New member age old problem Prostate Cancer?

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Regular Member

Date Joined Feb 2010
Total Posts : 183
   Posted 2/13/2010 12:05 AM (GMT -6)   
I'm new to this forum and to the illness. Psa jumped last year to 4.65 doc MD felt little firmness on right side.
off to the urologist, yup we'll drill 15 to 20 core, anestesia , need driver. you may puke. bleed for a few weeks, infection only danger.

so yeeeek, and now it's next year, PSA 4.5 no change. prostate still a little firm on the right, no nodules. MD says we must do something. so sonagram no biopsy Monday. High tech color. He says 25% score a cancer hit on a 12 core and a little higher 33% on a 25 core. But more bleeding for longer? Ummmmm!

Statistics are bad, no extended life span? heart disease is my families way to go and I am diabetic, High BP, Extreme Tryglicerides. all under medications.

A Cancer outlook will change ones lifes outlook. panic mode, valium express.

Without hosp sedation, I heard very painful. In fact I interviewed patients of local urology center and they said 8 on the 1 to 10 scale. and the doc says aww, no pain at all. Another friend had 2 biopsies and now says never again???
He'll take what life give him?

I interview guys at the senior center, one 85. 1st diagnosed at 65. now prostate cancer has got his bladder and he is moving real slow. another went to bone at 75. I'd prefer christopher colt solution.

Arkansas does IV sedation? Normal mode. Here in Calif Medicare will not pay, office procedure. just Lidocain used.
and a valium to get ya there.

Lets see impotence about 75%, incontinence about 40% depending what survey.

So I guess I am watchful waiting even before the biopsy????
Any comments out there? Gotta be a lot of old geezers in the same boat?

Veteran Member

Date Joined Jan 2010
Total Posts : 2845
   Posted 2/13/2010 5:18 AM (GMT -6)   
hello - your posting is a little hard to understand - have you had a biopsy yet or still waiting?

I had my biopsies done shortly after the PSA results - not a pleasant feeling - like a staple gun up your buttt - but not a long period - 12 samples - 20 minutes - hospital has routine of starting antibiotics before and after biospies - so little chance of infection - some bleeding but it passes -
questions - how old are you ( not all of us are old geezers - I am 54) - some doctors weight the quality of life / quantity of life routine depending on the person's age as well as pre-existing conditions.

This is a good forum for venting and questions and research - links posted at top of forum list - it has helped me a lot.
All the best to you in this journey.

Age: 54 - gay - with spouse, Steve - 59
PSA: 04/2007- 1.68 - 08/2009 - 3.46 - 10/2009 - 3.86
Confirmation of Prostate Cancer: October 16, 2009 - 6 of 12 cancerous samples , Gleason 7 (4+3)
Doctor: Dr. Mohamed Elharram -Urologist / Surgeon - Peterborough Regional Health Centre
Radical Prostatectomy Operation: November 18, 2009 , home - November 21, 2009
Post Surgery Biopsy: pT3a- gleason 7 - extraprostatic extension - perineural invasion - prostate weight - 34.1gm -
ED Prescription: Jan 8/2010 - started daily 5mg cialis
location: Peteborough, Ontario, Canada

Veteran Member

Date Joined Jun 2008
Total Posts : 1804
   Posted 2/13/2010 7:13 AM (GMT -6)   
Berdoo, yes your post is a bit difficult to understand.

First off, my husband had two biopsies before they found the cancer. While not the most comfortable thing in the world, for him it was not painful just uncomfortable. Our doctor only used lidocaine and a valium-type prescription before and my husband had no problems. The biopsy is the only way to get your Gleason numbers which are critical to make a treatment decision. Sounds like you had a color Doppler sonogram which seems to confirm you have PCa. Now, you need to find out how aggressive it is which would be done by taking samples from the prostate (biopsy).

You talk about incontinence and Ed and assume you are referring to surgery. Surgery can definitely cause either or both of these conditions, as can radiation treatment.

If you were to ask my opinion, I would counsel having a biopsy so that you know what you are dealing with here. Deciding not to treat because of fear of the biopsy is not a smart decision. Bleeding from the biopsy is minimal and I don't remember my husband bleeding at all afterwards. You would be told not to engage in sexual activity for a week or so to allow the prostate to heal from the biopsy.
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!

