feb 2010
Total Posts : 16
   Posted 2/2/2010 12:29 PM (GMT -6)   
Thanks so much for the replies.

Your right, I have seen a few very high (Jeff) PSA's and it was encouraging to see your narrative. I think I'm as worried about my wife as I am myself, with job, insurance, finances, and not the least of which is how all this will effect our marraige and realtionship. We have just returned to the states a few months ago after 20 yrs with the AF in Europe and live very far away from any immediate family--as this is where they sent us.
I do not know the urologist I've been referred to at all. It was a referreal from the VA. I've had blood work done in the past for various health issues and I just assumed some/all of these would include PSA, but my record for following up is pretty bad as you can see. I've been hospitalized a few times in the past 3 yrs or so with tons of test, bloodwork etc.. but I would be guessing if it was PSA specific. Is it a generally accepted practice to do PSA on men past 50?
I'm prepared for a positive, I'm just hoping it hasn't spread. Thanks again for all who have responded. Last night was the first decent nights sleep I got> after I found this sight. Dan

gold horse
Regular Member


Date Joined Nov 2009
Total Posts : 360
   Posted 2/2/2010 12:33 PM (GMT -6)   
Hi Dan,the first thing you meed to do is relax then get educate about pc.we are here to help you.Two of my brothers had psa of 15 due to an enlarge gland.the other brother always had psa of 2 had to biop and in the second one they found pc.We know that you are scare and it is ok.Do all you need to do with your DR.Good luck. 
DIAGN=46 YEARS
GLEASON=3+3
FATHER HAD PC,THEN I THEN MY BROTHER STILL HAS TWO BROTHER PC FREE.
MARRIED,TWO CHILDREN.AGE 13 AND 8.
LAPROSCOPY SURGERY 6/2005
PATOLOGY REPORT.
GLEASON=3+3
TUMOR VOLUME=5%
LYMPHOVASCULAR INVASION=NEG
PERINEURAL INVASION=POSI
TUMOR MULTICENTRICITY=NEG
EXTRAPROSTATIC INVASION=NEG
SEMINAL VESICLES BOTH=CLEAN
MARGIN ALL=NEG
PT2ANXMX
DEVELOP SCART TISSUE AND NEEDED A SECOND SURGERY BECAUSE COULD NOT URINATE,
PSA 6/05=0.04,0.04,0.04,6/06,0.04,0.04,0.04,6/07,0.04,0.04,0.04,6/08,0.04,0.04,1/09
0.04,10/09,0.04
 


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4119
   Posted 2/2/2010 12:39 PM (GMT -6)   
Dan: Take a deep breath. At this point your appointment is the next step. David gave you the best info that any of us can report back to you. You may or may not have PC only time will tell. At this time do some reading here and gain knowledge. Do keep us posted and as you have questions just post them here. At this time my best advise is hold that wife of yours and make love like you were just married yesterday!

Jeff T
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)


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 2/2/2010 1:41 PM (GMT -6)   
Dan...just a bit of followup.

You stated permenent kidney damage (50%) after some tests. Not knowing any details of what caused the damage, I would expect that your psa is most likely due to the very enlarged and inflammed prostate due to complications from the kidneys. I would read up on BHP thoroughly and understand the difficulty in treating infection and inflamation with the prostate. Having only one elevated psa normally won't trigger a biopsy without a round or two of antibotics first that are specifically designed for prostate infections and inflamation. I have read of psa well over 50 and actually be the result of infection and inflamation, not cancer.

Hopefully this will be just a wake up call to take care of yourself and not ignore symptoms in the future. Maybe this current psa reading will not be related to prostate cancer at all.

Best of luck.
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 


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 2/2/2010 3:57 PM (GMT -6)   
We all know that hit upside the head feeling that comes with worrying that you might have PC and so you will find a lot of sympathy here. As others have said, the enlarged prostate (usually due to infection) can cause high PSA even when no cancer is present. So your first job is not to get too far ahead of reality. Cancer is a scary word, but PC generally gives you lots of time and lots of choices. Right now guessing whether you have PC and if so how serious it is is just about as accurate as flipping a coin to decide.

Your uro will have to decide whether to go on with antibiotics or directly to biopsy and the choice will depend on his evaluation of your medical history. My guess is he will take another PSA before deciding, so be ready to have nothing resolved on your first visit.