Veteran Member

Date Joined Jan 2009
Total Posts : 2243
   Posted 2/13/2010 8:21 AM (GMT -6)   
The biopsy is not bad, although it is like a bee sting in your rear end. Not a big deal in the theme of things. I went for a run the day after my biopsy. I hear your panic mode and not sure if that is related to the possibility of surgery for PCa or other type tx for PCa. With your age and medical problems there might be other options for you. Not sure of you age, but at a cetain age you might chose watchful waiting or active surveilance. By the way, at what age does one become an old geezer?
Keep us posted and there are some experts on here, so your questions might be phrased in a more specific manner. The best to you.
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

Forum Moderator

Date Joined Sep 2008
Total Posts : 4271
   Posted 2/13/2010 9:27 AM (GMT -6)   
Dear Berdoo:
Sounds like you are in a bit of a panic on this...calm down.  Even if you have PCa it is likely curable and you will probably die of something else.  Your PSA is relatively low but you do need to find out what you are dealing with.
We have had many threads on biopsies and the pain (or not) assoicated with them.  For some men it is no big deal and for others it is excruciating.  Mine was done under IV anesthesia (think colonoscopy) and was no problem.  My doc does it that way because he takes lots of cores, does not believe in causing his patients unnecessary pain and want to take his time doing it right rather than having a squirming patient wanting it over with.
My advice is to get the biopsy ASAP...then you know what your have.  Then, come back here with your stats and you will get lots of advice and support re next steps.
Age 62, Gleason 4 +3 = 7, T1C, PSA 4.2, 2 of 16 cores cancerous, 27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 12/09.  6 month PSA 1.4 and now 1 year PSA at 1.0.  My docs are "delighted"!

Regular Member

Date Joined Jan 2010
Total Posts : 55
   Posted 2/13/2010 10:45 AM (GMT -6)   
Hi - you really won't be able to make a rational decision until you have a biopsy.  The thought of a biopsy terrified me, but found out I am one of the fortunate who did not find it a big deal.  No valium, doctor injected lidocaine into prostate, and then all I felt was pressure each time the needle was inserted for another sample.  No bleeding from recturm, but be prepared for blood in urine for three days, and in semen for up to a month.  I ended up with two biopsies, went back to work after each of them, and even exercised the evening after each biopsy.  I don't know how you will tolerate the procedure, but you should take the step so you know exactly what you are dealing with.
Diagnosed 9/4/09, age 59
PSA 3.5, up from 1.8 year before
First biopsy showed 3/10 positive cores, Gleason 3+3, less than 10% involvement in all three cores, diagnosed as T2a
Doc and I decided on Active Surveillance, pending a confirmatory biopsy
Second biopsy showed 5/10 positive cores, Gleason 3+3, left side (4 postitive cores) had 40% involvement
RRP on 12/15/09
Home on 12/16/09
Failed cystogram on 12/23/09, catheter out on 12/29/09
Path report was all good news, Gleason 3+3, no margin involvement, no perineural involvement, everything clean other than core of prostate, tumor on both sides, but more prevalent on left side, 5% involvement, 42 gram organ
Within two days down to one pad a day, now continent except if I sleep more than four hours
Back to work 1/4/10
First PSA 1/28/10 - nondetectable, next scheduled June 2, 2010
ED present, although blood does flow after Viagra. working with pump now - still trying!

Veteran Member

Date Joined Feb 2010
Total Posts : 3984
   Posted 2/13/2010 11:22 AM (GMT -6)   
Berdoo Man -- the thought of the biopsy terrified me and i had more than a month to think about it. i thought i could handle a cancer diagnosis better than the the biopsy. that was one of the first things i was wrong about.

my doctor was also glib about sedation so i told him to refer me to someone else because a valium wasn't going to cut it for me. i was convinced i needed to be knocked out. my hands had broken out in a rash and i could tell i was freaking my friends out as i went on and on about my fear of the biopsy. after a month of mental torture my doctor said he could use IV sedation and my insurance would cover it. man was i pissed!

i had my biopsy 1.5 weeks ago. the doctor used IV demerol/versed but he administered it very lightly. i felt at the time that he tricked me. I needed to be knocked out! my wife was in the room with me. she said: "i'm not going to let them torture you. the biopsy won't begin until you are ready. if you don't want to proceed we will leave right now."

the doctor, his assistant and my wife looked at me. my wife was kneeling next to me holding my hand. i was able to punch through the fear. i stole a line from gary gilmore and said: "let's do it!".

the bottom line is the worst thing about the biopsy for me was the fear. the procedure just wasn't that bad and it was over quickly. the medication did help relax me and i think that's important. my buddy had his biopsy two days ago and he said it wasn't that bad, tho he did pass out that night at home and spent most of the night at the ER. they rushed him out of there after the biopsy. my doctor eased me out and made me drink a coke to get my blood sugar up....and i think that was the difference. i'd take a coke or two with me if i were you.

here's the link to an article that i found early on regarding one man's fear and experience with prostate biopsy. his experience mirrors mine and i'll go one better and say that despite my irrational fear i probably would have done fine with just the valium.


BTW, greenberg is a guy i respect and when i found his column i was surprised to see him writing about prostate biopsy instead of the stock market and felt like he wrote it for me.

hang in there, brother. i am just a step ahead of you and i know what you are going through. let me know if there's anything i can do to help.

ed r.

Post Edited (F8) : 2/13/2010 1:06:52 PM (GMT-7)

Regular Member

Date Joined Nov 2009
Total Posts : 98
   Posted 2/13/2010 11:30 AM (GMT -6)   
"Your mileage may vary." Each person reacts differently to the procedures. I'm 52 and had a 12 core biopsy in the Doctor's office under Lidocane. It was unpleasent, but I walked out of the office and drove home. I wouldn't want to do it again (and I won't since I had surgery to remove my prostate), but it was not an 8 of 10 on the pain scale for me. I had 4 of 12 cores positive for cancer and elected to have an open procedure with my surgery on Feb 3rd. I was home on the 5th, and yes, it was painful, but morphine was my friend in the hospital. I had my catheter and staples removed on the 12th and I'm almost back to functioning normally. I swear I had an erection one night when the catheter was in and my leakage post catheter is minimal and I find I can control my bladder function with some small exceptions (laughing, sneezing, etc.) BTW - how old are you?

Elite Member

Date Joined Oct 2008
Total Posts : 25393
   Posted 2/13/2010 11:35 AM (GMT -6)   
Hello and welcome to HW.

Like some of the others, your post sounds a bit confused, you never stated your age so hard to make a reference, you had one biopsy already? But then you write as if you haven't. I had 3 over 18 month period, two without any pain med - not too bad, and one with pain med - that one actually hurt me the most. Real sensitive to pain, but having said that, I didn't find any of them that painful.

You might want to repost and clarify a few points, perhaps some anger or fear was expressed, and we would all understand that part, been there done that.

We are here to help you.

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, 1/19 - Corr Surgery #4,  Caths #11 and #12 in at the same time, 2/8-Cath #11 out - 21 days

Regular Member

Date Joined Dec 2009
Total Posts : 97
   Posted 2/13/2010 11:37 AM (GMT -6)   
Hey Berdoo man,

Some people call be an old geezer at 70....but I don't feel like one. Life is worth living so get your PC treated. Don't go by other peoples experience with the disease, because everyone's PC is different. Maybe watchful waiting is the best for you, but you have to get it diagnosed. I would guess with your PSA level you don't have much to worry about. PC is probably the most treatable(other than skin cancer) there is. The pain or discomfort for a biopsy is nothing compare to what you will have if you let it spread to the go for it!

Best of luck

Age 70

PSA 5/2008- 3.6, PSA 7/2009- 6.1, retested 9/2009-5.1.
Biopsy 9/2009. 4 of 12 positive. Gleason 3+4=7
CT and bone scan negative.
Robotic De Vince Surgery 10/29/2009. 1 night in hospital. No pain. Cath out on 11/6
Pathology Report: Gleason score 3+4. Margins slightly involved <.1mm to .25mm. Perineural invasion present, stage pT2c. Tumor 18%. Seminal Vesicle - absent, Lymph Nodes 0 of 6.
Continence- first 4 weeks after cath out Dry at night, rest of time, bladder held nothing. 6-7 pads per day. as of 12/30 no pads most of time. almost dry except for a few drips. I keep doing Kegels.
ED. Started VED on 12/17. 15 min every other day. 20mm cilias twice a week. No sign of life yet.

Forum Moderator

Date Joined Jan 2010
Total Posts : 7078
   Posted 2/13/2010 2:13 PM (GMT -6)   
Biopsy thoughts -

I had just turned 56, had no symptoms, no issues, just a 7.4 PSA.

I had no clue what to expect for my biopsy. It was delayed a couple of weeks because they had to re-run my blood work. I asked, and was told I could drive myself home. That seemed enough at the time.

They had me take a series of antibiotics the days before, and for a few days after.

In fact, it was a local affair, a couple of shots to numb the area, then the probe was put in. It was more of a surprise that it actually went in than pain. They didn't tell me how many cores were to be taken, or perhaps I didn't ask, but they did 12. Once the first one was done, I relaxed a bit, and the rest were no worse than the DRE. I would not call it pain as much as extreme annoyance.

The nurse seemed quite happy that I was a good patient, and said so, making me believe that not everyone supports it well, but if I had to do it again, I would not consider it a big deal. But since mr. DaVinci did his work, I don't expect to be in that position again.

From walking in the office until all finished took perhaps an hour.

I drove myself home, cleaned up a bit (there was lubricating gel everywhere), and spent the rest of the day at the office.

Over the few days after, I was a bit sore, and sitting was not my preferred position. For several weeks I had some rectal bleeding, and they also upset my 'roids, but that cleared up. There was blood in semen for a few days, but that also cleared. I did not see any visible blood in urine.

Except for the abysmal report, which kept me awake nights and sent me down the road to DaVinci, it was a non-event.

By the way, Welcome to the site. As you can see, we will discuss things here in about as brutal honesty as you can get.

Post Edited (142) : 2/13/2010 12:18:16 PM (GMT-7)

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