Continue to educate yourself but remember there at a lot of other things in life to pay attention to as well.
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


Kbars
Regular Member


Date Joined Jun 2009
Total Posts : 38
   Posted 2/2/2010 4:11 PM (GMT -6)   
Dan, I live in SouthEast Missouri and was referred to the Washington University School of Medicine - Urologic Surgery Department for follow up. I highly recommend this group. They are affiliated with Barnes Hospital there in St. louis. There number to schedule an appointment is 314-362-8200. Good Luck, Kelly 

St. Louis
New Member


Date Joined Feb 2010
Total Posts : 16
   Posted 2/2/2010 4:56 PM (GMT -6)   
Guys:

St. Louis
New Member


Date Joined Feb 2010
Total Posts : 16
   Posted 2/2/2010 4:56 PM (GMT -6)   
Guys:

St. Louis
New Member


Date Joined Feb 2010
Total Posts : 16
   Posted 2/2/2010 5:17 PM (GMT -6)   
To all:

Thank you all so much! Your advice and understanding is worth a lot. The Dr. told me my kidney damage was probably a result of my not being able to urinate/fully for a number of days before being seen. It kinda blocked up my system back to the kidneys and done some damage. Makes sense to me, as I was having very difficult time peeing at all, constant pain telling me I needed to but couldn't.
I have another PSA test scheduled approx. 4 days prior to my first appointment, 2 days before the Cipro, or whatever antibiotic they gave me runs out. KBAR--thanks so much for that info about Barnes Hospital in St Louis. Although I'm from St Louis, we are now stationed at Kirtland AFB in N.M. Like all of you's have already said, I know I'm getting way ahead of myself but my mind races.
I can see where I will have to educate myself, and downloaded all the abbreviations used. Keep sending the advice--and I agree--there are other things in life I need to pay attention to. When the Dr called with PSA results, I was clueless and all the initial stuff I read regarding very enlarged prostrate with a 34 PSA was very bad. This site, your experinces, and advice has lifted my mood and given me hope that even if a positive diagnosis, we can deal with it. Thanks!!!!!

Geebra
Regular Member


Date Joined May 2009
Total Posts : 476
   Posted 2/2/2010 5:56 PM (GMT -6)   
You cannot prove or disprove anything by examples, but to give you a point of reference, my PSA at diagnosis was 28 and was in the 30's by the time I started treatment. Yet, it was contained in prostate except for a microscopic extra prostatic extention. In fact, my first post op report said T2. Best of luck and I hope it is a severe infection.
Father died from poorly differentiated PCa @ 78 - normal PSA and DRE
5 biopsies over 4 years negative while PSA going from 3.8 to 28
Dx Nov 2007, age 46, PSA 29, Gleason 4+4=8
Decided to participate in clinical trial at Duke - 6 rounds of chemo (Taxotere + Avastin)
PSA prior to treatment 1/8/2008 is 33.90, bounced on 1/31/2008 to 38.20, and down at the end of the treatment (4/24/2008) to 20.60
RRP at Duke (Dr. Moul) on 6/16/2008, Gleason downgraded 4+3=7, T3a N0MX, focal extraprostatic extension, two small positive margins
PSA undetectable for 8 months, then 2/6/2009 0.10, 4/26/2009 0.17, 5/22/2009 0.20, 6/11/2009 0.27
ADT (ongoing, duration TBD): Lupron started 6/22/2009
Salvage IMRT to prostate bed and pelvis - 72gy over 40 treatments finished 10/21/2009
PSA 6/25/2009 0.1, T=516, 7/23/2009 <0.05, T<10, 10/21/2009 <0.05, T<10


Herophilus
Veteran Member


Date Joined Sep 2009
Total Posts : 664
   Posted 2/2/2010 8:38 PM (GMT -6)   

I had my surgery in the city of St. Louis at BJC. Your numbers wouldn’t give most of us a warm fuzzy feeling, however all patronizing aside, you do have options. Best of luck to you!

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.


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2460
   Posted 2/3/2010 12:12 AM (GMT -6)   
Dan,
I can't add anything to what already have been said. Your fear is normal, we all went through. Take a deep breath, there is nothing for you to do until you see the URO and get a biopsy done. Hopefully, you won't have to deal with PC
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


St. Louis
New Member


Date Joined Feb 2010
Total Posts : 16
   Posted 2/3/2010 6:30 PM (GMT -6)   
To all:

Thanks again. I've continued to research as much as I can to educate myself>> and your all right, just have to wait till my appointment.

When the nurse called and told me results of my tests the only thing that stood out was the 34 PSA. I do remember her telling me my urine was clear. Although I had strep and inability to urinate/pain at the time, I take that to mean (now) that there was no sign of infection>> not a good sign. That said, I have another blood test a few days before my appt with the urologist. Can anyone tell me what to expect>> will he just ask questions about past health, do another blood test?

Nerves are much better and both me and wife got first full nights sleep. Like to think I've gotten half way use to the acceptance stage. We've talked alot, and I've finally came to the understanding all of you have explained--we can handle this! Dan

larryandangieohio
Regular Member


Date Joined Jan 2010
Total Posts : 44
   Posted 2/3/2010 10:17 PM (GMT -6)   
Dan .. I found a site last night that had a lot of information I'd never heard before ... you might want to look it over. The site is http://www.prostrcision.com/qa/full-q-and-a.php

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

 


St. Louis
New Member


Date Joined Feb 2010
Total Posts : 16
   Posted 2/4/2010 1:03 PM (GMT -6)   
The prostrcsion site was refreshing. If there's one thing everyone here has said over and over again-- it's take your time. I'm forever grateful I found all the wonderful people and advice given here!!!

St. Louis
New Member


Date Joined Feb 2010
Total Posts : 16
   Posted 2/11/2010 4:17 PM (GMT -6)   
Just had my bloood work done today in preperation for urologist appt next week.
  2 weeks ago my PSA was 34, today the PSA read 10. I've been on 13 days of Cipro antibiotic. Does this decrease indicate an infection and it still may drop more? Is 10 still high at this point? Thanks for all the wisdom. Dan

Geebra
Regular Member


Date Joined May 2009
Total Posts : 476
   Posted 2/11/2010 7:29 PM (GMT -6)   
This is a great news, however you look at it. Are you out of the woods completely? No, but you are in a much better place. Congratulations!
Father died from poorly differentiated PCa @ 78 - normal PSA and DRE
5 biopsies over 4 years negative while PSA going from 3.8 to 28
Dx Nov 2007, age 46, PSA 29, Gleason 4+4=8
Decided to participate in clinical trial at Duke - 6 rounds of chemo (Taxotere + Avastin)
PSA prior to treatment 1/8/2008 is 33.90, bounced on 1/31/2008 to 38.20, and down at the end of the treatment (4/24/2008) to 20.60
RRP at Duke (Dr. Moul) on 6/16/2008, Gleason downgraded 4+3=7, T3a N0MX, focal extraprostatic extension, two small positive margins
PSA undetectable for 8 months, then 2/6/2009 0.10, 4/26/2009 0.17, 5/22/2009 0.20, 6/11/2009 0.27
ADT (ongoing, duration TBD): Lupron started 6/22/2009
Salvage IMRT to prostate bed and pelvis - 72gy over 40 treatments finished 10/21/2009
PSA 6/25/2009 0.1, T=516, 7/23/2009 <0.05, T<10, 10/21/2009 <0.05, T<10


St. Louis
New Member


Date Joined Feb 2010
Total Posts : 16
   Posted 3/4/2010 6:05 PM (GMT -6)   
Hello all:
               Just back from getting 3rd PSA result. It went down from 10some  3 weeks ago to 7.8 today (it's gone from 34 to 10, now 7.8 in 5 weeks). The dr. did say I may have had prostitus, and I was on Cipro for 2 weeks initially.  I've been on flow-max for these past few weeks and still have to go 3-4 times a night, plus I had relations with wife morning of test (?). I assume now I'll be headed back to Urologist. Do you think I'll be headed for biopsy? Thanks-Dan

Todd1963
Veteran Member


Date Joined Oct 2008
Total Posts : 3240
   Posted 3/4/2010 6:17 PM (GMT -6)   
Hi Dan. Check out my PSA numbers. Hey buddy, its time to relax. Take a deep breath. Life is good and it aint over yet. Trust God. Believe. You will be okay. Educate yourself and hang with us brother.

dx:06/03/06
Age at dx: 42 age now 45
Treated for sciatic nerve pain 6 months prior to dx.
Heavy amount of blood in urine Unable to urinate 
Lung x-ray for pnumonia revealed multiple lesions in each lung
P.S.A. at time of dx. 3216.14
Began lupron and casodex
Cat scan showed large mass in the pelvic area affecting the bladder multiple nodules in both lungs and lymph node envolvement.
Bone scan revealed possible bone involvment in the pelvic area
Biopsy 12 of 12 cores positive gleason 3+4=7
P.S.A.s since lupron 2946, 1274, 532, 5.01 1.23, .09
Begining jan 08 psa .o9, .25, .44, .86, .73, 1.34, 1.49. Doubling time is a little over 3 months
Cat Scan 12/12/08 Prostate normal size and shape. No tumors detected. Left lung clear of all nodules right lung showing only benign scar tissue. Lymph nodes normal
Bone Scan 12/24/08. Clean!!! went off casodex January 4 2009
Current psa 2/13/09 .16
Latest P.S.A. 0.05 newest P.S.A. undetectable


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 3/4/2010 6:41 PM (GMT -6)   
The fall in your PSA in response to antibiotic is great news. At your current PSA level your uro could decide on more antibiotics, just testing again in a month or two, or a biopsy.

Don't sweat the biopsy, it is a walk in the park -- unfortunately a rather nasty park where you are likely to pick up about a dozen rat bites before you get out.
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
9 mo. PSA 0.00 -- 1 light pad/day ED remains


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4119
   Posted 3/4/2010 7:34 PM (GMT -6)   
Dan: Whewww...You are not out of the woods but you are in a much better situation. Will be waitn to see what a biopsy will show. Good bluck buddy..We are breathing a little easier.

Cajun Jeff
AGE:58, 57dx. PSA 5.4
Biopsy: 9/08 Gleason 3+4=7
open RP: 10?08 Nerve sparing. Path Report : GS 3+3=6 Stg pt2c margins clear
Cath for 10 day. Dry day after removal of Cath
PSA @ 3 months <0.1
6 months <0.1
9 months <0.1
12 months <0.1
16 months <0.1

ED Started VED at 3 months, pills followed VCL none did much, tried MUSE at 9 months (YUCK) Hated it. 15 months out injections Caveject (succecc)

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